13235 SW SHORE DRIVE 13235 SW SHORE DRIVE
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CIT' OF TIGARD
OREGON
` Owner; Michael Jo:?nson Permit NO.
Address: 11785 SW Settler Way Beaverton og 97oo5
Building Address: 13235 SW Shore Drive '
_
Occupancy: R-3 Land Use Zone: R-7 Bldg. Type 5a
Coinments: single family dwelling 3 bedrooms 2 baths 3
f1 _, Certificate is hereby given this 12th day of September
that said :wilding may be occupied and that it complies with all
requirements of the Building Code for th.: City of Tigard, as approved �� {
by the Tigard City Council.
Fire Der'
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Building Official
Post Certificate in Conspicuous Place t
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INSPECTION NOTICE
City of Tigard Bui .ing Department
12420 S.W. (Vain St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested ec-::�- Time A.M._� -P.M.
Address G■s�.S.J Ste✓..__� "x�- _ Permit
Owner Lot #
Ft-!der
The following 13),_ildin_q Code deficiencies are requ'red to be corrected:
Presented to _ Approved
Inspector ! Disapproved
Date
CALL FOR REINSPECTION
YES ❑ 140
i
INSPECTION NOTICE
City of Tigard Building Departm(fit 11#r
1242.0 S.W. Main St.
Tigard,Oregon 9722:, / s/✓ L
Phone. 639-4171
Tynp of Inspection
Date Requested— - ��� -/ /'..?�S !�
Time _ A.M. -'- P.M.
Address ��, 'S �'� ��,•- __.= Permit #s.•�'3`9
Lot #
Builder �
The following Building Code deficiencies are required to be corrycted:
_--�7/�''iJ�� • _- .tea ��--. �
_4
Presentee' to . /�' Approved
�
Inspector _�—�f r� flltepproved
Date
CALL FOR REINSPECTION
�' E8 [7 NO
W Wz WX INA
!► ! Ili
INSPECTION NOTICE
City of Tigard Build ng Department
12420 S.W. M,,in St.
Tigard,Oregon 722.3
Phone: 639-4171
,e--
Type of Inspection
Date Requested ____ Time--_ A.M. P.M.
Address __1 - — ____:�F-� -� Poi rn't #—
Owner _ _— _ Lot 0
Builder —
i
The follawi ,g Building Code deficiencies are required to be corrected:
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1
Presen.ed to j� El Approved
Inspet:•.rr --- - -- � •l f ---- - - ,Cl Disapproved
Date ----_ ---
CALL FOR REINSPECTION
C� YES O NO i
INSPECTION NOTICE
City of Figard Building Dep. .,;^ .t
12420 S.W.Main St.
Tigard,Oregon 97223
Phony,: 639-4171
TN-pe of Inspection -
7-/ x
Date Requested._ � _ / Ttffis_ _— A.M. P.M.
Address ..__� C - ���'— ��� Y _ Permit #
Owner Lot #
BuilderThe following Building Code deficiencies are required to he corrected:
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Presented to _ Approved
Inspector __r� — �_� Disapproved
Date
CALL FOR REINSEPCTION
/N
i
C7 YES I! NO
1 t
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
'�Pne: 639.4171
Type of Inspection
Date requested Time A.M. P.M.
Address permit #
` Owner_ _ Lot #
Builder _ -
- -----
The followinp9ullding Code deficienr'ss are required to be corrected:
I
-i
Presented to Approved
Inspector
�r Disapproved
Date. .�9 7 7Q'C
CALL FOR REINSPECTION
O YES )?�'NO
BUTLDINC RECEIPT
NAME:_1� L"' 1 DATE: -��
i
ACCT. M DESCRIPTION AMOUNT
10-432 Building Permit Fees $
10--431-600 Plumbing Permit Fees
10-431-601 Mechanical Permit Fees $ — - -
10-230-501 State Building Tax $ ��-___
10--433 Plans Chock Fee t a. d
30-443 Sewer C'onne. .ion (2, $
30-202 Sewer Connection (80X) : --.L_,yC"• ��--�
_ l
30-444 Seloer Irspection $ � j�/ , 177)
51-448 Street System Dev. Charge (SDC) $
52-4411--610 Parks I System Dei. Charge (PUC) $
52--449-•620 Parks Ii System Bey. Charge (PDC) $
.i
31-450 Storm Drainage System Bev. Chrg (SSDC)
10-230-505 TRFD (95X) s
14-478 TRFD (5X) s
10-220-506 Washington County Fire M1 (95X) :
10-478 Washington County Fire N1 (5X)
10-220 Amart/Wedgewood
TOTAL
(bs/Ut4P)
