11965 SW GREENBURG ROAD 11965 BW GREENBURG ROAD
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CITY OF TIGARD 639.4171 6050
BUILDING PERMIT CATE June 2 _ ly
2S1-...u.
TAX MAP _LOT NO. 110U _SUBDIVISION
OWNER (;rsnwre i ASSCIClatlteJUBADDRESE 11965 SW Greenbur6 jo:a.-� __._.....
BUILDER•',1111til ��a Q��[4C�_.___.�__..__.____—._....-_... STATE REG NO. _.__.._._. EXP.DATE
BUILDER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE L' NEW ❑ REMODEL L_i ADDITION REPAIR MOVE OTHER DEMOLITION
1 RESIDENCE rOMM l_1 EDUCATION IND RELIGIONS ACCESSORY GARAGE OTHER [ ' FENCE
OCCUPANCY _ LAND USE 7.ONE BLDG TYPE FIRE ZONE PLAN CHECK BY HFA T
�oraoliwh existing realUence, in cunaunction with aetlALu for new structures.
,tree,treet LO UC ZePE freeaerrts, RevOr SIM UILMLY MOVILIJ IM --
liilp n lis. rmi. m,i4'fi1 I pit lul.annnnad. ._L!j eC to W a h. dp._ LeAlLh bewL. rules .dol, He'D i ' Lanm;.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
- BUILDING DEPARTMENT S-ET LACKS FRONT REAR LEFT SIDE RIGHT SIL E
Permit 15.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINGCOD�NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND ITIS 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
PI,Ck.Fire RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax
-- SDG
Total
PDCM APPZIC7�ITORAGf Nt - -- - - -- -
Prepd, none
--- - - ---— Recelpl No. DDR g ____
Bal.Due al l
Issued By _ _ Approved By
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contra,.tor
Permit No.
Ga:i or Oil
Rough-In
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
(;ijfb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Fine,
CERTFICATE OCCUPANCY
Landscaping
Zoning Flnal
e
CITY OF TIGARD
P. O. Box 23557
12420 S. W. Main
Tigard, Oregon 97223
December 3, 1975
io the owner, agent of owner,
and occupant of the following
described property : 11955 S.W. Greenburg Road
Subject: Vision Clearanne
Dear Sir:
this department has received several complaints of
!.211 grass and shrubbery (on the above address)
obscuring the view of traffic on _Greenburg Road
as approached from Center_.Strgpt
Please find enclosed a copy of the ordinance covering
the requirements of vision clearance for a corner lot.
I would appreciate your cooperation in this matter as
to avoid a serious accident.
If you have any questions feel free to call me at
639-4171.
Sincerely,
James Brien
City Inspector
JB/fa
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Address��. Jr
Name of Occupant `Permit charge
_ Paid by
Date connected
Type of Building, � Inspection fee
Service Aate Paid by _ .—,Date—
Contractor
_Date_Contractor _ -_ Assessment-f 7 �L SO Paid
Size of connection