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APPROVED FOR CO STRUCTION � Oyu��r �. ,� F ` �=� v
CITY OF TICaAR D , +
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PERMIT N O.. .__ __.._------
_.... SITE ADDRESS
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BY
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DRAWING IS LESS CLEAR THAN
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TNF QUALITY OF THE ORIGINAL
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City of Tigard
INSPECTION N RECD U E ST
for
INSPECTION TIME - 4"'. PERMIT NO.: _
DATE: 11 1111 'L DATE ISSUED:.__L__L-
OWNERS NAME : r :,�'—?'-- , ---
ADDRESS :
—
ADDRESS : ' e"7 �� 9
CONTRACTOR : 7 -
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TEST: Air O, Water [1 , Visual/, f.aboratory O
IRESULT: Approved Disapproved O Pending ❑
SKETCH:
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t INSPECTOR DATE
IrtJOTE : Attach supplemental ttst dote heret:01
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��yy�!�•y� reWn �e ,�nh/�IFi+'n90Y1w�..� ��11�1/VYiFP°',�.•.S�nfYWfeRwS+'1"^."q'L"'nr •
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CITY OP �,.,:' /0 19 N2 0081
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPL!FS FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER i
OR AS SHOWN AND APPROVED IN 14E ACCOMPANYING PLANS AND SPECIFICATIONS. Ole
/ 6) Cry Cb BUILD ER PHONE --
'f�L ADDRESS ——
QNIN E R --
ENGINEER DESIGNER ----
Al11LQ� L_1 . C _SIT CT __
tUEW ❑REMODEL []ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE OBE DFIEN E
STRUCTURE -1
❑ RESIDEN E OCOMM_ �EDUCATIUNAL ❑GOV'T ❑RELIGIOUSDPATIO ❑CAR PORT ❑GARAGE ❑STORAGE CJSL�_
_ r-1 ---11— -- LJ S I G N—S
❑BOND LIMOV�NG I.JCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED
PLAN CHECK / HEAT-_
BV —
FIRE ZONE
OCCUPANCY .LAN-D USE ZONE--- BLDG.TYPF,_ —
AREA ' VALUE
HEIGHT NO.STORIES _ --
OCC, LOAD FLOUR LOAD RIGHT SIDE
REAR _—_ _ LEFT SIDE --•--.._---
BUILDING DEPARTM^ ENT — SET BACKS FRONT _ ----- —
r .r «� C•
Permit THIS PERMIT IS IR4JED 'iSJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'
AND
NANCES. AND IT IS HEREBY
Plan Check U �e'4. REGUATI_ WORKLWILL13E DONEAN�CCORDANCE WITH THE PLANS AGREED
AND SPECIFICATIONS AND INCOMPLIIANCE WITH
L.. ' ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANC HEATING.
TotalBy APPLICANT nR AGFN1
----4I-�--- Receipt No. r� -------- --
Approved -- PIIC�NE
�pRESs
I
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE '
D "��• "� Contractor
Permit No.
�- Rough-in
Fixture _
/ Final
7 ,(u 1t/(� QAC HEATING
Contractor
114AIII Permit No. 7
!31,1G i$ -1 C't: L r.�G wi I Gas or Oil
e /1 117 2 Z-) Li-o 'k c' !^ �e Rough-in
S " ANl c1~ ?- - v(2,,o c-5 aFrQ I- ) Final --_
L112 /7G�� S _ SEWER LG /�-37
A) / ' _6?4'4:!q r, '� fir~ �_/A-,-:- / (/0h S L Final _ -
_� i r2-G L'Oca -,d ID i,, rL 129 2 1-)fir" f 'yet I) DRIVEWAY
O -GrA�- 2PMA� 9ey,,,9k 0 I QwAU ) Final
/^J _j_fi�"��_�Fa L /L.,Gf
aina-fie -
__ � 1� / /j�7, xv -C, in) Final
%
reet Final 41
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BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANC
CERTIFICATE OCCUPANCY
ing
nal
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CITY OF TICARD
Rosidentiul Structure: Occupancy F(ostriction
KNOW AIJ. MM BY TIL SE PRISENTS, That occu,ancy of residential
Structure (s) on t1-.a follojfing describl:0 yrior to the recording
of un occupancy permit rcieasin;; ..lie rec%ri.ction in the DceL itecords
of Vacl.inr ton County, Oregon, is prohibitol by the; o'rclinnnee of the
City of TiL,ard, Oregon;
DE`;CRIP ION 02 PROPER'T'Y: Swnmerficld - Lot ,2c1
As recorded in Book , Page Plat records of Washington
County, Oregon.
ADDRE",S Or PROPERTY:
NAME 0V OWNER: Mt3 i MR`1�_ �A&tip"
ADIMSS 0r OWNER: !L _; hIM(. M ILLK 1411.L- LICK
IN WITNESS W1fERE0:', the undersigned has caused this restriction
to be executed this /Q rh day of
OWNL:R:
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Ti,31:r.tin .o ,7 onm ,omnan -In
Nene
APPROVEDi
Building Official
City of Tigard
STATE OF OREGON ) so,
County of Washington )
/ Personally appeared before above named
the above
and acknouledred the fore8oing instrut.,^ to bo
vo].Un1r1ry nCt R11A (Iccd
N, try i`ub).i f& Oregon
H1.4 "r 1. td ej.»1.7Z a1!... A M 0 "•»"'_ �..
now h 7140MRSEN,D.r*arar f(baud,&El.rnWnk 70
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v r% +t t�,�-- �•►" Y fl{U! 991 f V,E 7011)
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CITY OF`.i ICAIiD
He,idential Structure Occupancy 1(e%trictio.t
KNOW ALL ML'ti By TitiSE PRES7�„'TS, That occupancy (if reuidential
Gtructuro (z:) Da thL follotrirl,, described )ands; prior t:o the recording
Elf an occupancy Kermit" releasing tha rcGtrictioa in the Dcei: ilocords
of Washington Count;;, Dragon, is reoatbitcd by the ordi:u:nce or the
City of Ti;fsrd, Oreryan:
DESCRLE"Pl`Oi( 0: F'itO;cR'i'X: oumnierficld - Lot ,
As recorded in nook ,+ page u� ,, flat records of VashirAton
County, Orogon.
HAMIi 0" OWNER: �I - ►-}r_.rj 1 . � 'M,7L� --
ADDIVs'33 OF OWN L•z1' j _�2j �tLL1
1N VVITNLI!S MMEO.T, tha iuideraignt;d has cauaed thiG .rectrictio,1
to be cy.ecutca thisTh
any of .��Tn/�,��i a;���[.
' Oivi�R s
Trnl.%ait .A .]_anr omnin- Tzc,
Dy:
building off lcial-
City of 'fiC,ard
STATE X5 ollrc;oN
GC.
County of Washington i
ersonnlly kppeared before tae the above warred
and nclunowledaed the foregoing inrtrme t�ta be
voluntary act 1,113 duet ,
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