8850 SW HAMLET STREET N
8850 SW HAMLET STREET
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ADDRESS_ 73 SC' �r/`(��=� PERMIT NO.—
PERMIT CHARGE none
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OWNER � � -. � CONNECTION FEE
_ PAID BY r
TYPE OF BUIIDIN[; �� = - �L' DATE CONNECTED`
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SERVICE RATE. ;,q '� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF i`DN' ECTION ASSESSMENT PAID
SEWER PERMIT q
13899
Unified Sewerage Agency
of Washington County CITY OF - Tigard DATE
OWNER : Clayton Jraaah _ PHONF
OWNER 'S ADDRESS: —
TYPE
DDRESS: _TYPE OF INSTALLATION:
XX)oBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
�ttT--Y��,,P,,E OF OCCUPANCY:
X�SN`�EW >c>rzINGLE FAMILY ❑ COMMERCIAL.
❑L-XIST . (PRIOR TO 7-1--70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _ 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH AI-L RULES
AND REGULATIONS L,l THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORF"ITED SHOULD EXPIRATION OCCUR.
FEES-
PERMIT
EES:PERMIT FEE $ 25.
CONNECTION CHARGE 600, f
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTALrl�
r'
APPLICANT' U AITE
J j/� /-7
it} SEWER PERMIT N9 13899
ADDRESS OF STRUCTURE 5050 SW Hamlet St. __
TAX h1r',F' TAX LOT SYSTI:M fanno c:.,eek
LOT ',.jBLOCK
APPROVED BY DATE_ ISSUED BY DATE
RLMARKS bldg. #1878
BUILDING PERMIT APPLICATION COF TIC ARD D. TE = w�
19
THE UNOERSIGNEL) HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILI7E.RPHONE—
OR
HONF __ __OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PH?J
_ P LOT NO.
OWNF_.rc --'� 1<<' . JOBADDRESS i�F,:�J� g�„+ I�tt�nllOt Jt• FIOME ADDRESS —�
-ARCHITECI' - -
BUILDER ( ” ENGINEER
ADDRCSS TUDESIGNER[-I _
STRUCRE _L_INFW ❑REM_OUEL -- ❑A_DDITIONLI
_ _ ❑REPPIR RENEWAL ' FIRE DAMAGE _❑DEMO!_ITION
n RESIDENCE ❑(:OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑_CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND GMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW _ OCVUN_CIL APPROVED ❑SIGNS_!
OCCUPANCY i LAND USE 20NE�� 7 BLDG.TYPE JAI—^FIRE ZONE''Y PLAN CHECK BY L3 wHEAT_. 0I
[7na?rt. single f8mily duelling w/sttechtod `.Iarasrge 3 2 both
r�18T�y8. A71
`,ewer permit ' .1313913 GOWOr uurirt. j6IU. weer Lt1rdG. �a25.
Nf&ff '<9 NO.STORIES 1 AREA13C7(u NQ.BEDRQQMS S VA Ety� (]�
BUILDING DEPARTMENT SET BACKS FRON120 REAR IJ♦ LEFT SIDE RIGHT SIDE
Permit 163„ft — �_. —11----_ ._
THIS PERMIT IS ISSUED SU13JF.CT TO THE RFGULA71ONS CONTAINED IN THE BUILDING COCE. 7.ONING
Plan Check ®1.:'a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
Sub total 244r�0 WOTIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPrCIFICATIONS AND IN COMPLIANCE WIT44
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 'THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State TeX _ 6*52 LICF.fI1SE1SEPgWfii,I1JPERMITS REOUIRED FOR SEWER, FLUMBING AND HEATING.
n �
Total 251.6-2 --
By
51r6 BV etw
... nr Nai ICANI On last N t--- - -- ------ - ------- -- . ---__
Approved Receipt No. (
DATE INSP, TYPE INSPECTION REMARKS ' ..... ---
PLUMBING DATE
')-')8 J. -o -- -
Q —"____ COntractAr •— -
2g _ Permit No. 11`f 3� 3-2�-
��---- Rou h-in
Fixture
Final
HEATING
Ito� ���
Permit 14T.:
Gas or Oil -
--- Rou -in
Final - -
u _ --------- —_- ---
SEWER
Final
_ DRIVEWAY
- Final
-- Storm Drain�e
- - --- �- — {Rain Drain) Final
Sidewalk -- --
- -�- '---- -__-_ Curb&Street Final -L--_
BLDG DEPT. FINAL TIMPORi►Ry
CERI'IFIC'ATE OCCUPANCY CERTIFICATE OCCUPANCY
Fina
Landscaping (—~
Zoning Final
J
j C_ _y O � 10c3i�d Mechanical rel.17�1t .� .r
J Fre
Nev. rs;;l;aliun Re.)'ace l_� Relocation ❑ .,oj,tion `� Alteration
C..,J C-T O R 'v O ti's:c R 'l/1/i.�'���
T'A
�i7 WORK A D D R E._c.'S
PHONE APPLICANT. .
Heat input Rating i3T1) Per Hour) Q_ Vent Srze _ _ Flue Size
p g
FUEL OIL ❑ GAS ELECT
�.:-- ITEM NO. FEE ITEM NO. FE
-t— For Issuance of Permit ✓ 3.00 —Air Condition Compressor 15 to 30 HP
3- 4.00 _Air Handling 10,000 CFM
i" New•Under 100,000 b7U to'� � _ _ .�_.�•
New• tOG,000 BTU & over 5.00 "Air Handling Over 10,000 CFM _1 5•'
Floor Furnace 4.00 Evaporative Cooler f3.4.00 Range Vent Fen 1
llfall • Floor -Suspended Insiall Vents Only 3.1Hood Commercial 2.00 Vent System _-- __ r
4.00 r _
;`-:• Repair • Heat & Cooling
<� Air Condition Compressor Under 3 HP 4.00 Commercial Duct System
,Air Condition Compressor 3 to 15 HP 7.50
Air
i.SfY
INSPECTOR'S
N}X
.'c•'_ CITY BUSINESS LICENSC REOUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
't� APPROVED BY DATE _ ______�.._..-_—_ ISSUED BY _ _ _ DATE
RECEIPT NO.
Signature of Applicant
-_e,- 77♦