11495 SW SPRINGWOOD DRIVE li4?5 SW •SPRINGWOCO DP,IVE
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PERMIT NO.�
ADDRFSS `-
PERMIT CHARGE nonE
OWNER CONNECTION EEE
PAID BY
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TYPE OF BUILDING zt.coDATE CONNECTED
SERVICE RATE INSPECTION FEE '
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CONTRACTOR PAID BY , DATE
SIZE OF COfJNLCTION ASSESSMENT PAID
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CITY Y CSF TIGARD 1A C
OREGON
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I; 7.L . Ligh.. 1127
Owner: . ...... . Permit No.
� Building Address....... 11495 SW ..S 'in Wo )r.
.... ....... .. . . . . . ........ .. ..... .....
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r given 28 March �t i `•{�
Certificate is hereby iven t.h�s....... ........da� of.. ... ....... ................., 19 ....7.7
that said building may be occupied and
that it complies with all reyu;rements of �
t the Building Code for the City of Tigard,
as approved by the Tige rd City Counci;.
....... ......
Building Inspector
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City �of Tigard
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INSPEC'"riON REQUEST" �
for i
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INSPECTION TIME: ... 0 Y'W PERMIT NO. :—.—
DATE:
O. :D.ATE: DATE ISSUED
OWNERS NAME
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ADDRESS:
CONTRACTOR :
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" EST : Air 0, Woter O , Visual [1 , I_aborotory 13
gF-SULT: Approved , Disapproved C Pending p
SKETCH:
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I PF�TOR DATE
[NOTE : Attach fuaplemental test data beret 01
amity of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: � % PERMIT NO. :--
DATE:
O. :_____DATE: --2, 116177 DATE ISSUED .--Z-2—
OWNERS
SSUED .___(_.LOWNERS NAME : Z1611- T
ADDRESS; //y9 s' �u S��/NCn-svarl�
CONTRACTOR : __/- CnL404f
"EST : Air ❑, Wotsrp , Visual N., Laboratory [j
9ESULT: Approved Disapproved C' , Pending )
SIXTCN:
INSPECTOR DATE
FN07V Attach aupplamsntol test c'aty bereto� /
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City of Tigard
INSPECTION RE® UEST
for
IINSPECTION TIME :��1_ . PERMIT NO. ' ._
I DATE: DATE ISSUED:--.L'-
I 0INNERS NAME
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ADDRESS '. �5?v 6
CONTRACTOR :
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TEST: Air C], Water Visual 0 , Laboratory []
RESULT: Approved Disapproved [J , Pend!ng r�
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SKETCH:
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I INSPECTOR DATE
COTE. Attach supplementu, '-st data herstoj
BUILDING DEPARTMENT, TIGARD
NO.
P!.Un,7ING PERMIT 1
holder of a valid piumbin4 contractors license is herebv
authorized to cause plumbing work as herein noted to be instail.,d in accordance with the plumbing code of F
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the !nstailations are ready for inspection. City of Tigard Business License required
for ail contractors-@nd sub-contractors. o
Owner - Address ' Gate��
NUMBER OF TOTAL PERMIT NO.'S i
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
I
RESIDENTIAL
Single Femi y-1 bath-?ach 25.00
Duplex—Each 1 bath unit 25.00
Additional bathrooms—each 10.00
l Mobile Home Space—each 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 bui d'ng—each 3.00
r
51 to 100 Fixtures in 1 building--each _ 2.E0
101 to 200 Fixtures in 1 building—each 2.00
201 or more Fixtures in 1 building—each 1.50
!MISCELLANEOUS
Building Sewer-1st 50 ft. i 10.00
I Sewer—each additional 100 ft. I 10.00
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Water Service to bu4cli 5.00
Pri-ate Water Svstems—each 100 ft. > 10.00
Other (S if-•C_
PERMIT j Ft r Ffumbing Inspection Phone 679-419!
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% Stata Plumbing Contractor By
TOTAL - j RECEIPT NO. I wed Ey
I
BUILDING PERMIT APPLICATION 11T TIGARD 13ATF 10-13-76OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICA,TFC BUIL-DERP'1ONE—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNr.RPHONE _--
LOT NO,
OWNER J•L_# Li ah l _— JOB ADDRESS 11495 SW :ipringwod H&AE ADDRESS
ARCHITECT
BUILDER _ ADDRESS ENGINEER
DESIGNER _
STRUCTURE "'MEW ❑REMODEL. _ _❑ADDITION ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE LJDEMOLJIION
lJtRrSIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RZLIGIOUS nPAT10 ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND LJ MOVING _❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS!
QCCUPANCY LAND USE ZONE— __BLDG.TYPE FIRE CONE PLAN CHECK BY HEAT
VUnbe. ainalgL ain _gAL,ina wlatt+a!;hvd yaraQs - 3 bV(jKu;Q0 Y Loath
Aar-ago 500 agefte
2Q&_-LQAQ _ FLOQP LOAD _ 40 _ 3 �7• •
_ _ 1 538 "� 800
�JyO.BEDROOMS VALUE
BUILDING DEPARTIIENT SET BAt n FRONT REAR LEFT SIDE j[J RIGHT SIDE
Permit 151.00 --- --- ----__
THIS PERMIT IS IS!0JFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1U•OCA RE(;UI ATIONS AND ALL APPLICABLE CODES .AND ORDINANCES, AND IT IS HEREBY AURteO THAT THE
^— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEP�.
State Tax — Q•83 LICENSE. SEPARATE PERMITS REGUIRED FOR SEWED, PLUMBING AND HEATING.
Total 16:i*83
By
�--- APP CANT OR AGENT
Approved 13LJ Receipt No.
