12265 SW Walnut Street 12265 SW WALNUT STREET 1 OF 1
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— 12265 SW WALNUT STREET
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CITY OF TINA PLUMBING PERMIT
�n PERMIT NO. : Pl_8701
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COMMUNITY DEVELOPMENT DEPARTMENT \ OM'ON DATE ISSUED: 11 /18/87
13125S.W Hail 8,v P0 Box 23397.Tigard.Oregon 97223.(:03)639-4ilb � PRIM.PMT.NO.
JOB ADDRESS: 12265 SW WALNUT ST 97::23
TAX MAP/LOT SUB: LT: PM :
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATION WATER CLOSET TRAP
USE TYPE: SINGLE FAMILY URINAL. BKFLOW PRVNTR
CONST. TYPE: VN LAVORATORY TRAP PRIME
OCl:'UP.GRP. : R3 TUB SHOWER GREASE TRAPS
DISHWASHER
GARBAGE DISPOSAL
Nfl.STOR I E S: WASHING MACHINE
OWELL.UNITS: LAUNDRY TRAY BLDG. DRAIN (DTP
FLOOR DRAIN
SINK SEWER (FT)
WATER HEATER STORM/RAIN (FT
OTHER
REMARKS:
FEES:
iohnson valerie PERMIT $15. 00
N 12265 sw walnut st.
E t i ga rd or 97223 FIXTURES
STATE TAX 0.
OTHER
C
o HOUSEL STEVE
N CHANGING LANDSCAPES INC.
R 16320MAIN ST.
A
C oregon city or 97045
T PHONE (503) 655-0238
0 REGISTRATION NO. 44605 TOTAL: 415. 75
RECEIPT NO. 2692Q
This permit is issued suhtect to the regulations contained in Title 14
of the ?MC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECT I ONS
and all other applicable codes and ordinances. and It is hereby
F I NAL
agreed that the work will be done in accordance with the plans and
specificenons arid In t.omptiance with all applicable codes pnd
ordinances The issuance of this permit does not waive restricnvp
covene^ts Contractor and subcontractors shall have current city
husin ass tax permits This permit will expire and become mill and
void i work is not started within 180 days or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It!hall be the responsibility of the permittee to assure
all required inspections are requested and approved
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Permittee Signature
Ir
Issued By
_ w i 75---- --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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owner: D•Ial•
, . Building Address
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CITY OF TIGARD \i'
OREGON
12265 SW Walnut Permit No1042 D
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,., Certificate is hereby given this .17 day of August
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that said building may be occupied and
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that it complies with all requirements of I.
the Building Code for the City of Tigard, ,,,,,t
RS approved by the Tigard City Council. 41
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b .1,.Y - lj -4. 4,i -,, 4 :F->, 711->4'. 1–>4 -11 js'>4•-----:, )., 1.INV Building Inspector•‘1. , • 1 >‹. (i >‹: :' >' : ) ''''.;: -')' p_ .
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Address 4,7 _5 id/cU 'ZL/4,-/xcc Permit No. ._._ /G6-7�!
Permit charge
Owner N 1 • — Connection f '/5
by 4 11(/• er •
Type of building Aa Date connected
Servicc rate /%q _ Inspection fee
Cuntr•e:.'enr Paid by _ Date
Size of uur'iection Assessment paid
M--1f -77 cC 3b' C i - 66
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE:/° L DATE ISSUED
OWNERS NAME :'---11).6-/
ADDRESS. ` 411
CONTRACTOR . / � S. `' "-t-
TEST : Air 0, Water e; .ual tarLoborotory 0
RESULT: Approved Dise roved C Pending
P Pa , Q
SKETCH:
1N TON DATE
FrIf Attach fup,^iemental teff data be►eto1
UNIFIED SEWERAGE AGENCY No. _._10625
WASHINGTON COUN I Y DATE _-- -- e-76.
CITY OF Tigard----__...
