13060 SW 107TH COURT 13060 SW 107TI' COURT —
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U1 Y OF j 1GARD 'VC
ORE
..Gene...Cl.ayton. .
Owner•.......... ..................................Permit No, .0.19.7..........
f't
13060 S.W. 107th Court
Building Address................................... ........ ) <�
\�: • ,. � 24th .......................................................
s Certificate is hereby given tEs .. day ,if. 0ctO.�r......... .. 19...7.5... z
x . r <_ that said building may be occupied and )
� ► t 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 tI;,prctor Z =,
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City of Tigard
INSPECTION RECUEST
! for
IINSPECTION TIME : PERMIT NO. :
DATE: 0312' DATE ISSUED:
OWNERS NAME : P>l e�Za,.%i<<L
ADDRESS : 43Gc� S-cc.,' /o 2
CONTRACTOR :—------
- - -- - -- - --
TEST. Air ❑, Water F] , visual ❑ , Laboratory p
RESULT: Approved Disapproved ❑ Pending
SKETCH: ,-c:�� ;,�s ���'•�' �,�»��� �..�
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^NVSP CTOR DATE
COTE. Attach supplemental test data hereto
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City of Tigord
INSPECTION REQUEST
for
INSPECTION TIME: ,x,.111 '' PERMIT NO. :_
DATE. DATE ISSUED -___L_L_
OWNERS NAME : t,
ADDRrss: s�L . D7_;; _—_ --
CONTRACTOR : - b¢=4r7j v
TEST : Air ❑, Woter❑ , Visual, Laboratory ❑
RESULT: Approved , Disapproved ❑ , Pending ❑
SKETCH.
INSPECTOR DATE
LNOTE: Attuch supplemental fest data beroto]
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City of Tigard
INSPECTION REQUEST
for
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IN:iPECTION TIME: //;5 p RMIT NC. : .________
DATE: / 5% 7i' DATE ISSUED .- /
OWNERS NAME :
ADDRESS: ti<
CONTRACTOP : _.7"}' t. "
TEST : Air 0, W,ter❑ Visualp, Laboratory p
RESULT: Apprr,ve4 4 ; Disapproved ❑ , Pending [�
SKETCH:
.�-. 4LL
INSPECTOR DATE
5Ot6 : Attach supplemental test data beret]
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ADDRESS '� ,c! PERMIT NO. �'
PERMIT CHARGE _ none
OWNER CONNECTION FEE a Q:-, _
y� PAID BY
TYPE OF BUILDING _C c- _ w DATE CONNECTED _
. S
SERVICE RATE INSPECTION FEE
� - - ---
CONTRACTOR ' —4 0',� o�"A-4- la.. PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PA!O _
;'rr1 or rIGAI--�D
12420 S W. NAA,n S,?t
Toa^Ro. omkoom 01!23
APPLICATION FOR HUILCTNG PEP41T
Now Construction
Do..I i a h Addition Remodel Move
Unj
ZONING DATE ISSUED—— . BUILDING PERMIT
DATE RFCEIV&D_j_.j_L-Y NUILDING FEE No.
PLAN CHECK $
VALUATION
TOTAL $ RECEIPT No. 10Y1
TWO SETS Or PLANS AND PLOT PLANS MUST nE FURNISHED WITH APPLICATION
LOT I MAP CENSUS TRACT _jjr;)4iY:-A JOB I
Architect or engineer_
Address Phone
Owner
awPho -0 4.0
Address
Builder
AddressPhone
----
BUILDING USE Single Ron. Multi Res.
comm. Tndustri 41
(X:CUPANCY GROUP No. of Stories 11c4ght. Area of Lot?
Type of Construction I II III IV V Floor Area B-
I
Set Hacks: Front ?fj nnck.A'I' 0 f L.Side/o R.side 7
Private Sewer Pipe Size T Sewer tri Septic Tank
water Service Pipe Storm-Sewer Ull Ditch F)rywr.I
Street ant' Curb Requirements.--. I N -----.1.--. ---- - - . - . .
