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September 14 , 1987 CIWOF T1�/4�'
OREGON
25 !ears o`,5erVice
196",-1986
Gilbert Rickey
15145 SW Highland Ct .
Tigard OR 97224
RE: Permit # 4833
Address same as above
Dear Builder:
Our records indicate the sbovz descrited building has not received
a ._aha _t ,ck j f;na 1 inspection, nor has had any activity for an
extended period of time.
Please notify us as to the status of this permit so we may clear our records.
If you have any questions, please contact this office at 639-4171.
Sincerely,
Brad Roast
Building Official
BR:cn/3407P
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 —
BUILDING PERMIT APPLICATION TIGARD DATE— I i9_ ' 4 4833
THE UNDEHSIGNLD HEREBY APPLIES FON A PERMIT FO ;-IE WORK rILREIN INDICATED BUILDER PHONE ` i 1.461
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV/NER PH^NE fi lu-L1';t
OWNER i l 1�prt. b Iva Ricky B ADDRESS �: LOT NO.—_ ,__
---------- —� la !ia SW tii�hland Ct;. _ _
pARCHITECT
• 97217
ENGINEER
BUILDER Neil }.ally _ _ ADDRESS
804 9. pllMrtrt DESIGNER
STRUCTURE ❑ NEW B REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE O DEMOLITION
U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C STORAGE O SLAB❑ FENCE
OCCUPANCY _8-3___LAND USE ZONE -K-4-5 BLDG.TYPE _ yN FIRE ZONE_.__PLAN CHECK BY -'L_ _HEAT_
Construct addition to cxseting siyle yapily dwelling all per armed
Plans
SEWER PERMIT# Noun
OCC.LOAD FLOOR LOAD HEIGHT NO,STORIES I AREA 45 NO.BEDROOMS VALUE 3 JUO.
BUILDING DEPARTMENT __. SETBACKS FRONT _ REAR I I _LEFT SIDE RIGHT SIDE
Permit 31;•50 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 25 01 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF TH;; PERMIT DOES NOT WAIVE
Sub-total 03.53 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1.54
LICENSE.SEPARATE PERMITS REQUIRFD FOR SEWER,PLUMBING AND HEATING.
SDC-- s.
Total 0)5.07
Cl! PDC# APPLICO NT OR AGENT-v
By _
Recelpt No.
Approved E114AD0R —v~ --.---PHONE
—_— PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Tow.&I --—
(I Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
0" Aa Permit No.
Gas or Oil
'eve
Rnugh-in
Final
SEWER
F;nal
DRIVEWAY
]14Final
Storm Drainer
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
11.11:RTIFICATE OCCUPANCY F Final
Le-idscaPing
7ining Final
A d d r e a s Permit No.
P 9 r m i t charge
Owner Connection fee
Paid by
Type of building Date connected _
Service rate Inspection fag
rnntrsctnr paid by D=?tn
- 4ze of connection Assessment paid
iup
City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME,'. ..— PERMIT NO. : —
DATE:
O. : _DATE: ..ZJL DATE ISSUED:
OWNERS NAME . . P-< -
I AD DRESS . L •31`�
CONTRACTOR :_ -LC11s, cam. e"42J<
I
TEST* Air ❑, Water ❑ ,, Visual J/, Laboratory ❑
RESULT: Approved ,� Disapproved ❑ Pending ❑
I f —
SKETCH:
I
I
I
1
i
I INSPECTOR DATE
ICOTE: Attach supplemental toot data herst.10
� I
City of Tigard
INSPECTION RECD EST
for
1 INSPECTION TIME : PERMIT NO.: _
DATE: DATE ISSUED:
OWNERS NAME : -T-
I
ADDRESS :
1
CONTRACTOR . "'T 3/ S
TEST: Air C, water fJ , Visual C , Laboratory p
RESULT. Approve Disapproved Q Pending p
SXETCM:
1 y
I
I SP CTOR DATE
ILNOTE. Attach supplemental fee! data horst:
7�>.•,,,.+W�nU9YiQveY+oh:enwwow..nw..we.r.+,......wr.X,^.m`2-^7»SYr...:..a M4..........r .T......,u-r.,,r.,..,;.,�,.. ....+.eMyN,pHy,yp�,,.
✓ ^7 a
ITY OP
BUILDING PERMIT APPLICATION TIGARD DATE. F�hru°rY 1 ', 19 �6N" 0678
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HENEIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEQJkCATIONS. OWNER PHONE_,
OWNER %t�r Ittin !)syelap7me . ' '>AoofiEss 15745 S.W.L�HifjAf y,rld +fit. u�1.1-� F1L-)i
BUILDER PHONE
313me ENGINEER
BUILDER ARCHITE T
DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
=❑BOND _❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
UCCUPANCY__ LANp USE ZONE _BLDG.TYP[ FIRE ZONE_ PLAN CHECK BY__ HEAT
r .�c_i: w i. Lh attached garage. No belswmant.
9CC. LOAD FLOOR LOAD HEIGHT NO,STORIES AREA VALUE '`1 f 1�IQ
BUILDING DEPARTMENT t t1
--- SET BACK; FRON1 REAR LLF"I"51DE ` RIGHT SIDE g
Permit -- __--=— ---- — ----- _--- —.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ' 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
%State " 311 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
^ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Totala"r . " I.,,,t I�E+plE3f't:ltta4
By
I—"^ APPLICANT OR AGENT
Approved Receipt No.
AOURE55 PPONE
b/-? 7
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ` .« .�%--
%�Z'- Permit No. 0370
3^'7s Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Cas or Oil A- 030
Rough-in _
Firal _
--- ---- v - SEWER Q
_ Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk tl 3' �G
_ Curb&_Street Final _
Approach L G
61-DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
�) CERTIFICATE OCCUPANCY Final -
// landscaping
/ Zoning Final
G
i