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13505 S W. 110th
TMARD, r)REGON 97223
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NO.
PERMIT
PERMIT CHARGE
MiNER CONNECTION FEE
PAID BY
TYPE OF BUILDING CATE CONN'ECTED
SERVICE RATE INSPECTION FEE
C O N T R A C T G R PAID BY DATE
SIZE OF CONNECTION ASSESSMENT - PAID
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CITY OF TIGRP C�
G OREGON
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.Permit No..
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11595 SW Terrace .Trails
Building Address............. . ... ... ....................... { ,
31 Januar 7 •� f.\
Certificate is hereby given this................day of..............y..... ..........,
1wh.` that said building may be occupied and
t that. it complies with all requirements of
the Building Code for the City of Tigard, R!
as approved by the Tigard City Council. y }
' ,1 Building inspector `g
y
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City of Tigard
INSPECTION REQUEST
for
�/
INSPECTION TIME: PERMIT NO. :
DATE: , DATE ISSUED :-- I Z
OWNERS NAME :
ADDRESS:
CONTRACTOR : f c� "f.� _ i
rE ST . Air p, Water❑ , Visual 2�, Laboratory n
RESULT: Approved Disapproved C Pending p
SKETCH;
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INSPECTOR DAT/^+E
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO.:
DATE: __ 62170 DATE ISSUED:
OWNERS NAME :
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ADDRESS : tv T- /G
ICONTRACTOR : .-1�_ Wit__
TEST: Air O, Water q,.-Visual El,,-'Laboratory D
RESULT. Approved Imo, Disapproved Ll , Pending ['j
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pSPECTOR DATE
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pplementul lett dnth hereto)
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CITY or jv_' 0970
BUILDING PERMIT APPLICATION TIGARD DATE �"�� �� is
fHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOgK HEREIN INDICATED ,�19-6:1ar
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ,lle.J�:*i C.6�i181.. t t%�— ADDRESS 4 i :�':`;.., terrace Trail _tli�ll_LDER PHONE _
ENGINEER
JhJILDER I- AFICHIi ECT DESIGN :R
STRUCTURE ❑NEW ❑REMODEL DADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
RE60ND ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY IAND USE ZONE _BLDG.TYPE FIRE ZONE _ PLAN CHECK BY_ HEAT-
Consta on* 2 stogy Owaliing w/attached gareWoo Lhango (tont stairwey r<,nf roncl� I
from concrets t.,3 wood const. hessount 780 � C •> t,,�,�,�
Tax I-A .rl Maki 51 - 3CIA garage 520
dercicll +SO�o
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGUI Jq CONTAINED IN THE BUILDING CODE, ZONING,
Plan Check 7. ,0C REGULATIONS AND ALL APPLICABLE CODES ANI iNANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording AI-L APPLICABLE CODFS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I`f6State 6. 39 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 219. 39
By
AF "ANT ON AGENT
Approved Receipt No -------- --- ---------_-__._
ADDRESS PHONE
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DATE INSP. TYPE INSP CTION REMARK PLUMBING DATE
� .•� "o'?� ' rte+ c'L Cootractnr
Permit No. 5-35 9/1176
Rough-in ----
Fixture
Final
HEATING
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Contractor �j U
— -_ Permit No. 57?
Gas or Oil
-- — ----- R°u h i n - - --.
Final _
SEWERg-/,,?-//� -
Final
---- - -- - - ----- --- DRIVEWAY - 4-76
Final
Storm Drainage
_ (Rain Drain) Final
Sidewalk
Curb&Street Final
_ [Final roach C
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY
dscaping
ing Final
1 100
UNIFIED SEWERAGE AGENCY NO. --- 10602
WASHINGTON COUNTY DATE -.71114 -HM"976-
CITY
CITY OF Tigard
APPLICATION FOR SI-WER CONNECTION PERMIT
OWNER: _j_d Gause Const. Co.
OWNER'S ADD.`1ESS: - -- - - ------- - _
STREET
CI - STATE -
Tax a (viap M-3CA 2.
BUILDING SITE: LOT _ '��® 21P
BLOCK __ ADDITION ,
3600 residence
TAX L07 NO. _ __ TYPE OF OCCUPANCY
ADDRESS -----
DWELLING UNITS l _ FIXTURE UNITS - - _
SURCHARGE IF APPLICABLE _Dcery Dell 50. 00 _
PERMIT FEE 575. 00 _ INSPECTION FEE _25. 00 TOTAL DEPOSITED — 600.00
(NEW) (EXISTING) BUILDING SEWER SYSTEM - -
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SCWE13 PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY
(AGENCY OR ITS AGENT)
COMMENTS: bId9.--4 930- — ---- - --- - _
This Application and permit expires in one hundred and twenty P 120', days.
The amount paid will be forfeited should expiration occur.
CY OF �J 7
BUILDING PERMIT APPLICATION TIGARD DATE—:
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED q/
OR AS SHOWNANDAPPRRC)V 'D IN THE ACCOMPANYING; PIANS AND SPECIFICATIONS.
OWNER PHONE 4 �—__ A�S^!,r_—
IwVNER-��hL�'GI SG 0����• ADDRESS _ l/S��—�Jr/.�,�it���M�/r,,��pER PHONE ,
� ENGINEER
EER
ARC141TEPT _ .__..--.-•-------•-- DESIGNER
5T,RUCTURE__6VNEW Q} _MODEL CJADDITION` C1 REPAIR ❑RFNEWAL ❑FIRE DAMAGE ❑DEMOLITION
H _
ESIDF NCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO []CARPORT OGARAGE ❑STORAGE QSLAB ❑FENCE
❑[,ONO QMOVING ❑CONDITIONA: USE EIDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANAND UZN -�l.—L
CY LSE ZONE—E7
�T�'�'� `
_ _ . .__ _=BLDG,TYPE--6457---FIRE ZONE S PLAN CHECK BV�^._ � HEAT_
_
MIAOCC,LOAD- LOAD — HEIGHT 4_ . NO.STORIESv F AJUS VALUE
BUILDING DEPARTMENTSET BACKS FRONT �l, REAR—��/ _ LEFT SIDE.. ��— RIGHT SIDE
Permit -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan CheckREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— --'— -- ' WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
R��ording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERAtIT DOES NOT WAIVE
.� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State 9 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HFATINa.
Total
6V --- _ - -- _ _ _ -- -- -- --—
- APPLICANT OR AGENT
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