7914 SW CHURCHILL WAY WEP
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INSPECTION NOTICE
City of Tigard 6jilding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of laspection
Date Requested 1r Time A.M. __P.M.
Address
Owner �—__—_ _ k:'t - —
Builder
The Following Building Code deficiencies are required to he correcte-.
- - 1
Presented io _ Approved
Inspector -j�e4 — El
Disapproved
Date
CALL ,.AOR REINSPECTION
Ci YES 0 NO
5202
BUILDING PERMIT APPLICATION TIGAhD DATE Eebleuary ,1s 85
THE U;IDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 69 —3G i5
OR AS SHOWN AND APPROVED IN THE ACCZ MPANYING PLANS AND SPECIFICATIONS. OWNER P ONE
LOT NO 7...—_
OWNER J. miller JOB ADDR_E_SS_79 14 SW Churchill W—,�►r Fwiw: t'ark
1'.0 Box 23241 ARCHITECT—
• ENGINEER
BU;.DER SAAz AUURESS Tigarci. 01, 97223 _DESIGNER
STRUCTURE a.NEW ❑ REMODEL El ADDITION O REPAIR F RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
--- — — ------
®[RESIDENCE ❑ COMM i-1 EDUCA1n NAL ❑ GOV'T ❑ RELIGIOUS ❑ 'ATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY N-3 LAND USE ZONE R'7 --BLDG.TYPE 5t� FIRE ZONE---~7__PLAN CHECK BY�_ 9TW HEAT Gae_—
Cpaetrucc siig.Je family dwelling w/attached garagt _
3 11%droom 3 hatthroom garage 440 — -- _--
SEWER PERMIT 28307 _—_— _ ----- ---
OCC.LOAD �— FLOOR LOAD 40 HEIGHT_ 20" NO.STORIES 2 AREA 15!P3 NO.BEDROOMS 3 VALUE 55 1,000
BUILDING DEPARTMENT —�
A. ° 17 c"
_—_— �— SETBACKS FRONT 2.0 REAR _ LEFT RIGHTSIDE
Permit 298.00 THIS PERMIT IS ISSUED SUBJECT TO THE nEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS ANT ALL APPLICABLE COI .S AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 193.70 WORK WILL BE DOVE IN ACC0RDANr!7 WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
49I.7U WITH ALL APPLICABLE CODt_S AND ORDINANCES. THE ISSPANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRA.'AOR AND SUB CONTP,PACTORS TO HAVE CURRENT CITY BUSINESS
Slate Tax
4 I I.92 LICE.SkP�R•I��J�PERMITS RF0111R?D FOR SEWER,PLl'1"MING AND HEATING.
503.62 SDC— �cw.UU
Total —� -- PDC# Ia 150.OU APPLICANTORAMIM -
By
Receipt
Approved >aTlltbje ipt No. ADDRESS - --- —._-. ------ PHONE _ —
r
all
DAT(: INSP._ TYPE INFIPF.0 l()N REMARKS
_ PLUMBING DATE
— Contract('
ermIT No. -4
ROUyh'.ri
Final — —_ --—
U1�WQ HEATING
Contrictor
l 0
Rnugh in —
Final
--- --- — — _ - SEWER —
Final
DRIVEWAY—
�_��, _—�.----- -- — Final_
Storm l)ra.nage
(Rain Drein)Final `
&Street Final
___ APPrnrch
BLDG, DEPT. FINAL—� — TEMPORARY (CERTIFICATE OCCUi' ,rv'7v —`
CERTIFICATE OCCUPANCY i F'ral
11 L.And--pnq
--_--17nr,ina final `
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