14420 SW 86TH AVENUE sr
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SEWER PERMIT NU5 '?�9 ,`71�
1
Unified Sewerage Agency
of Washington County CITY OF TiOard _ DATE 5'12'79
OWNER. Dale Const. Co. _ r'HOivE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
x!E� BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x❑< NEW XOXINGLE FAMILY ❑ CGMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS 1
ADDRESS OF STRUCTURE : 14420 SW 86th Ave.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SFWERAGF AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT 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 - Greene
ISSUED BY
OTHLR
NOTAL � s 625.
ell e;
APP(_ICANT"-- _ DANE
- M 15902
SEWER PERMIT
14420 SW 96th Ave.
ADDRESS OF STRUCTURE
ITAX MAP TAX LOT SYSTEM f-�u�orr�k
LGT 32 BLOCK _ OF
E. Wa 1 d o n 5-12-70 ) % :• /1����,�� �--�5--.�j
APPROVED BY DATE - i ISSUED BY .%' DATE
D. U . ' S 1 REMARKS bldg. #2095
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BUILDING PERMIT APPLICATION 1O1F TIGARDDATE %)_1'j _____
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IHE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BLIiUJERPHONE}F� 2� ,'f�
.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
_OTNO. L
OWNER " JOBADDRESB44iU 'J IJ tJGt.h A1fifJ• HOME ADDRESS _
-� ARCHITECT
ENGINEER
BUILDER ElSPI1L. ADDRESS DESIGNER
STRUCTURE ,XCNEW ❑RumnDEL ❑ADDITION ❑REPAIR �❑REN_E_WAAL ❑FIRE DAMAGE ❑DEMOLITION
ORESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T RRELIGIGUS❑PATIO ❑CARPORT ❑GARAGE_ ❑STORAGE❑SLA13 ❑FFNCF
❑POND C1 MOVING ❑CONDITIONAL USE ❑DESIGN RE ❑COUNCiI_APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE ----,BLDG.TYPE---FIRE ZONE— PLAN CHECK BY _ HEAT -
,. .jU$sllirtQ W/8tte+":rx cj �JaragC. Q tledruom b8th
OCQ,_L0A0 _FA QUR LOAD_4 __ HEIGHT 20 __._ NQ, QgIES 2 _1AE3EA2 379 NO.BED300�(I� VALUE -A 400.
E
BUILDING DEPARTMENT SET BACK5 FRONT 20 REAR 33 LEF . '�E 14 RIGHT SIDE f�
Permit
1V7*U U — ---- ��_ _.. - ---------
�.o a - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS C.`INTAINED IN THE BUILDING CGDE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANL=S, AND IT IS HEREBY AGREED - HAT THE
WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V%"'H
Subtotal 207.uc ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUP CONTRACT07S TO HAVE CURRENT CITY BUSINESS
State Tax 7LICFN9E;.VE.ARX,P ERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 41 1?.c'?•C. `4 %10(11*
By ---
__--____—___ APOLICANT OR AGENT
Approved I R dceipt No.
G
A Off
WN a
DATE (NSP. TYPE INSPECTION REMARKS PLUMBING DATF
Contractor
Permit No.
ig Rough-in
--
j �- Fixture
Final
HEATING
��' - y`d�.l.�l,• �a % Contractor i
,2Ermit No.
• Gas or Oil
mac,fes'-7,P Rough-in — -----
F lel
--- -EK-WER
DRIVEWAY
Final
Storrh Drainage
(Rain Drain)Final
Sidewalk -
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY —�CERTIFI ATE OCCUPANCY
CERTIF'ICAT'EOCCUPANC. Final _- —
Landscaping
Zoning Final
11TY T G".RD -y-:=-7;�:�7_
:0UILDING PERMIT APPLICATION OF 1 1# ,s.� ' N�.2
&Jc,r,NFD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHCNE_---
APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICAIIONS. OWNER PHONE
LOT No
08 ADDRESS2HQU E A U 0 R ESS 0 ARCHITECT
ENGINEER
ADDRESS VE_SIGNrR
%_E-W RE MODEL OADDIIION [3HLPAIR EIIAENEWAL OFIRE DAMAGE [3DEMOLITION
FNS.[ OCOMM OEDUCATIONAL OGOV'T OREL mious OPATIO r_jCARPORT OGARAGE USTORAC'EDSLAB OFENCE
OVING CDCONDITIONAL USE 0 DILSIGN REVIEW []COUNCIL APPROV(,n [3SIGNS
v, YV USE ZONEk----?- --BLDG.TYPE _,S�_kl`IRE ZCNE PLAN CHECK HEA
4—k � —- or
_KUQHT --VAI
-—
:C_ : CAU___ DR-WAD --7
FkQQF1
8_L'FlC6IWG dEPARTMENT
SETBACKS FRONT E _LEFT SIDE k4 RIGHT SIDE
L ___!I_ __= ____ --- f ---
—THIS—PFAMIT -1C ISSUED SUBJECT TO THE FIFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
0__ _
'lart 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 OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
f,-,aiv Tax 1 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANO HEATING.
Total__--.
APPL ICAN'T OR AGLNT
III rweV AReceipt No
AUOWl55 PHONE
60
AL