ADEMLSS
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DATE INSP. T`PE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
t�
Rough-in
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Cj ` U '- Fixture —7
�.�_ :� '> � 2 �C.y}rt,c:.�-•� _ Final —
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jConfractc,:HEATING No.Oil
n -
- — Final
SEWERiA1,4-7Z h C
Final
DRIVEWAY
Final
Storm Drai:-iage
(Rain Drain) Final
--- Sidewalk �.G .� -X0-7
_ Curb&Street Final_ _
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Fin;-.1
CERTIFICATE OCCUPANCv _
® 0 landscaping
Zoning Final
I Vow
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X19
U IEIED SEWERAGE AGENCY NO 10674- -
WASHINGTON COUNTY DATE __.1Ct-��--76_ . ---
CITY OF.--- ill ,rd -
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: -- J.L. Light
OWNER'S ADDRESS -- _ -- -----
STREET
CITY STATE 21P
BUILDING SITE: LOT - BLOCK ____..___.___.__ ADDITION
TAX LUT NO. __ TYPE OF OCCUPANCY _--___ residence
ADDRESS _ - _ 11495 SW Springwood Dr.
DWELLING UNITS — 1 .- FIXTURE UNITS
SURCHARGE IF APPLICAE'LE —_
PERMIT FEE 575. 00 ._ INSPECTION FEE 25.00 TOTAL DEPOSITED ._600.07
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fanno Ci ehk
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPL ICAi,T --
SEWER PERMI"r
THIS rr'?AAI'I AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE SIZE __ __._�.-_-._ INSTALLED, --.._-.
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RECEIVED B Y
J (AGENCY OR ITS ACEI
COMMENTS:
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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CITY
ITY OF
rte rtr f1} \to-
7 l 2-7 7
-.--.NC, ir7, 1T APP` V1TC:\� �i .xA�-,D DATE tF?—A=_
=!ERESY
APPLIES FOR APERM!T FOR. THE WORK HEREIN INDICATED
CR AS AND APOROVED !N THE ACCO1MPA11lY!NG PLANS AND SPECIFICATIONS. OWNER PHON'_ t/
nI,vN-Cr3 ADDRESS f J49j LnsLd �(� BUILDER PHONE
17 ENGINEER
n•_•• rico �ylr� ARCHITECT DESIGNER
S1aUCT_pE \FW r�r RE'u!Or?FLADOITION REPAIR l_�t RENEWAL OFIFIE DAMAGE nDEMOLIT!ON
4 SIDENCE -COMM? 21JCAT�ONAL "fGOV T rASL'GtOUS^PATIO nCAR PORT GARAGE ❑STORAGE CSL'A 'FENCE
-BOND �V- OV'NG _CONOtTIONALUSE L7 OESI GN R EVI EW ❑COUNCIL APPROVED CStGNS
OCCUPANCY4r&—I_AND VSF ZONE R-7 9'_DG,TY0E SI✓ r!RE ZONE 3 PLAN C-!:CK BY G! HEAT --
` 368 R 2 iaaz4
If
OCC. LOAD a FLOOR LOAD 40 HE'GHT _ NO.STORIES I AREA)� 3�(' VALUE '17
�1
9U'�-O'NG DEPARTVT:7 s
SET BACKS FRONT i,!1 hcAR � �' LEcT SIDE �(� RIGHTSIDE
Permit Tl Oa
! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ?ONING
Plan Check �Q -,?f REGULATIONS ANO AI-L APPLICABLE CODES AND OR7INANCES, AND IT IS HEREBY AGREED THAI THE
' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS. t:C IN COMPLIANCE MTH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER:-IT DOES NOT WAIV°
RESTRICTIVE COVENANTS. CO^:T?ACTOR A 9 CONTRACTORS TO ►LAVE CURRENT CITY BUSINESS
%State 4f-3 LICENSE, SEPARATE PERMtTS REQUIRED FOk ..ER,PLUMBING AND HEATING.
Tota' ! �J • O 3
ny
APPLICAIV i
Aonroved Receipt No.
A00F1 ESS PHONE
S-7 N�
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LIGHT Construction Co.
15890 S.W. Colony Drive / Tigwd, Oregon 97223 / Phone 039.8560
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_ APPROVED FOR
`, ' ''-'' / CITY CONS i�RUCTION
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AD�rE'S
n FSE _
City of
aTioard Mechanical Permit
New Installation Replace Fee
p ❑ Relocation ❑ Addition ❑ Alteration ❑
�ps�}�� pr q L T TOTAL
CONTRACTORJUIYi JLT ria :i3' i� I$ I in9i rh OWNER
ADDRESS 17005 N. Vl/. CORN'ELL RD. r
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40RK ADDRESSJ�S� _ , _ •�, ��
F'-TONE s<.�_�1,i
APPLICANT
Heat Input Rating (BTU Per Hour) n Vent Size F;ua Size sib i
FUEL OIL ! GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 Boilers Over 50 HP • 25.00
New - Under 100,000 BTU ( 4.00 A:r Handling 10,1300 CFM 3.00
New - Over 1GO,000 BTU 5.0_0 Air Handling Over 10.000 CFM _5.00
Floor f:unace 4.00 Evaporative Coo!er i OO
Wall - Floor - Suspended 4.00 Vent Fan -�---
I 2.00
Instal! Vents 2.00 Vent System 3 OO
Repair - Heat & Coolin 4.00 Hood 3.00
Boi!-rs Under 3 HP 4�0 Domestic Incinerator 5.00
toilers s !) 15 HP 1 7.50 1 Comm. Incinerator ! 20.00
Boilers 15 to 30 HP j 10.00 Gther Not Listed 3.00
Boilers 3U to 50 HP 15.00
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
RECEIPT WO. ^'
1
774
___ Signature of Applicant