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BUILDING PERMIT- APPLICATION TIGARD DATE_March 20 -19 65 5273
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 643-7621
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.__3 �_..
OWNER Uuwa)rUe Wolfe JOSPODRESS 9820 SW Kimberly Koyir iton
ARCHITECT —
7585 SW 7181 ENGINEER
BUILDER welsh 6 Arlcac ADDRESS alds 011 91�� DESIGNER Walsh 4 ltssoc
STRUCTURE ❑ NEW ❑ REMODEL [21 ADDITION ❑ REPAIR 11 RENEWAL E) FIRE DAMAGE ❑ DEMOLITION
4RESIDENCE EJ COMM ❑ EDU,ATIONAL 1:1GOV'T CJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAbLl FENCE
OCCUPANCY __k,$—LAND USE ZONE __k .BLDG.TYPE .5!1 FIRE ZO_NE�— PLAN CHECK BY SCK HEAT
Construct "spa !room" addition to existt4g sia;lo Emily dwelling — —~
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT 10' NO.STORIES 1 AREA 120 NO.BEDROOMS VALUE •-,300
BUILDING DEPARTMENT T SET BACKS FRONT REAR 331 LEFT SIDE 20' RIGHT SIDE 5 to
Permit 38•5U THIS PERMIT IS ISSUED SUBJECT TO 114E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2$ 03 REGULATIONS AND ALL APP:ICABLE CODES AND ORDINANCES, AND IT IS HEREBt AGREEII THAT THE
PIanG"ck • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
b •y� WITH ALL APPLICABLE COD�_S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 31JSINESS
Stats Tex
41, 1,54 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
07 sD
63. 0— r``) i
Total --- — PDC# APPLICANT 60 AG ENT
By
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a eipt No.
Approved � , ADORE38 Pi+oNE
_DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Flough-In
"Sup— Fixture
Final
HEATING
1,Contractor
Pqrmit No.
Gas or Oil
Pough In
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Curb&Street Final
Approach
" —E —
BLDG.DEPT.F,NAL TEMPORARY c E R T I iKTOCCUPANCY
j 7ERrIFIC ATE OCCUPANCY I Final
1 Landscaping
Inning Final
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INSPECTION NOTICE
City of Tigard Building Dipartment
12420 S.W. Wwri St.
Tigard,Ortgoil 97223
Phone: 639-4171
Type of Inspection
Date Requested
Time A.M. P.M.
Ile
Address Permit
Owner- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector DIMPProved
Date
CALL FOR REINSPECTION
❑ VES It NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time-A.M. P.M.
Address �e Permit
Owner
Builder
The following Building Code deficiencies are required to be corrected:
"5
Presented to ❑ Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
we .ar wr a6 r� sw .rr w ■.
BUILDING PERMIT- APPLICATION TIGARD DATE__ ' 'r3 t� 19 � 3 438$
THE UNDERSIGNED HEREBY APPLIES F )9 A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE Al2-0310
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _—
LOT NO.3 KevinAton ,-
OWNER `nz( me `''a3rr?ihaall. JOB 9820 1;W 'Kinherly Drive
— __. ,9t t, nnARCHITECT —
BUILDERENGINEER
-meheae Corp. ADDRESS 225m3'67 v'%Riq>��ii[��1`:`t� DESIGNER (Irmiar
CTRUCTURE CJ NEW ❑ REMODEL ❑ ADDITION L1 REPAIR ❑ RENEWAL ❑ FIRE DAMACF O DEMOLITION
13 RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -1 LAND USE ZONE BLDG.TYPE LFIRE ZONE_---PLAN CHECK BY r{ HEAT ?
�:crostruct 'Ingle Pa-Aly t)'.;allinc' +vJatugclle? l ,iiraue ---
e cortreCLi cheer M.�ttachcsd 3
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SEWER PERMIT# _
OCC.LOAD FLOOR LOAD Ia�l HEIGHT NO.STOR;LS AREA I �' NO.BEDROOMS t VALUE "Pa+
BUILDING DEPARTMENT_______ SETBACKS FFlONT REARLEFT SIDE RIGHT SIDE
Permit 13 I " THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
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 ANO SPECIFICATIONS AND IN COMPLIANCE
c �e WITH ALL APPLICABLE CODES AP;^ ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal ' ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON rRACTORS TO HAVE CURRENT CITY BUSINESS
1 s� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATWG.
State Tax
Total
.3� SDC- 40(,*00
_
PDC# r 1 I o r)•00 APPLICANT OR AGENT
By
Approved +urle Recelp;No. -
� :; A OFEBR PHONE
Dp-ATE 3 INSP. TYPE INSPECTION REMARKS PLUMBING DATE
t96p�,, 1 Uontwtor
Permit
Permit No.
Fixture
Final
-2?-? HEATING
Conractor
Permit No.
Gas or Oil
Pough-in
Final
ALWER
Final
DRIVEWAY
Final
Storm Drainer
(Rain Drain)Final
Sidewalk
Curb&Street Final
inch
BLDG. DEPT.FINAL J TFMPORARf —CERTIFICATE OCCUPANCY
CERTV":CA`17E OCCUPANCY Frnsl
;:..*ndscaping
AZoning Final
i r
BUILDING F ERMIT APPLICATION TIGA?J DATE_I
NI-41 267 Z13 83
THE UNDERSIGNED HEREBY APPLIES FOR A PEWAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6;8-v q
OR AS SHOWN AND APPROVED IN THE ACCOtf PANYING PLANS AND SPECIFICATIONS. OWNER PIj0NE
OWNER a-e6ee./61144l�OBADDRESS � � LOTNO.� -
_ _ �° �TMaM ENGIiNEER
BUILOER ' � �tblvt ADDRESS 03,E ;i* M el �. ITECT
DESIGNER
STRUCTURE WNEW ❑ REMODEL ❑ A001 {,,,J_TION REPAIR LJ RENEWAL ❑ FIRE DAMAGE ❑ OEIAOLITION
qESIDENCE 0 C� MM O EDUCATIONAL ❑ GOTT ❑ RELIGIOUS ❑ PA T AT ❑�CARPORT ❑ GARAGE ❑ STORA E ❑ SLAB❑ FENCE
OCCUPANCY 7J1ND USE ZONE —BLDG.TYPE "—FIRE ZOi:'r~ PLAN CHECK BY HEAT :_
eek
SEWER P'�RMITk_ -- T— 40
-
_ _
OCC.LOAD FLOOR LOAD HEIGHT 3 NO.STORIES' �EA 1375 NO.BEDROOMS VALUc
_ ,� ! ._._. _ _ 3 ",3oa
BUILDING DEPARTMENTSET BACKS FRONT 20 REAR 3 )-& LEFT c'Z)E .20 RIGHT SIDE
Permit _ 3f.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI'E
Plan Check Zf�� WORK WILI BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIOkS AND IN COMPLIANCE
I`L— i WITH ALL APPLICABLE CODES AND ORDINANCES. TOE IS.rUANCE OF THIS PERMIT DOES NOT WAI'Vf
Sub-total `� ' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY HUSINeS;
Z,t LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
Stag+Tax T l
SOC t
Total
—— P0c# A.PPUCA 'OR AGENT
By
~
Approved Receipt No. ADDRESS ^-- PHONE _
�J
SDC - � .40D
P o c - s ___.fes
SEWER CONVECTION S
SEWER TNSPcCTION S
SEWER SURCHARGE S
1360
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