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12230-12232 SW 106TH DRIVE
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ADDRESS /2::Z�o y�� 1 <�(�r�- /�Cr'r� PERMIT N O.
PERMIT CHARGE none
OIjNER _ CONNECTION FEE Z-3
PAID BY
TYPE OF BUILDING DATE CONNLCTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY �,,� r DATE
SIZE OF CONNECTION ASSES-MENT PAID
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : —
DATE: L
O. : —DATE: . DATE ISSUED-----,
OWNERS NAME . _r-is i i¢>'
IADDRESS : /UL rc PTL �o -► 1232
ICONTRACTOR : r� -+ 0
ITEST: Ai► D, Water p , Visual [] , Laboratory []
IRESULT: Approved O Disapprove , Pending D
SKETCH:
I CS i ."70 wr A.#
1 .�G ��'•rI1
to
N E TOR DATE
COTE: Attach supplemental test data horst]
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City of Tigard
i NSPECTION REQUEST
for
INSPECTION TIME: 2vloi PERMIT NO. :
DATE : _S/ 2 25 DATE ISSUED '.— I
OWNERS NAME ; _
ADDRE is tr..t�1i�
CONTRA OR : __ sLAYlLsw, 4 Anv+ -
T�' J Air Ll, Water Q , Visual Laboratory ❑
SUL" Diar. ar-v- + n Pending rj
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : ��� PERMIT NO. : —
DATE:
C. :DATE: DATE FSSUED:_..L—
OWNERS NAME :
ADDRESS :
AM�
CONTRACTOR '
TEST. Air [3 , Water Li , Visua ix, Laborator L]
RESULT: Approved ❑ Disapproved , Pending [;
I SKETCH: �,� . /S
TH A P12A!7N 5
C.
/A,, 71FOe_S Et-rlA-0� AlzdD
INSPECTOR DATE
COTE Attach supplemental test c,ula herelJ
1
C i f y of 'IF
INSPEETTION REC-clo'k.
for
INSPECTION TINT : PEr:r;-'T
DATE: DATE
OWNE'i-,S NAME-- '
AD D R E S SO
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MEMBER LANDSCAPE GARDENERS ASSOCIATION
MEMBFR ASSOCIATFD LANDSCAPE CONTRACTORS OF OREGON
- _` -
Emerald Gardens�, ._ � ��:,.-��.
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PHONE NE 640 24b' _ ROUTE 4, BOX 174A HIUSBORO, OREGON 97123
March 13, 19•/5
Ed Stone:
Landscape bid% project 7401
136 pyram.adalis, planted - - - - - - - - - 4990.00
8 azaleas, 10 - 12"
6 tmi-1ho pine 12 - 15"
2 vine maple 6' - 7'
5 viburnum davad.ii, 12 - 1.5"
9 ptro•tinia 15 - 10"
12 ;Juniper wiltonii, 1 Sal.
2 maples, 14" cal. - - - - - - - - ;$260.OU
2,400 ft- lawn, pli.nted ��' rh �,.K� - - - - - X250.00
barkdustin, - - - - - - - - - - - - 75.00
TOTAL, latior materials - - - - - - - - -$1,575.00
iiespectfully submitted,
K1aas hl i erbrook J1.
Emerald Uarderis t/
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MEMBER LANDSCAPE GARDENERS ASSOCIATION
MEMBER A:,5'OCiA711) LANDSCAPE CONTRACTORS OF OREGON
Emerald '' - . Gardens
PHONE 6402409 ":� ROUTL d, BOX 174A • NILISBORO,OREGON 97120
March 13, 1975
Ted S tont
Landscape bid; project M02
8U pyramadal.is, p]<LntPd - - - -` - - - ,$625.00
30 kinixinik, 1 �;'al. , planted
5 coast pine, 4 '-5' , planted
2 vine maple, u'-7', planted
20 Juniper. Tam, 1 dal., planted - - - - - #294..00
39000 ft lawn, installed VVlI rr-:is!J �7_ - - - 450-00
barkdustin�.; - - - - - - - - - - - 75.00
TOTAL, 1Abor „a materials - - - - - - - id 344.00
Respectfully submitted, O v
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Klaas Ellerbrook Jr.
Emerald Gardens 7N
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CITY OF 75
BUILDING PERMIT APPLICATION TIGARD DATE ,9 24 N° 0162
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEfIFIqATWNS OWI NED PHONE
3 1 yr,tr , a a
�itunra—Fax .i: i.u. �.[i.�U s.�.,. S.Jf,th W L;�•.
OWNER ADDRESS BUILDER PHONE elubo
ENGIN ER
BUILDER rn'_--� ARCHITECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_- LAND USE ZONE --BLDG. TYPE FIRE ZONE_. PLAN CHECK BY t':F'A HEAT
I:.o struct 1650 eys fte f rarne dupltjx ac;caruiwj to
Approved Plane — sttached arage --- no basement
QCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES _ AREA .16b0 VALUE 1 -`100
BUILDING DEPARTMENT SET BACKS FRONT "-� REAR LEFT SIDE RIGHT SIDE
Permit 133,00
— ----_ — --- .._ _----
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 66*50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T14E
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State !• " LICENSE. SEPARATE PEPMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 200.83
By R t",1
- -- APPLICANT OR AGENT
Approved Iloci, l,t No
ADDRESS — ---PH O NF—
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DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
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v Permit No. (� pc�� `�ti ,�•� - �
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HEATING �y
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Permil No.
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s
Final -
-. � �_—SEWER -7j-
- Final
DRIVEWAY
Final
—__—_ Storm Drainage — _—
(Rain Drain) Final
Sidewalk
Curb&Street Final
_
Approach _
HLOG. DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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UNIFIED SEWERAGE AGENCY NO. __ 5039
WASHINGTON COUNTY DATE --- 1 5-75
CITY OF__ _....--- Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Stone-Fox & Co.
OWNER'S ADDRESS: --
M99SXS 18355 5, L]. Ale_xavde St.
--_ STREET ------ -
Aloha Oregon 97005
CITU ---- STATE ZIP
BUILDING SITE: LOT 1 BLOCK ADDITION Clydesdale-1ciub-di-vision
TAX LOT NO. - _ TYPE OF OCCUPANCY duplex
ADDRESS 1223D__S_..w. 1.06.th_Dr_iue & 12232_S_.-W_._10&th.._- rive
DWELLING UNITS --? _ FIXTURE UNITS ---------
SURCHARGE
NITS —_ -----_SURCHARGE IF APPLICABLE
PERMIT FEE 1050 _ INSPECTION FEE 35.-- TOTAL DEPOSITED I HH'
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rule,., and regulations of the Unified Sewerage Agency.
APPLICANT -
E_ f -_
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNEC I ION TO THE SEWER SYSTER'1.
LINE SIZE - 4" INSTALLER
RECEIVED BY_
XGE CY OR ITS AGENT) D
COMMENTS: - -This Application and permit expires in ninety (90) days. The amount Laid will be forfeited
should expiration occur.
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