11680 SW SHEFFIELD CIRCLE-1 11680 SW SHEFFIELD CIRCLE
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CITY OF TIGARD
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Owner, _czntury 21 Homes Permit Na. 4918 �� r
Address: 7160 sW Hazelfern Rd. I T
sic SW Sheffield Circle ? a
E � Building Address: 116 i�r r
f icy: R-3 Land Use Zone: x-7PD Bldg. Type -
5 COII1nleIIts• Construct single family dwelling w/attached garage.
October 19 84 `
�► Certificate is hereby given this 25th day of
that said building may be occupied and that it complies with all . a4
for the Ci of Tigard, as approved
c =i
requirements of the Building Code
City g ,
by ttie Tigard City Council.
Fire Dept. g Inspector 5°
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Al
r- Building Official —�
Poe t--tificate in Conspicuous Place =
•ewe` ?�. � ':: R:� `5.� 1� 3s� ; +5` s i,. � ,.A.. �► 7-.:c
INSPECTION NOTiC.E
of Tigard Buildi^ Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 839-4171
Type M Inspection _ -- --
��
Date Hequesteil a - / TimeA�<-
A.M.__ P/./MQ
Permit ;,
Address
Owtier_-' Lot
I
Builder
The following Building Code deficiencies are required to be corrected:
I � I
I
Presented to Approved
Insperfor �.. Disapproved
Date
CALL FOR REINSPECTION
[] YES ,21 40 j
owl W
Bui16ing Permit No. -4 `
Location
.ate
[late
Certification of Registratior.
With the Builders Board
doing business as (dba) , "
am registered under the provisions
of ORS Chapter 10 V Oregon ilrxnebui ldcrs Law) .
toy Builders Board Registration thnnher is �
MY registration is in full force and effect and expires on _ ' / '07 �
Signature
BUILDING PERMIT* APPLICA 10N TIGARD DATE July -u—_ 4918
491 8
THE UNDEFlSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE .
go LOT NO.__Id
OWNER Century 21 l{UtnejJ08ADDRESB I 1043 5}4 Sheffleld_.S:iZit
_____._
ARCHITECT
ENGINEER
BI!ILDER saume ADDRESS 716U SW'-kisz� DESIGNER
_ +t.il� _ ��-----____--- -.— i
:'RUCTURE Ld NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[YRESIDENCE ❑ COMM FJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PA110 ❑ CARPORT ❑ GARAGE ❑ STOT`lAGE ❑ SLAB❑ FENCE
OCCUPANCY y X-3 LAND USE ZONE .__11-7 k BLDG,TYPE __.._LAi __FIRE ZONE __PLAN CHECK BY _IOU,HEAT- JAi=L
(;ansLrt4ct -single family dwelling; wj attach uAArm RA,
outhrugui 2 Bedruu- _
SEWER PERMIT# 2792.2_ Gurnau 39ki—
OCC.LOAD FLOOR LOAD 40 HEIGHT 254• NO.STORIES_ AREA 1233 NO.BEDROOMS 2 VALUE Ail I�Ulf
BUILDING DEPARTMENT SET BACKS FRONT i! REAR ldl_ LEFT SIDE RIGHT SIDE _
--I
Permit L7•.�•5U_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CrJNTAINED IN THE BUILDING CODE. ZONING
14EG"LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 � 1.113 wt:.!K WILL BE DONE IN ACC: RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH AL! APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal •45).5? RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED r•.JR SEWER,PLUMBING ANO HEATING.
State Tax 1 1• I G
SDC-
Totag 4 10.h7
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PDCM I I SU�UI1 _A PLI.�t'I�T ISA-GENT J._
BY CII
Receipt No.
Mpprou,d IItt ADDPE88 PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
—T—
Permit Nu. av
Rough-in
Fixture
HEATING
Contractor
Permit No..
Gas or Oil
RoughJ-1
rima
sEW9R
DRIVEWAY
Final
Storm Orminage
(Frain Draln)Final
Sidewalk
Curb&Street Final
1,pproich
BLDG.. CdPT.FINALT---i6NIp6RAHY CERTIFICATE OCCUPANCY Final
CERTIVICATE OCCUPANry
U idscaping
II
Zonint Final
�' IiVL"z1t511���(.l.l ht• f !.0 r�tt.:r r .,n
(In AS ,IIO1VMt#N0A PROVED IN THE ACCOMPANYING 1'l ANS ANU 51'ECIf ICAI'IUN:i. J --
l.nr NO.._
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11111 � ARC/IITECT C-
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f-) ADUFtErrii �� I t)F$IGNER_
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