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CITE:' OF T�'G�MhI�
OREGON
k,A Owner: Tom Miller Permit No. 3584
Address: 14800 Sw 92nd avenue
' f k. 9790 Sw Serena Wa
j Building Address: Y /
Occupancy: R-3 Land Use Zone: R7PD Bldg. T%•pe SN -`
Comments:
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�} i--( Certificate is hereby given this 14th day of December 19 81
;g g may�~tthat said buildin be occupied and that it complies with all
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requirements of the Building Code for the City of Tigard, as approved I )
° 1 by the Tigard City Council. = Lit, S
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j _ =r :ire Dept. Builds Inspector
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tPost Certificate in Conspicuous Place
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INSPECTION NOTICE
City of Tigard Building Department
'12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Permit
Address
Type of Inspection --- — --.=--mac _. ---- --.� -- --
The following Building Code deficiencies are required to be corrected:
Inspector
I'rewnted to — -
Date
a
GALL FOR REWSPEMON
❑ VCs 0 Na
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E3UIl_DI1\IG PERPv11'f APPLICATION TIGARD DATE ,19
t�1 3554
THE UNDEF,SIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 39-1 '0
OR AP GrtOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Pf9 ..-
LOT NO. .
OWNER TUln lliller. I, ijilcOUADDRESS 979U 5w 5u; lks a a -- _- - La n C
ARCHITECT
ENGINEER
BUILDER same _ ADDRESS 14600 SU 92nd Al/anus DESIGNER 5teVen'B E)ssAl�
STRUCTURE a NEW ❑ REMODEL _❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EYRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R� LAND USE ZONE R 7P0 BLDG.TYPE _ 5 FIRE ZONE_PLAN CHECK BY' __dMtL HEAT__QAA
Construct single family dwelling w/attachad gorag®. 3 Bedrooms 2 Baths*
SEE CORRECTION SHEET ATTACHED.
SEWER PERMIT# 23165 —_ 1750.00 Qia;���lZ __ag-Ft. _
OCC.LOAD FLOOR LOAD 40 _HEIGHT 1_4_ NO.STORIES 1 AREA 1512N0-BEDROOMS 3 V:-.LUC59 900,
BUILDING DEPARTMENT SETBACKS FRONT `� REAR 51 LEFT SIDE 11) RIGHT SIDE , n
Permit 1207.00 THIS PERMIT IS ISSUED SJBJECT TO THE REGULATIONC CONTAINED IN THE BUILDING CODE, ZONING
Pian Check 1[);j. ,0 REGULATIONS AND ALL .APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLCNS AND SPECIFICATIONS AND IN COMPLIANCE
31Q 50 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub•to'al _ • -'RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 8.213
sDC— ��400.U0
Total l 31 Us 76 --_-
pDC# T Y S>,100.0 d APPUOANT OR AGENT
By
Receipt No.
Approved ADDRESS � � PHONE
i
REMARKS PLUMBING DATE
DATE INSP. TYPE INfiPECTION -- --
-- f y1,z 2 ontractor P��Ul 4tiD1Cl _
J —.Permit No. 1,4 .41-10
Rouph•in
Fixture
Final
�? 20 tam
HEATING
Contractor 4
Permit No.
Gas or Oil
Rough-in
—---- — --`-- Final
SEWER
____-- ---� —_— Final
-- T DRIVEWAY
----- — --— --- - Pinel
— -- Storm Drainages
— �---- —_—�--_--T (Rein Drain)Final —
-- -- — — -- - — Sidewalk
— Curb&Street Final _
--- ------ Approach
BLDG, DZPT.FINAL — TEMPORARY CERTIFICATE OCCUPCY Final
CERTIFICATE OCCUPANCY
LandscoFinp
Zoning Final
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BUILDING PERMIT APPLICATION3S� �
TIGARD GATE, Pe4_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMI 1 FOR THE WORK HEREIN INDICATED BUILDER PHONE63Q
OR AS SHOWN AND APPROVED IN THE ACCOMIPANYING F)l•ANS AND SPECIFICATIONS. OV'lNEP PHONE
log.ADDRESS 9C S� !J LOT PJO 1 —
�r �y ARCHITECTENG INEES
I —"
EIU.L^ER i'� ADDRESS i> >`tf �� DESIGNER- 9t0uewf
STF',UCfURE NEVI _C_]_REMODEL ❑ ADDITION _l REPAIR Cl RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
RESIDENCE -COMM 0 EDUCATiCNAL ] GOV'T M RELIGIOUS 0 PATIO n CARPORT Cl GARAGE Ci STOR [] SLAB❑ FENCE
OC-C UPANCY _ _HANDUSE ZONE R 7 BLDG.TYPE y� FIRE ZONE PLAN CHECK 8Y
NEAT_
SEWERPERM;TK
OCC.LOAD FLCOR LOAD �/O HEIGHT Z# NO.STORIES � AREA � 'a j NO.BEDROOMS � VALUc SQ9d0
�_._
- BUILDING DEPARTMENT SET BACKS FRONT 20 REAR S-/ LEFT SICE Ito RIGH-r SIDE
f P^rmit U / U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILD01C. CODE,20N'!4G
— /� sU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
�IanChe^,k WORK WILL BE DONE IN ACCORDANCE WITH IHE P'.ANS .AND SPECIFICATIONS AND IN COM.PLIANLE
WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF T41S o5RMIT DOES NOT WAIVE
�5ub-total a' RESTRICTIVE COVENANTS. CONTRACTCR AND SUB CONTRACT )RS TO HAVE CURRENT CITY 6US1`.ESS
gate Tax
,Z LICENSE.SEPARATE PERMITS REQUIRED FOR SEVER,PI-LIMSING AND HEATING.
V _ � �
Eotal __ .$ 71F� SDC—
By PDCA APPLICANT UR AGENT
,-Approved Receipt Na. ___.-------_—__—. _
PP ADDRESS NhIQNE_
cc
cIC
� EWI:R CONNECTION
e FAR INCPECTION_ --
EWER SURCHARGE___
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n r+m a N•h e i I�lt?iC IC /� -t�J � '.wr�OA'i i �--•' _—__'
'( �I¢h : i x 20 2$0
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47 4 X
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City of Tigard Mechanical Permit NO.
Now Installatiu+(lA Replace Q Relocation 0 Additiun El Alteration ❑ DATE: _
HL,1
N 1�d�; —�l..s_�:L ..—_— OWNER
ADORES511 !_aS_'&,L� rS 7, S r•' JOLT ADDRESS_ L f2 tJ :5ct-eiIVj
PHONE__ it _ lZS!2_____ APPLICANT_
Heat Input Rating(BTU per Hour) Vent Size Flue Size
FUEL OIL� GA�-�� ELECT OTHER
_ ---ITEM Nr 'E ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct S stems rn _ 7.50
New-up to 81 incl. 100,000 BTU b.00 Commercial Hood System 7.50
New 100,000 BUT's & over .50 Other Equipment - Each 4.50
Woodburning Stove 4.50 1 Trip Inspection _ 4.50
Wall-Floor- Surpended� 6._00 Air Condition Compressor • up to& incl. 3 H.P. _6.00
Vent.q tem w/Fan 4.50 Air Condition Con: ressor-3.1 to 15. H.P.incl. 11.00
Repair-Heat Cooling 6.00
_ CITY BUSINESS_LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10_00 commant•:
FEES
96 STATE r! Issued By
250XPLAN CHECK