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NOTE • IF THIS MICROFILMED �'�� .`"'-" , 2 - - 3 4 - 5 6 7 8 9 10 i 1 12 DRAWING IS LESS CLEAR THA14 THIS NOTICE - 1T IS DUE To TNF (QUALITY OF THE ORIGINAL DRAWING, OE 60 BZ 12 92 SZ to EZ ZZ 12 07, 61 of L I 91 sl tS I F I al I I 01 6 9 1 I I i ! I I I I i I { f i I 1 I- ,ril 111111111 111111111 111111111 11111111 1111111111111111111 (lllltt!t Itltlttlt t�1111111 IIIIIIIiI Il�Illllllilllllltl 111111111111 Illlil,Il11llll1111I1�11lI ,llli�lll111l11�IIU�111111111 IIIIIIIIIIIIii�illl�lllJ��1111111111111 11�11111111111111UI11,tlj1111lI111111116N111111111l111111lUIIIII 7571 SW HIGHLAND COURT 0 L) C Ql E 0- 0 0 m 7 D r_ c� m TO ni C T i cn Ln 4 i. In 1 � res, Permit No. Permit charge �- OWner e �., � Connection fee 17 Paid by Type of building � s_- „� pate r.olrr lcted Service rate ' Inspection req ` rnntractnr paid b Cat: �.ze of co,inor.tian ssas3nent paid i City of Tigard INSPECTION REQUEST i for INSPECTION TIME: v PERMIT NO. :_ DATE: % 11,y/ DATE ISSUED : I Z . OWNERS NAME : ?. . ADDRESS" 1 s1 3 /S' S �- CONTRACTOR : �c�.- � 1st TEST : Air ❑, Water[] , Visual , Laboratory p RESULT: Approved J , Disapproved 0 , Pending SKETCH: INSPECTOR DATE COTE Attach supriementul teat data hereto, P`"IRVTT P1M18IRG R18UILUING DEPAK{MLN I, TIUAI4D NO. I P. O. ESX 119 PLUMBING PERMIT ©� / NEi''S�RG, OREGON 91131 holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted 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 (Q) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. ' Owner 1��,� ,u�n to S - -���—�-=-- Address � NUMt1ER OF TOTAL PERMIT NO.'S TYPF OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Sin le Femll —1 beth—each _ 25.00 Duplex—Each 1 bath unit 25.00 _ Additional bathrooms—oach 10.00 Mobile Home Space—each 18'� INDIVIDUAL FIXTURE FEES 1 to 60 Fixtures in 1 building—each 3.00 — -- — 51 to 100 Fixtures in t building—each 2.50 101 to 200 Fixtures In 1 building—each 2.00 201 or more Fixtures in 1 building—each 1.60 MISCELLANEOUS Building Sewer-1st 50 ft. _ 10.00 _ Sewpr—eech additional 100 ft. _ 10.00 Water Service to building _ 5.00 ! Private WatorSystems—each 100 N. _ 10.00 _ Other (S ec f _l__._ --- PERMIT j Gr d For Plumbing Inspection Phone 639-419F % State Plumbing Contractor By ([ �- TOTAL RECEIPT NO. Issueb By ,1 I I city ty of Tigard I � INSPECTION REQUEa ' for INSPECTION TIME :��' PERMI',- NCt. . DATE: DATE ISSUED:—LI--.L— OWNERS NAME ' ADDRESS : — CONTRACTOR :----- ,rEST . DDRESS : —CONTRACT0R :_.--.--'TEST: Air 0, Water E] , visual ❑ , Luborato, RESULT: Approved Disapproved O E SKETCH 1 �I t0llPE OR DATE I NOTE' Attach SUPWaln6md uto hp , .:,,a•�'1I�1�rcP';�y* :.,r'Wtt' `'R'��:-.11�1'�'.4 �,.%� .. ..,.k. -� ,,,y�,wa�,.n.�,+Mt.,�.rw�.,+ ,„ 3 C 1 T r O P April 27 t� N°- 0773 BUILDING PERMIT APPLICATION TIGARDi DATE .'19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 44 OWNER PHONE - -- OWNER ADDRESS BUILDER PHONE ENGINEER S3ttn1D BU LDER ARCHITECT DESIGNER STRUCTURE ONEW ❑REMODEL ❑ADUITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE []DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑nELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE 0-BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OSCUPANCY_ LAND USE ZONE BLDG. TYPE FIRE ZONE.._:_ PLAN CHECK BY HEAT 1W - No Ussument, 7 4,7113 OCC, LOAD FLOOR LOADHEIGHT NO.STORIES AREA VAI UE — BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 112.011 — — — -_----_— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check '•1)(11 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 -- ,..66 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1125.66 By --------- APPLICANT OR AGENT Approved Receipt No. ADDRESS ___ HANE-- w w DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 67� D 1 Contractor Permit No. Y, ff / Rough in Fixture (L Final 4' HEATING Contractor i Q►,.t.Q.J Permit No. S Z Gas or Oil 9L!L 711? J, �(l4+Z _ - Wet. Rou h--n ( .t c.t�t� i lGs .�rno.EcEt _ Final �.cs�vt l a —nnom L.�v c>z ry SEWER------ (� c.( cls �tiL�,z Final DRIVEWAY./a7& Final Storm Drainage _ _ _ (Rain Drain( Final Sidewalk — — Curb&Street Final q broach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY --- — ---- /q-7G Landscaping � Zoning Final i cam, r�r WC) C) P O G U CJ C" C C� IUL1 m h Ln M CJ C) N to NCN !') :I O is 1 j _ -- F#1 IS U T C J L� in o LL 1� I a N C:. IT U r� C,Cl v o, LLI 1 U Q a ^ C, O > O ago d (� .... O �7 ui x Z I ca 0 ro r L O E E .' 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