14415 SW 94TH AVENUE A-11.5 SW 94TH AVENUE
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CITY OF �'[(�1�RI� ,
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OREGON � � <
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Ov;ner:.. _............ ....... . ......._ . .... No.
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14415 SCJ 94th Ct. , {
Budding Address.....
r Gertlf'cate It3 hereby given this........ t......day of.."Y............. ........... ly...77 �
that faid building may be occupied and
that it complies with all requirements of
. tl the Building Code for the City of Tigard,
as approved by the Tigard City Council.
Building Inspector y =
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Avoid Verbal Messages A-1
CITY OF TIGARD
To: _ From:
Subject: � : -G 1- Date:_ ;P7
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City of TigardI
INSPECTION REOUEST
for
INSPECTION TIME :A^'yriolar PERMIT NO. :
DATE: DATE ISSUED'.__1_L_
OWNERS NAME . Q _
ADDRESS .
I CONTRACTOR : —.-_ _ __—
ITEST: Air 0, Water ( Visual Laboratory ❑
RESULT. Approved , Disapproved Ll , Pending
I SKETCH:
I
I INSPECTOR DfTE
NOTE . Attach supplements, telt Aato hereto
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City of Tigard
INSPECTION REQUEST
f-o r
INSPECTION TIME: PERMIT NO. :
DATE: Z 111' UATE ISSUED :-
OWNERS
SSUED :-OWNERS NAME : _
AGDRESS: y �'
CONTRACTOR : _.
rE ST : Air [], Water[] , Visual El , Laboratory O
RESULT ' Approved 0 , Disapproved C Pending p
SKETCH.
INSPECTOR DATE
CNOTE: Attach w plomental t*tt data hereto]
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UNIFIED SEWERAGE AGENCY NO 10687
WASHING I.ON COUNTY DATE -
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
A Shut
OWNER'S ADDRESS: -
��
CITY
BUILDING BLOCK BLOCK _ ADDITION _ -------
Tax I iap
TAX LOT NO. ---_-_32 --_ TYPE OF OCCUPANCY
14415 Swl 94th Ct,
ADDRESS _ :_
DWELLING UNITS_ 1--------_---_— FIXTURE UNITS
SURCHARGE IF APPLICABLE ...__.
- 25. 00 _ 600.00
PERMIT FEE .. -.5'7-5' 00-- - -------- INSPECTION FEE __v.____ TOTAL POSITED _-- �__--...--
F'anno Creek
(NEW) (EXISTING) BUILDING SEWER SYSTEM ___.__�, . ---_---___----,--.--
The Applicant agrees to comply with all rules and regulat;o.,c of the U +fied Sewerage Agency.
APPLICANT—__.- _ > ---- R
r �
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LIIVL SIZE INSTALLER _._ _.- _ _—_
RECEIVED BY tl �` C �jZ-�t- •tom
(AGENCY OR ZIS AGENT)
COMMENTS: Glr+-. -1142This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
I
BUILDING PERMIT APPLICATION CITY TIGARD DATE l0-x0-7 6
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE.-2.31 " `L'
91
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO.—
OWNER he Shalt r_ JOBADDRESS 144195 SU 94th F HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNFIR .'Ofifirs LLrfi3miy
�Iy
STRUCTURE AMNEW 1:1 REMODEL. ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
"u-RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [:]STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY.__1_LAND USE ZONE fL—_ BLDG.TYPE � FIRE ZONES— PLAN CHECK BY_ HEAT"_
..onat e si%ls fornily dw l my wguttached rgarelcge- Tax Map
4 b9druom 3 Datil
OC_C_LQAD 6 ____FJ.SJQB LOAD 40—__t!€IGHT 7—__1V9 S ORI ES 2 S AREAL690 NO.BEDROOMS—4yALJE 32f 8500.
BUILDING DEPARTMENT SET BACKS FRONT 32 REAR is LEFT SIDE tJ RIGHT SIDE SI
Permit 13fi.U(l —_ _— - --- -----
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 66000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK Wit L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABI.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �y�11 LICENSE. SEPARATE PERMITS RFOUIREO FOR SEWER, PLUMBING AND HEATING.
Total 210, 1?.
BY �— i .� r,w, -
- APPI.icANT OR A(Yr.Nt
Approved 1� Receipt No. , � �, ��3�J--
—AbIA IF S5
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GATE INS?. TYPE INSPECTION REMARKS PLUMBING DATE
- Contractor
Permit No.
Rough-in _-
_ Fixture
/"/3 77 �' (� —�_ Final _^
HEATING
Contractor
— Permit No. 4
Gas or Oil '! o /
Rou hov
-
--_.__ Final _
--- - — ----- — --SEWER -3-/7
---- ---- -- Final
DRIVEWAY 3-/1- 77
_�------ _��_ Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
-- pp
BLDG DEPT, FINAL —TEMPORARY--- GFRTIFICATE OCCUPANCY Aroach
CERTIFICATE OCCUPANCY Findl
Landscaping
Zon ng Final
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ADORE S S,,,,,,,-[ ,mac u l� PERMIT N 0.
PERMIT CHAI,GE none
OWNER L'' CONNECTION FEE 5�,5"
PAID BY �.
1-iP[ OF BUILDING .s/,._!�_�• g. DATE CONNECTED
SERVICE RATE �YINSPECTION FEE
CONTRACTOR �� PAID BY DATE
SIZE OF LONNECTION ASSESSMENT __ PAID _