12285 SW BELL COURT 1 . .
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1.2285 SW BELL COURT
CITY OF TIGARD 639.4171
6058
BUILDING PERMIT DATE �
Insyi. Line 639^4175 TAX MAP 2Sl-4AA-LOT NO. 1600 _SUBDIVISION
OWNER. ��c Lane JOBADDREssl22R.J ��3s�..-�:L11_Llt:a_ ----
BUILDER — i_!'a"y Hansenp Inc. STATE REG.NO. _ y ___EXP.DATE
639-2956
BUILDER'S PHONE
ARCHITECT ___ PHONE _ _ OTHER
STRUCTURE NEW L REMODEL X1 ADDITION L i REPAIR MOVE L_; OTHER DEMOLITION
RESIDENCE I_.) COMM [] EDUCATION IJ IND RELIGIOUS D ACCESSORY i ! GARAGE L.' OTHER FENCE
OCCUPANCY 1+3 LAND USE ZONE _ �;_BLDG . YPE _.1�4_FIRE ZONE PLAN CHECK BY 3JU HEAT
_ Wnstruct Luisoa y iiret,lace L,; existinr si 1r: (a-oily dwellin;4 _.
SEWER PERMIT k
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES i AREA NO.BE cmnoMs VALUE
BUILDINGDEPARTMENT FET BACKS FRONT HEAR LEFT SIDE RI-31-17 SIDE
Permit 3t�s���THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUI'.DING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERES I AGREED THAT 1HE
Plan Check 25.03 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AOD IN COMPLIANT'
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ R>_STnic rIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRE VT CITY BUSINESS
-- TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANP HEATING.
State Tax 1•54 — '
SDC-
Total 65.17 PDCN APPLICAN'fOR AO-E47 --
Prepd. no>tbe _
all Receipt No. ADDRE86 PHONE
tial.Due
Issued By...____ Approved By—._._-
.. ..:,.,.,.,.n....w .......,... -...a....:.i.�...<............._,...,.. :.ems,. ..:....ywiw.�li:,+a�,. . ...-.... a,,,,�
DATE INSP. TYPE INSPECTION
REMARKS PLUNGING _-� DATE
=1-s 4J�Hor,Cr• _s �c t_� Contractor
— --------- --- -- - ------- permit No. —
----- --- - - Rough In --
Fixture
Final
HEATING
Contractor
Permit No
-- Gas or Ou
Rough in
-- _ Final
SEWER —
Final ----
--- ---_ DRIVEWAY
----- --- ---- Final' ---
__ -T - Storm Drainage
_- -_�- (Rain Drain(Final
Sidewalk
Curb&Slfset Final
approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
Address Permit No,
Permit charge'
Owner— `i ��, . w Connection fee
Paid by
Type of building s'' Date connected
iS 7y
Service rate �'� ]_�� Inspection fee /oro
Contractor Paid by Date
Size of connection Assessment Paid
PERMIT TO CONNECT
Tigard. Sanitary District
PERMIT N,? 1295 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT C4
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $. . ',• ...........TIGARP SANITARY D'STRICT
CONNECTION INSPECTED AND APPROVED
-- Date`
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