8835 SW HAMLET STREET-1 8835 SCJ HAMLET STREET
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Address YXLi Permit No. _ % _3
Permit charge 22 e,—) t!
`JWner -` Connection fes
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Type of building �� Dater connected ~
Service rate '!-cs Inspect.ion fee �S
Contractor Paid by data
Size of cnnnection A3snssment _ _ Paid
SEWER PERMIT NV 13884
U n i f ied Sewerage Agency CITY OF Tigard DATE 2-6-78
of Washington County
OWNER : Bill Junos Cons;_-.. PHONE s 655--4527
OWNER 'S ADDRESS: —
TYPE OF INSTALLATION:
kXIAWILDING SEWER ❑Bi'ILDING SEWER AIJD SIDE_ SEWER
TYPE OF OCCUPANCY:
a.
XQIEW 17TxSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _-I
i PERMIT CONDITIO'iNS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE ' 'NIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE--HUNDRED AND TVENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _
I SSL ED BY
O1"HIR
$ 625.
U
P CANT DATE
SEWER PERMIT M 13884
ADDRESS OF STRUCTURC=__
8835 SW Hamlet St.
TAX MAP _ TAX LOT SYSTEM fanna creek
LOT 27 BLOCK OF
APPROVED BY DA1_ TSS D E3Y DATE
RFMARKS b.ldq. }1856
r...
BUILDING PERMIT APPLICATION MOF
TIG ARD DATE
THE UNDERSIGNED HERFBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPt'ON>' ��.�,�d�;71
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE —.
LOT NO_
OWNER ,L1 1 J013 ADDRESS l+OMIT l`. �)L r HOME AgVRESS
ARCHITECT
ENGINEER
BUILDER ;IOfF_ ADDRESS _ DESIGNER _
STRUCTURE �+ NI 'H ❑REMODEL I0ADDI110N C1 REPAIR _ CJRENCWAI. FIRE DAMAGE ❑DEMr—O�lLITION
Q ASIDENCE ❑COMM EDUCATIONAL ❑GOV'T ❑RELIGIOUSCOPA710 LJCAH PORT [:)GARAGE []STORAGE�SLAB []FENCE
❑BOND CJ MOVING OCONDIIIONAL USE CIDESIGN REVIEW ❑COUNCIL APPROVED T-- ❑SIGNS
R s
OCCUPANCY` LAND USE ZONE
ItBLDG TYPE____—__FIRE ZONEj PLAN CHECK BY_..._ _''L`
:f..» Is r L gamily dv+l ].i tllg wf�ac.t+�ch d y zs�ys 3 Uedroom i bath
,-ftjer permit 138d4 Sawer conn.1, 600. Sewer in ap.X175.
IES AREA 12BLJ NO.BEDR_QQM5y_._1A1.."_�*.i fin
BUILDING DEPARTMENT SET BACKS FROM 1 REAR 'jG LEFT SIDE j RIGHT SIDE
Permit 1:,4.U -
tz ....-�
—" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING
Plan Check '17*OO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORX WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 231.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Or- THIS PERMIT DOES NOT WAIVE
— - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 'j.1 LICENSE.,SE.PARATPERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 2:57.10
P-06co X101.1.
BY - -- - - -- — - -- -
_. APPLICANT OR AGENT
1:opruved '1 ---- Receipt No. — - --
t_._.
.�w.,.r,+vY..r.. .. .,..,.:..+,..wa .,..vr�w.i..,+vr.nr.u.4:.... ,...-..nuy.uw.rc�-u,.*...-d.w,..w...rnw4M......:i.W......+..i'wa.4,NF..:�... -•u..xNw�..+.,.+.�+.+w......__o..L+ww,16'vs.. ....n,,,, rw,....
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
Permit No. 30
Fixture
Final __--- — ----
HEATING —
ra- Contrat:tor
..,,u.. Permit No.
Gas o.oil --- — _
-J- ----- �_---. --- 1!o1j1h in —
�_----_—_-_-_ Final -.
SEWER
- - -- ------- ----- - FinalQ ,
DRIVEWAY —!
- --------
Final
Storm Drainage
tFinal
Drain) Final
--_—`._- --_--- --- alk
Curbdi Street Final - -
_� ach
BLDG DEPT FINAL TEMPORARY CER1IFICATE OCCUPANC'v — —
CERTIFICATE OCCUPANCY caping
g Final �,�
.1,
x
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT L��T
:�
of a valid plumbing contractors license is hereby
authorized to cause plumbing work as her'Rn noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall he notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
(� for all contractors and subcontractors.
Owner /._... ,Zr �s AddressDate...3-
_ NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Family-1 bath--each � 25^00 �o0
-
Duplex-Each 1 bath unit 25.00 '
Additional bathrooms—earh _.,_._.1 10.00
Mobile Home Spare •earn --�_ 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building-each _ __ 3.00 _
0, 51 to 100 Fixtures in I building-ench _ 2.50 �r
J. A 1.
101 to 200 Fixtures in 1 building -each
p -- 2,00
_201 or mora Fixtures in 1 building_each _ -_� 1.50
MISCELLANEOUS _ -_ — -_--_--`--
_ ---
9ui!!CtL Sewer-1st 50 ft. -_ — _ 10.00
Sewer-each additional 100 ft. 10.00
Water Service to building — 5.00 —
Private Weter System�--euch 100 ft_. _ _ _ --_10._00
Other (S ecif k
'!
PERMIT IT �(j For Plumbing Inspection Phone 639.4171 —M
o St_ate PlumbingContractor B CC
TOTAL RECEIPT NO, lis,jed By
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