11370 SW TIGARD STREET 11.370 SW TIGARD STREET
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A CIOR E S S / S�� _ PERMIT N 0.
PERMIT CHARGE none _
t1WNER '•2�-- � __�_ CONNECTION FEE
PAID BY �
TYPE OF BUILDING DATE CONNECTED -
as
SERVICE RATE �S�� ?NSPECTION FEE
CONTRACTOR
PAID BY DATc
ASSESSMENT PAID
SIZE OF CONNECTION _
BUILDING PERMI i APPLICATION cO�v T�G�4RD DATE_. - 77—_, ,9_— 14r:0
THl UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639--0120
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE.—�_
*�i LOT NO.-.—.
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OW1:)I„' 1 �1 Waldo JCR ADDRESS 11370 _';j Tivaro HOME ADDRESS
ARC141TECT
ENGINEER
BUIL.DER_- 3$fl;, ADDRE�rS-S — DESIGNER —_
STRUCTURE ❑NEW ❑REMODEL E.IADDITION ❑REPAIR
..t�^^�� [:]RENEWAL ❑F;REDAMAGE ❑DEMOLITION
QF F�SIDENCE ❑COMM ❑EDUC.ATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO UCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BONU ❑MOVING ❑CONDITIONAL USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
O�CCLIPANCY_—__LAND USE ZONE---BLDG,TYPE _FIRE ZONE_ PLAN CHECK BY— H'FAT__.
dx18 aapask carport attached to axieting hJuse footings and drausing per
Tildina coda located at left aide of-_bouaal cat' 113th
QQ..LS2��—__ FJ.QS28_LOAD ______._.HEIGHT AR_99—��IQ 9�QP_44M�__YAL ���__
B13 LDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit '.00
-- THIS PERMIT IS 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
-- :YORK WILL BE DONE IN ACCORDANCE :H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL API't.ILABLE CODES AND OrIJINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT T,1A1VE
RESTRICTIVE COVENANTc rnN-,HACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIYY BUSINESS
State TAX ♦30 LICENSE. SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMS'NG AND HEATING.
Total 10*30
BY _ - ----- -- –
- — nnpL,ICnNT OR AG_EN t
Approved �;>� Receipt No
ADDRESS
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DATE INSP.1 TYPE INSPECTION REMARKS PLUMBING
Contractor
Permit No.
A10 k1 r-
o Ll e IQ inns-1A 5 Rough-in
Fixture
ii nal
HEATING
Contr.,tor
Permit No.
Gas or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
final
Storm Drainage
Sidewalk
Drain) Final
a
d"ewalalk
Curb&Street Final
-Approach
BLDG DEPT. FINAL TEMPORARY CERTIIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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City of Tigard
INSPECTION REQUES
for
INSPECTION TIME' PERMIT NO : ...._.. _�
DATE DATE
Alin R r S S
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Air [3, Watts/isapproved
isval (] , Lo`�F':I(JUT', Approved C Pending ()
SKETCH.
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IFPECTOR DATE I
COTEAttach supplemental tett data bereta�
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UNIFIED SEWERAGE AGENCY NO. 11.688
WASHINGTON COUNTY DATE . _3-14-77
C I T Y O F------. T.i w a n d --- —
APPL-ICATION F=OR SEWER CONNF-CTION PERMIT
OWNER: --- _Allen Dr��W - --
OWNER'S ADDRESS: -- ___-1l3-7D-_.S1II—'Lig -r.d Ave, ------ --------
STREET
CITY 5Th. ZIP
BUILDING SITE: LOT___ _____ BLOCK .- _— ADDITION ---
TAX LOT N0. _ _.___—__._______ TYPE OF OCCUPANCY _--residence
ADD R E SS ---__1.133.0_-5LI_I Q$��.-_A v_e•------ -- -- -—--- - --- ----- -- -
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF -
300. 325.
PERMIT FEE INSPECTION FEE 25. _ TOTAL DEPOSITED .—
(NEW) (EXISTING) ViUILDING SEWER SYSTEM -f_linn 0.-eek
The Applicant agrees to comply with all rules and reguletQns of the Unified Sewerage Agency.
APPLIC"ANT 1f2,
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE S17F _ ._ _ _ INSTALLER
RECEIVED BY_ Z_--�s"�=..t�
(AGENCY OR ItS'AOENT)
COMMENT-S: Per U. S. A. order #70-12. Presmiees existed prior to 1970.
Labler facilities :becorre available 1-77 Paid to Leron Hieghts S1b0.00
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.