BUILDING PERMIT APPLI aATION TIGARD DATE L*Y 20 ___,19��_ 5388
THE UNDERSIGNED HEREBY APPLIuj FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 64376275 _
OR AS SHOWN AND APPROVE)IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.__111
OWNEP Michani Johnson JOBADDRE.'S 13235 SW Shore Drive Winterlaim
Bvtn. 97OOrARCHITECT
ENGINEER
BUILDER ADDIIESS ; 1785 Sid �',ettler Way. DESIGNER
STRUCTURE U NE-V LI REMODEL CI -,DDITION ❑ REPAIR ❑ RENEWAL C] FIRE DAMAGE 1.1 F EMOLI'riON
(11 RESIDENCE ❑ COMM ❑ EDUCATIONAL 11 COPT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABi i FENCE
OCCUPANCY __K-!3__LAND USE ZONE . R-7 _BLDG.TYPE 5N FIRE ZONE _PLAN CHECK BY __NL_HEAT — �GAS
__� �>rt t _aide fi+sn lx dwellin�'�a tacked xara,r,;e.^^
Wte—I9sue of: #5117) 3 i'edroam 2 Bathroom
--Subject L+) 360,UU Awaitj'WedgewooA 5 f5U.UO heron ieights Sewer surcharge
SEI._R PERMIT N 2843U Garage 440
OCC.LOAD FLOOR LOAD 4O HEIGHT _ 1W _ NO.STORIES 7_ AREA 12UI NO.BEDROOMS 3 VALUE 45 j,0Uoo
_ BUILDING DEPARTMENT z SE BACKS FRONT ZU REAR �'J _ LEFT SIDE _j RIGHT SIDE 5
Permit 265*Uo THIS PERMIT IS ISSUED SUBJECT Tn THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.U11 _ WORK WILL BE DONE IN AC..JRDANCE WITO THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 305.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
11.15;, NSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1U.uU suo(,.
SDC—
Total .315.60
BY
PDC# Y $150.,jo APPLINTORAGFNT
CG CA; '
Receipt No. �(� `
Approved BGK I '� ADDRESS -PAONt
r
INSPECTION REMARKS PLUMBING DATE-
4,1
y
P-?t FT ch
1-z
ixture
.00
L
HEATING
01"tractor
oop GO:.or oil
r.nal
42 A
FEWER
II IVEWAY
Final
Storm Urair-3p
(Rain Dram)Final
Sidewalk
__�Cwb&Stmet Final
Appro.,,.h
SLOG,Vr'PT.FINAL r TEMPORARY CERTIFICATE OCCUPANCY Final
�CERywizATEOCCUPANCY
iLanda:np,ng
toning
I
DATE—
THE
BUILDING PERMIT APPLICAT10N TIGARD ��/7�j7�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TNN WORK HEREIN I CATIONS. OW ER PHONEE �'��
OR AS SHOWN AND APPROVED IN THE ACCOfIPANYING PLANS AND SPECIFICATIONS. LOT FJO
OY/NFR JOB ADDRESS —
ARCHITECT
_ ENC INEER Sob kAliti t'nt DPS�.uf
OE!jIGNER
BUILDER M`C ffA o ADDRESS �- i / =T--+ .
STRUCTURE. 0 NEW ❑ REMOOEL O ADDITION ❑ REPAIR`C1 RENEWAL C) FIRE DAMAGE n DEt.IOLITlO
® RESIDENCE ❑ COMM ❑ F.DU(:ATIONAL v GOVT C1 RELIGIOUS
❑ PATIO ❑ CAR PORT CI GA J STORAGE C1 S1J18l�J F�ENC
I "_ FLAN CHECK B --
y HEAT
O<,ZUPANCY !`_LANDUSEZONE BLOG.TYPE FIREZONE�— _
5E.1NFA PERMIT r! `� � --�-�
HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
OCC.LOAD FLOOR LOAD —_
-- -------
_ NG DEPARTMENT REAR LEFT SIDE RIGHT SIDE
BUILDING_ SET BACKS FRONT
Pnrmn _ r:IS_ ^ 1_�11T IS ISSUED "'JlIJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOW!-
REGULATIONS AND ALL hPPLICABLE CODES AND ORDINANCES, AND IT IS HERcdY AGREED THAT TF
Man Check WORK WILL BE DONE IN ACCORDANCE WIT}I THE PLANS AND `'f ECJFICATIONS AND IN COMPLIANC
WITH ALL APPLICABLE CODES A14D ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIS
(S��tofal RESTRICTIVE COVENANTS.CONTFACI`OR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU.^,INF,`
(� UCENSF-SEPARATE PERMITS REOUiRED FOFI SEWER,PLUMq11JG AND HEATING_
Slates Tax
-- --_—_— SOC— ---------__-- - ------ --
Total APDL) NTRORp .-GENT
POCS
By
Receipt No. ApORFSS
Approved
50C - �---
SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S
i
IF
flu iIding Permit No. 53da
Locatirn
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Ute
Certification of Registration 1
With the Builders Board 1
i, A_, —�`sov doing business as (dba) ,
am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
MY Builders Board Registration Number is
My registration is in full force and effect and expires on
ignature