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COMMOMMINS
DEEB 0ILSTNICrioN 83039969
Be it known by these presents that I (we) hereby acknowledge and
agree to the following conditions with respect to construction
on property located at __ t,tlin s-y- i�rasn «+jA:r
1 . The Temporary Certificate of Occupancy permits use of only
those porti,Ans of the structure which comply with all
requirements of the City o! Tigstd Uniform Building Code.
2. Use: of the unfinished portions as stipulated bexow is not
Permitted. _ u,Jiniahad b•ornrnl
]. This instrument is to be executed, notarised and delivered
to the City. The Owner chail pay all applicable fee4,
and the Building Official rhall cause this instrument
to be recorded in tha deed records of Washington County,
Oregon.
1 . Oc.:upancy of the unfinished portions is conditional upon:
A. Application for a Building Permit.
b. Satisfactory completion of conttrurtion ruraurnt
to the 8uildino Cade within ___month. cram
the date herao;.
c. Final inspection by certified Building Department
personnel and Jssuance of a Final Certificate
3f Occupancy.
5 . When all canditior;.a for c••�mpletion of the unfinlsheI
portions have been sat!sfied, the Final Certificate
of Occ%iVnncy shall be issued and thir De"d Pe.strJcticn
released.
Signed:
Owner(s1. _ i:-ate I(D
Date,.Jk_1?X:& ._
Builder. __Date_
Notatr 4"-,fAA.. -,•f�i i .r Date_
nae a osrOOM {
Tat Ce"M wwMnetew f At
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1981 OC 1 2y PM 1: 2U
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IASHINGTON CO.
RECORDING
P14. 648-8751
# 83039969
RECFEE -5.00
• ST •`.00
CASH -,'/.Go
CG .0.00
CLERK 0001 20840
10--28-83 13:23
t
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested,---""—'--1Time A.M. P.M.
Address - Z,11 7 P Ir"oin �:4mlt
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
<:--e
6/
Presented to Approved
Inspector Disapproved
Date
CALL FOR RFINSPFCTION
(- I YES P1 NO
i
` INSPECTION NOTICE I
Citti of Tigard Building Department
12420 S.A.Main St.
Tigard,Oregon 97223
Phone 639-4171
Type of Inspection -
-A—
P.M.
�G Time A.M.
''.
Date Requested__..__ � �---"'-- 1"
41 r� Permit #
j Address _ L.at # ----
owner
Ruildev
'fhe following Building Code deficiencies are required to be corrected:
_ --_
- Approved
Presented to -
�. �- oisapprcved
Inspector - %s
Date ------ - -
CALL F R REINSPECTION
J YES 0 NO
BUILDING PERMIT AP"'LICATION TICARD DATE_.__ Z w 19 83 4,5?
T{F41NDERSIGNED HEREBY APPLIES FOR A PERMIT FOP. 11E WORK HEREIN INDICATED BUILDER PHONE ._ 6151-__.
OR A", HOWN AND APPROVED IN THE ACCOMPANYING PL.i+NS AND SPECIFICATIONS. OWNER PHONE __. ._
LOT NO.
OWNER ?r16"Irs. ,lean I11JWNDBADURESS I I IJO ur;aril C'kbwe i77' --
-
17414 .,1. 1',v Ytlea r'e rry ARCHITECT
(c+rh tiller Ca+izt. 1.0m Oswears ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE Ll NEW C] REMODEL Ll ADDITION ❑ REPAIR C] RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
I:3 RESIDENCE L-1 COMM C1 EDUCATIONAL C J GOVT ❑_RELIGIOUS ❑ PATIO 0 CARPORT !] GARAGE: R STORAGE ❑ SLAB❑ FENCE
OCCUPANCY '-AAND USE ZONE '' BLDG.TYPE _r)'1 1'IREZONE PLANCHECKBY --.-,--- HEAT-.
�-arage.
SEWER PERMIT# a r.n..?s t; • _
OCC.LOAD FLOOR LOAD HEIGHT d(.7a NO.STORIES _ 7 AREA 'NO.BEDROOMS � VALUE
NG DEPARTMENT !*0I Ih•OL1f1
BUILDIPARTM _
-^ SET BACKS FRONT '� REAR LEFT SIDE I 1�� RIGHT SIDE 2�?}1
Permit '
THIS PERMIT 15 ISSUED SUBJECT 'f0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HERERY AGREED THAT THE
Plan CheckWORK WILL BE DONE IN ACCO(iDANC{: WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total7562-0 RESTRICTIVE COVENANTS. CONTRAcrc)9 AND SUP, CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWkR,PLUMBING AND HEATING.
_ 1t�.32 ^, n
SDG - '' ` �.r•.+�""'.^-^^`"'_�
Tota_Ii W.12
PDCpAJ 1 �APPLICANTO 9 EN7 T By 4;7
Peceipt No. _ __.►__..—.
Approved ADDRESS P JN —'
r•
-AIMAM
DATE INSP. TYPE INSPEr:Tlr)N REMARKS PLUMBING I DATE
5ntractorc. Of
a P/41�
PerniltNo.
0 ini
FixVre
Final
HEATING
Contractor
pf h--�7
Oil
Imk-
I kJ 74 L Final
SEWER
002 ot-1
Final fl�
DRIVEWAY
Final
Storm Drainer
(Rain Drain)Final
si
A Car &Street Final
-7VL-K
BLDEFT.FI CERTIFICATE Of.CLPPA I. —TTEMPORARY NCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
S" S'
DATE--
BUILDING PERMIT APPI lCATlON TIGAi,D __ / ` __ .I`� �:
-- C 3 7797
THE UNDERSIGNED HEREBY APPLIES FOR A PERIMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE�----
OR AS SHMI
OWN AND PPROVED IN THE ACCOPANYING PLANS AND SPECIFICATIONS. OWN EP P ONB
� No..��Cttf..- -f_--
O'!'� �—
+ �7 V I �' NGHNEER
BUILDER ADURESS --L�(I OFSIGNER
STRUCTURE NEW - ❑ REMODEL ❑ ADDITION_ ❑ REPAIR _ C1RENEWAL C1 FIRE DAMAGE (3 DEMOLITION
aIRESIDENCE ❑ COMM ❑ EDUCATICIIAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAA PORT ❑ GARAGE ❑ srORAGE ❑ SLAB❑ FENCE
OCCUPANCY " LAND USE ZONED__BLDG.TYNE FIREZONE__- PLAN CHECK BY HEAT
SEWERPE,11+11T M
GCC.LOAR FLOOR LOAD_4 HEIGHT sAyt- NO,STORIES Z AREA �� y" NO.BEDROOMS �J VkLUe a1013
BUILDING DEPARTMENT � �
SET BACKS FRONT 111. REARO, LEFT�IOf: RIGHT SIDE ZD + -
Pnrmit s�!/ 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 9 �O WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- WI1H A..L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
� ENSE.
trtotal X76 RESTRICTIVE COVENANTS.CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
I
I State Tax f G Z-
-" �� ,, - SOC-
Total !Ja
- PDCk APPLICANT Ofl ADEN;-�
By
_-- Receipt No. ADDFESS —�J--�-� -'FMONE
LApproved
YULI PS
11!� r' S
PDC -
3v rV
SEWER CONNECTION
5EWE4 NSPEC
5EWER SURCHARGE
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