15630 SW 98TH AVENUE r
15630 SW 98TH AVENUE
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CITY OF TIGAKu
01tEGON
!• > Owner:...............T.D.C. N 1341"
............... ....... . ......_ ..............PermIto
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Building Address.... `'- SW-- "Fth Ave. Bldg. # 2 lot a2 ,'540
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Certificate is hereby given thl,t........ y
that paid building may be occupied and >�
that t complies with all requirements of
the Building Code for the City of Tigard, S,
as approved by the Tigard City Council.
.................
Building Inspector
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ADDRESS�� pFRMIT NO.__� cI _
PERMIT CHARGE nuns
OWNER CONNECTION FEE S 7 .
PAID BY k • C
TYPE OF BUILDING _,,ZA- DATE CONNECTED
SERVICE RATE �_ INSPECTION FEE � � o
CONTRACTOR _ PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PAID
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13WLDING DEPAH 0 MEN C, TIGARD NO.
PLUM!;11G PERMIT �
holder of a valid piumbing contractors license is hereby
authorized to cause plumbing work as herein nosed to be installed in accordance with the plumbing code of
Tigard. Such installations 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 inspect'on. City of Tigard Businers License requiied
for all contractors and sub-contractors.
Uwn !•�.( � L�—__ Add Date
Date__
NUMBER OF TOTAL. PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) I
B E 5 I pLEBLT 1 A L _—
Single Family-1 both--e.+ch _ ✓ 25.00 _ c 5:C -
Duplex-Each 1 bath un i, _ 25.00
Additional bathrooms--each 10.00 vc O•c'�l�
Mobile Home Spaceeach ^_ 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixturns in 1 building-each 3.00
51 to 100 Fixtures in 1 building-each 2.50
101 to 2_0_0 Fixtures in 1 building-each 2.00
201 or more Fixtures in 1 building-each _ 1.50
MISCELLANEOUS v
Building Sewer-1st 50 ft. 10.00--.—
Sewer-each
0.00 _Sewer-each additional 100 ft. _ 10.00 _
Water Service to building F'^ 5.00
Private Water 5 sty ems_eauh 100 ft. _ 10.00
Other (S ecif _
PERMIT / 5�• ('�h For Plumb ng lmsoection Phone 6394191
State _ % -�.S Plumbing Contractor By
70TAL �✓ RECEIPT NO. Issued By _
'S �i-
UNIFIED SEVVFzRAGE AC__� 7?ENCY NO. X6$4
WASHINGTON COUN-..I~Y DATE
CITY OF---Tigard _
APPLICATION FOR YWER CONNECTION PERMIT
OWN E R: _-.-__----.._ - T.D.C.
OWNER'S ADDRESS:
STREET
CITY ST ,tE - - —
ZIP
BUILDING SITE: L0T___ 54D __-_ BLOCK __ ____ ADDITION
TAX LOT N0. �___ __� _ TYPE OF OCCUPANCY residence - -
ADDRESS ._ .15630 SW 98th Ave.
DWELLING UNITS—__.__._.___1_---_--_.___— FIXTURE LIMITS
SURCHARGE: Ir APPLICABLE___..
PERMIT FEE INSPECT!ON EEE TOTAL DEPOSITED 600•
(LNLX) (EXISTING) BUILDING SEWER, SYSTEM __ -___Fanno Creek_ -^
The Applicant agrees to comply with all rules and regulati� ,s of the Uniied Sewerage Agency.
APPI_ ICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION -10 THE SEWER SYSTEM.
L11 7!7E ____ ---- _ INSTALLER
/J
RECEIVED BY. 1� �' _toe _� r
(AGENCY oq It�,AG 14 /*� I
COMMENTS: Bldg. #1341 ✓ E
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
�t
,�o BUILDING PERMIT APPLICATION cOF 1iGA,RD DATE— + � 1s t 1341
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT F0: -HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN(i PLANS AND 5PEG11-ICATIONS. OWNERPHONF
LO''NO._
OWAER 1 .r1'.f•• JOB ADDRESS T I �I, h L":: • Ht.MLADDRESS —
ARCHITLCT
ENGINEER
BUILDER 6I1M� ADDRESS _ DESIGNER
STRUCTURE xUNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENrWAL ❑FIRE DAMAGE [:]DEMOLITION0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVJ ❑RELIGIOUS❑PATIO_❑CAR PORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCE
QBOND ❑MOVING []CONDITIONAL USE r,acC!GN REVIEW EICOUNCIL APPROVED ^�❑SIGNS
OCCUPANCY —LAND USE ZONE._ _BLDG.TYPE—_— FIRE ZUNE— PLAN CHECK BY_ __—_-- HEAT
&l;afj t, 1nt11b11L, Fj!1w4t@®tee Sable go 1C ',35 Sw GiI:len:�c�ef 7tarz� -
ettso r roMv dwwjlin, w/et.tech®d j8r3ga 2 bedroom L oath - --
-- — �� 38 601
. sLC&;• LOA0_ A lel`" NO._8LUf34QMM5__ .LUE
BUId-VG DEPARTMENT _SET BACKS FRONT G9 REAR �. (�i n• LEFT SIDE RIGHT SIDE 11
Permit 154.1;
�
THIS PERMIT IS ISSUED SUBJECT TO THI REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Clack 1 • ' REGULATIONS AND ALL APPLICABLE CO)ES AND ORDINANCES, AND IT IS HEREBY P,GRE5D THAT THE
— WORK WILL BE DONE IN ACCORDANCE WI fH THF-PLANS AND SPECIFICATIONS AND IN COMPIAANCE WITH
Sub-total ALL APPLICABLE CODES AND CROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax as 9,-' LICENSE. SEPARATE PER 11"S RFQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
AP.EL.ICANT (7R AGENT
Approved tw Receipt No.
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UATE INSP, TYPE INSPECVON REMARKS PLUMBING DATE
=-rCLSr2 �� j yl - �-- _ Contractor _
----------- __--_ Facture _
+7 2y G 1}S D15AoPvOWE D PGrLAcC ,qLL-?AD p.i�/Nr —i_ Final
6-AS — CA HEATING
Contractor _
Permit No. lS2.l— —Y y`�-5' 7
Gas or Oil
Rough in
-- _ _ ,_-- -- ------ Final
SEWER
— ---- _ — — ----- — ---—
Final
DRIVEWAY
Final
_._ Storni Drainage
(Rain Drain) Final
roa'
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Final
SLOG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY
Landscaping
C C ` Zoning Final lr
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