10685 SW FAIRHAVEN STREET-1 t
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10685 SW FAIRHAVEN STREET
FPID CITY TIVAWPERMA'T
cmOFRD M'.AKI' T NCI.ER I
COMMUNITY DEVELOPMENT DEPARTMENT one"
13125 S.W.Hall Blvd..P.O.Soo 23397.Tigard.Oregon 97221 (WI)639-4175
JOB Al)DPr.-.-SS : 10685 SW FA*l'WHAVI:.'.N S'1' 'AA NUM13E141 ' Z*1521
TAX MAP/L.(71' 2S13131041041 SUB: L.T . RK :
LAND LISE :
L.O*T GIZE :
SE('1*ION: e.1 'T'WP: S PNG : W
WORK (711-ASS : NEW (? 14 e ii,&I ors
USE I'YPIF.-." : STM.A.-k-i". FAMILY
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Se�Wel"agiM A'(441111-11CY . I'l-io pilpir-intt expirs.4% 120 daym Trcim the clmte i-i9st.4ed . Tllr� t(jtul
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ialltee thea 1:)f ti-le ()4' tl...(4 411j.de . 'I'-F the %J!7 .;�j. im
nD'4 ICKN%tillild the MPE11111.11--ellil"l-It gi.vdoll , tl-le? i.11ml.110 ler prcjlflpqi�:t '3
all. di.r&-Ict:1,aiIq; +rciin the-i diiitiit.rion UJ.vo.:!n . 3:,F riclit Hill ti-im :0istaliA1.er-
purc�hiitmp i--L "I*ap rand Perm:iA land tll-ic.-I Age.11c�y W:1.13.
TNSI'AL.I.-. TYPE. IMPEPVIOU% (UMA:
I`IX1'LJAF:' UNI"I'S . '1'r.:.NAN1' IMPROVEMENI* : NO
DWI LLIM'.'t UNI*T'S : I
NO. OF'
0
W MATYCHUC,'K IIIKIL'.: F)F-PMII' 35. 0 0
N .1.
E 0685 SW FI
AIIHAVr-N Sl' (:',ONNL-*:(.*TTON CMAP3
GE $ 00. 00
R (.YT 91PP3 LINE' '1 AP INSI ALL ,
011AFF.14
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'TOTAL : $335 . 00
This permit is issued subject io the regulations contained In Title 14 AF-.0ETV"T NO.
of the TMC. State of Oregon SpeclaltCodes,zoning regulations
-rid all other applicable codes and ordinances. and it Is hereby REQUIPED INSPECI'lONS
agreed that the work will be done;r.accordance with the plans and SE W F.:*W
specifications and in compliance with all applicaole codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have currilint city
business tax permits. This permit will expire and become null and
void it work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permitlee to assure
all required inspections are requested and approved.
Permittee Signal ti-
Issued By rrm 'TTP—,P
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I
INSPEC.'ION NOT,CE
City of Tigard Building Department w '
P.O. Box 23397
Tigard, O-egon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. .c"' P.M.
Address Permit ,* L
Owner._-_/ Lot #__
Builder L
The following Building Code deficiencies are required to be co-rected:
Presented to
Inspector
Disapproved
Date
CALL FOR RFINSPFCTION
YES C] NO
1LM
MECIIAN't CAI PE'l:7M:j:-I-
'TY®F T 1GARD CAIM _PMA''T' NO
Y"ID
COMMUNITY DEVELOPMENT DEPARTMENT 1:3/(:3':)
13125 S W Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)6394175
PPIM 1::'MY' .N(:) , 81011.0426
3.06H5 W F-63:11:411AVE"N WO-Y
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111-11"IF ( 1503) 639-3673
1011. TAX
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A i.1.1ii l tt t'J I 9706r?
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T ( ,503) 69P-1565
1 0 1 VIP . 6o
This permit is issued subject to the regulations contained in Title 14 ............. N0 . /0-3735
of the TMC, State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances• and it is hereby
agreed that the work will be done in accordance with the plans and GAI:i 1. i.Nl..
specifications and In compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void If work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after wnrk has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
24
Pektmtlop Signature
111SUed By
SEPARATE PFRMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Ilk
I
BUILDING FERMI-1_ APPLICATION 'ITTIGARD DATE_ 10-1� �, ,s�2, 177
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF ',29 408b
OR AS SHOWN AND APPFOVED IN THE ACCOMPANYING PLANS AND SP`~CIFIC.AIIONS. OWNERPHONE. _
LOT NO.
OWNER '.`JAS L ' JOB ADDRESS 13343 f°0nr'JrjgUa111ea U4.I0MRADDRESS 1068ti
ARCHITECT
BUILDER 'Abc,4Irs Const:. +t ENGINEER
�t.1C1fAkJLh�'1ESS IaOX C1Et3n'f, DE_SI:sNk'R _
STRUCTURE [:]NEW OREMODEL ❑ADDITION _ ❑REPAIR _❑RENEWrA,L ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE ❑COMM DEDUCATIONAL _ ❑GOV'T ❑RELIGIOUS❑PATIO_❑CAR PORT EIGARAGE ❑STORAGE OSLAB [:]FENCE
❑BOND _ ❑MOV INGv` ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED EISIGNS
OCCUPANCY`_—LAND USE ZONE _ _BLDG.TYPE--FIRE ZONL� PLAN CHECK 8VHEAT
Install Ulec46akv metal tommatch barge board -�
fieroof with 205 3—teat) sslfssgl f". berglass r3hingla ti
Qc-�.I QAP__, S1R�QAD __�1GHT NQy$LORIE5� AREA .�_ NO BEDRf�QJ��__ VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE ^�
Permit : 1 ——_-- - ----_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND A'_L APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
WORK WILL BE DONE 114 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUh-total _ ALL APPLICABLE CODES AND ORDINANCES THS ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENAVTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFIENT CITY BUSINESS
State Tar „fJQ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWFR, PLUMBING AND HEATING.
Total 16.64
By - -
APMIICANT OR AGENT --`— _- _
kp--pwved--1Receipt No. /
�L ADDRESS
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