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14465 SW HAZELHILL DRIVE-1 t �A:C21Q 1114 ISZVH MS S9"T M 1 ' jMPL_QTION NOTICE City of Tigard Pull-ding Department �� 13125 SM Ball Blvd. Tigard, Oregon 971123 � �spsction Line (Rec-O--Phons): 639-4175 Business Phone: 639-91.71 Inspection: Footi,ig Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Bawer Framing `- -, Bldg. Poet/Beam Mach_ Rain Drain Innule.tton --Plumb. Plbg. Underfloor. Water) Line ,;p. Bd. -Noah. Date Requestodt_ /-/ s` L Timet lA __PN Addreeet ' Permit Builders �-7�L-"'T..7'�-� ®.� . �/ THS FOLLOWING CORRECTIONS ARE RIIQUIRM _I � Z- Inr-,ector:_—_-. - , , _�_._.____ Date:_�'G APPROVED DISAPPROVRD _ APPROVED SUBJECT TO ABOVE _Call For Aeinap. 4050 BUILDING PERMIT APPLICATION TIGARD ?s,7.. 1617 THE',1NDEF'SIGN ED HEREBY APP'LIE'S FOR A PERMIT FORTH E WORK HLREIN INDICATED BWNER PHUNE OR AS SHOWN AND APPROVED IN THE ACCOMPHONE �— PANYING PLANS AND SPECIFICATIONS. LOT NO. �'"r' Wr1tris lednara', JOB ADDRESS ,1_''fi :"' ;lata 111il1 UNER — -- — 1)'77i_- ARChIITECT ENGINEER c3 DESIGNER_ BUILDER Joan 3arlwcer 110MOS-IrMORESS �' •'`+�' jr. 2i1229Ptt -IrkAfA —�_Y --- STRUCTURE 0 NEW t_7 REMODEL E,1 ADDITION—f� REPAIR _❑ L �FIRE DAMAGE ❑ DEMOLITION [.3 RESIDENCE. [ICOM_M_❑_EDUCATIONAL. ❑ QOV'T ❑ RI:LI31OUS ❑ PATIO ❑ CARPORT ❑ GARAQER STORAGE ❑ SLABCI FENCE d;' J FIRE ZONE _PLAN CHECK HEAT____— OCCUPANCY ; LAND USE ZONE .—_ BLDG.T(PE-.__ __--------- -- y _—.— .,riCrci�t yir��•l.r £arn� ts- .lwetl.ir` r__ti+�.atC«�c � -- i _.--- ,~'T~ c.J!f+z•.'.•r1r.., SEWERPERMITR 739U4 - `—"�--J.-- �?.7 NO.STORIES_ �' ARE,,_____A 3 2"'9 NO.BEDROOMS �VAL FI.OrR LOAD $0 HEIGHT OCC.LOAD --- 1 ? _, LEFT SIDE RIGHT SIDE _ — -- REAR BUILDING DEPAR"MENT SET BACKS FRONT --"—- - 1' ►7 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIQNS CONTAINED IN THE BUILDING C(1D A E Permit — REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE .,GLI•" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AMC) SPECIF'CATIW.d AND IN COMPLIANCE Plan Check — WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Or THISPERMITCRE DOES NOT WAIVE Subtotal .y 6 i'+�?C� RESTRICTIVE COVENANIS.CONTRACTOR AND SUB CONTRACTORS I7 HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS IIIE.GUIRED FOR S`.WER,PLUMBING AND HEATING. State Tax SDC— Total _ PDCa APPL CANTOR AGENT By }�1PHONF --- Receipt No. A�D— II�— s'i mJh Approved — CITY�� Tl&*7"Aw �y(yF��ftp BUILDING PERMIT C IMMUNITY DEVELOPMENT DEPAR'�i Permit No: ---- -- �h � \� Address: C _ Issued by _ Date: 1859 ---_—.-___---FOH OFFICE USE ONLY----..___ -- STATEMENT: INFORMATION NOTICE TO PRO;"-^TY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oreqon Law, ORS 701.055(4), requires residential building permit applicants who are r--,t registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or ?