11650 SW CLOUD COURT-1 /r/�
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11650 3W CLOUD COURT
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
T!GARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
A.,
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Date: ''' �-�'�_ Permit No.
Inspector -
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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f I cl ryA2Ar /-1!j i_,P AkLZ
Date: 8_ 7--7 ;' Permit No._�
Inspector _
CALL FOR REINSPECTION
.1 � rERM
BUILDING DEPARTMENT, TIGARD
PLUMB(idu PERMIT 1� • ~
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( O• __, holder of a val;cf plumbing contractors license is heraoy �
authorized to cause plumbing vror as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. �J �1
Otjlner 1 1�.— Addresss[ ����tCl T. __ Date-,517/72 - 3
— — � __ -- t
NUMBI-iR OF TOTAL, PERMIT NO.'S
TYPE OF PERMIT MMS FEE ON EACH —AMOUNT (Office Uv Only,
5i2.le Famil1--1 bathy—each --_— 2509
Dunlex-Each 1 bath unit 2500
-4ddL.lonal bathrotmt-each _ _. _-. �._.� 10.00
Mobile Horne Spice- each�- r--_-.---___ _t !?•nU____ -_-._- ___-._ ���
N O I V I n U A L FIXTURE FEES
Ito 50 Fixtures in 1 buildin;l•-nacft —__J_00
51 to 100 Fixtur i in 1 bu,Irtinx- !!,rrh
101 t0 7110 F,xLie., in 1 hu 1!r a h --- �• v^ 2 r,_1 — .,-_ •._., _ ._. ___ _- � 1
t 201 of rnorR r
A11S ;ELLANrOUS
_ Buillincj S.!wer-1!t 50 f;._ _ ..._. .._._�_._ �- . 10.00_,_._
I Se_.wr �;trh 3r;•+�i�3nd1 100 ft.I 10.00
i Water 5..+tcn to building y — — 5.00 w
t _Private Ydat.:r Sy9tatrrs._eaCh 100 t.___ - -__—��--_-- _.—• - --_ .— _.._.____.. _ _�..
Olher (S7 :irr1:
p>„;;rrlll for Phimbing ln,o• ;!:an?..anp 639 ll7l
(�!„t't?te - — plurnbirg Cuntr.cror By
TWAL RECEIr 1' ilia. Issu .1 By
�
BUILDING PERMIT APPLICATION " TIG ARD DATE__. 4/1-11/
` g11/
THE UNDERSIGNED HEREBY APPI.IES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
_w yam.
OR AS SHOWN AND APPROVED IN THE. ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPTNE,�,
LOT NO.
OWNER j;_t<'i it kuokins JOB ADDRESS 11050 su r loud Cts HOME:ADDRESS ` 1 ' ,, Pony rt
Y ARCHITECT
BUILDER J.` l:itTia+ls att .J,)n ADDRESS i818 Portland Pd' tiNewboi L�1�SIGNER
STRUCTURE ONEW ❑RLMnDEL ❑_ADDITION ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T EIRE LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STOnAGE❑SI_AR ❑FENCE
❑BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
•- �..}iu('. t:�81 to
OCCUPANCY. r ..' LAND USE ZONE i BLDG.TYPE FIRE ZONE PLAN CHECK RY_ HEAT
_. ` gatlyle family >res idenc o w/attachuu yasra4es :a IJsadsutiMs — 2 Petlts•__
f, Q�GECTIQN SMEC'T ATTACNEC.—_
Sewor Permit 4,48708 . S525.00
as 1ST 1 2021bo,�ao.
QCT. LOAD_ F.i Q4ligAD HEIGHT N.4,_$LQf3.l�&_ Af1EA NO.BEJ�i00MS V
BUILDING DEPARTMENT SET BACKS FRONT 2 � REAR 54 LEFT SIDE 70 RIGHT SIDE ^�
Permit W09,00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 104*50 REGULATIONS ,AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 313.: 0 ALL APPLICABLE CODES AND ,ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTPsCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 8. 36 LICENSE. SEPARATE PIERMITS REQUIRED FOR SEWER, PLUMBING AND HFA-I ING
Total 021.80' }
8V P1A��PLICANT QpAGEN_T ._�.-... _ - --
------.. ._.-----y--�---- ` !i/,� �
Approved riJ4J41 Rig(vipt No tJ �'
DA.TK INSP. TYPE INSPECTION REMARKS _ PLUMBING--- DATE —
_ Contractor
Permit No. ! '�� �.Jti.Rd 5-9-7
Rough-in
�'•sJi'-ft /��r � �[a!�l�N� /O nil-alt-.��fvrt- — --
?��li t.�-U9 �1'•�_ Laos Fixture
Final
- HEATING
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1-0 f"14 L a ---
-- - Contractor
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- Permit No.
-- Gas or Oil
- Rough-in
Final
SEWER
-- -- - Final q-3-75
- - ��— DRIVEWAY
Final
-� Stontt Drainage
— (Rain Drain)Final
Sidewalk
— --- - "— Curb&Street Final
- -- Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
3
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