12960 SW 107TH COURT 12960 SW 1071ii COURT -.
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ADORES - /v1`3lsT _1. err, �1k. PERMIT NO. Z-V7i
-- PERMIT CHARGE none
CANER CONNECTION FEE
• PAID BY
TYPE OF BUILDINGDATE CONNECTED
SFRUICE RATE (�� �,,,��, INSPECTION FEE a _
CONTRACTOR t' PAID BY
� DATE
SIZE OF CONNECTION � ASSESSMENT _ PAID _
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J.e.rs.y...CphQn................................................Permit No.-.02.34..... .e
�._ c Building Addre.,sl.29.5.Q...S..t,1._ 1.0.7.th................................
f� € Certificate is hereby given this....21)0...day of.....J.unv................ .. 19...7.5... ;E
Temporary Certificate of
occupancy-Work to liethat said building may be occupied and
' done Within 30 days that it complies with all requirements of
vent drier to outside ,
complete carpeting x the Building Code for the City of Tigard,
painti r.y as approved by the Tigard City Council.
complete decks x steps
-. . ....
`f ) Building Inspector a
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City of Tigard
INSPECTION REQU E S Y
for
IN8PF_(,TI0N TIME: PERMIT
DATE /t-_;�S' DATE IS'SOEU
OWNERS NAME .' — -AF4..# . _ __
ADDRESS 7
CONTRACTOR '.
TEST : Air Cj, Water❑ , Visual [3 , Laboratory p
RESULT' Approved) , Disapproved ! ?ending
SKETCH:
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��f'r:.�:•IVR DATE
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City of Tigard
INSPECTION REQUEST
fear
INSPECTION TIME: 24-190 PERMIT NO. :
DATE: l') 7s' DATE ISSUED : Z
OWNERS NAME
ADDRESS: Az!' �__w
CONTRACTOR : -----.---
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ONTRACTOR : _ _ .--,TE ST : Air ❑, Water r] , Vleual !] , Laboratory p
RESIT T' Ani ---d N Disr ,)r,v-,! rl , Pending []
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �- �� PERMIT NO. : -
DATE: DATE ISSUED : 1 Z
OWNERS NAME : -e-Xk y 0 0'r
ADDRESS: g. S� ��7 -
C 0 N T R A C TO R :
TEST ' Air ❑, Water❑ , Visual , Laboratory ❑
RESULT: Approved Disapproved 0 Pending ❑
SKETCH:
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INSPE:CTOP DATE I
50TF Attnrh 1u, .• mr%entrl #a- tl On bRrPtU ) I
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City Tigard
ofI
INSPECTION REQUEST �
for e
INSPECTION TIME: ��4 ���� PERMIT NO. : � —
DATE: -X–,��4122. DATE ISSUED :---Z—!,–
OWNERS
SSUED :- / .!._OWNERS NAME ,*
ADDRESS:
CONTRACTOR :
TEST : Air Cl, Waterd Visual`® , Laboratory [] I
RESULT: Approved Disapproved ❑ , Pending ❑ e
SKETCH:
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INSPECTOR DATE I
COTE Attach supplemental test data beret a]
1
N• 0234
CITY OF 0
BUILDING PERMIT APPLICATION TIGARD DATE`----- 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE --
OR AS SHOWN AND APPROVED 'N THE ACCOMPANYIN'. S AND SPECIFICATIONS.
i _hen ADDRESSBUILPER PHONE
OWNER _..---- -- - _
ENGINEER
fl�1LO�HI,InF r ARCHITECT __ DESIGNER
REMODEL ADDITION _ ❑REPAIR []RENEWAL _ ❑FIREUAMAGE ❑DEMOLITION
STRUCTURE ANEW
C3 RESIDENCE [:]COMMOMM ❑ SEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO yJCARPORT [-GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑C:ONDITIONAL USE ❑DES113,i REVIEW ❑COUNCIL APPROVED ❑SIGNS _
Ct4'411
HEAT__.._
QCCUPANCY— LAND USE ZONE 1 .BLDG.TYPE FIRE ZONL— PLAN CHECK BY_
,1'koruct 1472 sy, fto frame dwelling with atttaclwd yarayu and nu
ament - according to Spoil approver' plans 3 bedroom*
11I) �iJ HEIGHT NO.STORIES AREA 1892 VALUE 7.5' I,)
OCC,LOAD FLOCRLOAD _
14 { _ -
SET BACKS FRONT Zd REAR LEFT SIDE RIG
7 HT SIDE
BUILDING DEPARTMENT
Permit
• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL DING CODE, ZONING
Plan Check REGU ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—' WORK WILL BE DONE IN ACCORDANCE WIT H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total :Ei2•
Byr f et
APPLI(:.ANI I AGFNI / AZ. n
Approved Receipt Nn
'----�
ADDRESS
--- - — -- —PaONE —
DATE INSP. TYPE INSPECTION REMARKS PLUMPING DATE
IWO Contract
Permit No.
AGI ,4S. J -TAG-, fico C Rough-in
FiXtUre
Final
-7s, HEATING
( ontractor
(.0 Permit No. A-,-z-)
Gas or Oil
Rough in
Final SEWER
Final
LJ..e2
DRIVEWAY70lep
Final
Draina e
(Rain Drain) Final
Sidewalk
Curb&Street Final
roa"�-
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICP,!AkTE OCCUPANCY —
Curb
I indscaping
Zoning Final