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CITY F TIVAPEPM3.1' NO . : P-11-0807419
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COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Ha-1 Blvd..P O.Box 23397.Tigard,Oregon 97223,(503)639-4175 PwIM. PMT .NO .
,; - AW.MESS : 7,(135 SW Hk"V(-'.A.i*-1ND 51'
TAX MAP/L 0,11, SUD: L'T : DK :
I AND USE :
I..OT' SIZE :
ITEM: NO NO:
WORK U 6SS : AL.'TEPA*TT.('.)N WATER CLOSET I. 1 FlAr.,
USE TYPE : SINGLE FAMIL.Y URINAL. HKF'I.,.OW r-)PVN'TI4
CONST TYPE : VN LAVOPKTOPY .1 '11,1411011P PlITMEP
(X'CUP .GA1-*N. : P43 TUB SHOWER 1. GPEIASE r14APS
DISHWAS"FiFF4
GARBA("E DISPOSAL
NO . STORIES: WASHING MA(;HTNI::..
DWEI-L.UNITS : LAUNDPY 'T'RAY 91-11110. 0PATIN (DIA
1:1*i o(:)r-4 twavir,i
S"NK 51::'WEP (F'r)
WA11"14 FR76TEP STOWWRAIN
OTHER
r-ew . addn of bmthl-onm
in PERMIT 41 P Ili
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W r/1515 Nw bwvelutnd
N "giord C)r� 97H-23 1;; IX*1'UAE!i
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fa f r.)i 03 STATE TAX 11111
OTHER
C HAIKU MA,
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N MICHAE.L. CU. WL. FIG .
T 11,6130SW '7P-.ND AVE
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A tid 01- 9,72P.41
C PHONF: ( '11103) 639-31.H9
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PE.(;T5'T'PA*T TON NO 41,1580113 T'OTAII 11123. 613
IRI PE.111"F.I P'T' NO. .3 9
..............
This permit Is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby I P1 S .UNDERSL AD
agreed that the work will be done in accordance with the plans and POST & Pr-.:Am
specifications and in compliance with all ;ipplicable codes and WA'Tl:-*.:H 11—INEF
ordinances The issuance of this permit does not waive restrictive PI 8 1 UPCILIT
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PAIN DRAINS
void if work is not started within 180 days.or if work Is suspended of F T.NAL
shandoned for a period of 180 days any time after work has
,:ommenced it shall he the responsibility of the permittee to assure
all required 0spections are requested and approved.
Permittee Signature
CAII.A., FOP INSPECTJOIN 639--dill",
Issued By
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILDING PERMIT APPLICATION DATE_ _ �L� __,ts_ _ �0a
I HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR HE WORK HEREIN INDICATED BUILDER PHCNE
OR AS aHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
_OWNER Gore ld J . Moore JOBADDRESB 7455 SW vO Land_ - _ ti51, IAB,1TL 169'_._
ARCHITECT
same same
ENGINEER same
BUILDER _ ADDRESS DESIGNER _
STRUCTURE Ci NEW ❑ REMODEL ITADDITION LJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
W RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T_❑ RELIGIOUS ❑ PATIO U CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _R3 LAND USE ZONE 3• BLDG.TYPE _ 51N FIRE ZONE PLAN CHECK BY —11—IFHEAT
Add;t I QD SGS Cove red—dialc1-2S1 existina g.;n g l- family duelling, &11 per tr p rQ vr.�,;1
Plans. 15' year set-;..ack fe r covered section of deck per Reith Liden.
SEWER PERMIT#
OCC.LOAD FLOOR_L_OAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR 15 LEFT SIDE RIGHT SIDE _
Permit 28.00 _ THIS PENMIT IS ISSUED SU13JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
18.20 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT' IS HEREBY AGREED THAT THE
Plan Check 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 DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
40 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC--
Total
By all pd. _
PDC# APPLICANT OR AGENT
I
—^ flan�A�P — Receipt Na
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARK! PLUMBING DATE
Contractor
Portnit No,
Hough-in
Fixture
Final
HEATING
'X_ Contractor
Permit No.
Gag or Oil
Rough-in
SEWER
Final
DRIVEWAY
Final
Storm Drainage
IReln Drain)Fl,,.l
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
lanliic,pin,
Zoning Final