14430 SW 87TH COURT 14430 SW 87TH COURT
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2094
BUILDING PERMIT APPLICATION ger TIGARD DAT'. z)-12"7 f4 is
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONLiW-2214
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE��..
LOT NO.
OWNER E Z t. Li'' { a• JOB ADDRE_4,04'4 r, JI, 67th C t • HOME ADDRESS
-�-- ARCHITECT
ENGINEER
BUILDER ^I"' ADDRESS ---DESIGNER
STRIJCTURE .t INEW ❑REMn_DEI_ ❑_ ADDITION _ ❑REPAIR ❑RENEWAL ❑FIP,E DAMAGE ❑DEMOLITION
N
0%1FSIDENCE L !COMM ❑EDUCATIONAL C-T.1GIV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑-TSLA13 ❑ E
FENC
QEIOND t_.JMOV ING ❑CONwTIONAL USE EJ DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUP,q_hCY_~ LAND USE ZONE at—�B.- _ @Lt�(. T'r PL_. _ FIRE ZONE__ PLAN CHECK 3Y HEAT
;UfrES • $ingita FI11ITi,d 1' y I14.'I' j.Ljnq Ij/Rths,;hvo Ijsv ,,Vs3 4 Lor-tbi,:l'E, in; NiH,
Qr- 9th—_.—._.FJ�4QR J,t7Ad —HF.LG}'1___—�_.._N9._5T_QA!1_E5 _AB.E.A— NO,BEL)8QQ"a-- VALUE-----_—
�_,BUILDING DEPARTMENT SET BACKS FRONT JC REAR 25 LEFT SIDE 1b RIGHT SIDE f)
Permit
-- THIS PERMIT IS ISSL1rU SI-IRJF_CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check y • REGULAT CNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREcD T4A1 THE
-- — WORK WIt.I-BE CONE IN 1CCOgDANCE WI H THE PLANS AND SPECIFICATIONS AND IN COMPLIAIJCF WITH
Sub-total ALL APPLIC'SLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT AAIVE
--- RESTRICTIVE COVENhNTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURR:NT CITY BUI.INFSS
,tate Tax 7+� LA ENSF SEPAVfM ERMIT; QF.OUIRED FOR SEWER. PLUMBING AND HEATING.
Total + % �t+t,!e • G'(}�
Ay
- APPLICANT CTR PGFNT
Appr._ o__._ve,i -�� Receipt No.
DATE INSP. T PE INSPECTION REMARKS PLUMBING I PATE
Cnntractur
i Permit No.
Rough•in
Fixture
Final
_ — ex �� .� �sd_ r �,� HEATING
�• ��(� r� y Contractor
Permit No.
Gas or Of'
Rough-i r.
Fines �-
-SEWER
Final ^�
DRIVEWAY
_._ Final
_—• �_ Storm Drainage
— (Rain Drain)Final
--- — --- Sidewalk — —
1i Curb&Street Final
Approach
BLDG. DEPT.FINAL TLMPORARY CEaTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fin.-,I
Landscaping
Zoning I'mal
SEINER PERMIT N Y iiso0'/
Unifi,-d Sewerage Agency
of Wash:igton County CITY OF Tigard DATE 5-12-78
OWNER : Dale Const. Cdr. _ PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
E��' BUILDINC SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑<NFW Ox5INGLE FAMILY ❑ COMMERCIAL
EXIST. (PRIO� TO 7- 1 -70 ) ❑ MUt_T. RES. [] INDUSTRIAI.
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : 14430 SW 87th Ct.
PERMIT CONDITIONS: THE .APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE 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
EXPIRATIG,N OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECT ?ON CHARGE 600.
SIDE SEWER INSTALLATION _ A rr -top _
OTHER
ISSUrtJ BY
TOTAL 625.
APPL_-fC NT DATE
SEWER PERMIT N�' 15901
�YN IM'/s U�iIW�� �W11 YY,7 �
ADDRESS OF STRUCTURE 14430 51J 87th Ct.
TAX MAP FAX LUT __ SYSTEM Pmrio creek
' LOT 19 BLOCK ^+ OF
E. Walden 5-12-78
APPROVED BY DATE
ISSUED BY' DATE
D. U. ' S 1 REMARKS bldg. 2094
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UILDiAIG PERMIT APPLICATION �I'y TIC ARD DATE_ /.,�1 g_'`,s �� 0q
L)F --f---
14SIrNFD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE...____
)WN AND APPROVED IN THE ACCOMPANYINr, PLANS AND SPECIFICATIONS. I.OTN PHONE
� � LOT NO-_�- _
'y[ JOB ADDRESS (/V '.E ADDRESS
ARCHITECT 4
ENGINEER
ADDRESS DESIGNER _
NF J?�tiE W_ �REMODEL ❑AbDIT Ig19 ❑
HcPA!R ,--OR [:]DEMOLITION
[]FIRE DAMAGE DEMOLITION
� —
(� ] DUCATIOAL ❑GOv'T0CONCE ❑11VIV ' SLAB ❑FENCE
1r 'ND n40pVING ❑CONDITIONAL USE QDL.'IGN REVIEW OCOUNCIL APPROVED ❑SIGNS
ob
Y+Ni'Y I I L NP USE 20NE._. fi! BLDG TYPE ... !Y _FIRE ZONE_ PLAN CH K B_Y-_ _ HEAT
:';c.- ; �Ap FIUQRI:Q�SL ��.-___..H IGHL._r![_-- ►�I� SZQRIE ._.A�€9izN4�BE.QR�9MS� VALILE. �/� d�
EUILDING DEPARTMENT SET BACKS FRONT IAqj ��,,�� REAR Lr FT SIFiE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
,"Ian Cheek 7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIF ICATIONS AND IN COMPLIANCE WITH
"ut„otal — d r� 1P,� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
�Z.r1�,d'� RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
f,,a,I Fa LICENSE SEPARATE PERMITS PEOUIRED FOR SEWER, PLUMBING AND HEATING.
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Permit Ma.
Permit chargu 22
Connection fee
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Inspect,-on foe x5
-wit r a Paid by date
Assessment Paid