13520 SW VILLAGE GLENN DRIVE 1.3520 SW VILLAGE (_.,ENN DRIVE
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OF OCC(
c� CITY OF TIGARD
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OREGON
R. Coleman
AW Owner: Permit No. 3271
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Address: 222 SW Harrison
10
Building Address: 13520 SW Village Glen
Occupancy: R-3 •
LandUseZone: R-7
R —Bldg.Type SN Fire Zone:
Comments: Construction work for adds tinn to
single family dwelling completed per Bldg. Code, Lar.3nts.
'
Certificate is hereby given this 31st day of 9ctober '19 80
that said building may ue occupied and that it
complies with all requirements of the Build-
ing Code for the City of Tigard, as approved
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by the Tigard City Council. SKA
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Building Inspector lc;y
Op-
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Builditig Official
-Alt Post Certificate in Conspicuous Place
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
?hone 639.4171
Address _.� - — -- Permit
Type of Inspection
The following (Building Code deficiencies are required to he corrected:
.. y
Presented to Inspector
Date
CALL FOR RE IIIISPECTION
❑ YES ❑ NV
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address_.—_ `_ _ ,:� -•�.-? +-� _ �__�___ _� Permit #
Type of Inspection
The following Building Code deficiencies are required to be corrected: .
Presented to _._. __ __ !n ipector
Dtto ..- ------- -- --— ----------- - -
CALL- FOR RENWEC77O1V
[� YES CJ NO
BUILDING PERMIT APPLICATION TIGARD DATE -_— �e 3271
—__,
THF UNDFH TIGIILO HEHLBY API'I IES FoH A PERM F FOH FHE VX)RK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNFR PHONE _
LOT NO.
OWNER R. Col amara JOBADDRESS13b20 SLS Village Glen
ARCHITECT
ENGINEER
BUILDER Parkway Develop* ADDREss222 SW Harrison DESIGNER —
STRUCTURE ❑ NEW X REMODEL IN ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION
q RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY H-3 LAND USE ZONE R–B G.TYPE FIRE ZONE PLAN CHECK BY cr HEAT�.
_
Construct–addltir-n to ninu.le family dwelling d Interior R9mOdelinQ.___
SEWERPERMITN
OCC.LOAD FLOOR LOAD _HEIGHT __N0.STORIES 1 AREA NO.BEDROOMS VALL424 r 74
BUILDING DEPARTMENT SETBACKS FRONT REAR 2216" LEFT SIDE - _ RIGHT SIDE 1�_
Permit X112*00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 56.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND S"ECIFICATIONS AND IN COMPLIANCE
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 168-01) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4.48
Total $172.48 sDc
By P1 --
pDC# AP UC NT OR AG F N r
Re'elpt No. t
Approved bcr d§14 ADDRESS --- - -- - -- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING r DATE
...........
Contractor
Permit No. ;1-7
Rough-in
/4,34.f*,P4.—o Fixture
Final
1IN f., HEATING
Contractor
Permit No.
Gas or Oil
_[Rough4n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
ApF...dch
iE� DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
-AJILDI";G PERMIT APPLICATIGNrUFY TIGARD DATE,._.��.
QED HEREBY APPLIES FOR APERMIT FOR THE WORK HERE,N INDICATED BUILDER PNONC� `1! 1�
_R ,S 5-T' :;'J .;ND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPMONF__
� LOT Np ,r
OWnedr2 �' . JGB ADDRE5S�� C1...1:z- ��" TiOt4� b:IRESS
ARCHITECT
ENGINLER
BuilasT_�'�CL u�: '/.�,:- ooaass_-l.s Z.__.e's� � --��-s. __ DESIGN€R
r
UAE „ ❑NLW REMODEL MADUITION `J REPAIR ORENEWA_L ❑FIRRE DAMAGEW ❑DEMOLITION
^^
is NCE _t_JC'_%"M ❑EDUCATIONAL�000V T rORELIGIOUSDPATIO ❑CAG PORT ❑GARAGE CISTORAGECISLAB ❑FENCE
1PCND_ MOVING ❑CONDITIONAL.USE __DESIGN RE-VIEW []COUNCIL APPROVED OSIGNS
:moo NCv 3__ LAND USE ZONE .l—_zBIDG TYPE -f N FIW-10 -E PLAN CHECK BY HEAT_
r
I IT FLQ.STOBIES Ir AREA G S/ NO-kEDFlOOM5
BUIIDING DEPARTMENTSET BACKS FRONT �- REAR r ,?- b LEFT SIDE RIGHT SIDE
- / THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
?Ian Check ,j ai 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
�i r, total 6 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�-,rtp Tax LICENSE, SEPARATE PERMITS RFOUIREU FOR SEWER, PLUMBING AND HEATING.
Total
By
I_ _ APPLICANT OR AGENT
�i,p oved Rece pi No.
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ONIAMMIMS
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PERMIT TO CONNED'
Tigard Sanitary District
PERMIT DATE
PERMIT IS GIVEN TO -t//f
OF
7'O CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DFSCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID Ii .. ........TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Data Superintendent-
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Address Permit No.�n��o
Permit charge_„�
Owner_ _ Connection fee _
�( f'
Paid b y 4C+W0-L
Type of Building Date connected
Service Rate v� Inspection fee L•'
Contractor W ,� G� � �_ Paid by/&:L d,d
Size of connection—y� ______ Assessment Paid
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