11022-11040 SW SPRINGWOOD DRIVE 1022 - 11040 SW SPRINGWOOD DRIVF
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o e r m i t No. _____r •?Jd
Address fL.
permit charge
Connection fee T
Owner
Paid by
-- connected
Dat
---� D a't
Tyne of bui11.1i 19 `"' Z,,,spection fee
Service rate Date _ ...,,.
Paid by _,_.
Contractor --------'' i d
Assessment
size of coni let.Lion,
CSTY OF
BUILDING PERMIT APPLICATION TIGj4RD DATE 3uns_�� 7�u
,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —
Antarn�LLiorta►1 Gunl�s Co.
OWNER ADDRESO/v YO BUILDER PHONE
ENGINEER_ Jan LDIN 9rcxborysr
BUILDER v ARCHITECT DESIGNER r�
STRUCTURE ONEW D REMODEL — ❑ADDITION _ ❑REPAIR ❑RENEWAL (:]FIRE DAMAGE DDEMr-OLITION
RESIDENCE ❑COMM DEDUCATIONAL []GOV'T ❑REI !r:l(.L)SUPA1IO OCAR PORT ❑GARAGE [:]STORAGE❑SLAB ❑FENCE
OBOND OMOVING 01CONDITIONAL USE OIJESIGN REVIEW UCOUNCIL APPROVED USIGNS
OCCUPANCY_ LAND USE ZONE BLDG,TYPE _FIRE ZONE— PLAN CHECK BY HEAT
+'wistruct a 10 unit apt. bldg. pr-or plain & ispectfirnt,iun shNsts 1 thru 6 r..0
A�.1?r�s -142 915dF —IFJTx�.
7'^
QZ,LOAD FLOOR LOAD HEIGHT -_ NO.STORIES ^AREA
BUILDING DEPARTMENT SET BACKS FRONT 6c l- REAR 651 LEFT SIDE !.d t RIGHT SLDE 401-
Permit �4fi•6(1 — -- .._ --- ---- —_
THIS PERMIT IS ISSUED S(18J'-CT TO THE REGULATIONS CONTAINED IN THE BUILDING COLE, ZON NG
Plan Check 160. ° ryEGU1 ATIONS AND ALL APPLICABLE CODES AND ORD;NANCES, AND IT IS HEREBY AGREED THAT THE
- WORK V4iLL BE DONE IN/ACCORDANCE WITH THE.oLANS AND Si' .CIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRI::7'IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
'I%State 1241 j(`. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 419.OS :j l l s il. 3'.-,i)OL
By - --- --- -- - -- --
-� '. AP -,ANT OR AGENT
Approved E TIJ Receipt No.
ADDRESS
law.2I. r��l:
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
lPermit No.
Rough-if.
Fixt re n 6
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rouib-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
nLDG DEPT.FINAL TEMPORARY CFRI IFICATE OCCUPANCY
CERTIFICATE OCCUPANCY i'inal
Landscaping
Zoning Final
V,
6L
4
UNIFIED SEWERAGE AGENCY NO. —
June_2 5. 1.976
WASHINGTON COUNTY DATE
CITY OF- ---- ,Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
-International Dunes
OWNER:
OWNER'S ADDRESS: STREET
STATC- ZIP
CITY
BUILDING SITE: LOT.- B[,0rK ADDITION ..
residence
TAX LOT NO. TYPE OF OCCUPANCY -
ADDRESS _ 1102?,_?41_26,2BlllO3Ot32t_34036, 36 &40 Sjj Springwood . Dr,
DWFLLING UNITS - FIXTURE UNITS -
SURCHARGE IF APPLICABLE---------- qov-
—0 TOTAL DEPOSITED
PERMIT I EE -43— a INSPCTION FEE-
Fenno
Creek
jbLLVj_ (EXISTING) BUILDING SEINER SYSTEM
The Applicant agrees rules and regulations Of the Unified Sewerage Agency.
,es to c�,Ijjjply with all I
APPLICANT1�,
SE'll.'ER PERMIT
j'IjjS PERMIT AUTHORI/ES CONNECTION TO THE Si-:WER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY-
II/IINIY OR ITS AGENT)
COMMENTS- Bldg. Permit -#0896
Iiiis Application and permit expires in ninety (901 clays. The amount paid will I,e 101tuiled
should expiration occur.