9850 SW MCKENZIE PLACE 9850 SW MCKEriiIE STREET
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Owner:—John Loewe..
Permit i�{ . 111.9.9................ .. . .. .. .. .
9850 SW McKenzie �
Building Address. .... .. .... ... _ .........................
Certificate is horeby given this....2`�.... day of...�.?Ru rY , 1970....
that said building may be occupied and �II
that it complies with all requirements of +; �
the Building Code for the City of Ti,•ard, !'
as approved by the Tigard City Cotmcil.
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Building inspertnr
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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
'`d ill dt �"c°�. Y ' " �'r'•�:e'' ' _. _ __, holder of a valid plumbing contractors licensa is hereby
authorized to cause plumbing work as herein noted to by 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
' (4) hours prior to the time the installations are ready for inspection. City of Tigard Business Licen3e required
for al! contractors and sub-contractors.
�
Owner-.______ __ Address-_ _ Date . �_•_�_
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Family-1 beth-each 25.00
Duplex- Each 1 bath unit _ 25.00
Additional bathrooms-each_ 10`00 �- -
Mobile_Home Space—each _ 15.00,
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building-aach _ 3.00
61 to 100 Fixtures in 1 building--each ________ 2.50
'101 to 200 Fixtures in 1 bulldingzeach 2.00
201 or mute Fixtures In 1 building-each 1.60
MISCELLANEOUS
Building Sewer-tst 50 ft_ - 10.00 -
Sewer-each additional 100 ft. _ .,., ^` 10.00 ^
Water Service to building yam _ 6.00 __--
_Privets Water-§xatemL-each 100 ft.
Othar S ecify):
PER_MI_T For Plumbing Inspection Phone 6394171
3%State_______._____ Plumbing Contractor By
TOTAL _ RECEIPT NO. Issued By
.. CITY T'IUARD JATE �i-�7-77—_
BUILDING PERMIT APPLICATiCN of
THE UNDE ,SIGNF.D HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED "tj'1,.DI-R PHONE----
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNLRPHONE= --------
LOT NO --OWNER John ALclrap,��lr JOB.ADDRESS '��)!Al 5 McKenzis HOMEADADRCESTELT Y
7 L'NGINEER
BUILDER .1.�4 ��-yy��C C�0�t�Lf: ADDRESS DESIGNER __ -----
STRUCTURE 9IMVV ❑REMODEL ❑ADDITION _ ❑-AEPAIR ❑RENEWAL -_ ❑FIRE DAMAGE ❑DEMOLITION
vs �r-1
❑ RESIDENCE ,COMM ❑EDUCATI��O--INAL ❑GO\PT DRELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAB ❑FENCE
^
❑BOND_ ❑MOVING l �CONDITIC'NAL USE ❑DE,IGN REVIEW (-]COUNCIL APPROVED —, ❑SIGNS
OCCU?ANCY H LAMS USE zONE___Q —BLDG_TYPE_ "'r� _ONE"— PLAN CHECK. 9Y —
11 HEAT.
an�J4., 2 story u unit apt hou&v no gara4s o 11 bedroom$ 12 baths
all per raviaed Piet s shoot 1 thru 5 dated 3r-1-77 and landecApa plana sheen:
_ Int aL11� c�at�� �l-21.." La
9rG�.l�QAI2_ 4.-- FlQ.4RJ�AJ�__! �_JiElSatlL_ N9.._s_L49!E5._ _.AREA �4FJ NO. IQaE 12 '�•
E101LDING_DEPARTMENT c 26 30 REAP LEFT SIDE RIGHT SIDE _
S_T BACKS FRONT _
Permit _ 31*00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check lSElr I�1 REGUt.ATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DUNE IN AL"ORDANCE WITTI THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTPACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 14.27 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 01907
BY APPI (CANT GR AGENT
Arproved Receipt No,
......,......r.,..........3b+.ww....w.....e.........u...a....,,.u•.«a....».s3.ua..Ywr
GATE INSP. TYPE INSPECTION REMAR;CS PLUI►h81NG DATE
TCont'
racic, —.
L - ermit No.
Rou -in
Fixture- tr,
Fixture
Final
HEATING
�c-
�2 no Contractor
- I
Permit No.
-- — Gas or Oil
RUu h-in —
_._ __ - --- Final -- —
Final __—__-- --- ---
-.-- ---- - -...------ -- __.----------- - DRIVEWAY
--- Final _._�--.- --- — --
-- ---_—.— —- Storm Drainer - -- --
�— -- -----`^^�----- '---- (Rain Drain) Final _
---- - — Sidewalk ------_ -- _
Curb w Street Fina
p
a oach
BLDG DEPT.FINAL_ TEMPORARY - CERTIFICATE OCCi.PANCY Final
CERTIFICATE OCCUPANCY --`
l-andscaping r.
\ Zoning Final l
t
PERMIT 7
r N . 1219
L Unified Sewerage Agency67- 77___
of Washington County CITY OF - T i�L .----------- DATE - -
OWNER: �ohn. A. Loewer
PHONE :
OWNER 'S ADDRESSt __
TYPE OF INSTALLATION%
LIBUI!_DING SEWER LIBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPAIJCY s
[]NEWQ SINGLE FAMILY Apts. l^J COMMERCIAL
[]EXIST . (PPIOR To 7-- 1-70 ) ❑ MULT . RES.
EJ INDUSTRIAL
FIXTURE UNITS —
DWELLING UNITS - b r
PERMIT CONDITIONS+ THE APPLICANT AGRE.ES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERA,--E AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE FERMIr NUMBER . THIS APPLICATION
EXPIRF_S IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE F,MOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FE:FS=
35.
PERMIT FEE $-------- --
CONNECTION CHARGE 3.450._,
SICE SEWER INSTALLATION ISSUEDG'BY
OTHER ---- - --- - -- --
TOTAL $ 3, 05•___.___
APPLICANT DATE
i
SEWrR PERMIT N? 12193
ADDRESS OF
TAX MAP TAX L.OT _ SYSTEM fanno crsek_
LOT _�. _ BLOCK —.-- — __OF _ ---
ISSUED-BA' DA fE
APPROVED BY DATE
REMARKS.
Bldg. 1499
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