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11735 SW HAZELWOOD LOOP-1 11737- SW HAZELWOOD ,SOP I 1 L E cn �n .O 0 m 1 I O. 0 0 J O O 3 '-A Ul N ro z 3 cn un r7 r- -4 -4 1 Cbwanoe Purdy 620-3863 11.735 s-W- Htzelwaod los,V ^igart Ore. Englewood # 2 Lot # 105 Z or�•yF1c ry f I 51vd I • / Mme'' ' ____� ecv j"rPFocf APPROVED FOR CONSTRUCTION CITY OF TIGARD 1 (7 3k" A) r' r PEFP,7Il" fU.. �03iZSI_iE ADUI7E55 I BY _. �� TITLE � DATEX-11-0t J \ k ICK te1W*e hrv�w ff) I � l 9RrgpP 5fcr^r• / u► )ti4 0� �"- 2 Sr X �I'%�� o�•a►i r Jrbx Y ✓ BUILDING PERMIT APPLICATION TIGARD DATE _ ..'_� �'_ is ___�i- 4032 THE UNDERSIGNED HEREBY APPLIES FOR A PFIIMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 620-3683 OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. ?WNER PHONE—� LOT NO.. 10 5—Fln! lewood 2 OWNER Clar'fnce purcly JOBADDRESS 1.1''If; Cj�'' T?,17..r+jjgn .4 Z.0Op? ARCHITECT _ ENGINEER BUILDER owner ADDRESS `1bOVe DESIGNER STRUCTURE ❑ NEW ❑ REMODEL OxADDITION LJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION [X RESIDENCE ❑ COIA_M ❑ EDUCATIONAL El GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT U GARAGE ❑ STORAGE ❑ S_LAB❑ FENCE OCCUPANCY — {"• .LAND USE ZONE --E-fl BLDG.TYPE __ ' FIRE ZONE----PLAN CHECK BY _ dorh HEAT----- ronetruct fireplace in existing single tarily dwelling. All per plane and code. SEWER PERMIT k OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.Br:D_Ii00MS — VALUEt j_fI BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit_ F3 Q t 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 1} . t1 WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE- WITH OMPLIANCEWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 4( ,20 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax's S 1 .12 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. , SDC— � Total x q ; . 32 SDC- PDC# APPLtOANT OR AGENT By — -- -+�..LI Receipt No. Approved ADD AEU ` ERTMOUN DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture F1,181 HEATING _____ Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Uralh)Final Sidewalk Curb&Street Final Approach BLDG. DEPT. AL TEMPORARY CERTIFICATE OCCUPANCY LERT111CATiC OCCUPANCY Final '-andsLaping Zoninq Final t PERMIT NU , A D DR 15 ---- _ PERMIT C H A R G r C 0 N N F. �' i ION F E.E OWNER -- PAID R Y f�C r �� ✓_ ,��_ DATE CONNECTED IP:SPECTION FEE SE RV I C E RATE ��-""'"�'- DATE P A I D B Y CONTRACTOR _._..__..---_.�._..._._�,.._�... - .._._.. ASSFSSMENT PAID SIZE OF CONNECTION - iayl - sy1� I City of Tigard INSPECTION REQUEST for INSPECTION TIME : FERMI". K DATE: P125i.L Z-L DATE 1SSUE .-_l.__�_ OWNERS NAME: ADDRESS: CONTRACTOR ' TEST . Air ❑, Water ❑ , Visual P�- , Lat•erntor%, RESULT. Approved, , Disapproved L Pe" _ i SKETCH: ! 1 i 1 INSPECTOR DATE CNOTE Attach jupplemental ten* data het�10: 1 i 7 1 j I I City of Tigard INSPECTION REOUE "I", t for INSPECTiON TIME : --3 PERMI'-r NO. ; _ ._. _.._ ' DATE : DATE OWNERS NAME : ADDRESS : CONTRACTOR : TEST. Air 0, Waler4, VisuaLoll� Laboroto!� ,�, RESULT. Approve , Disapproved LJ I 'SKETCH: •lu Lirvr te* CIA- 1 J 9 I I _ _ _ -. I NOTE' Aflnch eupplemenful fee+ �� hNr(,f,l C _ a� "p, -P#'9-r, '�kvo iF.,'fgS ,.�. .. �..,..«,,:._... .w•r+,._r— ..... ,.,gyp ,,,,„,es.,q�sq,y., ;aA...,,�,pMa •A,.,rr,,, r ..w- T ... ,-,, CITY OF � BUILDING PERMIT APPLICATION TIGARD DATE � _—_ �° 0787 THE UNDERSIGNED HEREBY AFPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE. OWN I:P, --- ---- ADDRESS T._.-_.�—.--------_----_ BUILDER PHONE--_-- ENGINEER BUILDER._--_-� v— ��hITECT _ DESIGNER STRUCTURE — ONEW ❑REMODEL ❑ADDITION_ _ ❑REPAIR _❑_R_ENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL CIGOWT ❑RELIGIOUS❑PAT17 ❑CAR PORT ❑GARAGE C1 STORAGE❑SLS\B ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS OCCUPANCY_-._.-._LAND USE ZONE_ BLDG.TYPE---- FIRE ZONE_!' PLAN CHECK BY is HEA-r • w'iottr�u-ct 1455 sq. Orela :attwrhed mar&ge n0 teseawnt: 11.186 S•W• T rr]nu"d L.UO(1 S OCC. LOAD _ FLOOR LOAD _ ' HEIGHT NO.STORIES i AREA 143$ VALUE BUILDING DEPARTMENT SET BACKS FRONT b' REAR 4tz LEFT SIDE RIGHT SIDE Permit — - -`�— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGUt-ATIONS 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 WI1H Recording ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVFNANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE nRMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By --- --_.-- --- APPLICANT -�-'----�---- Aporoved Receipt No ■ ■ w � ■ W► ■ ■ �■ ■ DATE INSP. TYPE INSPECTION REMARKS �PLUMBING DATE Contractor -- ru Permit No. _61 G- �5'71b, Rough-in _ 76 � - Fixture — -- `-2/-76 Final HEATING Contractor Permit No. Gas or Oil Rou •in Final SEWERG-/0-76 Final DRIVEWA%-aS-� Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Ap proach L G ^ ti'- 7` BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY nal andscaping oning Final d-0X3 .4 =60A 30 6170 1 Vf I 40 3W _ �_~ �I8� l t �