10235 SW GREENLEAF TERRACE 7t'f�
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10235 SW GREENLEAF TERRACP
OF
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C1, 1y OF IGARD NC)
OREGON
T.D.C. Permit No. 1.053 _
0��ner:.. .. . . _
SIJ
10235. S J Greenleaf 7er.ra,ce Lpt. .26l
• � ,j Building Address.........- . .. .. ..._ ,
$• y give ?........ 3 y
Certificate is hereby i�r n this.... 0 . da � of.fie. .......................
..,
\� that said building may be occupied and
). tha+ it Vomplies with all requirements of
the Building Code for the City of Tigard,
a.+ approved by the Tigard City Coiinc.l.
�!�; ..........� .�.''.'�4.-2...�i:..!L��:�� ....................
a , Building insperier 4
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��ate_/ •:�/ `�.-:- . __ _ �._ i•/ ,_.� _ _ � _, � --i-'��
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City of Tigard
INSPECTION REQUEST
for
WiPECTION TIME: /2') PERMIT NO. : _
DATE: / AZIZZ DATE ISSUED :
OWNERS NAME :
ADDRESi� r%►?����- Z�
CONTRACTOR
a1 I
TEST : Air Cl, Water 0 , Vieuo 'I , Laboratory p
RESULT: Approved t Disapproved C Pending p
SKETCH.
INSPECTOR DATE
COTE : Attach supplemental test data hereto] I
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City of Tigard I
INSPECTION REQUEST
for '
INSPECTION TIME: PERMIT
DATE: .--.'-._ .'IL2-4 DATE IS:aIJED :—LL I
OWNERS NAME : Lt" ' _—
ADDRESS. _ _. _� Su •,,.� t. {; ¢Fes_
CONTRACTOR :
TEST ' Air 0, Water p , Visual Cp , Laboratory p
RESULT: Approved D , Disapproved C , Pending p
SKETCH.
I
i
INVECTOR DATE
CNOTE Attach supplemental tett data beretal
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City of Tigard I
INSPECTION REQUEST
for
�er
INSPECTION TIME: PERMIT NO. : ---
DATE: 12. 1,21 DATE ISSUED '. I Z
OWNERS NAME ,' -
ADDRESS: .
AME ; _ADQRESB:
CONTRACTOR ' I
'EST : Air 0, Water[I , Visual Q , Laboratory (]
RESULT: Approved 0 , Disapproved L Pending [] I
SKETCH;
INSPECTOR DATE
FrTf. Attach supplemental test doto beret]
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City of Tigard �
INSPECTION REQUEST
I
for
I
INSPECTION TIME:
----,--P—
ERMIT NO. :. ----
DATE: / / DATE ISSUED '.-1 Z I
OWNERS NAME : ------�-
A D D R E S S: ----___�L. •Su
CONTRACTOR : ..---,-- .__ - --- — I
'rEST I Air 0, Watery , visual [I , Laboratory ❑ I
RESULT: Approved 0 , Disapproved C , Pending
ci
SKETCH.
1
INSPECTOR DATE
CNOTE Attach supplemental test data her!to,
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :----
DATE:
O. :__DATE: / / DATE ISSUED .—
OWNERS
SSUED :_.._.OWNERS NAME :
ADDRESS:
CON rRACTOR : _.-__,___
TEST : Air rl, Woter[] , Visual [7 , Laboratory 0
RESUI:T: Approved Cl Disapproved C , Pending CJ
SKETCH:
INSPECTOR DATE
ENOTF. Attach supplemental test data beret!] I
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION 'TIME ' PERMIT NO. :
DATE: —/ DATE ISSUED'. LZ
OWNERS NAME ' =L'C._ADDRESS : 1 _ �.—
CONTRACTOR
TEST: Air Cl, Water L] , Visual El , Laboratory ❑
RESULT: Approved 0 Disapproved O Pending ❑
SKETCH:
I
i
i
INSPECTOR DATE
FNOTE Attach supplemental test data heroic
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : p PERMIT NO.:
DATE: 17-1171-74 DATE ISSUED. __Z
OWNERS NAME :
t-, C
ADDRESS : i
CONTRACTOR :
TEST. Air Cl, Water [I , Visual�, Laboratory 0
RESULT: Approved Disapproved Ll , Pending—�j
SKETCH'.
