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10805 SW PATE I =L-NDER WAY
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OF OC
CITY OF TIGARD Nc
OREGON
George Hausser
Owner:.............. .. .. ............. ..............Permit No.........
Building Address.....105.05 . SW..Patlafinder..Wa
Certificate is hereby given this......3........(lay of.. .. Januar 1`1.
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
C��,�y-�
............... ..Build�lnspector.._........1.... ........ h� ,
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t4"f °� ,1,� re �^a+ ��:, �• "�' �'8`k'�.
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City of Tigard
INSPECTION REQUEST
for
I
i INSPEt'TION TIME :-// PERMIT NO, *
i DATE: fiv/ 7�' DATE ;SSJED:..j j
OWNERS NAME : 5-9,e .-
ADDRESS :
I CONTRACTOR :
TEST. Air u, dater , , visual, Laboratory
I RESULT: approved , C`supproved 0 Pending E]
SYETDH.
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I INSPECTOR DATE
LN:OTE: Attach supplemental too! data `.vre!]
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _ PERMIT NO. : —
DATE:
O. :DATE: DATE ISSUED ,.--.—-L—L.—
OWNERS
SSUED ,.—_.—-L—L.—
OWNERS NAME : —
ADDRESS:�
CONTRACTOR : 4-e-)64--do
f � — -- ----
TE ST : Aii U, WoteMj,. Vlsunl 6 , Laboratory ❑
RESULT'. Approved Dieat proved r7
Pending
SKETCH:
P, +���
G - Q
INSPf CTOR DATE
�NOT6: Alton, •,,� -;arnenl�l ,�a+ ?c: o b�+"'�
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- .. .., �. r. .r: .�agysw.:.�ngw�s.aa;p..arq"1►"�IF►gMw.M'c-1s+ti7�aMP?+'f`*i9;'1x•:"fs �'�'9'°"'r. ....,.M,r.,-„,,.:.,,.,,I,i.
CITY OF N°_ 0376
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
(7R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIU Ijhf�wN, MRPH4�hc -71--.tt4
OWNER �iiB FIWu��gt ADDRESS u`t 5*6* Pathfinder WPI
lkUILDER PHONE
, tl�URlfY' ENGINEER
BUILDER 1� ARCHITECT DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR _❑NENEWAL ❑FIRE DAMAGE _ ❑DEMOLITION
❑ RFSIDENCE LJCU'AM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS CJPATIO ❑CAR PORT ❑GARAGE O STORAGE❑SLAB ❑FENCE
TDBOND �COMOVIING - ❑CONDITIONAL USE ❑DESIGNREVIEW !OCOUNCILAPPROVED _❑SIGNS
OCCUPANCY I LAND USE 20t:r R-7 BLDG.TYPE s FIRE ZONE_ PLAN CHECK BY_ r rA HEAT___ ;iwh E
r�aAks►a .I 3bg -Sq., f L. framw dwelling ding, to approved plans —
3 at*draana
i} llb -- — - <71C� � 3S 1106
OCC.LOAD .4 FLOOR LOAD 4
_ HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE` RIGI4T SIDE
Permit t 4 . -- - -- - ---- -- _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check "(1.013 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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
”— RFSTRICTIVE COVENANTS, CONT".ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 4*2f; LICENSE, SEPARATE PERMITS REGUIRED FOR SEWER. PLUMBING AND HEATING.
Total 217,2fj
By f e ---
-- APPLICANT (in AGENT —.—��-i--'-------"�-
4ppro% 1 Receipt No
DATE INSP, TYPE INSPECTION REMARKS PI.LIMBING DAIC
Contractor
CQ Permit No. 2/
Rough-in
L Fixture
Final
HEATING
Contractor r-Sts
72 ?,-- Permit No. a I S
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk C6",(
Curb&Street Final
Approach coot 9-to-7S
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
3 -7 6 CERTIFICATE OCCUPANCY Landscaping
Zoning Final
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6
C i
pEm-li-r NO
none
OWNER ' ��--_.w_._..�--. .._____ .___ __ uINNECTION FEE
P.110 BY
TYPE OF BUILDING DATE CONNECTED�' INSPECTION FEE .S_�_..
5 .{7 V I C E RATE
�w� `<-•-- I�A I 0 EI Y _ D A 1 E
CONTRAC (OR �. .__..� ,�...
SIZE OF CONNECTION
ASSESSMENT __� PAIO �___