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: D.'_'. D. Iron st. ----
OWNER'S ADDRESS:
SIgFET
CITY stAIE ZIP
BUII DING SII E: LOT____.__-_-__ BLOCK ADDITION
TIory - --
TAX 1.01 NO. 18 _ TYPE OF OCCUPANCY residence
ADDRESS 12265 SW Walnut -_
DWELLING UNITS 1 FIXTURE UNITS
SURCHARGE IF APPLICABLE _
PERMIT FEE 575. 00 - INSPECTION FEE ` '' (DD TOTAL DEPOSITED 60D. u0
(NEW) (EXISTING) BUII DING SEWER SYSTEM __ __..-Fenno Creels
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE SIZE INSTALLER
RE=CEIVED BY
IAGENCY OR ITS p INV
CON' !, EN IS '. ^; . I.rrpr ,HE ut', .r
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APPLICATION
CITY
TIGARD DATE_ 9-8— , 1976 1142
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONF
LOT NO
OWNER a•w •0• C'Ji1At JOB ADDRLSS 117:i6L) 5W IJ*lnut HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER
SIMSENGINEER
DESIGNER
STRUCTURE QNEW ❑REMODEL. ❑ADDI-TTION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
10 RFSIDENCE ❑COMM ❑EDUCATIONAL OGOV'T l_IRELIGIOUS❑PATIO OCAR PORT ❑GARAGE 0 STORAGE❑SI.AB ❑FENCE
MONO ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW :JCOUNCIL APPROVE[) ❑SIGNS _
OCCUPANCYILAND USE ZONE 11 ? - BLDG. TYPF S FIRE ZONE _ —PLAN CHECK BY ETW HEAT gas
OCCUPANCY_t_
Const.. a einglo family dwelling w attaahad aregpi er plane
3 bedroom 3 bath Tax Fged 1 -3 Tax Lot 18
u4L.1QAD —=_.ILQQf.LQAD
40000HEIGHT NO.STUBIES.__._2._AHFA NQ�B�Qfl44M:_ __YAL _3�����•
— BUILDING DEPAR MrNT = SET BACKS FRONT 20 REAR LEFT SIDE RIGHT SIDE
Permit 151.00
L.-- 1000THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
Plan Check 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 WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
' 4RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.6S—
•USLICENSE SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total 165.83
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Approved W Receipt Nh ( J ; y `' )7, ,A- n1
AUIIkESS - _
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�...�^•.\r C1�?...'C lT �' `� ,GA D DATE r9� .\-
'-7 "VIERS'GNED HEREBY APPLES COR APERM.' CDR THE WORK HEREIN !ND'CATED
OD AS SHCW 4 AND ApPROVED 'N -LIE ACCOMPANYING CLANS AND SPECIFICATIONS. OWNER PHONE
OWN CCI PK/ A C2•"!- e; . ADDRESS l'2 c t4,'h./tis 1' BUILDER PHONE
,--1 ENGINEER
n'. _Dco �,g+•L-,-* Aa/;y''T''"T DESIGNER
�_RI: f–TCT'_oc IKNEW .�-,oc Vnnc_ AOC T'ON �REPAIPRENEWAL r,F'RE DAMAGE ^DEMOLITION
QSS'DENtCE --COV"V _EO_CAT'^NA_ --GOP^ —REL'GIO'IS�PAT!O "CAR PORT "GARAGE r--'STORAGE DSLA9 7FENCF
--SOND MOVING --COND'T'CNALUSE DESIGN REVIEW ^COUNCILAPPROVED _SIGNS
OCCUPANCY 1' _ANC}USF 7^NE del—RLDG.TYPE `S--..-- _CIRC ZONE PLAN CHECK BY �'�/ HEA' 4,--
C`a---tLe/- ,A__ .i.t.,„,,,, 4‘ .. ..._..,,, 1-Ce-t.--,(...‘,— , lez.i 4,;,17--,,a_...i.,_A_.../y - ,•---• ,____
)')6,- - '1 t?a,..� C'r c - - ✓z --- $1,.--- $1,. -
Lcs
0CC '_OAD 4, c_OOR LOAD u _' HEIGHT NO. STORIES 2.. AREA VALUE.?rj'�o u
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„`,_DING DE°A'I
—__ 5F' RACKS CPONT a 0 REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
°'an Check d .�-:,, REGULATIONS AND AI__ APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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WORK VOL.._VOL.._ .3E DONE ' ACCORDANCE WITH THE PLANS AND SPECIFICATION`:AND IN COMPLIANCE WITH
Re"cri ng UCS ALL AI CABLc CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
• RESTRICTIVE COVENANTS. CO!':TtrACTOR A 9 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
S St 'e i s, G 3 L CENSE. SEPARATE PERMITS REQUIRED PJ'• .r.R, PLUMBING AND HEATING.
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