I
I
I �
INSPECTOR DATE
CNnTE Affacn 9upolementaI test da#a hereto, 7f• / 5
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JOHN E. RElt;ll",RU( PLM°OIt1G. JhJC. BUILDING DL=I'Ali I MEN 1 , TIGAHD NO. �q1
P 0 DOX 120 11LUMBING PEP.MVi'
KWHERC, OREGON 91131 holder of a valid plumbing contramors license is h�reby
authorized to cause plumbing work as herein noted to be inst-,Iled in accordance with the pl imbing cod's of
Tigard. Such installations require inspectio-1 by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all co tractors and sub-contractors.,
Own ��_ Address /D'?=j —`���'..�C _•_�__—D—ate!�111z
NUMBER OF TO AT L PERMIT NO.'S
TYPE OF PEIIMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
R E 31.
Sin to Family-1 beth-each 25.00
Duplex-Each 1 bath uni:_ 25.00
Additional bathrooms-each. 10.00y -
Mobile Home Space-each__ 15.00
INDIVIDUAL FIXTURE FEES _ ---
1 to 50 Fixtures in 1 building-each 3.00 _ --- -
( 51 to 100 Fixtures in 1 building-each _ 2.50 --
101 to 200 fixtures in 1 building-each _ — 2.Q0
201 or more Fixtures in 1 building-each 1.50 -
MISCE_LLANEOUS _ _ --
Bvilding Sewer-1st 50 ft. _ 10.00
_S!w!r-each additional 100 ft, _ 10.00 --
Water Service to building _ 5.00
_?rivcte Water Systems-each 10.0_it. _ _ _ 10.00
Other (Specifyl;
PERMIT For Plumbing Inspection Phone 6394191
3% state ,��`i Plumbing Contractor By
TOTAL RECEIPT NO. Issued By J
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City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME' ._. PERMIT NO. ;
DATE• DATE ISSUED :- L-
OWNERS NAME : ---/ .-C ^_
ADDRESS: —
CONTRACTOR :
DDRESS: _CONTRACTOR :
TEST : Air f WQter ✓
I,]' Visual El ,- Laboratory p ,
RESULT: Approved [4--� Disapproved
C , Pending rj
SKETCH.'
NSPECTOR DATE
NOTE: Attach supplermgntel tstf data beret] ;
I
City of Tigard
IN aPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. :
DATE: .1. 1-dVLZI-_ DVE ISSUED:__1__1__
OWNERS NAME : —
ADDRESS : `
CONTRACTOR :—
TEST'.
ONTRACTOR :TEST. Air O, Water r] Visual ❑ , Laboratory p
RESULT*. Approo ed [8%, Disapproved ❑ , Pending
SKETCH:
I
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I
I INS ECTOR DATE
ICNO,!F Attach eupplementr., test dato hereto
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�"A!7�M�1:'n� '"?II."'n �0�f:'v n... y ..•.1 '����YVM'�'�rvWMH� .! rnyylV�...n.M'ry.�+n.,w
BUILDING PERMIT APPLICATION SOF 1 ��G�R� DATE g'14 ___ is _ 639-31C.
fTHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEFEIN INDIC/IkTED BUILDER PHONE
OR AS SHOWN AND .APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_ _
LOT NO.-
UWNE_R_T•0•C JOB ADDRESS 102,15 Sit L roen1 ea t i 0raAB ADDRESS
-ARCHITECT �T
ENGINEER
BUILDER '!tlSil ADDRESS DESIGNER
STRUCTURE___CINEW ❑REMODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLII ION
d RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[:IPA-TIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
° t3 fa
OCCUPANQYI LAND US:ZONE _BLDG.TYPE A !) FIRE ZONE 3 PLAN CHECK BY HEAT
Unit 6 of a i unit fremi Lawnhouss containing 1925 eg.ft. on one floor
Ir atteched gereger 2 beciroome and no basements J awtein 30b P 626).
OCC.LOAU-------- _- Fl.,QQ6AQ—A_L'•_ __ITIQHI_.__ NO•STORI-U-1
BUILDING DEPARTMENTltd min mir, coo/wn14 "-'r 4
V SET B!CKS FRONT REAR LEFT SIDE IGHT SIDE
Permit 154*00 -
-� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check 16,00 REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-l^tal ALL 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 4o92 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total1600 92
By —__—_ -- ----
--- - APP.r `CANT OR AGENT
Approved Receipt No.
ADDRESS NC)NF
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1-)117/76 �� d6V C '
City of Tigard
INSPECTION REQUEST
for
I
7
4
INSPECTION TIME : > PERMIT NO.: _
DATE: y DATE ISSUED:__L__L
OWNERS NAME: .
ADDRESS : % /7
CONTRACTOR :fez
16-S 3 /03�
TEST: Air ❑, Water ❑ Visual ❑ , Laboratory ❑
RESULT: Approved pl:approved ❑ , Pending 0
SKETCH:
I
' NSP�:CTOR DATE
[NOTE : Attach supplemental rest data hereto
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