8640 SW INEZ STREET-1 W Aff
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8640 SW INEZ STREET
lddrass ,��0 K�'O �jt,cf Permit rJo.
_...�_ Permit charge
Gwner _, `
Connection fee , -z.S~ C1
Paid by
Type of building _/1�.� Date connmcted
Service rate / Inspe :: tiort fee r3S
Contractor Paid by Date r
;ize of conn;?ction _� Assessment � Paid
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77
SEWER PERMIT M 13750
L111� 7
Unifi,sdSSawerag*Agency Ti lard DATE
of Washington County CITY OF ----M�_ —
OWNER : ,__ _ Tigard School Dist.- _ PHONE
OWNER 'S ADDRESS: ..--_--- ------ - '
TYPE OF INSTALLATION:
X>X BUILDING SEWER FJBUILDING SEWER AND SIDE. SEWER
TYPE OF OCCUPANCY:
JEW >0. SINI.L.E FAMILY ❑ C:OMMERC. J Ail
❑F_XIST . (PRIOR TO 7- 1-70 ) ❑ MUL.T . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS I.
PERRMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWf- ,. ',E AGFNCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PEr, Mmxr NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600...----
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
✓��� T A L s __.6�.�.__
DATE
NOTICE: rc.
P BOVE DATE, SEWER SERVIQ
GH;,AGE WILL BEGIN 9!QR tHISSEWER PERMIT 13750
PEVIT.
ADDRESS OF STRUCTURE
TAX MAF
TAX LOT SYSTEM fanno creek
LOT BLOCK OF ,
APPROVEI BY DATE IS TED BY DATE
REMARKS bldg,- #-Lfi aJ-•
....a.,rw�^w1w:nr5r•w+reRw..�.+vwW+r�wgM.x+. .+v+ .11., ;,'7MY�'w..�'.."".
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE____ , 4 _ .._-• I9_,__
THF: UNDERSIGNED HEREBY APPLIES FOR .A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN T.IE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF —
�_....._.__
% urd aC111001 UibL, uu4j aW Inuz ;)L. LAT NJ..._ _
OWNER JOB ADDRESS HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER _�+� ADDRESS DESIGNER
t1'_RUCTURE L_JNEW ❑REMODEL _ ❑ADDITION ❑REPAI7 �CIFIENEWAL ❑FIRE'DAMAGE [:]DEMOLITION
LJ 'ESIDENCE (:]COMM ❑EDUCATIONAL ❑GOV T ❑RELIGIOUS OPATIO ❑CAR PORT
tt Or ❑STORAGE❑SLAB []FENCE
❑BOND DMOV NG ❑ ) 1TIONAL USE ❑DESIGN REVIEW LJCOV..CIL APPROVED ❑SIGNS
OCCUPANCY LAND JSE ZOWr _ _. .—BLnG.TYPE___ -FIRE ZONE_ PLAN CH_ ECK HEA1 -^
tlAflt�li� I I.tR.% �.+j ,11�C9tlt;l7 .,f E3Li �?Lrr1 C:1:#I.';3,, J
-- 536 .
Qf-LOAD — FLOQR LOAD HEIGHT T„ N ,STORIES ^) _ ALUE
BUILDING DEPARTMENT _ SET BACKS FRONT �1 REAR LEFT SIDE RIGHT SIDE
PermitTHIS PERMIT 1, ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE O° THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORi,TO PAVE CURRENT CITY BUSINESS
State Tax I)•��`I LICENSE. SEPARAT;E PERMWTSi,RFOUIRfD FOR SEWER, PLUMBING AND HEATING.
Total
By
/ AP' 'ANT OR ACFNT
Approved 6 --- Receipt No
S fi�7f 7 1,:
f
INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. �_ (o 12--1q`��
Rouyh-in —_
�S/•} IpI�RUV�.��y�,t,v/� (��( Fixture _
Final ^�
HEATING
— Contractor
�''�l
C Pl1 dV e (� ,v' 2 Q Permit No. I �'�� 2
Gas or Oil ---- —
U Rouvhlin _--�-- _
Final ----- —
,EWER
DRIVEWAY ----
�, Final
(Rain Drain) Final
J l Sidewalk—
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
C•-RTIFICATE OCCUPANCY -
Landscaping
Zoning Final
is
1
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: '� ' %Q PERMIT NO. :—
DATE: 7 DATE ISSUED '.
OWNERS
SSUED :OWNERS NAME : X 4,04 d)1.57
ADDRESS' .51-h sZ4,k) -Z/VE '�L ZZ .
.ON TRACTOR
E. S T : Air 0, W ter[] , Visuel 0 , Lab-,.)rrt-)ry []
qESULT: App ved a Disapproved C Pending []
S KETCH' Uri
1� v,-s0A/ �W
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INSPECTOR DATE
CNOTIS: Attach supplemental last it, "Oreto7