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13755 SW FAIRVIEW COURT
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Owner:.....- Richard Carpenter. .... Permit No...-02.Q.4...........
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13755 3 L;. 'airview Court -
Building Address....... .............Jlx...r..---------....--------- -- ...............................
► Certificate is hereby given this....Z9W.day of........ ul-Y................. 19...7A..
that said building may be occupied and
that it complies with all requirements of
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the I;uilcling Code for the City of Tigard, ;
as approved by the Tigard City Council. '
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� Building inspector
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City of Tigard
NSPECT14N REQUEST
for
INSPECTION TIME.: PERMIT NO. :________
DATE: r DATE ISSUED
OWNERS NAME : �% i ..___ rvle..&_, _
ADDRESS: __,4__' -__._._— C
77,
CONTRACTOR : 7.. .•� .1s3d�-._.
TEST : Air ❑, Water (-j Visual El Laboratory ❑
RESULT: Approved ❑ Disappro ed E , Pending p
SKETCH:
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INSPECTOR DATE
[NCTF Attach supplemental test dato beret a]
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City of Tigard
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INSPECTION REQUEST
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IINSPECTION TIME :121-�o PERMIT NO. : -
DATE : - 5_121 s DATE ISSUED:
OWNERS NAME : _
I ADDRESS :
CONTRACTOR :.,j7m G_1
TEST . Air ❑, Water Ej , Visual Laboratory
I RESULT.* Approved Dieapprovet, ❑ , Pending
I SKETCH'.
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INSPECTOR DATE
CN0TF Attach supplemental to-it data hereto
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RDDRESS i =� '7_'�5 .fLct 21ic+r�cu PER
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PERMIT CHARGE none
OW"!ER CONNECTUN FEE
PAID BY `1p<. tst��._t�c
TYPE OF BUILO"NG .l ;���'rr�' DATE CONNECTED
SERVICE RATE
i� INSPECTION FEF C:;°:;'
_�/ _ _
CONTRACTOR Al�� 1� , �d.��or_,� � ' PAID BY (.oyrtC- _ _ DATE
SIZE OF CONNECTION 011 ASSESSMENT PAID __
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1/117�7
UNIFIED SEWERAGE AGENCY NO. - ._ ___5054 - ----
WASH I NGTON COUNTY DATE
ITY OF _- Tigard
APPLICATION FOR SEWER CONNECITION PERMIT
OWNER: _ Richard L. Carpenter —
OWNER'S ADDRESS: . A76n Q_1.1_ _cg _=__L2nA
STREET
Portland -- --- — ----� . .
CITY STATE ZIP
BUILDING SITE: LOT 16 BLOCK -__ ADDITION _ Holly tree ubd. __
TAX LOT NO. _- .__.__ TYPE OF OCCUPANCY - —_ _residen.Q__.._. _
ADDRESS - 13.755 -S.W� ariv.iaW__Ct_.
DWELLING UNITS --- ; — FIXTURE UNITS
SURCHARGE IF APPI_ICAI31-F _ 50 to derry dell
PERMIT FEE 525 INSPECTION FEE -25._ TOTAL DEPOSITED 550
(NEW) (EXISTING) BUILDING SEWER SYSTEM - __ Fanno Creek
The Applicant agrees to comply with all rules and re ulalirns of the Unified Sewerage Agency.
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APPLICANT �r
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _--__-411.__-.- ------- INSTALLER
RECEIVED BY_._- �lE-nom.
46EN OR ITS AGENT)
COMMENTS:This Application and permit expires in ninety (90) clays. The amount paid will be forfeited
should expiration occur.
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clTr OF N2 0204
BUILDING PERMIT APPLICATION TIGARD DATE_ -- 1�— -
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN ,SND APPROVED IN THE ACCOMPA14YING PLANS AN4:SfEGIF,IGATI0N1L6L �NER PHO�IE .
riXi.PlnlTGl , w I.ISC'p7t9f1t1�}` 137;et) SOW. reirvisw �.t. BUILUERPHONE _
OWNER _-AAO RESS ---
R ENGINEER
BUILD (�NRlpT
F R ARCHIL-ECT _ _ DESIGNER _
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STRUCTURE_ INEW ❑REMODEL ❑ADDITTION O
_ REPAIROFIENEWAL ❑F IRE DAMAGE_ DDEMOLITION
LJ RESIDENCE (]COMM ❑EDUCATIONAL ❑GOV'T DREUGIOUSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE 0SLA13-FENCE
L_JBOND ❑MOVING 000NDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED -❑SIGNS
OCCUPANCY _LAND USE ZONE R-7 BLDG.TYPE - FIRE ZONE3 PLAN CHECK BY HEAT_=
c;unstruct ,il$2 req. fte frame split level dwelling with garage) in
basement — according to approved plans on fila -- 3 bedroom
--- 5 t
UCC. LOAD — FLOOR LOAD NO.STORIES AREA 4 tQ VALUE 2 r
1 to or.)
_ BUILDING DEPARTMENT SET BACKS FRONT ��R REAR ��;�1 LEFT SIDE 61 RIGHT SIDE 161
Permit 12loOO
--' ----- —_--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED iN THE BUILDING CODE, ZONING
Plan Check 61.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANC E, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND 4PECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 1*21 LICENSE SEPARATE PERMITS REOUIRFD FOR SF.WFP., PLUMBING AND HEATING.
Total 1�3• l•
_By APPLICANT OR AGENT
Approved Receipt No.
ACIDPIESS
DATE tNbP. IrNEINSNEI;IIUN HEMAHKS PLUMBING DATE
Contractor
1.3-7-C ""� _ Permit No. Eta
Rough-in
Fixture _ s -
-a � wvaJl — ?otK PIL., rr Q/II�G, Final }
HEATING
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-���7� _ Contractor
Permit No.
a.�cy �o aa� — Gas or Oil
�7? r t c� Rough-in
Final _
SEWER
Final
DRIVEWAY
Final ------— -- '
------- -------------------- _._. Storm Drainage—�
(Rain Drain) Final
----- --- — — Sidewalk — i A,C s'.Z0.7�;
Curb&_Street Final - S�
v-- — — —__ —_--- Approach
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICAI E OCCUPANCY Final
Landscaping —
Zoning Final
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