13295 SW SHORE DRIVE M --
1-3295 SW SHORE DRIVE
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K CITY OF TIG ARD `
OREGON
Ton Miller Permit No. 50-36 _
Owner: �: ?•
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Address: 18270 SW Boones Ferry Rd. Lake Orwego
Building Address: 132+5 SW Shore Drive
Occupancy: R-3 La1ii Use Zone: R-7 Bldg. Tvpc 5'i
Comments: 4 bedroom, 3 bath residential home
th January , 19 8= t,
Certificate is hereby given this 4 day of
that said building iriay be occupied and that it complies with all _
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requirements of the Building Code for the City of Tigard, as approved
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{ by the Tigard Citv Council. `
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Fire Dept. wilding Inspector
` Building OfficitJ -- s
Post Certificate in Conspicuous Place
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BUILDING PEI iMITAPPLICATION TIGARD DATE ;eptember 2.0 19 8k _QJF
THE IJND''HSIGNED HE-HEBYAPPt_IES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUu.UER PHONE 62A-141�L_ _
OH AS SHOWN AND APPROVED IN THE ACCOMPeI'1% *IG PLANS ANU SPECIFICATIONS. OWNER PHONE _
LOT
OWNER .IUHADDRESS
------+ _----*HCHITECT
ENGINEER
QUILLER '4,4u: _ -_ _ ADDRESS 18210 S wrte9 Ferry- DESIGNER
STRUCTURE F;t NEW W ❑ REMODEL ❑ AUDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q RESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV'T 1 RELIGIDUS f1 PATIO El CARPORT ❑ GARAGE 'Ll STORAGE I] SLAB FENCE
OCCUPANCY _ R"3 _ LAND USE ZONE R-"7 —BLDG TYPE 5N' FIRE ZONE PLAN CHECK BYCHEATS
_^ Conatruct single family dwellingwjattached garage.
_ r%e—l.eRue of Permit #4628 / Subject to y360.UO Amari/Wedfewooll Seloor Surcuar6e b
$I,U.OU to 1.eron l eighth Sower Surc.haxge
SEWER PERMIT# A.7967 _ _Garage 435 __—_— _111 Hithroom 4 Bedroom
OCC.LOAD FLOOR LOAD it)HEIGHT J1VNO.STORIES 1 AREA 1b86 NO.3EDROOMS 4 VALUE 13 ri111(J.
BOLDING DEPARTMENT SETBACKS FRONT 21" REAR 15 b LEFT SIDE 115 RIGHT SIDE
Permit 352.GU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANP IT IS HEREBY AGREED THAT THE
Plan Check �'I�•()U _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFr,IFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE ^.ODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 392 aOU RESTRICTIVE COVENANTS. CONTRACTOR AND SLID CONTRACTORS TO HA\'Q CURRENT CITY BUSINESS
�J LICFNSE.SEPARATE PERMITS RFQUIRED FOR SEWEIN,PLUMBING k'ID HEAL INC.
State Tax 14s08
—._ SDC—
Total 406.08 i 15U.UU ---
-— PDC# �5U•Ul3 APPLICANT(JR-AQENTY -
By C1.
Receipt No.
Approved 5.0 ADDRESS -- - PHONE---
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE.
Pwrnil 0,40
Fixture
cp
FinAl
HEATING
Contractor
4 rerml,N
(ins or Oil
Final
SEWER
Final
CRIVEWAY
Final
I Storm Drainage-
Main Drain)Flne'
Sidewalk
Curb&StraptFinal
-
Approitch
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
ccm nCATE OCCU.', N%.:f Final
Li-ndtcspl-ig
7oning Final
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NUiRSIGNEOHEHcdY Alh'LILSf014 AI'tHhill 1-0" ItIL rvU'4ntit 1Ic11v11vUIl.NILU uuiLU4.04 (
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T H E U OWN .Ft v ,4q1-
Gf: !.i r,1{01VN ANO APPilOb c0 1N THE ACCOMPANYING PLANAfIJO SPE�1f ICATIOIyS. —
�,jo� S_.<.c,J �.>//i�E�St�je�,(lj�C ><( Lor No__t -• -----
O'.VwEF' !00 HOOK ARCHITECT - -
-- 49'1t-�(./ ENGINEER
�_ OESIG:VEH _
!TnUCTIIR9Jr4EW ❑RF'king EL —_ QADOIIIOW �- `JRcP:IR_ ❑RE.VEYJAL ❑FIRfUAUi;E l–IOV-1OU�
nESIL7C•"IC:E UCatGrll UEOUCATIONAL ClGOV'T U..jEt.IG10US�1PATIO ❑CAR PORT UGARAGE ❑STORAGE UiLAB OF "
1
AND USE ZONE_ OLOG.TYPE ►'LAN CHt_Ck BYE�- HEAT :L
CONSTRUCT cTr`rr >: FAMILY DWELLING IN(' W/ATTA(:t{Ell GARAGE.
:ji�p�F'GT r0 3iuG1 =� /A?IAhZT ��rf i) rs/R\�i0o1J St`IVE_�
t,,WC_uAL)Pr + / =50L. r20,��,�Ic 1+ BATHROOM �BEUKOC:i -
SEWER PEEMIT ---
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:y��t,4 '_ FLO�,a 1 SAD HEIf►1 l NO STORIES -� AREA.,&" NU. lQfW AI � YA t i„ida
I 9111L41N']OEPA'i f'qENT SET BACKS FhONf REAR 6 LEFT SIDE 5 RIGHT SIOE
1-- THIS PERMIT IS ISSUCO SUBJFCT TO THE REGULA7 'ONS CONTAIN!" �N TIIF. 13UILDING GOOF, Z
kI -:.4N Check 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEPIFSY AGREED THA
F----- - WORK WILL BE DONE IN ACCO rlDANCE WITH THE PLANS A.4D SPECIFICA TIr7NS A140 IN CG'LIPLI,r'.NC%
jU7.IDfJ) fir/ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
C
I JC RESTRICTIVE COVENANTS. CONTRACTOR AND SUB JAITRACTCIR► TO HAVE CI'JRREIIT CITY BUS
/ LICENSE. SEPARATE PERLIITS REO'JIRED FCR SEWER. PLUMBING AND :::ATING.
crate Tax /
SDC
Tuu► II � � PDC# -
r APPLICANT On ADEN f--
LApproved I ��'�7 Receipt No.
r1nNE55 ----PHONE '~—
•
SllC (Storm
SDC �-
POC
SEWEr CONNECTION
SEWER INSPECTION S
SEWER SURCHARGE $ aotlr\,KT
/��VERGE\�in�L7
f-nInments : l `
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`/_ 7. Sy
Building Permit No.
Location ,LL' l
nate P��.�, *�. /�r
Certification of Registration
With the Builders Board
1 doing business as dba
dc,,u_ am registered under the provisions
of ORS C apter 701 Oregon Homebuilders Law).
My Builders Board Registration dumber is
My registration is in full force and eFfect and expires on
Signature