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BUILDING DEPARTMENT, TIGARD
1 PLUNIFANG PERMIT N9
holder of a valid plumbing contractors license is hereby
authorized to cause plurnhing work as ht!rein n.-)ted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hour; prior to the time the installatio,,s are ready for inspectign. Ity of Tigard Business license required
for all contractors and subcontractors. Job
I � 5--4 _
Owner .j- l Addre:,s .�� i�1(. 9(.)k�-
NUN1®cR OF TOTAL
TYPE OF PERMIT ITEI1:1S FEF 011 EACH A OUNT
i
LS;nQ!:a F.irnittr. _ew.l 15.00
� flu IA+.x••S�,,h_ bt'r, unit _ --- -- 25.00
Additional bithruom,—each _- L._ 10.000 ) —
I
Mobil, Homme Space—each 15,00 x I
�tN01VIDUAL FIXTURES COf'_'TRCIAI
l 1 to 50 Fixtures in 1 buildin --each
_R1 to 100 Fixtures in 1 building-each_ _ 2.50
i._101 to 200 rixturee in 1 build;ncLeach _ 2.00
701 or more Fixtures in 1 building--each 1.50
11.11Sr9LLAN E0 U5
� Sewer—each additional 100 ft. i 10.00
. Water Service to building __—Li— 5.00 ( w�
( PERN11T For Plu•.ihing Imp^ction Phrr?e 6139 4171
I 4,;State i Flumbing Cr.ntractar By
I TOTAL I RE ZEIPT 'X. Issued By
w w w rwip
BUILDING PERMIT APPLICATION TIGARD DATE__ tatltlat'}r ."I _ 19 3560
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE V\iORK HEREIN INDICATED BUILDER PHONE S -4175
OR AS SHOWN AND APPROVED IN THE ACCOMPA14YING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 23-4aisverl1__1lgactoys
OWNER 3 i&nt CcnstructiorgOBADDRESS 14030 SW iWth Cor►rt
-----------
ARGHITECT
DESIGNER
BUILDERSw. ADrRFSS 5?U3 S„ 28th-PorKlr�rnl DESIGNER R TeAnn f)e i'
nA
STRUCTURE aNEW ❑ REMODEL E ADDITION CJ REPAIR ❑ RENEWAL O FIRE DAMAGE ❑ DEMOLITION
MMESIDENCE O COMM ❑ EDUCATIONAL O GOVT 0 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE . S i ORAGE ❑ SLAB❑ FENCE
OCCUPANCY - it3 LAND USE ZONE ,"1Pt�BLDG.TYPE _S''' -_FIRE ZONE" PLAN CHECK BY 4!!fi HEAT (xis
r_-nstruct single family dwellinjX iarith uttagchect garage
�
re-i.anrre of Pemit #3559 (14070 SW 80th Ct) 3 Berroome
l;pmwn Vlall agreer;marrt .in CC>;'I� 2 laths
SEWER PERMIT# 23254
OCC.LOAD FLOOR LOAD 40 HEIG117 22 NO.STORIES 2 AREA 131.E NO.BEDROOMS 3 VALUE 1+605-00
BUILDING DEPARTMENT SET BACKS FRONT 18 REAR 15 LEFT SIDE 0 RIGHT SIDE 5
Permit_ 1 +tom THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRLED THAT THE
Plan Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEu.'ICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal l.s-�.0t) RESTRICTIVE COVENANTS. CONTRACTOR AND STUB CONTRACTOriS TO HAVE CURRENT CITY BUSINESS
State Tex 4' 7.12 LICENSE.SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEATING.
Total 115.12 SDC— 41I0.(xi
--- -^ PDC# i.11 I pt 000 APPLICA 7 OR AGENT
By
Recelpt No.
Approved dwh ADDRESS __—_-__-- --� - PHONE
DATE—INSP. TYPE INSPEC'ION REMARKS PLU ING DATE
v Contractor r� //-- //
Pe•mitNo. rtJ l�bCJ 1'Fin�
Hough-in ^
{ _20_ Fixture
4 _ Final
HE TING
Contractor
Permit No.
�—
'Gas or Oil
Rough-in
— --- Finat --
SEWER
—� Final 3- Z-2
DRIVEWAY
Final
Storm Drainage
(Hain Drain)Final
_ Sidewalk
Curb A Stmt Final
Ap~ �— --- -
O.DG•09".FINAL TEMPORARY CERTIFICATE OCCUP
CERTIMCAT'T_OCCUPANCY Final
it-�6-gr - --
landetWing
Zoning Final
Y �i' j$:• Y 3^: ;,�y;.. L-� ,ter- f,: - t, r•rbD ,5:,
ff
ra
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.�a �,f',�t e �'�_ '�s '���f,,t..��',, `�'`r;. ,�k�=�, �� t;:r,a�,i j'• `i �?�Ft
s
� e
BUILLING PERMIT A''PLICATION TIGAH2 DAr�-�N•
�j
THE LINXIERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE,2 A"7�rl�
ri
OR AS SHOWN^A,ND APPROVED IN THE ACCO IPANYING PLANS A SPEC!FICATIONS. OWNER PHONE
JOB ADDRESS �'J �l:�_.-3�-����'��- L0T D:O.�.�7—�/� --_
J� . �
f ARCHITECTENG1
9UILCEP a•�+�_ ADDRESS y;�O.7 �-�/� DE IGNCR f C.�1eA►t .
STRUCTURE NEW Cl SEMOOEL ._i ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE w---El G�F+J7LITION
RESIDENCE C- COMM ❑ ECUCATIONAL ❑ GOV'T Cl RELIGIOUS Ci PATIO ❑ CARPORT ❑i GARAGE G STORAPE [? SLASID FENCE
rL;C6=ANCY .LAND U,,EE ZOONE p LDG.TYPE .� /VFIRE ZO�N,E[ PLAN CHECK BY A HEAT
10
1��a••• �j � 2 p� Q
SEWERPEFIMITO -41
OCC.LOAC FLOOR LOAD�O— HC ,HT NO.STORIES Z AREA��_f�NO.B�EDyROOMS Y4.LUr ,," w
BUILDING DEPARTMENT SFT BACKS FRONT �� REAR /10 LEFT SICE ..f,7 RIGHT SIDE S'
Porn12 ..00
�THIS PERMIT IS ISSUED SUBJECT TO THE AEGULAT10Nr CONTAINED W rli_ BUILDING CGDE,ZON:.•40
REGULATIONS AND ALL APPLICABLE C11'iES AND ORDINANCES, AND 17 s HERESY AGREED Trn i T'XE
Plan Check 10 WORK WILL BE DOME IN ACCOP.CANCE MTH THE PIANS AND SPECIFICATIONS AND IN COfi',PL1AN(;E
/Qa WITH ALL APPLICABLE CODES AND ORL'INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
ISc�totai _ILY p. RESTRICTIVE COVENANTS. CONTFACTOR AND SUB CONTRACTORS TO HAVE CURREN-C CITY BUSINiSS
LICENSE.SEPARATE PERMITS R=OUIRED FOk SEWER,PLUMBING AND H .47ihG.
JtatB i 3x
Total
SDC — ---- --
POCM APPUCANT CA AGENT
By
Receipt No. -- ------- -- -- --- ---
Approved ADDRESS PHONE
3C)C �
:IDC — S — # !O a
:iEWER CONNECTION S 72
;EWER INSPECTION
aEWEN SURCHARGE g ���