15600 SW 98TH AVENUE-1 15600 SW 98TH AVENUE
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Owner:...........T�.QJ.P.... . ............ ......... ........ ........Permit No. .133e
Building Address.......?,X6Q-VSW...9e.t.h.............L.0 t..#5,4,3_._.. ................ k�$
rCertificate is ht by giver: this.....Zk......day of...Au.qust....... ....... 19....7.7.
¢' that said building may be occupied and 'Y
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that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
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Building Inspector
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City of Tigard
INSPECTION REQUEST
for
CA
INSPECTION TIMC : ' PERMIT NO.: —
DATE
O.: _DATE77 DATE ISSUED:_._.L._L_
OWNERS NAMc : _.
ADDRESS :
ICONTRACTOR :_s1.OPI_f�_
ITEST: Air ❑, Water [) , Visual ; , Laboratory []
RESULT: Approved 1 , Di3approvsd U Pending L7
I SKETCH:
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INSPECTOR DATE
E(OTF Attach supplemental 'eet data heret0-1
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Cit of Tigard
City g d
INSPECTION REQUEST
for
INSPECTION TIME: _ PERMIT NO. :--
DATE:
O. :__DATE. DATE ISSUED :--L-/-
OWNERS NAME : t2-c-
ADDRESS:
_ADDRESS:
CONTRACTOR : � _
TEST : Air p, Water[] , Visual Laboratory
ory p
r7ESULT: Approved Disapproved C , Pending p I
SKETCH:
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-TNSPECTOR DA?'E
50TE ' Attach supplernsr,tal test doto hereto]
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J�Jf►ii E. PL!,,:I Ril; Ptl!'!$iflu, ltiL.BUILDING DEPAW[MEN1, TIGARD
1' 0. 90Y, 119 PLUt'IBING PERMIT
N0. I
fi1`' holder of a valid !Numbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance w'th the plumbing code of �
Tigard. Such installation;: require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
fcr all contractors
�and
-sub
-contractors. �1 4 `h—,�,
Ownek,� j i1 �O Address Date
NUMBER OF —T=L TOYAL PERMIT NO.'S' }
TYPE OF PERMIT ITEMS I FEE ON EACH AMOUNT (Office Uss Only)
Sin le Family-11 both—each ✓ 2_00—
Duplex—Each
DuAlex--Each 1 bath uni: 25.00
Additional bathrooms—emh 10.00
Mobile Home Spoce—each 16.00
INDIVIDIIAL FIXTURE FEES_
1 to 50 Fixtures in 1 buildingench
51 to 100 Fixtures In 1 bub Jr,,I—each 2,r0 r
10_1 to 200 Fixtures In 1 buildi i —each 2.00
201 or more Fixtures in 1 building—ench �— Y 1.50
MISCELLANE_O_US --
BuiIJin -Sewer-1 it 50 ft.—� y i 10.00
Sewer—each additional 100 ft. 10.00 _ ~
Water Service to building _5.00
_^'rivets 2ecIf Systems—each 100 ft. 1000 --
Other S edf
PERMIT . !� . For Plumbing Inspection Phom 639-1191
.96 State (�,> Plumbing Contractor By
TOTAL , _ RECEIPT NO. Issued Ey
UNIFIED SEWERAGE AGENCY NO.
WASHINGTON COUNTY DATE 39-77 _
CITY OF_. Tigard _
APPLICATION FOR SEWER C0N,'1ECTtON PERMIT
OWNER-
OWNER'S
WNER:OWNER'S ADDRESS: ___...
- --... __ STREET
CITY
BUILDING SITE: LOT _.543___, BLG.:h __ ADDITION
residence
TAX LOT NO. - TYPE OF OCCUPANCY
ADDRESS ___ ______ _ 15600 5W 98th Ave.
DWELLING UNITS _---.-_..--. 1-- ---- -- FIXTURE UNITS
SURCHARGE IF APPLICABLE
575. 600,
PERMIT FEE _. ._-- --.---- INSPECTION FEE _25' TOTAL DEPOSITED . ._
(NEW) (EXISTING) BUILDING SEWER SYSTEM __. -.Fanno CRee__ k.____-.
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
� A
APPI.ICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO, THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY_ .. _ � ..
(AGENCY OR ITI AGENT) / 1
COMMENTS- Bldg. X1336This Application and permit expires in one hundred and twen'.y (120) days.
The amount paid will be forfeited should expiration ..occur.
CITY TIGA�D DATE - - 3-9-77___.
a�
�IJILMNG PERMIT AIrJ PLICATION OF
BUILDER PHONE 639-3'1'01
THE UNDERSIGNED HEREP'>' APPLIES FOR APER�QIT FOR THE WORK HEREIN INDICATED WNERI'HONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEO
CIFICATIONS. WNIER
OWNER �ti JOB ADDRESSI_i 00 J:.! 96th AVa• HOME ADDRESS _
ARCHITECT
E14GINEER
°;1 151i�: _ DESIGNER
BUILDER _ ADDRESS
STRUCTURE "31VEW_ `-J REMODEL _�1 ❑ADDI1I--DON _❑REPAIR _ ❑RENEWrAAL ❑FIRE DAMAGE r_-� ❑DEM�O-1LITION
(_ ftESIDENCE ❑COMM 0EDUCA1!ONAL ❑GOV'T LJRELICIOUSOPATIO ❑CAR PGRT OGARAGE ❑STORAGF LJSLAB ❑FENCE
�OBOND _OMOVING L]CONDITIONAL USE CIDESIGN REVIEW [:]COUNCIL APPROVED _ [:]SIGNS
OCCUPANCY H_—.LAND USE ZONE— BLDG.TTYPEFIRE ZONE PLAN CHECK BY
43tw HEAT __
Lot ;r:bA3 DOV6119 ra—issue some of 101.18 SW summarfie10 0�. p _�
at-cached Prom% duidling w/stlaached garage 2 bedroom 2 bath -- I
1374 nMti 2 vAL�F299773.
gQ( LOAD __FJ.QQR_L12AD HEIGHL _—_S�4ySTOAI�S AREA NO.BEDRQ
_BJILDING DEPARTMENT SET BACKS FRONT 32 REAR14 Miff• LEFT SIDE 9' 9" RIGHT SIDE -
Permit �•!7•���
THIS PERMIT IS ISnVfD SUBJECT TO THE REGULATIONS CONTAINED IN 1HF BUILDING CODE, ZONING
Plan Check REGULATIONS ANU ALL APPLICABLE CODES AND ORDINANCES, AND IT I, HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
sub-total At L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMI T DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State TaLICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 141 s i l
By APPI ICANT OR AGENT .�y
Approved Pr cPihl No
Abb`ii€§�" ON
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011111
IDATF I NSP. TYPE INSPECTION REMASKS PLUMBING DATE
%,ontract r
77 N Permit No. c
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Fixture
MATING
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Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
'cle"
Curb&Street Final
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Approach W, C-
Bt DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Sidewalk
caping
ZoninZoning
'r g Final
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Address Permit No. ov7
Permit charge 202� t...
Owner . ,� -C'- . Con,nactio,i fee a`�� 0-2-
Paid
=Paid by ✓ C
Type of building Date connected
Service rate Inspection fse 2S �''
Contractor _ Paid by date
Size nf connection Assessment i ______ Paid
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