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13215 SW SHORE DRIVE 13215 SW SHORE DRIVE H A a H O N u'1 N M 1 4. .. ........ ..... V _x'TE OF SCC � VCY CIER:a s CIT OF TIGARDOREGON a ■ t_tT Owner: Michael Johnson Permit No. 5418 ' -� ' Address: RFay on OR 97005 —1.00.0•..—SW Slues P1arPi— , _ _ s , Building address: 13 15 .1;WSrnrP 0r;v � F s f � Occupancy: g,3 Land Use Zone: R12 Bldg. Type 5N �'3;• Comments: E` Certificate is hereby given this 30th day of December , 19 85 _ t that said building may be occupied and that it complies with all .. requirements of t':e Lundin Code for the City of Tigard, as approved b the Tigard City Council. g g xw �.. ,Y Fire Dept. Building Inspector s. 2ui1ding Official ` r Post C.ertiiicati .;onspicuous Place � 4 - -- -- ...._ .__ 'mac. i � '•gym..- `_ =?+ _..y "f .-�. - �, '- "'-.mac•� � �/��+�.��---'� -•'' w�'�� q''�Oa�° „�S� :;'' C;. INSPECTION NOTICE City of Tigard Building Department l it420 S.W. Main St. Tigard,Oregon 97229 / Phone: 619.4171 i Type of Inspection . LLIz �. ------- - -- ----.-------- Date Requested Address __I–✓� /S ,S f��� � Permit �— Owner_.----- Lot #-.-- –--— Builder __ — --------The following Building Code deficiencies are required to be corrected: Presented to Approved L. '1 Inspector {ll1iL"'' — Disapproved Date _-- CALL FOR REINSPECTION ❑ YES ❑ NO �t INSPECTION-NOTICE City of Tigard Building Department/ J� 12420 S.W. Main St. / Tigard,Oregon 87223 I + Phone: 639-41'1 11 Type of Inspection —.— �� '�' -. Date Requested _ /�'' "'`�-'� •�� Time_ A.M._ X' P.M. f Address -- = / —��- — ��--� Permit # �I Owner_. _ Lot # _ Builder The following Building Code deficiencies are required to be corrected: --� AC Presented to— --_ -�—_— -- �-� Apprr,dd Inspector _— . � /��0D1sapproved Date -- CALL FOR REINSPECTION BYES ❑ NO W W w w AA[ W 'x1 W INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested_ '= iynl Time_. A.M. Jc- P.M. Address Permit Owner_—_ Lot # Builder.--.-------- The uilder.--. — - The i-ollowing Building Code deficiencies are required to be correo9d: /�1`� L-1a t_r.� �C'����', l� r Erl�cr__._r�✓� T r!\! L.. -- _ rl ,izIV ,,:y� �L✓f' f- .i/cT/ nim �i,,�-r Presented to ---- ❑ Approved Inspector ",00061aapproved Date — CALL FOR REINSPECTION ,KYEE 0 NO I — 1 INSPECTION NOTICE City of Tigard Budding Department 12420 S.W. Main St. Tigard,Oregon 97223 ! Phone: 839.417' i Type v InspectionL11�---- Date Requested__ -7 Time A.M.__ �—P.M. Address _ �=S %�� �'������ Permit # Owner — Lot # Builder __ _ ----------_ The following Building Code deficiencies are required to be corrected: ' v �G 1 Presented to - _— — — _ Approved Impactor _�� ❑ Disapproved Date - ---' CALL FOR REINSFECTION ❑ YES -r- NO II IIS 'B INSPECTION NOTICE { - _ 1 City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 y Type of Inspc-ction —____ter�'� 'f �E7 Datt Requested ✓-0' Time A.M.-'`�"9Pi- Address Permit ;F, Owner A A A Lot Builder The following Pudding Code dficiencies are r quired to be corrected: All 421 Presentedt #,a Approved Inspector _— -BfSl iproved [)ate CALL .FOR INSPECTION YES ❑ NO INSPECTION: NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 6'19.4171 Type of Inspection Date Requested_ _� Time A.M. P.M. Adu•ess -- Permit # _ Lot Builder The _— The following Building Gode deficiencies are required to be corrected: Presented to Approved Inspector [] Disapproved D;rrf, 115: CALL FOR REINSPECTION ❑ YES YJ NO 1 BUILDING PERMIT APPLIC4TION TIGARD DATE _ is t15 5418 THE UNDEF.SiGNED HEREBY APPLIES FOR A PERMIT FC,I THE WORK HEREIN INDICATED BUILDER PHONE _!43-6275_ OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. �— OWNER i.cilael Johus3or► JOBADD9ESS W A.5 614 chore oriye W&;nterlake I ti. 97005ARCHITECT ENGINEER BUILDER Same ADDRESS 10005 1. Silver Place DESIGNER STRUCTURE 12 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION