11740 SW FAIRVIEW LANE 42.
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7.1740 SW FAIRVIEW DANE
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G I Y OF T IGARD
-.: OREGON
Gene Clayton 544 F
t4 `� Building Address................. 11740 ..SW Fairview Lane ,<
Certificate is hereby given this...--.... ..day of........ January... 1`l. 77 b
tr that said building may he occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
{ Building Inspector
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Cott' of Tigard
for
INtPFCT'ON TIME' /X 0� .. PERMIT NO.
DATE . _51L117.6 DATE ISSUE'r
OWNERS NAME : _ C
:—
ADDRESS- ZZ „�Gv. �•+- ..-� ..�.--�
CONTRACTOR '
"EST : r Ur Water _q , v19U01 kr La't
r4ESULT: Approved D:sappr•oved r 0
SKETCH,
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INSPCC1OR DATE
rw01E: ktt�ch .upolcrneri- 1 tett d'_ c:
City of Tigard
i NSPECTION REQUEST
, for
INSP!"(71ON TIME : , PERMI1 PJB.. I
DATE : DATE IS51cLD _/1
0 W N E R S NAM E0,0
ADDRESS . _1f'_ 7
CONTRACTOR : ___ _—_ ✓ _ _ --�
TE a'r : Air Cl, water*- Visual, laboratory p
RESULT: Approved Disapproved 13 Pending p
SKETCH.
y C.
I PFCTOR DATE
ADDRESS 7��!�Z�`� '�bt PERMIT
PERMIT CHARGE _ _ none_
OWNER '—_ _ _ _ CONNECTION FEE
PAID B Y -- 7 =--- " —
TYPE OF BUILDING _��- -"�", - DATE CONNECTED _ -
�'
SERVICE RATE INSPECTION FEE
�_� - - -
DATE
PAID BY
CONTRACTOR ��Qa _____.�� -� - -
SIZE OF CONNECTION _ ASSESSMEiv� PAID ._- --
y/ a -
A �A A7
CITY OF
BUILDING PERMIT APPLICATION TIGARD r)ATE _--_-_. 19
N° 0:'i 4
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ —
��WNER r'3rYP }"jay{O!' ADDRESS 11740 S#U* Fairview BUILDER PHONE _
ENGINEER
AWLUtR
VARCHII� T
wll®r DESIGNER
(` —��--tt - _ .---
STRUCTURE 11 NEW ❑REMODEL — ❑ADDITION ❑REPAIR ❑RENEWAL L_1FIREDAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM CJEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT OGARAGE CISTORAGEt1❑SL.A13 []FENCE
DBONO ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED L 'SIGNS
OCCUPANCY—LAND USE ZONE—_ -? BLDG.TYPE--.—FIRE ZONE_- PLAN CHECK BY ! W HEAT--_
.zuct liL20 sq, ft. fr+umu dwel.- �j with attached garage aanu
�JE31�atA1lY1>�. !
r
OCC. LOAD _FLOOR-LOAD HEIGHT NO.STORIES .1,. AREA 1 > VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
—" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. T14F ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 141By .'7
-- APPI.ICANT OR AGENT
Approved r f Pf Ri,(eipt No
ADDRESS ----------------HONE —�
i;
DATE INSP, TY I{ INSPECTIC N REMARKS PLUMBING DATE
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/ •-/�'</L. / -- _e F-
Rough-in
tracto
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it No.6_3i6
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71 A.;1"Vjr-- —_ Fixture.
Final _ _—
°, _ HEATING
Contractor
oe Permit No.
_-- Gas or Oil., I
-- —_ Rough-in
— -- - — —_.— Final
-- ---- _------ -- SEWEFR3-776
—.-- - —_._�----- — - Finvl _
- --- --- -- — _ —_ — DRIVEWAY—
-- Final
-- — Storm Drainage
M
— — — — (Rain Drain) Final
-- --—�. —_—_— Sidewalk
Curb&Street Final
_ A roach
BLDG.DEPT.F INAL TEMPORARY CERTIFICATE OCCUPANCY
CFraTIFICA rE OCCUPANCY Final
•3 '"��
Q/ Landscaping �
C. Zoning Final
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