15675 SW 88TH AVENUE-1 O�IP
15675 SW 88TH AVENUE
i
i
v
Q
s
m
m
4
un
Ln
�o
un
1
ADDRESS / %� ``, a) Ti, PERMIT NO. 3'�
PERMIT CHARGE none
OWNER ---v w •b _ _ CONNECTION FEE � u
_ PAID BY
TYPE OF BUILDING DATE CONNECTED
Sk RVICE RATE /g, INSPECTION FEES ---
O N T R A C T O R �. �. J,a I 0 BY _ DATE
`',IZE OF CONNECTION ASSESSPICNT PAID �
I
BUILDING PERMIT APPLICATION "OF
Ty TIGARI7 DATE_ s 19____._.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK 1EREIN INDICATED BUILDFRPHONE
_.—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS .AND SPtC:IFICATIONS. OWNER PI,')NE--- _
LOT NO._
OWNER a1Lli �LJ�jlc. JOB ADDRESS 1 HOME ADDRESS
ARCHITECI
ENGINEER
BUIL_ER _ ADDRESS — —_ DESIGNER
ST'1UC"URE xDAw ❑REMODEL ❑ADDITION ❑REPAIR UFIENEWAL. ❑FIREDAP..AGE ❑OEMOOLITION
CI-14ESIDENCE ❑COMM [:]EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑-11SLAB IrJFENCE
_❑BOND ❑MOVING ❑CONDITIONAL USE. ❑DESIGN R-VIEW ❑COUNCIL APPROVED QSIGNS
Y l�W
OCL'
CUPANCY '3�-qq LA.NO USE ZONE r-
7�_-B� DG.TYPE_f" FIRE ZONE- aiC PLAN CHEC: BY_—. HEAT_ _
inst, single family dwellinW w/attaded Wa►rage 3 bedroom w 2 Liath
sewer parmit i1Li9-19
OCC,_LOAD FLOOD.LOAD AQ _. HEIGHT Q lyQ�jOHIES 1 AREA 1_7��4,�i�nnfiOOM$ VALUE _ 400200.
BUILDING DEPARTMENT 24 ;jQ a is
-- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �l u0s LIQ
�p (IL REGULATIONS
PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 700 BUILDING CODE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLE COZIES AND ORDINANCES, AND IT I' HE9EBY AGREED THAT THE
dQ UQ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SLIb-total • A,L APPLICA'1LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES Nr1' WAIVE
RESTRIL.TIVE COVENANTS. CONTRACTOR AND SU21 CONTRP.CTORS TO HAVE CURRENT CIT+ OUSINESS
State Tax �'•40 LICENSE. SEPAQATE PERMITS REQUIRED FOR SEWFR, :'1_UMBING AND HEATING.
Total 246./40 i•o.C. nuc.
P.U.C. j 2 *LOU.
BY _ --- - --- - - - —- --— ---
IPPI WANI OR AGENt
Approved I etW Receipt No.
IEss -
W ® !t
DATE INSP. TYPE INSPECTION REMARKS PLLMBING DATE
y Contractor
—2-9 .?(1 �t Permit No.
Rough-in
/ Fixture
Final
HEATING
Permit No. 6/:1(0171�
Gas or P;i
Rough-in
-� •/ Final
SEWER —
Final
DRIVEWAY
— — ---^-_
Final
- Storom Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approuch
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE O.-CUPANCY Finel
CERTIFICATE OCCUPANCY — -------
Landscaping
Zoning Final
SEWER PERMIT NY 15939' x'
Uf nfied Sewerage Agency
of Washington County CITY OF TioaLd GATE
OWNER= Bill Jones
PHONE :
OWNER 'S ADDRESS: .
t
TYPE OF INSTALLATION:
^i
D>MJ ILDING SEWER ❑ BUILDING `EWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑%-N yx❑ISING'_E FAMILY ❑ COMMERCIAL.
EXIST. (PRIOR TO 7- 1-70 ) J ❑ MUI.I-. RES. rj INDUSTRIAL
FIXTURE UNITS DWELLING UNIT; 1
ADDRESS OF STRUCTURE : 15575 SW 8_8th
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR TNSPECI-111N,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONc-
HUNDRED AW) TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL_ BE FORFEITED SHOULD
EXP I RAH Ord OCI;"'R.
FEES:
PERMIT =EE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION 0_. OrBBnQ
fi -R ISSUED BY
$ 625.
APP 1 1 TDATE
SEWER PERMIT N° 15939
ADDRESS OF STRUCTURE 1 ' r,7� °I► (raFh
TAX MAP TAX LOTSY5TEM fanno creek
---- _
L 0 T 18 ---------
BLOCK OF
E. WAlden 6-6-78 '
APPROVED BY
DATE ISSUED r PATE
D . 0. ' S 1 REMARKS bldg. #2127
i
I
I
I
i
'IJILDING PERMIT APPLICATION C,�Y TIL/"�D DATE_
IINL�E W�lGNFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _—
c.� 'kND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
� �[ LOT NO��
F - JOS ADDRESS �2:2 � [_/S ../ HOME ADDRESS
ARCHITECT
ENGINEER
ADDRESS _ DESIGNER _
EW _O RE MODEL— ❑ADDITION OHtPAIR ORENEWAL [:]FIRE DAMAGE []DEMOLITION
X :,tNCF GCOMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO OCARPORT ,OGARAGE OSTORAGEOSLAB ❑FENCE
-''ND CIMOVING —_ OCONDITIONAL USE QDLSIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
N''Y NO USE 70NE_._—_BLDG TYPE____ __FIRE ZONF PLAN CHECK BY HEAT--
NQ.:
BUILDING DEPARTMENT
SETBACKS FRONT REAR LEFT SIDE _^— RIGHT SI'iE
THIS PERMIT IS ISSUED SUEJECT TO THE REGULATIONS CONTAINED IN THE BUILDING rODE• ZONING
In check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRI ED THAT THE
"'--' - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COM0LIANCE :VITH
,ub Total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT nOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REOUIRLD FOR SEWER, PLUMING AND HEATING.
Totel'-•—.-- -j �
By
APPL,CAN1 OR AGENT
AppFoved Receipt No
ArJURES9
� L(