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MAY 7 - 1 Q Q- 9
1
9885 & 9887 SW SCOTT COURT
`i
r
BUILDING PERMIT APPLICATION R 7ATk � '
THE UNDERSIGNED HEREBY APPLIES FOR A-f'F 1M F E JVORI' H REIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE A OMPAN` ING PLANS AN0 b"_CIFICAT'ONS. OWNER PHONE
LOT NO.
OWNER Georx4a Scott JOBAUDRE S y 115 jW SCOLL Gt.
ARCHITrCT
� ENGINEER
BUII.UEH Sane ADDRESS'—•- DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION IN REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LE RESIDENCE ❑ COMM 0 EDUCATICNAI_ ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑_CARPORT ❑_GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY -1--,L—LAND USE ZONE k"12 BLDG.TYPE _SN FIRE ZONE-_--__PLAN CHECK BY ETW HEAT --
_�--Vawir Fir* Nwas;* — All per approvoid Cods Requirements.
-- Plumbing Permit Required. — — --
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _ HEIGHT Y NO.STORIES AREA NO.BEDROOMS 2 VALUE I t(I't-4).
_BUILDING DEPARTMENT :,ET HACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATION:,, AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THI? PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 15.00 _ RESTRICTIVE COVENANTS. CONTRACI OR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •GU
SDC--
Total 15.60 "r
—T_ — PDCM APL .ANT*AGENT
Ey CZ
Receipt No. --
Approved I:TW ADDRESS PHONE
DATE INSP. TYPE INSPECTION PLUMBING A DATE
Permit No.
Fixture
IIFlnei
it HF_A'I ING
colltractor
Permit No.
Gas or Oil
In
Final
99WER
-,noi
DRIVEWAY
Final
`corm Dro4lage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
DEPT. 0OR TmCATF OCCUPP.NCY
aL, V FINAL Tcm ri
.-F?TIFICATE 0r_.;U1`ANCY
lLI
Landscaping
ning Final
L) U
BUILDING PERMIT APPLICATION TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOtAPANYIN a PLANS AND SPECIFICATIONS. OWNER PHONELOT NO.
pYlNER;% JOB ADDRESS ARCHITECT
' ENGINEE-9
BUILDER
? � ADDRESS DESIGNER _
STRUCTURE Cl NEW _❑ REMODEL Cl ADDITION '� ❑ P.�NEWAI_ El FIRE DAMAGE ❑ DEMOLITIO
RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAN?ORT Cl GARAGE Cl STORAGE ❑ SIJ1B❑ FEN
�FIFlE ZONF ��PLAN CHECK BY HEAT '�---
OCCUPANCY �_LAND USE ZONE PE�7 Z BIOG.TY —
SF-.VER PERMIT N -
OCC,LOGO FLOOR LOAD HEIGHT NO.STO IES / AREA NO.BEDROOMS '�L Vk-.LU-
--- = At:�4R - - LF_FT SIDE RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT --- _
Plertntt `—� THIS PERMIT IS ISSUED SUBJECT TO THE REGi:LATIONS CONTAINED IN THE BUILDI;IG CODE,ZOfItT
REGULATIOVS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T
Plan C,h��ck f WORK WILL BE DONE IN ACCORDANCE WITi. THE PLANS AND SPECIFICATIONS AND IN COMPUAll
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAt
1 Su '.�tyl RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE
f" - UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUTAQING AND HEATING.
St.-to Tax �-�
— /, •r SOC— r__—_ -- -----
TO al ,Z CANT OR AGENT
--- Pt)C+N
BY --
Flecoipt No. ADDRESS PHONE
App:oved
Po c -
('F".U''ER CONNECTION S
')f '41LR INSPECTION
I 1IF R SURCHARGE
r
BUILDING RECEIV
NAME: �;`�t 'C DATE:
ACCT. M DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees s _
10-431-601 Mechanical Permit. Fees
10-230-501 State Building Tax s _
10-433 Plains Check Fee =
30-443 Sewer Connection (20x)
30-202 Sewer Connection (80x) f
30-444 Sewer Inspection
51-448 a�^eet System Dew. Charge (SDC) f
52-449-61.0 Parks I System Dew. Charge (PDC) s __
52.-449-620 Parks II System Dew. Charge (PDC) f
31-450 Storm Drainage System Dew. Chrg (SSDC)
10-730-505 TRFD (95x) s —_
10-478 TRFD (5x) s
10-230-5061 Washington County Fire N1 (95x)
10-478 Washingto . County Fire 01 (5x) f _
10-72C Amart/Wedgewood _
TOTAL :
(bo/1214P)
I� R 1• O u
♦ t I
City y of Tigard
INSPECTION RE �
GUEST
for
INSPECTION T:ME: -Sy PERMIT NO. :�
DATE: !ice/ale DATE ISSUED :—
OWNERS
SSUED :_OWNERS NAME :�1,-a17 I
,ADDRESS:
CONTRACTOR : Get• .
