15930 SW STRATFORD LOOP-1 159;" SW STRATFORD LOOP
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Af`DRE�S J` 30w �' o.� :�,eT• PERMIT N0._ /s ' 4r... -
PERMIT CHARGE � _ none _--��
OWNE RL CONNECTION l- _ CONNECTION FEE _ bi� --
PAIO BY
TYPE OF BUILDING Q DATE CONNECTED
SERVICE RATE �� _
INSPECTION FEE
CONTRACTOR PAID HY _ _ _ DATE
uIZE OF CO"1NECTION
ASSESSMENT PAID
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BUILDING PERMIT APPLICATION 1I Y TIGARD DATE
THF UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK 14FREIN INDICATED BUILDER PHONE
v_—OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT NO.�_
r' it�,931 '��.! atratf`ord
OWNER JOB ADDRESS HOME 4DDR
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE L�NEW ❑RFMODEL El ADDITION C3REPAIR ❑19ENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑_RESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT- _IGARAGE ❑STORAGE❑SL.AB ❑FENCE
�[,.19C ND ❑MOVING ❑CONDITIONAL USE L.IDE'iGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
rrtIPANCY_ LAND USE ZONE_—B'_DG.TYPE—.LL. —FIRE ZONES PLAN CHECK By - __— HEAT i�
dwel l.ir,'i w M;tach"" kateyg•
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2���L4AR-_—_�F1.Q9H LOAD 1o1�E1aEII_ a2 _N9_5_TQBff5_ —.AMA 9- f.*l NO B >?HQS2M�' ._yAL�E_ r;)'l-.
BUILDING DEPARTMENT SET BACKS CRONT 7LI REAR I jLEFT SIDE + _RIGHT SIDE '
[Plan
mit
- "�-- THIS PERMIT iS ISSUED SUBJECT TO THE REGULATION; CONTAINED IN THE BUILDING CODE, 70NING
Check • REGULATIONS AND ALL APP;.ICABLE CODES AND ORDINANCES, AND IT IS HEREBY A,REED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
btotal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANT:, CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PI UMBING AND HEATING,
303,36 5,;161.., *400a
Total M.D,C, #2 $1006
By _.._.�—._ A?'Pt ICANT OR AGFNf
Apptoved Receipt NO —...— _—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING — DATE
Contractor
Permit No. R _ 31
Permit
7-.ZS � •— ------- — Rough-in -- -
Fixture
Final --
HEATING i
FIA,dContractor
Permit No. s 8•] 1�7�� �'
Gas or Oil
Rough-in
Final
---- -- ----- ---- SEWER
--- - -��--� - —
Final
-- DRIVEWAY
Final
-- - Storlh DrainuyC.
^ (Rein Drain)Final
-- - ---- ----__ ,_--..—.•— Sidewalk
_---- -- �-----.---- --------'-- — Curb&Street Final
Approach
EILDG. DEPT.FINAL TEMPORARY C aRTIFICATE OCCUPAN Final
CERTIFICATE OCCUPANCY �.� 7`7 —
Landscaping
-- �I
Zoning Final
/C7.1ce 4'2 o
SEVVEI
PERM, IT NU :1, T390
Unified Sewerage Agency 5-5-70
of Washington County CITY OF Tigard DATE
OWNERc Breck Cont. PHONEr_
OWNER 'S ADDRESSr —
TYPE OF INSTALLATION:
-bUILDING SEWER ❑ BUILDING SEWER AND SIDE SEVER
TYPE OF OCCUPANCY rx�cX
x'��fIEW x ! SINGLE FAMILY ❑ C:OMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. j] INDUSTRIAL
FIXTURE UNITS DWELLING UNITS._,_.. -
ADDRESS OF STRUCTUREe 15930 SW Stratford loop
PERMIT CONDITIONSe THE APPLICANT AGREES TO COMPLY WITH ALL IULES AND
REGULATIONS OF THE UN?FIED 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.
FEE E i
PERMIT FFE g 2.5. ._
CONNECTION CHARGE _ 600.
SIDE SEWER INSTALLATION _ 0. Greene
ISSUED BY
OTHER _
TOTAL. $ 625•
APPLI(, ( DATE
c+c��►i;t: J.JQ—.UAYs OF r E
nf�ovF i,ATE. 8FWF-U SFRNICE Nc' 15800
CHARGE WILL EIEUIN FOR TF113 SEWER PERMIT
I'FRMIT.
ADDRESS OF STRUCTURE 15930 SW Stratford Loop
TAX MAP TAX LOT SYSTEM fanno creek
LUT — 55 BLOCK _ OF
Walden 5-5- ,(�C� �`
E 76_
APPROVED BY DATE ISSUED BY DffrE
D. U. 'S 1 REMARKS bldg. #2076
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�l_�DiNG PERMIT APPLICATION uFY TIC .RD iJATE o
!�.
+F UNDP ir,NFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IN ICATE� BUILDERPHONEpAr? 7
1 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAl ION;i. OWNER PHONE�..f
'
;.rf;o 3�v x LOT NO.— a
i
l3,e£cl 00"VS 1. 1CJ9 ADDRESS
ARCHITF.CT -4sij�e 490w.
ENGINEER fps yr
..R cS�4' IADDRCSS _ DESIGNER _
RE _XNEW 17 RE MODEL ❑ADDITION !�❑RLPAIR ❑_REN_EWAL ❑FIRE DAMAGE ❑DEMOLITION
I NCF (]c r 'I'M ❑EDUCATIONAL ❑GOV'T ORE LIGIOIJS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
�.' nMOVING ❑CONDITIONAL USE ❑DILSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
p USE ZONE-?4kt-.}r BLDG.TYPE...' f IRE ZONE I PLAN CHECK BY,—�� _ HEAT-
w
:c_i-QAU - F l QQp_l,Qgp_._ � H�n_!_>��r---N� SIS2RIES/ Z AREA.Ij!!_N9 f}E�P9S?Mie •: VALUE-- -
IIUILI.)ING UEPARTMENISET BACKS FRONT .Z O ,EAR LE6T SIDE �- RIGHT SIDE Q O
------ THIS PERMIT IS ISSUED Sur1ECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian Cheek — REGULATIONS AND ALL APPLICABLE CODES AND OFIDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ut)local - sr ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA1t/F.
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CL'9REN7 CITY BU,INESS
iA1I✓ T - LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
-7-14-
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Receipt No.