15695 SW 88TH AVENUE 15695 SW 88TH AVENUE -
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".ODRESS .4 5 6�ZS__ PERMIT NO. IS�°j 35IN
PERMIT CHARGE none
OliNER - - 1xp-•,�___ CONNECTION FEE
_. PAID BY
1YPE OF BUILDING z_(Ax, DATE CONNECTED
)ERVICE RATE / INSPECTION FEE
CONTRACTOR PAID BY DATE
:.SIZE OF CONNECTION _ A SSi'SSHENT PAID
zx---�,__*••-,..--yr•-�.�Ir,�...� s--•fir + 'q�,.. t "w"` p
BUILDING PERMIT APPLICATION OF CITY 1 IGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE
LOT NO.
OWNER JOB ADDRESS IS695 S"' E tf.., HOME ADDRESS —,_-
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ONEW ❑REMODEL ❑AUDIT ION _ C3 REPAIR ❑RENEWAL ❑_FIRE OAMA.GE ❑DEM--OLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEQSLAB OFENCE
❑DOND _ LJ MOVING
]CONDITIONAL USE 0DESIGN REVIEW _ ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY---.'-----LAND USE ZONE _ _BLDG TYPE-- _FIRE ZONE' PLAN CHECK BY_ HEAT -
:a' . tsl.il.�119 ?EtRll� 'J f4WMli�1� td�llttK�Glt@!i ',��f'Y�li �_ ad room/V bei.
440
�1 aJ 20 ---��—A t i 4 jE I 4UU.
OCC`1 Q9QFLOOR LOAD`_- �i�1S�L_._--_—�c�l`Q S�S2.� AREA -- E_2BD-4a_ _VALUE"- ----
BUILDING DEPARTMENT SET BACKS FRONT �tl REAR LEFT SIDE —4 RIGHT SIDE
Permit y,i:�I+•DT) THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan 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
Subtotal a 111.f�i, ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— - -- — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINESS
State Tax t3. t."l LICENSE. SEPAPIftT-,6 PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total .64 +'•u•(r• 1, k IL'
BY AF1ai n ANT nP Af:F rJ_
Approved Receipt Nor
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit Nv
Rough-in
0 --_._-.-----_-.__-- fixture
Final
HEATING
Contractor -
-� ----- Permit Na. ---
Gas or Oil
-- Rough-in
^ Final
_— ----- gCWEERRj, p
-- -- ------ ---— Final
DRIVEWAY
— --- - — --- ----- --- Final
J Starlit Drainage
(Rain Drain)Final _
�— Sidewalk
Curb&Street Final
I Approach
DEPT. FINAL TCMPORARY CERTIFICATE OCCUPANCY
Final
TCERTIFICATE OCCUPANCY
(Landscaping
Zoning Final
NUN
41 L
SEWER PERMIT
�-% N" 15935
unified Sewerage Agency Tigard 5-30-73 �
of Washington Coun'ry CITY OF _ DATE
OWNER : g2nf,a H:.mP,g _ PHONE :
OWNER 'S ADDRESS:
�
i--Y��PE OF INSTALLATION:
X>ET>SUILDING SEWER ❑ BUILDING SEWER AND "TDL SEWER
TYPE OF OCCUPANC)':
"D)NEW "DtINGLE: FAMILY ❑ COMMERCIAL
[] EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS — DWELLING UNITS ].
ADDRESS OF STRUCTURE : 15695 Sld00th
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CAI.LING 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
EXPIRA.', LON OCCUR .
FEES:
PERMIT FEE $ 25'
CONNECTION CHARGE 600'
SIDE SEWER INSTALLATION _ B. Greene
ISSUED BY
OTHER
$
AP ICANT / DATE
SEWER PERMIT N 15935
ADDRESS OF STRUC:TURF 15695 SW Bath
TAX MAP 'FAX LOT SYSTEM Fa nn❑ crUnk
LOT E3LOC K OF
F. Walden 5-30-78 �i (IA ` Y��rC�'�
APPROVED RY DATE ISSUED BY ✓ Dq' _
D. U. ' S 1 REMARKS _ bldg. #2115
j
BUILDING PERMIT APPLICATION �p Y TIG,',RD DATE__.__�_�?''__ . i9 No
UNDE RSIGNEO HEREBY APPLIES FOR APEF,,.IIT FOR THE WORK HEREIN INDICATED BUIL DER PHON�— I
SH7WN A C APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF —_
�j` LOT NO
c� JDB ADDRESS/rr & [J _yCG��� HOME ADDRESS
ARCHITECT
ENGINEER
--- -- ADDRESS _ __- -- — DESIGNER
+C tiEW ❑REMODEL ❑ADDIIION ORLPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
FNCE O(-r)MM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO OCARPORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
HOND 0 M. VING 000NDITIONAL USE OOLSIGN REVIEW DCOUNCIL APPROVED OSIGNS
vCYt _�`v AND USE ZONE—&71—BLDG TYPE !;— —.—Elkk_?,.ONE_3L_PLAN CHECX BYHEAT—J---
41
OF
HEIGHT . ------.- 8 .QFOOMS;C -_ FLQQRJXA2 - VALUEDtJ
—BUILUIwG_DEPARTMENT SET BACKS FMONT REAR LEFT SIDE RIGHT SIDE
•,mit //� �� � — -•-_•. ---- �.
"--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"an Check L1'y REGULATIONS AND ALL APPLICA13LE CODES AND CRUINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
uh total �� �I O� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
�— RESTRICTIVF COVFNANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tats' Tax LICENSE SEPAftAfE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
1 otal r
BY --
__ APPI iCANT OR AGENT
hrt,uwed Receipt No.
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