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8550 SW COLONY CREEK COURT
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CITY OF TIGA RD I� 1. 1 J'1'(J S lEf-38 1.89*15
CC 17YOiF 1`16A RD
COMi.,JN11TV DEVELOPMENT DEPARTMENT Alt
I11.5 S W Hall Blvd.,P.O.Box 23397,Tigard,Oiagon 97223.(5031639 4175 0 1 S!ii UEA) 9 26/818
.JOB AUDRE-SG . 8530 SW COLONY CREEK CT L.)!;lA NUMBEP 6 Al A A
TAX MAP/L.0'1' SUS: COLONY ESTAIES I T : 28 UK .
LAND USE .
Twp: PNG:
WUPK CLASS : ALAURATUM
USE T*YPE: SINUL.E FAMILY
Tatar aipp".1LIvillt 411'ftkwfu I'l.)
Aijivancy .. (A-ir., axp:lr,*±% 1�20 jistyiA fr-ram Td-leo ifomt.iec. . TI-1p.-o t'ritn].
likincitil'it liaticl 1,101 1.)0. Pur Fria trier a i IJIQ I'l-le P11jeric-Y clue vi riot,
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pLlruhatlor.) fit " Cup itim! PIRI'mit.. land tl-k) Agoj)ric:y w:1•1., il-listil1j:1. qt
INSTALL . TYPE : 811.111-DING GEWEP TMIDERVIOUS APEA.
FIXT001E LINIT"i : TENANT' I1fiPP(:)VLMr--'NT : NO
DWELLING UNITS 1.
NO. OF 8*...DCS 1.
01 F.E.S
w Mal-1k P . Nyihtr-cim I-IEPMX*T 6A!'', 0 0
14H330 SW Cob:)ny Cj-irmot ct CONNEc*rI0N CHAME:
E
P I i.l;lxl.I-,d OP Y'72es L.INP: TAP INSTAI I.- ,
PHONE (303) 6.',S9---P5579
OTHER
C
0 PPAI r GAVIN
N
T GAVIN PRATT E.XUAVAI ING
A R 56et sr::.-
7h 1.11%;L)ci r,ci 97J.P3
0 PHONE (503) 6419-7770
R . RIEG19TNATION NO . 3357.115 iJ I TOTAL UO
This permit is issued subject to the regulations contained In Title 14 AE(%ETPT NO,
of the TMC State of Oregon Specialty Codes,zoning regUlOtIMIS
and all other applicable codes and ordinances, and It Is hereby RE.QUIPE-J) INSPIEL"TIONS
egret -4 that the work will be done In accordance with P i plans and PIMPAVII L. CIEPTIC
specifications and in compliance with all applicable codes and SEWE'll:1
ordinances The issuance of this permit does not waive r6strictive
covenants. Contractor and subcontractors shall nave current city
business tax permits This perm,l will expire and become null and
void It work Is riot started within 180 days,or if work is suspended or
abandoned for a peiiad of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Assure
all required inspections are requested and approved
Pie�r, l�tteegnaturyay - -
Issued By 9 ' - ---- -- - --- M— to,T (IN
4 EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE! ABOVE
INSPECTION NOTICE
City glJTigard Building Department
o ! P.O. Box 23397
Tigard. Oregon 97223
Phone: 6'39.--4175
"rype of Inspection ---�4�
' ✓ .M.
Date Requested ( — Tim(e�� A.M._
Addfessc " 1--�'`—` Permit # ��
#
Owner Lot__
Builder
The following Building Code deficiencies are required to be tnrrected:
Presented to ---- - tipproved
Inspector __-- -------- -
Disapproved
Date - -------
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD 639.4171 ,ra_�_i . 18_x- 6191
BUILDING PERMIT DATE _
TAXMAP - _._LOTN0.2e._. __ SUBDIVISION,?I 'c'
Ck-
OWNER Nystrom 4550 :;W Color► c r;:.:;; U.
JOB ADDRESS — " _
BUILDER _.
Sorrento Coast., Inco
__ _____ STATE REG.NO.----.._---EXP.DATE
BUILDER'S PHONE — i
,ARCHITECT_ Pat Schmitt, hlti t r PHONE _OTHER
STRUCTURE f ' NEW IN REMODEL U A')DI rioN REPAIR MOVE L7 OTHER n DEMOLITION
RFGIDENCE COMM EDUCATION IND RELIGIOUS ACCFSSORY GARAGE OTHER ❑ FENCE
OCCUPANCY L�a LAND USE ZONE i BLDG TYPE _ FIRE:_ONE—. PLAN CHECK Bif I1_3 HCAI
r+}1 ear as rc u f tin Q x i r nJa.xf 1� f ny I .��1 iJJot1.L L � L0"•
i
SEWER PERMIT K _ i
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALA7,()'tt
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit —_ 127,50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT ONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TLIAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WIT'r THE PLANS AND SPECIFICATIONS AND !N COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO WAIVE
PI.Ck.Fire _ RESTRI:,TIVE COVENANTS. CONI RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY NOSINESS
State Tax
511/ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATWiiG.
