8655 SW Greensward Lane 8655 S.W. GREENSWARD LANE 1 OF 1
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8655 SW GIEENSWARD LANE
ADDRESS C :)5 , , ( �,�'a,t,��..,a.� I.t i1 � PERMIT NO. Sq
PERMIT CHARGE none
OWNEREir_,CL—K44. CONNECTION FEE (o O
PAID BY c//' Y I
TYPE OF BUILDING .1[1 .1
DATE CONNECTED
SERVICE RATE .. b INSPECTION FEE
CONTRACTOR PAID BY DATE
Is 1
SIZE OF CONNECTION ASSE SS^1ENT PAID
PT 2
C,-14.-1Y
SEWER PERMIT Nt! 15938
urA nfied Sewerage Agency Tigard 6-r�-78
of Washington County CITY OF DATE
OWNER: Dale Corest. PHONE :
OWNER 'S ADDRESS% •
TYL'L OF INSTALLATION:
xIa:BUILDMG SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X{1 NEW '[_,]' INGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1 -70 ) ❑ MOLT. RES. 0 INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ss
ADDRESS OF STRUCTURE : Afrfrcr Su rrcannvirri E Znri
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 FEE $ 7ri
CONNECTION CHARGE JAW
SIDE
_
SIDE SEWER INSTALLATION _.w B. Greene
ISSUED BY
OTHER
TOTAL $ _ 625.
APPLICA DATE
SEWER PERMIT N? 15938
ADDRESS OF STRUCTURE �5f+fSW Greensward Lane ;rr
40
TAX MAP TAX LOT SYSTEM _ farina creek
LOT BLOCK OF
E_ WA]dan 6-6-7B 1>r L.
APPROVED BY DATE ISSUED BY DATE
D. U. 'S 1 REMARKS blh, 44124
-. .. •r_. 'T..:-* '..,•..•P.. -- ♦tis'^ -......-r. .y. •-
bi.r 2124
BUILDING PERivii T APPLICATION pFY TIGARD DATE_ -)'G-(_ • 19__—
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
,i',... -,:•2311
OR AS SHOWN AND APPROVED 'N THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE !
LOT NO. -___-.._
i;.31w Lutist. . c, 1 • .tf, r
)WNER )OB ADDRESS 6 I..r W L I lay*L • HOME ADDRESS
ARCHITECT
same ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE ) SEW ❑REMODEL ❑ADM TION OREPAIR ❑RENEWAL OFIRE DAMAGE ❑DEM0LITION
IU
SENCE OCOMM DEDUCATIONAL DGOV'T ❑RELIGIOUS PATIO ❑CAR PORT OGAFIAGE D STORAGE DSLAB DFENCI
DBOND 0 MOVING ❑CONDITIONAL USE CI DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUIPANCY--===�. LAND USE ZONE -7_-_.BLDG TYPE ...is EIRE ZONE a_ PLAN CHECK BY_ HEAT
canet. atr1 .;.e family duellinu wJettechyu iaaj;y. 4 bear aura _ _lett. _. _
_ —
tame dw --___sever permit }or 1:.93$
QcC..LO9D___-__.___E.LQQR_LOAD__40_ __ _ HEIGHT 20---I'14.314fiIiS 2 ARS.9 1 SIS?.BEDROOMS�. vAI.SlL413 a.'?"
SUILDING DEPARTMENT SET BACKS _FRONT 22 _ REAR b3 LEFT SIDE _27 __RIGHT SIDE 1/
Permit
•
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINI,
Plan Check jU.Q,r� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
]L_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI TH
Sub total 1'A.UD A' I APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
"-" RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7.16 LICENSE SEPARATE PERMITS REOUIREO FOR SEWER PLUMBING AND HEATING
.+ S•U•( • ►400•
Total 4. ia►. - ' e 0•C e iiit S10U.
By — - - -- -. -.. -_ -.-___-__ APB1ICANT OR AnIN1
Approved C LII Reretpt Nn
■
PLUMBING DATE
REMARKS -- ---
DATE INSP. TYPE INSPECTION
Contractor/de. 1/00/ 9-.7k- 1,E/J�'
Permit No. 4 2. yy e�
' fes. e- i ..1. � Rough-in
cJ 7�>>/� `�-f�ilPrr'LC`� Fixture
/Jll� . lLt' -- — Final
HEATING
—.—_-- — Contractor
Tye--- _ --- Permit No. /3 9,,- .py r (--)-s-'7Q
Pas or Oil
--- _ Rough-in
--- ----- final
- --- SEMItR�
—� Final �.3 7/ _
___
--- DRIVEWAY
Final —_—._
Storm Drainage
--— ---
-- — — (Rain Drain)Final
— Sidewalk
,--
1--- — Curb&Street Final _
BLDG.DEPT.FINAL TtMPORART
I Approarfi
CERTIFICATE OCCUPANCY ____�--
CERTIFICATE OCCUPANCY Final
�---
Landscaping
Zoning FInal