12233-12235 SW 106TH DRIVE m sit
12233_12235 SW 106TH DRIVE
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AUURESS�( �t%. ,�4 PERMIT NO. 5
OWN[ R 0
PERMIT CHARGE
none
------
---- CONNECTION FEE �o
PAID 8Y -rxc -.�v�G C'•
TYPE OF BUILAING --
.�`�. DATE CONNECTED
�r
SERVICE RATE ,cAL*— � IN,pECTION FEE
CONTRACTOR "'-
PAID BY DATE
SIZE OF CONNECTION
AS,rSSMENT PAID
I
i
City of Tigard
INSPECTION C
�T N Fd� ,?uEST
for I
4t;i 1 vC-414. Alut.K._ L:, 1
INSPECTION! TIME: SA,P PERMIT NO. : `
DATE: S DATE ISSUED :_ I I
OWNERS NAME : -1 �_�
ADDRESS'
CONTRACTO
TFST : Air WoterQ Visual
, Laboratory p
RESULT: proved)e, Disapproved ❑ Pending L]
SKETC
INSPECTOP DATE
COTE: Attach 1upp ementgl asst -Iota beret]
wz
CITY OF
BUILDING PERMIT APPLICATION TIG#A.�® DATE_-------_--_ 19__ N� 0163
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT F-OH THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS.AND SPECIFICATIQNS, OWNER PHONE.__ —
OWNER `,LL. IPJ—I OK �.v. ADDRESS '122 6 9.14• 1116th 1'riv ' BUILDEP PHONE
230MU ENGINEER
$ODER __ ARCHITECT _—_ DESIGNER —
STRUCTURE ONEW D REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL [IFIREDA1,IAGE ❑DEMOLITION
❑ RESIDENCE ❑CCOMM 0EDUCAI IONAL ❑GOV'T ❑RELIGIOUS[]PATIO ❑CAR PORT ❑GARAGE J STOHAGE QSLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGN
OCCUPANCY----LAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT
- --- Onstruat 1656 Sq. Pt. frame duplox sccurdtngtu approved
131anns ---- sttachvd garage - no Usse►ment
----
401b b 656
C LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT 2107
REAR 361 LEFT SIDE ?U RIGHT SIDE
Permit 133,1130
_
t:l� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS 0ONTAINED IN T4E BUILDING CODE, ZONING
Plan Check fib. -" REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES ANU IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI'JE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINcSS
196 State 1. 33 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total rLW,O 3
By R/A
11 - nPPLICANT OR AGENTr�PT
roved RCceipi No
--
Ap? NE55 — -'P_HO'Ai-_
Iw ■r sa � � �
DATE INSP. TY'E INSPECTION REMARKS PLUMBING DATE
ContractorzA -
Permit No.
Rough-in
Fixture
' '7� ✓87L ` Final
�- �-d•7S h vr+c�3JA,' -----HEATING
Contractor
a&4d t2,j Permit No. _ ---
�o" Gas or Oil
�-
Rough-in
-�� Final— _ -- --- ----
SEWER
Final -752
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach ���''�_ - -/y �1 S
SLOG.DEPT.FINAL Te4lPORARY CEPTIFICATE OCCUPANCY
CERTIFICATI OCCUPANCY Final
Landscaping
Zoning Final
qWtW_Xff_kW_MftWWiwiF��W_Amm
C
UNIFIED SEWERAGE AGENCY NO. __- 5040
WASHINGTON COUNTY DATE 1`15_75
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: _ Stone-Fox & Co._�-____.__
OWNER'S .ADDRESS: 18355 S.W.vAlexavde St. ,
STREET
` Aloha Or. Prior, 97223
CITY STATE ZIP
BUILDING SITE: LOT ____;2A -_ BLOCK - _ ADDITION .,_ _Clydesdale
TAX LOT N0. - TYPE OF OCCUPANCY _ . .. ... du.plex-_-
ADDRESS - 12233 S.W. 106th Dr. & 12.235 S.W. 106th Or.
DWELLING UNITS _. 2 FIXTURE UNITS -
SURCHARGE IF APPLICABLE ------_.__ 11.p---__-- _ --
PERMIT FEE 1050 INSPECTION FEE __35- TOTAL DEPOSITFD85
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and (egulatior of the Unified Sewerage gency.
APPLICANT _ � q
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - __-4!'_-_ - INSTALLER
RECEIVED BY_ . __._ _� 1.-- �„�,�1_ • C� ` 7W ��
(}IAOE� ITS AGENT)
COMMENTS:
This Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.