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BUILDIN; PERMIT APPLICATION cor TIGARD DATE_ T9
THE UNDERSIGNED HEREBY APPLIES FGH APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
OR AS SHOWN AND APPROVED :N THE ACCOMPANYING PLANS AND SPECIFICA'. IONS OWNERPHONE
LOT -
OWNER ' Idy• Const JOB ADDRESS 13625 SU Stevon® i 't HOME ADDRESS
-- ARCHITECT
ENGINEER
BUILDFR ADDRESS DESIGNER _
STRUCTURE ❑NEW ❑RFMnDEL ❑ADDITION ❑REPAIR ORENEWAL CIFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO []CAR PORT ❑GARAGE 0STOR4GF.❑SLAB ❑FENCE
❑BOND ❑MOVING CCONOITIONAL USE ❑DESIGN REVIEW QCOUNCIL A0PROVED ❑SIGNS
OCCUPANCY LAND USE ZONE ' l BLDG.TYPE 2 FIRE ZONE `3 PLAN CHECK BY LW HEAT-»'"2''--
;.Tnst.. ,,inc.1s Family oujwllinc u/sttvchsid garaVo �- -- -
-- — ——
sit
OCC. LQA(2 FLOO.HJ-QAD 40 _ HEIOHT 20 --NL4�-TQB ES _.�A�9 f-1VSZ-MBQQMS-_�LALUE 4�/1130
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR i I.FFT SIDE '` RIGHT SIDE
Permit X�i7.UU — _ — --_ ------_— �4--
rgU. THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAIN;-:) 1.4 THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODSS AND ORDINANCES, AND IT IS HEREBY AGREED T14AT THE
w) y WORK WILL BE DONE IN ACCORDANCE WIT4l THE.PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
S,.Ib total ALL APPLICABLE CODES AND ORDINAN-'ES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State TaxLICENSE, 5E,P RATE PERMITS TFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total '�'S:,rtLOfJ. 6
By — - -- - — -------
APPLICANT OR AGENT
Approved Rvcvipt No ,
A
U
DATE INSF,—TYPE INSPECTION REMAFKS PLUMBING — DAYE_ —
�`� Cjntractcr
�C='.�b`iGz•2 - eL�-J Permit NOIY9D yJ 7 1,L�
Rough-in
Fixture —
Final
u
A HEATING
Contractor
Permit No.
Gas or Oil
�•L� Rot-ah-in
Final
SEWER
Final -
-- — - ----�_--
DRIVEWAY
- ---_— -- �1 —- Final
Storm Drainage
(Rain Drain)Final
- — -- - _—.T— Sidewalk
Curb R Street Final
Approach
EY DG. DEPT.FINAL 'rIM ARI CERTIFICATE OCCUPANCY Final
ICERFIC ATE OCCUPANCY
Landscaping
Zoning Final
K61
_DiNG PERMIT APPLICATION CI fY
3UIl "1pQD DATE..—.� ..�'." z"
Q TI�/ I\ _ �j., . __. 19�� N(J
IIF LINDF W�,IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.�L Cj
C'R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNCRPHON
k LOT NO.
_.I• p!A/ t 1o1'Lt/—'08 ADDRESS � � T/(� �C4!�IMUME ADDRLSS_ - --
_ ARCHITECT
ENGINEER
R _ ADDRESS _ __ _ OF.SIGNER
RE' __KNFW _— 0REMODEL—__ OADDITION 0REPAIR ' ❑RENEWAL OFIRE DAMAGE DDEMOLITION
fNCF Oi:nMM ❑EC.UCATIONAL OGOV'T OREL-riol1SOPATIO OCARPORT OGARAGE OSTORACEOSLAB OFENCE
1H"ND 13ti1_OVIN,i _ OCONDITIONAL USE �0DLSI_GN REVIEW r]COUNCIL APPROVED OSIGNS
NCV C -- -AND DUU'E ONE BLDG.TYPE_! ►` --iRE ZONE—_PLAN CHECK BY _..G�'"�_ HEAT.._.._
a- -
:":(;_;,Q9p--- ---__ FL4S2Ei.l.S?1�-�-r! ---- HEI�HL�__CLQ-._.S.I.�ZRIE&__----.._._.BP€l�. l_ALUE �dC�
—�FiUILDING DEPART E T SET PACKS FRONT REAR f f i SIDE RIGHT SIDE.
THIS PERMIT IS ISSUED SIJRJECT TO THE REGULATIONS CON'TAINEn IN THE BUILDING CODE, ZONING
Plan Check — psi REGULATIONS AND ALL A,sILICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub 10181 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NQT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSINFSS
:.1811 Ta LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMF31NG AND HEATINri.
70181
BY :�� O '� — _ — -- ----- -- - --- --— --- --
- --- -- - - - APPL iCANt OR AGENT
Hppruved Receipl No.
2 U
rt
„
i
� I r
U
USEWER PERMIT N 1i 5964
Unified Sewerage Agency
of Washington County CITY OF 11 _ DATE „ June 23, 19'78
OWNER : _ I)WD 61do. Cungt. ° _ PIKINE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
® BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
[� NEW ® SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS_ 1 _
ADDRESS OF STRUCTURE : 13525 SW Stevens Ct.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF 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 FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT F'--E $ 25.
CONNECTION CHAf'GE 600.
SIDE SEWER INSTALLATION _.piubertson
ISSUED BY
OTHER
TOTAL $ h75_
APyPLICANT r DA f E
yo nF
,rC DATE, SEINE-1 ^Efmu
(f!lLL HES1y F^�i ,���� NI)
EWER PERMIT
. 15964rw;,�.��r.
q
ADDRESS OF STRUCTURE 13625 SW St evens Ct. "'tn
TAX MAP TAX LOT SYSTEM
LOT 9 BLOCK OF
F d _ 6-23-79 PJR
APPROVED BY DATE ISSUED BY DATE
D. U . ' S 1 REMARKS bldg. # 2159
ddres,s j Permit No. 15� 6 �
Permit charg
Connect-ion Foe
Paid by .�2 ji� � `• _
yp oP I,r.ri J.dinr, Date connected
1 _. Inspection
"ontractoc _r Paid by date
i.ze o" -inn,?ction Assessment Paid