TEST : Air C, WeterC , Visual,K, Laboratory C
RESULT: Approved Ix t Disapproved C Pending C
SKETCH. �; �� . (� lS T7kr r�
INSPECIFOR DATE
CMOTF: Attach supplemental test dato haret]
_��.....� ��. �� .�--�...- _... J r_ V .. �..ice. .. •ti,...
if< � f 1 1 < i•
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �I �'y PERMIT NO. :
DATE: Lam ' DATE ISSUED :—..Lh
OWNERS NAME : --r
ADDRESS:
C 0 N T R A C T 0 R ---
11 ^S T : Air 0, Water❑ , visual Laboratory Q
RESULT: Approved 0 , Disapproved Pending ❑
SKETCH.
1?
a)14 + TZ' HC /1L1Sr1fU D
1»f7
Co!7wet 1r /It•CSFwro vN,
INSPEC7r R DATE
COOT : Altoch luPPleme1I111 lair
1
i
..-„...sai�ry+wawyaMos�u"'�M"'. xp•v".,..y......_. .. ^�'8T`PM"�i. ,u r-...,,�„;^�i.'a11�M -3'...dot.. .yw,••-.
CI -Z' N2 0486
BUILDING PERMIT APPLICATION TIGARD DATE— ____._, 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMI-- FOR THE WOPK HEIEIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPA14YING PLANS AND SPE:•IFICATIONS. OWNER PHONE
I, Scott 9885 A1.9W 7 3.1,1, Scott BUILDER PHONE – --
OWINER __-_-ADURESS
ENGINEER Mayol f_nC)
BUILE
DR L;-. OrQO Is rXOtt AR HITECT DESIGNER —
STRUCTURE ONEW_. 71 REMODEL ❑ADDrI–TION ❑REPAIR ` ❑RENEWS 074 ❑FIRE DAMAGE ❑DEME-OILITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT t_IRELIGIOUS�PAI'10 ❑CAR PORT IJGARAGE C1 STORAGE C�SLAH L.:r-1r
DBOND ❑MOVING 000NDITIONAL USE ❑DES;GN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_ BLDG.TYPE F!REZONE_ PLAN CHECK BY HEAT_
construct 1730 sq, ft. rramw duplaax with atiE".116d 9A"90 :� ;jaeolurint
a,-.carding to approved plane
+agrees for const 1.0 be rola ew. h only - Vu a work vemeri.s
before occ anc 2 bedroom$ per uni t
_ 40 lb .(3#) p 1.1
HEIGHT �— NO.STORIES AREA VALUES
OCC, LOAD FLOOR LOAD --
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit �,a,'.,.;�t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �1. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AK1 IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITh
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NGT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOV, AND SUB COP'TRACTORS TO HAVE Cl;9RF.NT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total •��
.u. ' -/tNl [7G� 11GFN1
By
ApFroved Receipt No
�- ADDRESS F-RUNE
I
f
DATE INSP. TYPE INSPEiTION REMARKS PLUMBING DATE
-Perinit No.
Rough-in
-7
Fixture
I c ?o
C,&C Final
CA HEATING
ZwL9,L4,,* W,724AXk Contractor
Petmit No. (0
wePJ c r
Ga,.or Oil
Rough-n
Final
K n7
gr. 4 T4
60oq'L Final
-DRIVEWAY
I Final
Sturm C einage
(Rain Drain) Final
Sidev.,a;!-
Curb&Street Final
AiTrqar-h :21
BLDG.DEPT. FINAL TEMPORA9Y '.ERTirTC-ATE OCCUPANCY
CERI IFICATE OC_'UPANCY Final
Lt'landscaping
�o
Inning
ning Final
i
l �
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t i
nY i
C1 i
C
s . W. 96", s T�Eer
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