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12335 SW ANN COURT
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C17YOFTIIFARD VIVIRIl NO. ME81:1107,59
CITYOFTWARD
COMMUNITY DEVELOPMENT DF:PARTMENT C4.
13125 S.W.Had Blvd..P.O.Box 23397.Tigarr' Oregon j1121(503)639-4175 DA1 K. file
JOI:i ADDPES"S : 1.2335 SW ANN C'T'
lox MoP/1-01* SUB
L AND USE."
I I'EM NO NO
WORK C'LASS . AL.TEPAT10N 1A.34NACE: <11.00K 61P I:ANF)I.-P <10
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PHONE 11,503) 639-6791. Y'A'T*F.:! TAX
TOTAL : 111111.105 25
This permit is issued subject to the regulations contained in Title 14 NO 3 1. 0.11
of the TMC. State of Oregon Specialty Codes,zoning regUl8tiOnS
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done In accuMance with the plans and Ft NAL
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does nit waive restrictivr
covenants Contractor and subcontractors shall have currpit city
business t-,permits. This permit will expire and become null and
void if work is not started within 180 days,nr it work Is suspended or
abandoned for a period of 180 days any time after work has
,commenced. It shall he the responsibility of the permittee to assure
all required inspections are requested and approved,
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
RHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) rrequiirre� correcting:w /may
ctr _H rA(J Cle __�y -
I
Date: Permit No._�__-__
Inspector__.._
CALL FOR REINSPECTION
_..........
-..r. .....w+...,.....,....,nwrw.w.urn...rvwansw ..,.
BUILDING PERMIT APPL;CATION TIGARD DATE.—,__ i�'.'��� 79 2
THE UNDERSIGINED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN RiDICATED BUILDER PHONE _ 639-6791
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF'.;ATIONS. OWNER PHONE
�� r LOT NO.
OWNER PetG Rloore
,10BADDRESS 12333 5W Ann Court v l.akk, Turrace_�_
ARCHITECT
ENGINEER
BUILDER 1'. I888ir Home IR'pr. ADDRESS 117an air) 114th P-* - DESIGNER
STRUCTURE EIXNEW ❑ REMODEL U ADDITION 1-71 REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION I
0 RESIDENCE ❑ COMM FA EDUCATIONAL O GOVT O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE f.
OCCUPANCY -f-71-LAND USE ZONE 1`"7 BLDG.TYPE � _FIRE ZONE---3—PLAN CHECK BY iI-JH HEAT ti88
Construct singly; Family dwelling Ir/attec;hed garage. 3 urguis,
`wrE CQRt'E(:TION 311EET ATTACHEU,
u
SEWER PERMIT M 71113 - ',,705.00
OCC LOAD FLOOR LOAD 41] _ HEIGHT 1 e: NO.STORIES 1 AREA 18/i.iNO.BEDROOMS VALUE
BUILDING DEPARTMENT
- - SETBACKS FRONT 70 REAR 17 LEFT SIDE _ RIGHT SIDE _
Permit $201.f�t' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 100, a0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
t WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOFo I�OT WAIVE
Sub-total 301. `.�O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
H•n 4 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PL MBING AND HEATING.
State Tax _ l '. iUHT- S Li i tCHA1:uL -- 15CJ.U1'
---
SOC 4 .'6u
Total w,3 D 9. 54 - '7/�, •... _(�' ;� '' f'�`I r
—4— PDC# 1 100•()rKPPLIOANT R AGENT
By P1
-- --- I'ecalpt NO.
Approved Or «. _�✓��r` :� f�3 �+.7�/
tt 1# ADDRE98 PHONE ---
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DATE INi'P. TYPE INSPECTION REMARKSy PLUMBING DATE
Contractor r,,at.4� -
�� flO ZIfL074 aw
,_ Permit No,
Rough-in
Fixture
���.-O'�'. _. Fixture1 �� ��0 N ----- Final
HEATING
—_---- �_- �
Contra ct
Permit No. 17 kb 71.)
- — Got or Oil S
^ --- Rough-in �Y
----- — —`_`_ - final - -- --
,-�_ SEWER -- -
- — --- --- ----- � — Find
--- —��--- ---- -
DRIVEWAY
------ ---------_�..�-------- — Final
^� Storm Drainage
— _--.-----
(Rain Drain)Final
Sidewalk
-- Curb d Street Find
---- -- �—
A
pproach
IILDG. DEPT. FINAL TEMPORARY CERTIFICATE C`CCUPANCY CERTIP9CAre OCCUPANCY apinp
Final