13175 SW SHORE DRIVE 13175 SW SHORE DRIVE
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CITY OF TIGARD
OREGON
Owner: To Miler
Permit No. 5289
AdcL-ess: 18270 SW Boors Ferry Rd.,
13175 SW Shore Drive
Building Address: — R-7 Bldg. Ty 5N
;7 Occupancy: R-3 Land Use Zone: pe—
Comments: Constrict single family dwelling w;attached garage
August —
19 85—
Certificate is hereby given this 14th day of
V I that said building may be occupied and that it complies with all
Code for the City of Tigard, as approved
requirements of the Building Co
by the Tigard City Council.
Fire Dept. insper
Building offle-al
Post Certificate in Conspicuous Place
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AFm 4W
W y
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. j
Tigard,Oregon 97223 l
Phone: 639.41771
�y1
Type of inspection �• �
Date Requested �7 Time A.M.—P.M.
Address _L=' L___r___=, �'� '�-� �Z'�L�- Permit #
Owner— _. Lot 41 _.
Builder .
_: t
The following Building Code deficiencies are required to be corrected:
;
115
Presented to _. Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION i
F-1YESl NO
- I
INSPECTION NOTICE
City of Tigard Building Department
1247.0 S.W. Main St.
Ti arci,Oregon 97223
hone: 639-41
Type of Inspection
Date Requested � Time_ A.M. P.M.
Address / f _JCC Permit #1,2..1
Owner ----..—-- Lot
Builder — ---. — --The following Building Codp deficiencies are required to be corrected:
Presented to _�_ --__ _--- � Approved
Inspector Disapproved
Date
CALL POR REINRPECTION
YES A!�'NO
BUILDING PERM!TAPPLICATION TIGARD DATE -'_ __.,tsa=' 5289
I'HF:UNDEHSIGPJED HEREBY APPLIE' FOR A PFRHIT FOR Tt,`::WORK HEREIN INDICATED BUILDER PHONE b2U••74 lfi_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND Sr'ECIFICATIONS. OWNER PHONE
'_OT NO. ` _
OWNER Tori "'i.tikrr JOBADDRESS 131 j Sly Snore drive Winter lake
113270 SW floones Pt rr ARCHITECT
Y ENGINEER
BUILDER S.1pJ _ _ADDRESS Tigards OR 97224 __ DESIGNER
STRUCTURE IM NEW ❑ REMODEL ❑ ADDITION FJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
PRESIDENCE U COMM ❑ FDUCATIONAL ❑ GOWT ❑ RELIGIOUS Ll PATIO ❑ CARP )R1 ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
4 OCCUPANCY _R-3--LAND USE ZONE K-7 BLDG.TYPE 5 h ____SIRE ZONE__— PLAN CKECK By tl" HEAT_Gals _
Construct Single familyda►ellrte& trached garage
Re—;.smus of Permit #50ti 1 3 lleirooms $ 2 bathrooms garage 445
SuL.,ject to $150900 Leron heights & $56U.00 Amart We,1gevmod Sewer Surcharge
SEWER PERMIT# 2PI7 1
OCC.LOAD FLOOR LOAD 40 HEIGHT I NO.STORIES AREA 1563 N0.BEDROOMS 3 VALUE 64.'x,
BUILDING DEPARTMENT SET BACKS FRONT _RGvR 47 LEFT SIDE 5 RIGHT SIDE s
Permit 325'UU , THIS PERMIT 15 ISSUED SUBJECT TO TI4E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4U*OU REGULATIONS AND "' f APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • WORK WILL N`_" DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
365.Uu WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSJANCE OF THIS PERMIT DOES NOT WAIVE
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
State Tax 47. 13.UU t, /.a u.
SDC-- 5UU.�,.
Total 3789010y.r_
PDC# 1 15LI.Ul1 AO ICANT 6RAGFMf
By
Gk• s b Receipt No.
Approved $ � + �• ADDRESS PHONE
PLUMBING DATE
O)kTE INSP. 11yr-C INSPECTION REMARKS
Contract
77
Permit No.