Driveway Width___Z0 ......- - —No. of Parking
St.PARATr pF.P14ITS RKsJUIREU FOR St:4f;R AND PLUM11ING
SPECIAL INFORMATION
ADM.SS ASSIGNED - /.p tA
rIELD CHECK By---. PA,m
PERMIT APPROVED 9Y
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of T12ard, Oregon, atiorl that the building wl .
not be occupied until & Certificate Of O6.C�INI� hp i-4sued by the City c!
Tigard buil&4nq Inspector. V.
4a fu re 0T
Apphict
1� � � ! ■f � IIE' � t� i
UNIFIED SEWERAGE AGENCY NO. 4988
WASHINGTON COUNTY
DATE
CITY --
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:
OWNER'S ADDRESS: �—
STREET
CITY ) STATE Zip
" y BLOCK __ _-
J. ADDITION Y/'C'���
BUILDING SITE: LOT�_------ --
TAX LOT NO. . TYPE OF OCCUPANCY
ADDRESS - �• r c-- �- t --
DWELLING UNITS - -------�
1 FIXTURE UNITS ---- —
SURCHARGE IF APPLICABLE
PERMIT FEE _,0.0--. -- INSPECTION FEE :21 — TOTAL DEPOSITED
NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all iand regulations of he Unified Sewerage Agency.
APPLICANT _
U SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
_ INSTALLER —
LINE SIZE _-_ _-- -- -
RECEIVED BY
1 ENCY OR ITS AGENT)
COMMENTS:
This Application and permit expires in ninety (90) (jays. The a nouns Laid will be forfeited
should expiration occur.
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE-----, 1g___N 2 19 7
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION$. OWNER PHONE..
OWNER '1u Clayton ADDRESS 1306U Sskjo 1,, 0 _t. BUILDER PHONE
owner ENGINEER
BUILDER ARCHITECT _ DESIGNER —_
STRUCTURE _ (INEW ❑REMODEL ❑ADDITION C1 REPAIR _ ❑RENEWAL []FIRE DAMAGE_ ❑DEMO-IITION
Q RESIDENT. E ❑COMM ❑EDUCATIONAL l_IGOV'T ❑RELIGIOus,❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[:ISL,-.13 ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
9-7
OCCUPANCY LAND USE ZONE__ BLDG. TYPE_ VFIRE ZONE . PLAN CHECK BY !Fa _ HEAT _
,,o ,,,;Lruct 1c%,O;j w4. ft. .iflw eplIL level dwelliloi with
4 garage In basemen* according to approved planeo
t•ransfered permit fee from tbuilding permit 74—A411
-- - - 3 taedrow ------
OCC. LOAD FLOOR LOAD 40 lb HEIGHT NO.STORIES 1 AREA 2450 totVALUE 330E ,U
BUILDING DEPARTMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, T.ONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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
1%State _ bQ LICENS,F.•SEPARt,TE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 112.00 , Ila' c:r i�:;.x �, i'Tu(x't p�al'ITi i,f 14-14:
4-1
By . • ----- - - - -- -
-- --- APPLICANT OR AGENT
App:oved Receipt No.
ADDRESS r 11UNF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
1CO,tracto
Permit No.�ng0 S `>l `n 7<
�t- Rough-in
Fixture
clil/D Lc ..�Gy,�/� Final 2ege
11(Z ' ( C HEATING
Contracto
Permit No. /-/Ya—
V OIC Ga or Oili1c- it-_1�� 7-/i-7��
--
Rou h in
Final
— -- --- - _ SEWER f-j-�5 24,'
Final
------ DRIVEWAY ---.. ---
--- —_ — - -- Final --- ---
Storm Drainage
(Rain Drain) Final
- _�.� - ---- -- Sidewalk - LV -5-'75
Curb&Street Final
Approach c,K L-U C. $ S
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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