13420 SW VILLAGE GLENN COURT-1 13420 SW VILLAGE GLENN COUPU
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CI1 r OF TIGIl��R� D 639.4171 6262
BUIL'DI�!#PERMIT DATE is
Jawes W. rolleey TAX MAP LOT NO. _._-_SUBDIVISION
OWNER_. —_-- -_ JOBADDRESS 13420 :iw Villager Glut Own
BUILDER
SATE REC.N0. EXP.DATE
BUILDER'S PHONE 246-1852
ARCHITECT ----. PHONE -- -----('(HER - -----
STRUCTURE I ! NEW ❑ REMODEL i ADDITION REPAIR MOVE ! I OTHER_ : DEMOLITION
R'_SIDENCE 1 ! COMM f l EDUCATION IND RELIGIOUS I ACCESSORY ( ,RAGE `OTHER FENCE
OCCUPANCYt'3 LAND USE ZONE. BLDG.TYPES"—i—FIRE ZONE PLAN;;HECK BY �L_ HEAT_
;;e4,uil� der_k, for single lamilydW011in6 all perapprove+l plane and code requizvlar.nte.
SEWER PERMIT#
JCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALLIP)o
BUILDING DEPART11 MENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
25.0(1
---
Permit _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
16.25 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL. BE DONE iN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE
W{TH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 'HIS PERMIT DOES NOT WAIVE
,'i C_ k.Fire _ — RESTRICTIVE COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR Si WER.PLUMBING AND HEATING.
State lax
SDC--
Total 42.25 -AANT ORAl3FNT -
--'-" PbCk APPP � �
Bel.Due
Retceipt No ADDRESS PHONE
---42.25..__.-�_-
Issued By By _
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DATE INSP. TYPEINSPECTION REMARKS PLUMI-ING DATE
Contractor
Permit No.
Rnugfi in
F;,lure
vj A L-47 Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough In
Final
SEWER
Final
DRIVEWAY
Fina;
Storm Orainage
(Rain Drain)Final
Sidewalk
Curt)& ilreet Final
Approach
BLDG.DEPT.iINAL 1EMP64ARY CERTIFICATE OCCUPANCY F."al
ER iFICATE OCCUPAN
Lar,is,,aping
Zoning Final
A
A • �
CITY OF TIGARD 639.4171 DATE
19
BUILDING PERMIT
TAN.MAP ---LOT NO. SUBDIVISION _
OWNER'_ LL. -- JOBADDRESS
BUILDER /laYf_'- IA f h VL ri-�J _ STATE REG.NO._ — EXP.DATE
BUILDER'S PHONE A41(� _1 5) _____
ARCHITECT____,_ — PHONE —.OTHER _
STPUCTURE Cl NEW 0 REMODEL ❑ AUDITION ❑ REPAIR ❑ MOVE L7 OTHEr. 0 DEMOLITION
❑ RESIDENCE Cl COMM ❑ EDUCATION 0 IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑O ER ❑ FENCE
OCCUPANCY y -LAND SE WNE BLDG.TYPE FIRE ZONE_—PLAN CHECK BY AT
Vr
OCC.LOAD FLOOR LOAD HEIGHT ^-/O.S�ORIES �..- NO.BEDROOMS VALUE
- _-r-- -_ --=-"rte`.. � ----- .r-
rPl&nh
LOING DEPARTMENT "�....-
SET BACK.-�-�FAONT REAR LEFT&�IUI�_ RIGHT SIDE
Z'./ �' THIS PERMIT M ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE dUILD1NG (.,CODE, ZONING
REGULATIONS AND ALI.APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT TIIL
Z WORK WILL BE DONE IN ACCORDANCE WITH THE DLAN8 AND SPECIFICATION$AND IN COMPLIANCF
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THI!! PERMIT DOES NOT WAIVE
'�"" �""^^" RESTR*cTrvE COVENANTS.CONTRACTOR AND Stll CONTRACTORS TO HAVE CURRENT CITY IIUSIMESS
TAX PERMITS.SEPARATE PERMITS REOUIRFO FOR ItEWER,PLUMBING AND HlAT'ING,
A
Y° ---'� SOC--
z' �J APPIKa�rIT OR AGEN
POGO
Receipt No ADDRESS PHONr
- — Issued By- - -----._._-.- -Approved B �'
S S h i:
SUC -
PUC -
SEIJER CONNECTION 5
SEWER INSPECYION A
SEWER SUR(;N N>�S'�
Comments:
v�
t
PERMIT TO CONNECT
Tigardaanitary District
PERMIT NO i'l71 DATE
FF.RMIT IS GIVEN TO _ell !- ='
OF ` �� ---
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT 4
THIS PERMIT MUST BE POSTED ON WiE DE1;CRIBF,D PREMISES 17NTII,CON-
NECTION IS MADE AND INSPECTION OF CO*',NECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID 3_4Z.. � ...............TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Date Superintendent
i
Address 1�3 y�p �S - -'� C_l� Permit No. X03/
Permit ctarge
l '
Owneretc ,� ' �_�_f Connection fee 'p,
Paid by
Type of Building Date connected
Service Rate Inspection fee
Contractor Paid by --Date-----
Size
ateSize of connection 'f Assessment Paid
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