Rough-in
Fixture
HEAT ING
Contractor
L Permit No. 00,
Gas or C";
R 3ugh i n
Final
SEWER
Final
vRiVEWAY
Final
Storm Drajn!gn .—
(F.tin Drain)Final
Sidewalk
Curb&Street Final
Approxil
BLDG.DEPT.I-
cER*rIiT6-iTlL'OEC1jFANCy Final
:^ERTIF ICATE occur
Landsoping
II Zoning Final
BUILDING RECEIPT
NAME:_ m1n It 111,121
/- - Wz& �Z l DATE:
ACCT, y DESCRTPTTON AMOUNT
10-432 Building Permit Fees $ _2 .
10--431--600 Plumbing Permit Fees $ -`
10-431-601 Mechanical Permit Fees $
10---230-501. State Building Tax $
10-433 Plans Check Fee $ -/0 r
30--44.3 Sewer Connection (2.0X) $ __//0'
30-202 Sewer Connection 80X) $ 74t',', '
30-444 Sewer Inspection 3 _ c-6-
51-448 Street System Dev. Charge (SDC) $ _ 5jX-
52-449--610 Parks I System Dev. Charge (PDC) $ -""
52-449-620 Parks II System Dev. Charge (PDC) $
31-450 Storm DrainagQ System Del- Chrg (SSDC) $
10-230-505 TRFD (95X) $ -
10-478 1-RFD (5%) $
10-230-506 Washington County Fire N1 (95X) $
10--478 Washington County Fire #1 (5X) $
10-220 Amart/Wedgewood
(bs/1214P)
i
THE UNDERSIGNED HEREBY AP,'LIfF(- 11)li Al'kHhll I PUH ML vWlll� H01014IIvl1h.o11Lu
OR AS SHOWN AND APPROVED IN TFIE tCCOMPANYING PLANS PND SPECIFICATIONS, ovJNERPI'Crr__
Lol Na._ �
_7SVNEP u S LOBI ADDRESS - —y/1�' L I)l<_ Z L, A/T•
— ARCHITECT
ENGINEER
ADDRESS i • t a t Y`.11:-�---++�) / DESIGNER
STRUCTURE - • NEW ❑nc%i 1OEL ❑ADDITION _ L IREPAIR LJFENEYIAL ❑FIRE OAMACE ❑DE:.IQLI
!RESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T DAELIGIOUS[]PATIO ❑CAR PORT GARAGE U STORAGE❑SLAiI OF
0CCQPA?,'CY - LANO I1SE ZONE,-` -OLOG. TYPE--A _ PLAN CHECK BY,1—ir.Q HEAT—
GONSTRUCI SINGLE I' M,LY DWELLING WAI'I_'hIEM UA_RAQ '
_ BATHROOM > BEDROOM
SEWER_�ERf'1IT �J ��� __ GaraL'Ir 44
=..1_0Ap FLOOR LOAD ' ' 11FIGHT 1 NO.STORIES } AREA NO.9EDRODA15 VALUE
I S!11LOING OEPAR TMENT SET BACKS FRl1Nf REAR _4 7 LEFT SIDE j RIGHT SIDE -S
Pcrmit
1
THIS PERM UFO SUMECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ?G
I I•:rn'-hick REGULATIC ALL APPLICP9LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI
WORK WILL Bt . JE IN ACCORDANCE 1VITH THE PLANS AND SPECIFICATIONS AND IN CGhIPLIA.NCE
5.1`l•toul ALL APPLICABLE %.ODES AND O/!DINANCES. THE ISSUANCE GF THIS PERMIT DOES NOT N
j RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CO.NITRAC'.ORS TO HAVE CURRENT CITY BUS
C:D(R Tau I 1 LICENSE. SEPARATE PERMITS REOUIRFO FCR SEWER. PLUMBING AND HEALING.
i Total - SDC -
- -- P0c'#
APPLICANT OR AGENT
ApprOVH] �--_- Receipt No
�n�aFSS � r1OnE
DC (Storm)
PDC ^
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE i_1 v1`Y�..;E \��'� '�
Comments :
1�I i 1 ti i I 1
-_� _ _..
Building Permit No. 5289
Location —1317-5—SW Shore Drive
Oatc --- — —
Certification of Registration
With tine Builders Board
I doing business as (dba) , _
� — am registered under the provisions
of URS Chapter 701 Oregon domebuiid?rs Law) .
MY Builders Board Registration dumber i;
My registration is ip full force and of -ect and expires on
2Z'
Signature