13205 SW VILLAGE GLENN DRIVE-1 1.32 05 SW VILLAGE GLENN
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CITY OF N 0040
BU LDiNG PERMIT APPLICATION TIC ARD DATE 8-20 19 74N2
THE UNDERSIGNEL r1EREEY APPLIES FOR APERMIT FOR IHE WORK HEREIN INDICATED
OR AS SHOWN AND APPRUVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ ---
(,rt C. Moore 132n5 S.IJ, Village Glynn
OWNER ADDRESS � BUILDER PHONE _—
ENGINEER
ARCHITECT DESIGNER
C3 RESIDENCE
❑NEW ❑_REMODEL ❑ADDITION ❑++ REPAIR ❑RENEWAL ❑FIR--1E DAM AGE ❑DEMOLITION
L-.J RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CiREL1 '.IOUSI_.�PATIO ❑CAR PORT ❑ L_.I
GARAGE STORAGE❑SLAB CIFENCE
❑BOND ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVEr, ❑SIGNS
OCCUPANCY — LANG USE ZONE _BLDG. TYPE FIRE ZONE_ FLAN CHECK BY— __ HEAT---
Sun
EAT—_Sun Sheds and €I x 1.0 motel shed
QCC. LOAD FLOOR LOAD HEIGHT NO.STORIES __ AREA VALUE
BUILDING DEPARTMENT :1 J
'.E'f BAC:K, FRONT REAR LEFT SIDC RIGHT SIDE
Permit
TF11S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUILDING CODE, 'ONiNG
Plan Check REGULATIONS AND AI_L APPLICABLE CODES AND ORDINANCES, AND IT IS HERKRY AGREED TIIAT THE
'— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANf ; ', CIFICATIONS AND IN COMPLIANCE WITH
Recording 411 APPLICA13LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF.
RESrRsCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 'r0 HAVE CURRENT CITY RUfiNESS
i;-;tate •05 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING.
Total
By ---�— -------------
---- - --- pO LICANT6AGE Ty)
Approved Receipt No, y '
_.__P1.10NF _� ----
DATE INSP, TYPE INSISCTiON PEMARKS PLUMBING DATF
s 7r 4ea -T4:7' Contractor
45� Contractor
No.
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewa!k
-Curb&S,reet Final
Approac
SLOG,DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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Address 13205 S.W. Village Glenn Dr. Permit No, 1535
Permit charge__
Owner Connection fee 4a:).00
Paid by Award Homes
Type of building• Res. _ Date connected—__No.Data
Service rate ).00 Inspection fee 2,5-00
Contractor Award Home Paid by _Date
Size of connection 4" Assessment Paid
' U
3 ' 3
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f
PERMIT TO CONNECT ` . ,,,
r
Tigard Sanitary District r.
PERMIT N9 1,935 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A_�— __^_ ---------TO THE SYSTEM OF TIGARIT S/ANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON+THE DESC*IBF.D PREMISES UNTTI,CON-
NEC'TION IS MADE AND INSPECTION OF CCNNECTION HAS BEEN COM-
PUETED.
PERMIT FeE PAID .....................l'IGARD SANLTARY DISTRICT
By
CONNECTION INSPECTEll AND APPROVED
—-- ------- _------------- --------Supe��Antendent
Date