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INSPECTION NOTICE
City of Tigard Building Departmen!
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
o^t'S
Type of Inspection
Date Requested ime A.M. P.M.
Address .' -3"12f `.
Permit
Owner ed/11�r Lot # -
Builder_ t The following Building Code def ienciet are required to be corrected:
Fresented to Approved
Inspector _ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECT10-N NIOTICE
City of Tigard 130;1'�Irip Department
RO So� .J,397
Tigard, Oregon 97223
Phon 639-4175
Type of Inspection
Date Hecitlested 0--k2y Time A.M. p.M.
Address
Permit
Owner
Lot
Builder
T following Building Code deficiencies are requirea to be corrected:
Presented to Approved
In"wator �ISPPrrwpd
Date
CALI, FOR REINSPECTION
El YEs o No
- INSPECTION NOTICE
City of Tigard BuildingDepartment
P.O Bax 23397
97
�J Tigard, Oregon 97223
�P one: E39-4175
Type of Inspection
Date Requested �J� '/��
P.M.
Address —�_� l •Q�1-��t1?l-e
permit #_Za
Owner _
_ Lot
Builder �—
The following Building Code deficiencies are required to he corrected:
Presented to —`- - — — --
Approved
Inspector
Date — ❑ Difapproved
CALL FOR REINSPECTION
Dj YES 0 No
INSPECTION NOTICE
City of Tigard Cuilding Department
P.O. box 23397
Tigard, O egon 97223
Phora: 639-4175
Type of Inspection
Date Requested me A-&. --P.M11.
L
Permit
Address .T
Owner
1 Lot #
,res. °
Builder _
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector � - -
Disapproved
Date --
CALL FOR REINSPECTION
❑
YES 1- --N0
I
CITY OF TIGARD 839.4171 E 4
BUILDING PERMIT DATE
TAX MAP S I 34" LOT NO, 1109 SUBDIVISION
OWNERkir. Look x�� ��1�`� _ JOBADDRESS --11331 Sw' basswood Court
BUILDER — Kennedy COnstrection 1000 SF, 12th 9i2 I4tTATE REG.NO. _. '4U`� _EXP.DNTE
BUILDER'S PHONE
ARCHITECT _ PHONE _ OTHER
STRUCTURE 1 J NEW ` REMODEL Li ADDITION KI REPAIR MOVE L_' OTHER DEMOLITION
El RESIDENCE COMM I EDUCATION IND RELIGIOUS ACCESSORY I GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE _ BLDG TYPE FIRE ZONE PLAN CHECK PY HEAT
,<epair Fire dapiageu amuse
Replacia roof truescN
Subject to .final mitt inspectiun
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO.BEDRC_)MS VALUE 13�iaLW
BUILDING DEPARTMENT
SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit_ 17U.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULA11ONS CONTAINED IN THE BUILDING CODE, ZO0;jNG
` I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA- THE
Plan Check I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�—WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1HIS PERMIT DOES NOT WAIVE
PI.C_k.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.02 _
32
177. soc—
Total_ APPI iCANTORGE
ANT
—
PDC#
ue 177.32
F,P3
RE ceipl No ADDRESS PHONF
Issued By __Approved By
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor � ` p 20
Permit No.
Rough-in -- –
Fixture
Final
_HEATING
Contractor
!_Z S_qg Permit No.
�G=tp� Gas or OII
-- -- �
Rough-in
Final
— —� - SEWER
Final
— _---�' --- DRIVEWAY — -- —
_ Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb 6 Street Final
— Approach
BLDG.DEPT.FINAL CERTF CATS OCARY CUPANCY CERTIFICATE OCCUPANCY Final ^
Landscaping
Zoning Final
1
i.
City of Tigard
INSPECTION REQUEST
I for
INSPLCTIO� TIME : PERMIT N
DATE / DATE ;SSJED:�:.il'l7,;
OWNERS NAME
ADD R ESS
CONTRACTOR :
TEST: Air C' , water (] , Vismal C , Laboratory J
RESULT. Approved., , Diaopproved 0 , Pending 3
I
I SKETCH:
I
f fo
I �
I
I �LC
NSPECTOR DATE
ICOTE: Attach supplemental t*st data here?-
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: '�� PERMIT NO. :
DATE: -' DATE ISSUED :—L—/—
OWNERS
SSUED :_.._-L,OWNERS NAME : J /,,, 7—#
ADDRESS:
CONTRACTOR :
TEST : Air ❑ , Water[] , vieual Laboratory C
RESULT: Approved Disapproved 0
Pending C7
SKETCH:
INSPECTOR DATE
5OTF Attach suppiementol tttt data 11
i igcr
li N�CPEC70N TEEQUEST
for
DATE: =`' '%�'J J.4TE '"aS;;ED L_
CW�YE7,S NA"AE :
AL;CRESS: %'9 �rsr�cxxay co��7
C C N"R A C T^RTEST Z Vi
u
C/T, S
_ 4
I EC t OR DATE I
`N ;'c : �• ;• i.+-'+nentol test data : nr al t
ADDRESS_ //3.3/ ,�L,/ ^r�.caa -.e�—�_ PERMIT NO. gA#
PERMIf CHARGE none
OWNER CONNECTION FEE
PAID BY _
TYPE OF BUILDINGo
DATE CONNECTEDro
SERVICE RATE INSPECTION FEEs� r
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION �_� �{ ASSESSMENT PAID
T
",. •.�, ..",,,.....^q�pl.'M'MMM"",u'- -..-w•-r+.....w-,.-r-,.—rwx+�!'#,.a�tisv.�wArwrv:�+owr.:a:F an��;+-ni• ,...-x, eP !.--•��o��.n{++, 'ter_.^;+la�fv--,r..wy,
CITY OF
BUILDING PERMIT APPLICATION TIGARD DA, — -- ,,a N 0520
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE v-'� I-ir+ v INDICA ED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING p:_ `N:3 ',ND 'I '. IFICATI(;J-51. "NEbrEi=IE
oufl :513h.
QWNER dub z)mlth ADDRESS kXAS l.ajal k3aga1..— ,. LLIERPHONE
ENGINEER
H
BUILDER ��-��{{ _ ARC,�IITECT DESr+NER —
STRUCTURE_�L_JNEW—_❑_ REMODEL ❑ADDITION —_ ❑REPAIR _ ❑RENEWAL ❑FIR,` DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
__❑_BONU ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE a BLDG.TYPF._ FIRE ZONE PLAN CHECK BY x I k) HEAT �IIrJ _
c onstiur-ta 1200 sq. ft. L�kjealliiii. wq:I i.a ;, law al with Wsra;4w
- in basemant
1700
OCC, LOAD FLUOR LOAD_ _—HEIGHTNO.STORIES AREA VALUE 33114010
BUILDING DEPARTMENT 01) a
— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 139000 - — — -THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COIIE, ZONING
Plan Check is,tin REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 4*17 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 153.17
BY
----- - — APPLICANT OR AGENT
Approved t Receipt No.
ADDRESS PHC)NE
- ----
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor Maw
Permit No.
'�y '•� Rough-in
I
Fixture
Final
r HEATING
j0 76 — Contractor
_ 0 Permit No.
r z L Gas or Oil- t*/71
Rough• n
Final
SEWER/P-,V-2� i
4 r Final
DRIVEWAY
- " �% / �► �l !c. Final _
`/'G• & 1� x�Q� 7�,tt f� Storm Drainage
_ Rain Drain Final _
Sidewalk G
Curb&Street Final
Approach
BLDG,DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
74l Landscaping
` Zoning Final