X(RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ bLABC, FENCE OCCUPANCY LAND USE ZONE _ 5-12 BLDG.TYPE 5N FIRE ZONE PLAN CHECK BY 5CR HEAT _ Con.Btruct single tamily dwelling w/attached gdrast. Subject t.0 $150.610 1.ea.con Heightils & $3(IU.00 Amart/k,,dgewood Sewer Surcharge. SEWERPERMITM 11,448 _-_-Garne 32t, OCC.LOAD FLOOR LOAD HEIGHT Ili _ NO.STORIES 2 AREA_13 10 NO.BEDROOMS VALUE 45 X000. _BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE A r RIGHT SIDE 6 Permit 260.5u THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, P.ONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEAEBY AGREED THAT THE Plan Check 1a,J.i WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFicITIONS AND IN COMPHAP'!�'E WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 44.9.83 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITF BUSINFC13 LICENSE.S�PARppTE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 10.4 (. J... SDC-- $500.OU f Total 44 ".._ BY CZ PDC#) 4%15U.jX)j AP0LICANT OR AQERT -� Approved HCR Fecelpt No. s ADDRESS �REWN INSP.. I rPg INSPECTION REMARKS PLUMBING DATE L 7, r";t No. 1;ough,in Pixture HEATING j, 301 Permit No. G Rough-in jillial 1.2 SEWER Final DRIVEWAY Vosl Storm D,aitilge (Pain Drain)Final Sidewalk Curb&Su eat Fin , Approach VJ-DG- DEPT. FINA. TEMPORARY I CERTI lcilii6CC'UPKNCY CFRTWICATE OCCUPAWY Final ,F LAI.,iscapifig —e1 on i!j Fioe' BUILDING PERMIT APPLICATION TIGARD c THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INJICATED 8UILUcR^HONE OR AS SHOWN AND APPROVED IN THE ACCOtf PANYING PLANS AND SPECIFICATIONS. OWNER PH(?NE .— cr�iNER // bbF1 S _ 9 `-/ nRcrllrECr ` , ENGINEER BOILDEA DESIGNER ADDRESS I(Y't'�)� ��-<_l L� %��i 4 STRUCTURE �_'O NL-W ❑ REMOOE'L CJ ADDITION ❑_REF'AIR _Cl RENEW_Al O FIREOnMAGE C1 OE�AOII RESIDENCE C] C01�+�1 (] EOt;:AT1UNAL C] GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAF PORT ❑ GARAGE G STORAGE C SU1BO FI SLOG.TYPE _ FIRE ZON'f. PLAN CHECK 8T _HEAT O�,-CURANCY _LANO USE ZONE SEWER PERMIT I - - HEIGHT NO.STOAIES AREA NO.BEOROOM� VA.LUr OCC.LOAD _FLOOR LOAD -- _ RIGHT SIDE BUILDING DEPARTMiNT SET BACKS FRONT REAR LEFT SIDE porrnft iIT Is 1'SUED SUBJECT TO THE REGULAYSONS CONTAINED IN THE BUILDING CODE Al rlls PEi1UA REGULATIONS Aho ALL APPLICABLE CODES AND OROINANCM AND IT IS HEREBY AGREED THAI �P1aA�.IN WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPUI WITH ALL APPLICABLE CODES AND ORDINANCE.,. THE ISSUANCE OF THIS PERMIT DOES NOT V I su."otal RESTRICTIVE COVENANTS.COPTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI LICENSE.SEPARATE PERMITS REOVIREO FOR SEWER.PLUFAgl?IG AND HEATING. Sta1w Tax SDC-- Tota) Ap{*u(;ANTOR AGENT By , Receipt No. ADDRESS —�� — ntor�E Approved S 0 C - _--�----- POC SEWER CONNECTION S __ .. r ;EWER INSPECTION 8 SEWER SURCHARGE S r ter+ 96 .3/ yy'3 � z. l� 1 Bu i I d i ng Perm it No. Location Uate Certification of Registration With the Builders 6card 1. /P� �. � doing business as (dba) , am registered under the provisions of ORS Chapter MI Oregon Homebuilders Law) . My Builders Board Registration Number is MY registration is in full force and effect and expires on �gnature BUILDING RECEIPT NAME: / DATE: _ ACCT. N DESCRIPTION AMOUNT 10-432 Buildi..g Permit -yes 10-431-600 Plumbing Permit. Fees � I 10-431-601 Mechanical Permit Fees $ �/"""` 10-230--501 State Building TaK $ �G� cel`- p 10--433 Plans Check Fee $ 30-443 Sewer Connection (20X) t !� 30-202 Sewer Connection (80x) 30-444 Sewer Inspection 51--446 Street System Dev. Charge (SDC) 52-449-610 Parks I System Dev. Charge (PDC) 52-449-620 Parks II System Dev. Charye (PDC) rte. 31-450 Storm Drainage System Dev. Chrg (SSDC) s � � �✓ 10-230-505 TRFD (95x) 10-478 TRFD (5X) 10-230-50,, Washington County Fire N1 (95X) T� 10-478 Washington County Fira N1 (5X) V, _ ' •rT 10--220 Amart/Wedgeweood TOTAL e. ' ( I '0 s (b•/1214P) (/