15930 SW OAK MEADOW LANE 15930 SW OAK MEADOW LANE
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C17YOFTIFARD I'1 1lt"11
CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall 81,4,P.O.Box"3397.Tigard,Oregon 97223,(503)639.4175 I-PTM 11hT NO
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This permit Is issued subject to the regulations contained In Title 14
of the TMC. Statp of Oregon Specialty Codes,zoning regulations
and all other 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 all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void it work is not started within 180 days,or If work Is suspended or
abandoned for a perlud of 180 days any time after work has
comrnenceu It shall be the responsibility of ille permittee to assure
all required inspections we requested and approved.
Per,ittle,?1q),ture
Issued By- ---- �- ;// �4 t 1 .1 : I i.)I. I',)l*11: 1 1 1 J.1 1.1 1 ., -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ADDRE5S_ J��_� PERrII r rd(].__L n x PERMIT CHARGE none
OUNER - Y �� -- CONNECTION FEE
PAID BY �yycQ J
TYPE. OF BUILDING DATE CON^.-'CTED
SERVICE RATE INSPECTION FEE
CONTRACTOR — PAID BY _^ DATE
SIZE OF CONNECTION A`3SESSMENT ___ _ `�, PAICI __ _
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BUILDING CITY
�G PERMIT APPLICATION of TIGARD DATE___ + /� �__ _, ,9____
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHAWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
�1 LOT NO.
CNrlIFF? •iDi JOB ADDRESSI=1930 SU fllek Meactt"�t,, ��F��:ADDRESS
'
ARCHITECT
ENGINEER
BUILDER
ADDRESS DESIGNER
STRUC'IURE ❑NEW I�,RFMODEL ❑ADDITION ❑^REPAIR I_..JRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSL,�PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB `FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY._.�LAND USE ZONE J�""" __.BLDG.TYPE— '"" FIRE ZONE -1 PLAN CHECK By--L-1g HEAT
a-is*jc same ally ;.iumr<rlerf.eld 1.01166 -
`; w/atteched as-aye -- 2 Baciroom •- 2
0armi t, (17340 162,,00 -
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qct.LQ9R___.____r-�,�QE�__L.�B.o._- _ '� � H .� --_...._..
_ _._�--_.NQ1TQFiI-u 1__. 3Ei� �I.Q..nDROQMS_:_-1/aL4!€_
---
THIS
DEPARTMENT i SETBACKS FRONT 161 REAR I'i LrFT SIDE �•! RIGHT SIDE i
Permit
BUILDING * �. �1• 00 �_---- _
THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED ;N THE BUILDING CODE, ZONING
Plan Check i 1, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suh total l.. ALL APPLICABLE CODES AND ORDINANCES. THE ISS��4NCE OF THIS PFRMII' DUES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY ROSINESS
Stb-� Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
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BY Pi_� ,
"—'--' APPLICANT OR AGLN t ----
APproved Receipt No
i
DATE INSR TYPE INSPECTION REMARKS PLUMBING DATE—_
Contractor
Permit No. /
a-2 .Ili ------
/ Rough-in
7
Fixture
� -- � -- Final
r_ HEATING
Contractor _ f-P aF
ecn _ Permit No. ,' "
�� ��•�-• Gas or oil
Flough411 i
Final
SEWER
_—_ Final c�_.Z�/'a-
��--� DRIVEWAY
Final
StoPsrt Drainage
(Rain Drain)Final
SkiwAlk
- -.—� —� Curb 6 Street Final
Approach
--
BLD(L DEPT.IrINAL TCMPORARY _ CERTIFICATIS L)CCt1F'ANCY rt nl
CERTIFICATQ OCCUPANCY _
Lands aping
Zoning Final
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