_B: ,. =� i own, reside in, or will reside in the completed structure. 2. :A. = My general contractor is — _- ______- -- __- - - - - - , Contractor registration number will instruct my gsneral contractor that all subcontractors who work on ,he structure wast bn registered with the Construction Contractors Board. OR Et. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my m�ncl and do rare a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I nave read and understand the InformAtion Notice to Property Owners about Construction Respon, ibilities on the reverse side of this form. Signature of Permit Applicant ate CONSTRUCTION CONTRACTORS BG,rHU 0244) 1100 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT o, jjjj� no" CITY OF TIOARD RECEIPT OF PAYMENT RECEIPT NO, 191---P t 5441 CHECK AMOUNT 65. 46 NAME CANVASSER, LSRLICE CASH AMOUNT 0. ''10 qDDRESS s 11011 SW 89TH PAYMENT DATE 07/ 17/91 TLAND, Of? 97,-219-- PURPOSE OF PAYMENT AMOUNT PAD PURPOSE OF rInYMENT SUILDIND Y PE RM —38. 'itPLAN CHECK FE BUILD PER TOTAL. AMOI.JN,r rfAir) 65. 46 LU x rJ 3 pe tTO/Azo "..:l w � � CIL 41 _sit✓.- �7 - , .Y F � -- L � � . J CYT' OF TIGARD 1312SSW;fail 2-1397od. PLNCK/RECf # COMMUNITYDIVEI,OI'M ENT DE�PTj2T 7i c�r���1J� MINT xa d.Oregon M23 PERMIT # _E c,eq/_ p /� (503)63¢41» DATE ISSUED JOB ADDRESS: -,�-r-,- SUB: C v TAX MAP/LOT 13 - LOT: _�_—�_ LAND USE: VALUATION: '�.3, ---- QWNER RICIL NOTES NAME: 2u C C ip.v v.9sSE� ADDRESS: REISSUE OF: _� ��/ � SP h��'�.�.�,.f LAST REISSUE: _ PHONE: FLOOD PLAiN/ s-- - - �,' �v b�� _ � SENSITIVE LAND: CONTRACTOR — APPRQVALS RE UIRED NAME: PLANNING: ADDRESS: --- ENGINEERING: FIRE DEPT: PHONE: ------ -- __-- -_' _ OTHER: CONTR. BOARD #: EXP DATE: - SUBCONTRACTORS: PLUMB: ITEMS RE UIRED --- —.- �� LIST/SUBCONTRACTORS: MECH: BUS TAX: RCH ENGINEER _ - -- CALCULATIONS: ADDRESS: TRU.'iS DETAILS: - — ------. OTHER: PHONE: -- PROPOSED BLDG. USE: COMMENTS: ---- ---_ — -- `— _-- ----- -.-. APPLICANT SIGNATURE - ReceiveJ By: Date Received: Pi-Rt41T # ACf,T # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE f.tq(-ol4q 10-432 00 Building Permit Fees _ 10--431 00 Plumbing Permit Fees — - ____ 10-431 01 Mechanical Permit Fees 10-230 01 State Building 'Tax (5%) _._.[. Building �--- plumbing _ Mechanical 10-433 00 Plans Check Fee -- Building Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection - - -` 30-444 00 Sewer Inspection ---- 25-448-02 Commercial TIF Fees " 25448-Oa Industrial TIF Fees 25-448-06 Institutional TIF Fees -- 25-448-03 Office TIF Fees — 25-448-01 Residential Traffic Fees — 25-448-05 Mass Transit TIF Fees ---- -- --- 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainaae Syst Dev Chrq 24-44S -01 Water Quality (Fee in lieu of) _— -- — 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WPF OF OCC CERTI epANCA CIT' , (JF TIGARD OREGON '► .H Owner: Chris Bedrarek � ' Yettinit No. 4050 Address:_ 14465 S.W. Hazelhill Drive , ►,?t , l BttildingAddre;�g; 14465_— S.W. pazelhill Drive Occu R-3 Pancy:,_ Land tige T,rnle: R-30 Bldg. TIN Comments; C_°nstruct single family dwelling w/attached garage fi 5 Bedroom 3 Baths x Certificate is hereby given this 13 day of _ July 19 82 ' that said building may he occupied and that V cj-)mplies with all by the Tigard City Council. requirements of the Building Code for the Citv of Tigard, as approved , Fire Depf. BuildIng Inspector t'i) Building Ofnetal f ! Yost Certificate in Conspicuous placl� s "Z II�° y. F r,+,• ,yy�« , �,�p r�� z� g r Yip � � 1 INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 v Type of Inspection I ---- ---- Date Requested `r"w" Time--'x ...M. P.M. es' sw 1 � l. _: Address _- Permit # V Owner _ Lot # Builder The following Building Code deficiencies are required to be corrected: - _�,,1-_ i 5 Present3d to � �__ [� Approved Inspector ❑ Disapproved Date CALL FOR REINSPECTION 0 YES IVNO BUILDING PERMIT APPLICATION tGA�D DArEG._A._—J_ I8te��� . THE UNDERSIGNED HEREBY APPLIES FOR A PERM.:' .-QR THE WORK HEREIN INDICATED BUILDER?HONE ,24I1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. OWNER P OryE _- 1r.i �► �1 O LoTNO. O:"JNER If,43--1 Reh ��h-JOB ADDRE_S ,_��5 �.� 1 11y iye, --�••• II �j U1 ARCHITECTENG BUILGEF .JOIE �l Mts ADD;E.9;Q/�V Y0X 2, 2Z f IAA' DESIIGNER • `1 . _ STRUCTURE NEW_ _❑ REMODEL _ F11 ADDITION _❑ REPAIR ❑ REWEWAL_❑ FIRE DAMAGE ❑ CEfAOLiTION RESIDENCE ❑ ^OMM ❑ EDUCATIONAL 1:1GOV'T C1 RELIGIOUS r PATIO ❑ CARPORT ❑ GARAGE_❑ STORAGE ❑ SLASO FENCE OCCUPANCY --L/�ND USS--E ZONE ��,;;DDG.TYPE __FIHE ZONE__PLAN CHECK BY HEAT— I&A EAT— SEWERPERMIT# — OC.-LOAD FLOOR LOAD�I© HEIGHT Zit NO.STORIES 2– AREA 321J N0.BEDROOMS 6 VALU41Z 000 BUILDING DEPARTMENT l�/•� REAR `f SET BACKS FRONT . AR I�,f' LEFT SIDE �,� RIGHTSIDE V I PtIrmll .46 W21 THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU IT IS HEREBY AGREED TY,AT IHE Plan Check _ 00• �� WORK WILL BE DONE IN ACCORDANCE W1T9 THE PLANS AND SPECIFICATIONS AND IN COIAPLIA14CE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total __ ------- 763. IS RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU51NtSS �� 1.2y LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA- AG. Stata Tax iI� Totalu SOC— � �• I' 9 It ��— � PDC# APPLICANT OR AGENT �— By Receipt Na. Approved ADDRESS PHONE SDC - " �r. �CO .. PDC – 00 SEWER CONNECTION S SEWER INSPECTION _ NEWER SURUARGE $ Cnmman}c� �1 09.2.____7 1_'DIUA7Ztg. tc./.�oNN �.�Ri�•� �''',-M�� (? �/�O� ��f''�e� t4 G s w I �- �►;r� -D,r. "p, 4 44AJC- A—met, /hot" Ftooi- : &2, x 14 '$G$ 24 x 4 IG tG k /* Z t4 // x 24.0 2 Ir 2 ((,+ S) 2 ((•+ 5) z 2-8 x 2 43 �o t 3y 'j 3G. .SYS, Co.20 �,I,�a`.a•+� Wow- 20 k 91-4 2y-Wo 15'� 2q 1716 x 19 141 If x 4- & 1 � P axS' 328q •' �, 12 ' J2- [lot 2, Q