15630 SW GREENS WAY J'
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15630 SW GREENLEAF COURT �
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CITY QF I1�iARD.1 CP
OREGON
' Tualatin Development ,o.
0«ner:. ...... ....... ... P C I n
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Pudding A�d q.R1.5630.?.401.5.0.:.G0+t7Dl+50..5V..f4reenl.eaf Vit. ��
Lo s� 26 , 3".,4950*
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i Certificate is here Lin��n tits......., sth day of ... eY..... ......... �
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thal said building may be occupied and
h _ that it corr,plics A it.h all requirements of w
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' the Building Code for the City of Tigard.
C q`I as approved by the Tigard City Council. a> L
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE * _1 LIZ DATE ISSUED.- I .L_
OWNERS NAME :-
ADDRESS:
AME :_ADDRESS:
C O N TRACTOR :
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rr ST ' Air []s Water Vteual l Laboratory El
9ESULT: Approved Disapproved C Pending
SKETCH.
IN PECTOR DATE I
ANO?F. Attach fupplimentaf te! t data bereta]
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City of Tigard
INSPECTION REQUEST
for
MPECTION TIME: PERMIT NO. :-
DATE:
O. :_DATE: DATE I SSIJED :__LL
OWNERS NAIVE :
ADDRESS:
CONTRACTOR : --_
"EST : Air 0, Water[] , 'Y�I 0 , Laboratory [3q SULT: Approvsd M_ Disapproved C= Pending p
SKETCH.
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INSPECT6_ _ DATE
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City Of Tigard
INSPECTION REQUEST
for
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IINSPEC71ON TIME : PERMIT NO. :
I DATE: '° 2' DATE ISSUED:—L-L.-
OWNERS NAME :
ADDRESS : J -t,� -� C���-��-,��t�
CONTRACT IR
TEST*. Air ❑, Water ❑ , Visual), Laboratory ❑
I RESULT: Approved Disapproved 0 Pending 0
I SKETCH:
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I INSPECTOR bAn
NOTE Attach gupplementol toot data hereto
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BUILDING PERMIT /APPLICATION CTIC�AR� DATE��-1
OF
-"�____, '�'���'►
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1HE WORK HEREIN ; 4DICATED BUILDERPHONE _
OR AS SHOWN AND APPRO\,ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF— '
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I LOT NO.
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OWNER ,*_ M e JOB ADDRESSGJU SW GrIDen I,yu1' OMe ADDRESS
ARCHITECT ---�
HUILUERENGINEER
ADDRESS _ DESIGNER_
STRUCTURENEW v❑HE MODEL_ — ❑ADDITION ❑REPAIR ❑RENEWAL CIFIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑PFIAGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
❑BOND ❑MOVING _— ❑CONDITIONAL USE ^�❑DESIGN REVIEW ❑COUNCIL APPROVED ❑S'GNS
OCCLIPANCY______LANO USE ZONE BLDG.TYPE `I FIRE ZONE PL.AN CHECK BY-__ HEAT L-4 !IYi
]oh _--tlnit l ot. _f lriji- This ism_ Z_ sAit- .Lli Lru;Jtn 2 Lath aini,lk-i
LweL unit cl° 22A irji.ft. of livil ;a $go_QL, _4 350 sas ft. of cywkLf,Illz
Q", L0t1R---__f.1.49ALOAD - HEIGHT __...._..___�$TQE�ES 1 AREA------..1VO.BEDHQQN.S _— VALUE38*0000
BUILDING DEPARTMEIJT
SETBACKS FRONT It'° t REAR 120+ LEFT SIDE 2'7 RIGHT SIOCUR/,ell
Permit 1. (?;1 - ---- — — _`�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20NING
Plan Clteck i.I a t}F.,' 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
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSLIlNCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SL113 CONT TACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HEATING,
Total Sower. Inspe 25,00
By
—' "–'--- APPLICANT OP AGENT -_- -
Approved [ Receipt No
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76
- 77
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JOHN E. R[!ef!;1iiDi Vl�lu9iNG, ;(�(;BUILDING DEPARTME=NT, TIGARD NO.
P. H. HCY 179 PLUMBING PERIAIT i
9132 holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work 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 tirne the installations are ready'for inspl:ction. City of Tigard Business License required
for all co tractors and subcontractors. y�
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Own _ 'L6_i? Addresate f
NUMBER OF 7TAL PERMIT NO.'s
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Sin(Ile Famlly.7l beth-each _/ 25.00_r
Juplex-Each 1 bath unit _ 25.00 _
_ Additional bathrooms-each 10.00
Mobile Home Spece•-each 15.00 _
INDIVIDUAL FIXTURE FEES _
1 to 50 Fixtures in 1 building-each _ 0
_ 3.0
51 to 100 Fixtu, , in 1 building-anch _ 2 00
101 to 20U F;..tures in 1 building-each 2.00 "-
20i or rnote Fixtures in 1 buildin -each 1.50
MISCELLAh60US _ —"—
iwttding Sewer-1st 50 ft__`" _ �10.00
�Sewpr-each additional 100 ft. _ 10.00 r�
Water Service to building 5.00 _
Private W4ter Syttems-each 100 ft__ 1000
Other S ecif
PER MITy`�l_ for Plumbing inspection Phone 5394191
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9e State / ^-- Plumbing Contractor By
TOTAL HECFIPT NO. Issued By