13185 SW SHORE DRIVE ULJUU # 00
13185 SW SHORE DRIVE
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I -,,,kTjE OF OCCUpAVCY
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CITY OF TIGARD
OREGON
Owner: Tom Miller Permit No. 5484
Address: 18270 SW Hnnnps Fprr3,z RD-, TiaArrj
Building Address: 111,85 SW Shore Drive
Occupancy: R-3 Land Use Zone: R-4...; Bldg. Type 5N
Comments: Single Family Dwelling w/attached garage
2 bathroom 3 bedroom Re—issue .-,f Permit #5050
is
Certificate is hereby given this 6 day of Sentember 19 35
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that said b-illding may be occupied and that it complies with all
requirements of?he Building Code for the City of Tigard, as approved
Council.
by the Tigard CU.,
Fire Dept. d g Inspecte
Building Official
Post CertMcate in Conspicuous place
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INSPECTION NOTICE I
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
D+:te Requested �." _ Z — Time A.M. P.M.
Address _) Z 3- k X14–d AZI.2 Permit
1 Owner Lot #
Builder�. '�` •'h.�l _��t� fll�.�–...., _ -- ---
The following Building Code deficiencii, are required to be corrected:
— AC-
Presented
Presented to /Approved
Inspector _ �-�` �_] Disapproved
Data
CALL FOR REINSPECTION
I L7 YES /NO !
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mair. St.
Tigard,Oregon 97223
Phone: 639-4 171
Type of ns er io
i p .t n
I _ -��-�
Date Roquesta d_ –. Time^_ A.M. P.M�
Address �..� 5_~ �- —. ----. Parmlt SIM
Owner—_—.�-- _---- — Lot # 111
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ❑ Approved
Inspector —. Disapproved
Date
CALL FOR .REINSPECTION
YES ❑ NO
I"JSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mein St.
igard,Oregon 9727.3
Phone: 639.4171
Type of Inspection / -- --- —/
Date Requested__ -L ime__,�� A.M.
Address —L1— L'v_=. 'Permit
l Owner -- ' 41 -- — —_, Lot
Builder -- —�-=-- f ——
f zz
The following Bui,ding Code deficiencies are requited to be corrected:
G1 T�
1
Presented to _. Apprnved
Inspector _^ _�C �... Disapproved
— /
Date --- "�
CALL FOR RETNS .CTION
[] YES 1 NO
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BUILDING PERMIT APPLICATION TIGARD DATE —�t—� -? — 5464
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN NOICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN-. E ACCOMPANYING PLANS AND SPECIFIC!,.'IONS. OWNER PHONE
LOT NO- 13 --
OW_NER A41., Imo._____ JOB ADDRESS I�I dS :�Vd `aliC O IJriyt _ tiin�' -- -
ARCHITECT
a+i`Jl ENGINEER
BUILDER ADDRESS 18270 uW LkXat1eSE'Y�!!."2_� l'+�i�AES�GNER_, _
STRUCTURE IV NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _❑ RENEWAL_�FIRE DAMAGE F1 DEMOLITION
F';
CF TE IN P.j— TYPE INSPI "Ir V REMARKS JJM61Nt: � �DATE
ell
f1ZA71rtr'
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�J SEWER
.)RtvrINAY �1IT
(Rein:)ran;Final
——�� Sidewalk
Curb&Stre t Fiml _--
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BLDG.DEPT.FINAL TF,MO
- RARY CERTIFICATE O%.'CUPANCY I
C �� Af .—tl
ETi-ICE:."CC.)'4NCY
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BUILDING PERMIT APPLICATION TIGARD
MF UNDERSIGNED!iEREB i APPLIES FOR A PERMIT FOR TF;E WORK HERE!A IIIUICATED 0UILDER Pf•10tz- ;'U O—
OR A4 SHOWN AND APPROVED IN THE ACCOMPANYING PLANA SPECIFICATIONS. OWNERPH
\\ NO..,'l
'OB ADDR !SS / 7 0 cJ .� .CSG
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE Ef- EW _❑_REMODEL C1 ADDITION _❑_REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C3DEb10UTIC
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS �❑ PATIO ❑ CAN,-ORT ❑ GARAGE ❑ STORAGE ❑ Sly
OCCOPANCY - LAND USE ZONE BLDG,TYPE 1.-LIG— PLAN:HECK BY HEAT i
SEWER PERMIT If
OCC.LOAD FLOOR LO—ADT tl C% HEIGHT 104 NO.STOR ARE A 'I NO.BEDROOM P,LUC
E3UILDING GEPARTMENT SET BACKS FRONT REAR S LEFT SIDE RIGHT SIDE
rrr. —a+r'•�er sa�� -SID v�o rte- +..
Permlr - THIS PERMIT IS ISSUEO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CCOE.ZON'1
Tn�I``Jf REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 11
�PlaarC�Hu�ftt r' t� WORK WILL BE PONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COYAPUANI
WITH ALL APP'.XABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES NOT WAIT
Sub•tolal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO NAVE f:l1RRENT CITY 8U':IIJiq
J / / L UCEN.'E.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stite Tax SOC—
TUM � �J i `� G PDCN
APPLICANT OR AGENT
By
- Recelpt No. AppRESS --~w - --" P1iONE
A
SSDC
SDC
POC
SEWER CONNECTION
SEWER INSPECTION $ 3 �✓—
SEWERSU�RUE
r:a^finents
1-4
� � r
flu i ld i ng Permit No.
L o c a t ion
Date
Certification of Registration
With the Builders Huard
1. j,M--AL_ A1 doing business as (dba) ,
*10regon
am registered under the provisions
o R COapter . omebA Iders law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
t
ignature
4
I
BUILDING RECEIPT
NAME: �/(� DATE:
ACCT M DESCRIPTION AMOUNT
10-•432 Building Permit Fees f U�
10-431-600 Plumbing Permit Fees f
10-431-601 Mechanical Permit Fees f
10-230-501 State Building Tax
10-433 Plans Check FFe
30- 443 Sewer Connection (20x) f ww 9-5 V
30-202 Sewer Connection (80x) f �!
30-444 Sewer Inspection f
51-448 Street System Dew. Charge (SDC) f G'U
52-449-610 Parks I System Dew. Charge (PDC) $
52--449-620 Parks II System Dew. Charge (PDC) f
31-450 Storm Drainage System Dew. Chrg (SSDC) $
10--230-505 TRF'D (951%) E
10-478 TRFO (5%) $
10-•130-506 Washington County Fin N1 (95x) f
10-478 Washingtoi, County Fire 01 (5%) f _
10-220 Awmrt/Wedgewod f
TOTAL
AV 9`�
(bs/1214P) ��'�, (� ?�j-n1 �U