16380 SW SYLVAN COURT t �
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CITY OF I
OREGON
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/ #�=� aim Clark Permit No. 381
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Owner: — �1.
Route 1 - Box 278K - Eagle Creek
c Address: 9 ,
• -: -
16 3 80 Std Syluan Court Address:
OccupancyR-3 LandLseZone: R-7GQBIdg•Type-5N ire Zone: 3
—
�' r" Commerts: -- —
Certificate is hereby given this 21st day of November 19 SO
i that said building may be occupied and that it s;
complies with all requirements of the Build
ing Code for the City of Tigard, as approved ` `c
_)
by the Tigard City Council.
ilding Inspector
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11 T Building Of ficial
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ertificate m on
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BUIL LMNG DEPARTMENT, TIGARD
(��� PLUMBING PERMH
holder of a valid plumbing contractors license is hereby !
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
i igard. Such installations require inspection by the City Inspector who shall be nctified not less than fotlr
(4) hours prior to the time 1.h:: !tallations are ready for inspection. City of Tigard Business License required ' -
for all con ItractorS and sub-cern' ol..
l Job
P.Jdre�,s �.l l f���Da_te S -p���
�T NUM13Er1 OF 7OTAt.
TYPE OF PERMIT _— _ ITEMS FEE ON E.ACP AMOUNT
71 A L
Sin le Famtly-1 been—each 25.0101
_Du lex—Each 1 bath unit ____ 25.00
Additional bothrooms—each ----- --- -- lµJ
10.00
Mobile Home$ oce—eech 15A0 _
114DIVIDUAL FIXTURES CO�I�IEF�CIFl ---
1 to 50 Flxtq as In 1 buildm —each
g _ _._ 3.00 :A
SI to 100 Fixtoree in 1 building—each _ 2.50 `
101 to 200 r fixtures in 1 building—each — — —r 2,00 --
201 or more Fixtures in 1 bulldi--ach -- 1,50
MISCE
ELLANOUS --
Sewer—each Wditional 100 ft.
Water Service to nuildir,
Other IS Of
PERMIT — For Pl,7mbing Inspection Phone 6394171
4°�State Plumbing Contractor By _
TOTAL D C? RECEIPT NO. Issued ng "� —
BUILDING PERMIT APPLICATION TIGARD LATE_—_L.__._`_ --.._,19. �� 318
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TML WORK HEREIN INDICATED BUILDER PHONE 63 7—'�641
OF,AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE I.
LOTNO. 35—PIC is _cancing
OWNER Jim Clark JOBADDRESS 1631010 SU Sys.--: l t, wrt _
ARCHITECT
ENGINEER
BUILDER Dame _ ADDRESS Ht•1 00x 2766—Ea(t ,ls Cr-DESIGNER ,1. Jeans Ussign —
STRUCTURE )(2 NEW U REMODEL L] ADDITION E- REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑'.RESIDENCE ❑ COMM CI EDUCATIONAL ❑ GOWT ❑ RELIGICUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE D SLAB❑ FENCE
OCCUPANCY --117-3--LAND USE ZONE F� {}�� BLDG TYPE •'hI —FIRE ZONE---!PLAN CHECK BY DWH HEAT.
f.onstruct t:~triu!e fcmiiy dwelling Ir attachcad gc Q. ju. 4 edroams — 3 Eiaths.
SEC' t:;0Pi,''F i;TTQN SHEET ATTACHED,
SEWER FFRMIT M 21900 : — 1' F 05.00
OCC,LOAD FLOOR LOAD 40 HEIGHT 21- NO.STOPIES AREA 1.91" NO.BEDROOMS 4 VALU
BUILDING DEPARTMENT SET GACKS FRONT REAM 1. LEFT SIDE j rl RIGHT SIDE
Permit 1'211.01 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check M", CRL1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SFrCIF'ICATIONS AND IN COMPLIANCE
WITH ALL APPLI'CABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 316.50 RESTRICTIVE + )VENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 6.44 SDC— 5400.U U
Total 324,X94
--` -- "DOM i I �1[l f!•I.)Il APPLICANt OR AGENT
By -- P
I.1UH Receipt No. -----
AppfoVed ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DA'T'E
Go late, Contractor
Permit No.
4,9
Rough-in
JA g
Fixture
Final
HEATING
Conv�ctor
Permit No.
Gas or Oil
Rough in
Final
SEWER
Final ;7
DRIVEWAY
Final
Stam Drainage
(Rain Grain)Final
Sidewalk
Curb&Strept Fln,il
Appmach
BLDG.DEPT.F#N A TEMPORARY CERTIFICATE OC y
—1-- TEMPORARY
I Final
Lan,+capi-,q
Zonii,g Final
31
BUILDING PERMIT APPLICATION �'�U�, �� DATFAow '� p
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Tt iE ViONK HEREIN INDICATED BUILD,-fl PHONE4�.�7AIL-
OR.",S SHOWN AND APPROVED IN CHE ACCOMPANYING,PLANS AND SPECIFICATIONS. OWNED PHONEIM
� _0 _
I LOT NCI._, _ a .�� �..
OWNEFI O{r►/1 I t�� .IOB Ar)DRESSA0 2 i�t� JG4.� Iv t.� _ ��L��_�
�__ �__ —. _._ M M
BUILDER (� C'. ADDRESSQt K � ESIGNER Q-.leA.., �j,)a$1Q,^
STRUCTURE __X!�EW 0 REMODEL ❑ ADDITION -0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLIT1,3N
RESIDENCE G' COMM ❑ EDUCATIONAL Cl GOV'T ❑ RELIGIOUS i PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ F'ENOE
OCCUPANCY LAND USF_ZONE � BLDG.TYPE ,.{ � FI,R11EZONE_ _-
/iPLAN CHECK BY HEAT
ea
SEWER PERMIT k __ _ _ __ _ �•'S'�
OCC.LOAC _FLOOR LOAD HEIGHT Z NO.STORIES 2 ARF A IVO F_-DROOMS VALUE(:;4/,*,'*
/NV'
_ BUILDING DEPARTMENT SETBACKS FRONT /t? REAR ,f'1 LEFT SIDE
--_T__---•---____ �w�0 _ RIGHT SIDE _
Permit .21 f,0o THIS PERMIT IS I,SUED SUBJECT TO THE REGULATIONS CONTAINED fN THE BUILDING CODE,ZONING
REGULATIONS ANO ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check - WORK WILL BE DONE IN ACCOADANCE WITH THE PIANS AND SPCCIFICATIONS AND IN COMPLIANCE
— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES 140T WAIVE
Sub-total .3 Ca• yRESTRICTIVE COVENANTS. CONTRALTO] AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOH SEWER,PLUMBING AND HEATING.
State Tax • _
--- g _ soC-
Total -----
-` PUG# APPLICANTOR AGENT T - "--`"'--
NY
Receipt No.
Approved -- ---- �_-__ .-_ Af1DRESS -- - ----- - -PHOiIET _
soc
PDC - $ _-� —� �� Iv `�'� SPE. D 1�I tj��►P .
SEWER CONNECTION $ G'SD l
SEWER INSPECTION
SEWER SURCHARGE $ -`
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