11675 SW FAIRVIEW LANE F,
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11675 SW FAIRVIEW LANE
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CITY OF TIGARD
G OREGON ,
D W D. ..........................................Permit No...0650 -
ONvneI•.....D. �.......
Building Address.......11675 S. W. Fairview Large � ) s
.............. ......................._.-...........,...
Certificate is herety given this........ l!a Aay of...................�Y.... ... 19..76...
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that said building may be occupied and '
tha-,, it. complief, with all requirements of
the Building Cade for the City of Tigard,
as approved :,y the T'zard City Councilor ,
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Auilding Inspector
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t City of Tigard
INSPECTION PEQUE0
for
INSPECTION TIME . PER01NC. d�S`o
01� . ___._
j' DATE: J 12 24 - DATE ISSUED: Z�?�
i OWNERS NAME : Z21GO
ADDRESS . 6 ,72 >•:��•',.�. �'_,S__.._____ _
CONTRACTOR :___
` TEST. Air 0, Water [; , Visual El , Luborato.
i RESULT. :,pruved- Disapproved ❑ , pendl�y i.,,
� SKETCH: '— ` ..,�.. ._
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3NECTR DATE
50TE : Attach supplsmentul test data her•tuj
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City of Tigard
INSPECTION REQUEST
for
JS DX-) ...
INSPECTION TIME. "' PERMIT NO. '
DATE: 126, DATE ISSUEJ :_11_
OWNERS NAME : •W � �-�• _
ADDRESS: ._ k-7—
CON TR ACTOR : .=; ---- ——--- - - ---- ...- —
TF ST Air p, Wafer Q , VisuolA, L.ab. ratory [�
9ESUL' ' A,)r., - rf Pending p
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S� ILE COPY
City of Tigard
INSPECTION REQUEST
for
IN FECTION TIME: -P44- PERMIT NO. :
DATE . V11 / 7 DATE ISSUED ...-.-Ll--
OWNERS
SSUED ... .._L_ -OWNERS NAME -�5 _—
AnDRE5S:
C0N'TRACTO R ----L�u
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TE 3T ' Air p, Water [j , Visual 0 , Laboratory p
REStJLT: Approve," L . Disapproved G , Pendin�
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SKETCH: /�c•� G':�� � �— /��ShE'r `icv�
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IN, I- T 0 R DATE
INC' F: -ch iupriems,rtni se6f Moro ber4'f)
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City of Tigard
INSPECTION REQUEST �
for
INSPECTION TIME: .1 '` "' PERMIT NO. :--
DATE:
O. : _.__ _
DATE: -3 /!) /1G DATE ISSUED :_l '_
OWNERS NAME :
ADDRESS: ��(. �! „� x
CONTRACTOR : .moi (%r
TEST : Air ❑, Wotsr O , Visual U , Laboratory Cl
RESULT: Appro.ed E� Di-�.,pproved El PAnding E)
SKETCH.
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INSPECTOR DATE
5" FAttach supplements! lest Elalo 1 'I
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AODRE55 .,1�� 7 S ���1J"`'t•,�so ��< PERMIT NO.
PERMIT CHARGE none
(OWNER _ � __._. CONNECTION FEE 6-.S-y .
PAID BY 7)Wb
TY?E OF BUILDING _- .�'�-- �--� — DATE CONNECTED
SERVICE RATES INSPECTION FEE
CONTRACTOR LAA PAID BY
K
SIZE OF CONNECTION ASSESSMENT PAID
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CIT`; Or
BUILDING PERMIT APPLICATION TIGofAD DATE Jan* 27 N° 0650
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPAN' iIVG PLANS AND SfujIF fTf0 2',, OWNER
PHONE
H I E
OWNER •l .1. • –ADDRESS l l to + T•IJ• r1l��W Ler r' dull D. , SHONE G„S'
ENGINEER
BUILDER Sam* —_-- ARCHITECT 1- DESIGNER
STRUCTURE ❑NEW ❑REMODELO
_ ❑ADDITION REPAIR ❑RENEWAL ❑FIRE DAMAGE _❑[DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE R--r BLDG.TYPE FIRE ZONE—.� PLAN CHECK BY k1 HEAT_
,:, rint.ruct .1311 sq. rt. frame duelling split level with qPi - y in bF, --
aam
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C LOAD FLOUR LOAD HEIGHT NO.STORIES AREP, a�<AL7 VALUE
BUILDING DEPARTMENT SET BACKS FRONT RFr^,R LEFT SIDE RIGHT SIDE
Permit 1 `i ), :Ii; - -- --.------ --_-_-- - — _ —_ -
-- THIS PERMIT IS ISSUED Sf 11.ECT TO THI AEGULATIONS CONTAINED IN THE BUILDING CODE, 20NING
Plan Check b�•' REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL.BE DONE IN , CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND RDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CON"AACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State �•26 LICENSE. SEPARATE PERMITS RECIUIRED FOR SEWER PLUMBING AND HEATING.
Total 214.76
By F I R
--- --- -- APPLICANT OR AGENT
Approved Reccilit No
ADDRESS H0NF—
D�ATT,E. YPE INSPECTION �+ REMARKS PLUMBING DATE
Contractor L��-e" "�
p-r rz��� — Permit No. 0 33( — �S" s,`/7G
-l4••](j
.A�Py6 .�v- -__ Fixture _-.-
J-7,5-;76,19d12r»Gi t� -- —_ Final _
HEATING
------- --�— Contractorr�t •��
2 Permit No. 37�' '��/7G
.3-q, _ �_� Gas or Oil
-7 Rough-in
Final
- SEWER
Final
— ---- DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
-- --�.—.—.—r.--------- Sidewalk
Curb&Street Final
_— _ — — ----- Approach_
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
)� CERTIFICA E OCCUPANCY Final _,—
S - IJ Landscaping
Zoning Final