4, SDC -
Total �PDCM APPLICANTORAGENT ._
-- -_ -
Prepd. t�nud I;
Receipt No. ADDRE89
Bal.Due >all
Issued By Approved By
1
a
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
_ 7 Permit No.
Q
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or OII
Rough-in
Final
SEWER
Final
-- DPIVEWAY
Final
— — Storm Drainage
(Rein Drain)Flrio.
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAN^'r ,rL.nd7,c,,)Ing
al
CERTFICATE OCCUPANCY
ing Final
ICITY OF TIGARD � Iaee'1�3
Building Department P1UMb3t
Residential ❑ Commercial ❑ ILIO.
New Installation ❑ Replace ❑ Addition ❑
Licensed
Alteration Date
Plumber s NLS C fW 6l]y
Owner
Address E N r,_L! rL� r i /�yft�to 0 7/1
Phone ��(0—( _53 Job Address 55 5 ix,
Applicant A(1 0 N!
CITY BUSINESS LICENSE REQUIRED FOR.ALL CONTRACTORS AND St1B-CONTRACTORS —`—
ITEM NO. FEE TOTAL ITEM
Fixtures•Traps NO, FEE TOTAL
7.50 Sewer:First 100 ft.
Dishwasher 7 5030.00 �—
Garbage Oisposa^j Each Addil. loon. 15.00
7.50 Ejector Pump
Water Heater 7.50 7.50
Backllow Preventer Water:Fit s1100 N. 2000.
7.50 Each Addit.200 h.
Storm&hd;,.Crain First 100N. 15.00 —
Each Addil.200 ft. 30.0015,00
Other(Specifyj; Mobile Home Space
_ 25.00
-- -- Rein Drain Single Fam.Dwelling 15.00
O
PERMIT FE" Comments: -
STATE X Issued By: ---
TOTAL Receipt No. Applicant ---_`�
-' For Plumbing kmpeclion Phone 839.41 71 Signature
5 4
r7
BUILDING PERMIT APPLICATION TIGARD DATE ��z� -_' _ ,s_ s 5437
THE LINDEP IGNED HLREBY APPLIES FOR A PERMIT FOR 1'HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHO.VN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 63 MUZ2
LOT NO.
OWNER H►rk ?±ystrola JOB ADDRESS 1412L1 SW full tUrj* --
ARCHITECT
ENGINEER
BUILDER Northern Hoose YlluleW"werVtDDRESS 6000 SW 1001 SU.ite 2Ua DESIGNER
STRUCTURE ,❑ NEW ❑ REMODEL E ADDITION ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION_
(j RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Ll PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABFJ FENCE
OCCUPANCY —LAND USE ZONE X77 BLDG.TYPE 5N FIRE ZONE_PLAN CHECK BY )rte HEAT_�_--_
--- a B,WIwdle of existing Sin&& family dwellittrg--- -- — — —
Includes work as shown on approved Platas.
SEWER PERMIT# This structure is coMmeted to Septic Sy't&go
OCC.LOAD F_Lr)0R LOAD HEIGF;T NO.STORIES AREA NO.BEDROOMS —_VALUE3/V(Jo •
EUILDINGDEPAF MENT SETBACKS FRONT I REAR LEFT SIDE RIGHT SIDE
Permit 3u.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND AL1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 3 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF IHIS PERMIT !DOES NOT WAIVE
Subtotal 1:'3.53 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRECT CI',Y BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I+�'�
--•— ---- �._—._. SDG—
Tutal ��5+U7
-' --------- T PDC# APPLICANT OR AGENT
By -t
_- - - Receipt No.�[o
Approved ADDRESS PHONE
DATE IN T P�Ey]INNSPE�CTION REMARKS PLUMBIN 3 DATE
Ali
Conrrrctor
Permit No
----
Rough-in
Fixture
Final --
HEATING —
Convector
—�- Permit No.
Gas or Oil
R ough wi n
- — Final
— SEWER
Final
DRIVEWAY
Fs..al V
�— -- — - _ Storm Drainage—�
IL
(Rain Drain)Fina'
Side Walk
Curb&Street Final
_ _ Approach
BLDG. pEPT. Or SAI. 7 '.MF OR."%' CEwrIVICA"E OCCUPANCY
CEF:TIFtCATE MCUPANCY
Land+caping
...._ Zoning Final
1'
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :--
DATE/—e DATE I%c 3UED / /
OWNERS NAME :--
ADDRESS:
AME :ADDRESS:/,�'�Zy 4" 49-' �--_—
CONTRACTOR : 3 9 -PZ�! _
TEST : Air p, Water[] , Visual Q , Laboratory 0
RESULT: Approved U:'OrDisapprovsd C , Pending C]
SKETCH:
SPECTOR DATE
[NOTE: Attoch wupplemanta! teat data beret 01
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