11905 SW BURLCREST DRIVE-1 1 1
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11905 SW BURLCREST DRIVE
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INSPECTION NOTICE I
City of 1-card Building Department
1:'420 S.W. Main St.
I igard,Oregon 97223
i Phone; 63�- 171
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Type of Inspection ����/�- i
Date Requested �� '= Time A.M. - T -P.M.
Address „L'z
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Perrnit
Owner
___ —. ---- Lot # _
Builder
The following Building Code deficiencies fro required to be corrected:
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Presented to
Approved
Inspector
❑ Disapproved
Date
CALL FOR RF,INSPF,CTION
Ll YES e NO I
BUILDING FERMI-( APPLICATION TIGARD DATE---.tOb*
-REBYAPPL.IES FOR A PERMIT FOR HE WORK HEREIN INDICATED 2UILDER PHONETHE UNDERFiGNEF)H� Iq
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER
4rry kiarit.o JOB ADDRESS 11905 sw aw-lerest ,five LOT NO.
ARCHITECT --'--'—
BUILDER ADDRESS
S ENGINEER
DESIGNER—
STRUCTURE 0 NEW 12 REMODEL, 13 ADDITION L-1 REPAIR 0 RENEWAL 0 FIRE DAMAGE EJ DEMOLITION
[A RESIDENCE 0 COMM Cl EDUCATIONAL 0 GOV'T 11 RELIGIOUS 1:1 PATIO IJ' CARPORT El GARAGE 0 STORAGE El SLAB El FENCE
OCCUPANCY
LAND USE ZONE -JBE4--.BLDG.TYPE
FIRE ZONE--a�- PLAN CHECK SY
HEAT Rl getrip
to add 2..b_w-droom
to 4 DeCond
All Per P19m and Code.
SEWERPERMITN
ti0ile —
OCC.LOAD FLOOR LOAD 40 H 2U+- NO.STORIES 2 AREA 288 NO.BEDROOMS-- VA,LUE 49OU0
BUILDING DEPARTMENT SET BACKS FRONT REAR
errrit 44*50 LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 26,93 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
Sub-total 73.43 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T141S PERMIT DOES NOT WAIVE
_d RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS P
State Tax 4z --1078 -EQUIRED FOR SEWER,PLUMBING AND HEATING.
Total R 7511.1 SDC
By PDC# -X-PP-L-lCA-Wf OR AGENT
Approvedgue IReceipt Na 11 2;?3J
5 AC;4f
PHONE
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'DATE INSP. TYPE INSPECTION - REMARKS PLUMBING DATE ^
,"2--e4 - �� ���+ � _ Contractor
Permit No.
___--__- -- •asps-- '__ts.�--=�'��-"tt.,�l -Rough-in ------
- �e7__GG _. -
I'IKture
Final
a HEATING
^ Contractor
Ptirmit No,
l3ur or 1711 _
�__ ----- -- .. ---- I its or In
Final ..-
-__ SEWER
Final
r - — DRIV[WAY
Final -- - - - _�
Storm Drainage
_- - (Rein Drain)Final
Sidemik --
__� Curb&Street Final
Approach -�
BILM UEP1. FINAL TEMPORARY C11'RTIVICAT7. OCCUPANCY Plnal � -
iCERTIFICATE OCCUPANCY
l_:r/dfLapinp
Zuning Final -'
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BUILDING PERMIT APPLICATION CITTIGARD DATE ig 4
THE UNDERSIGNED HEREBY APPLIE, FOR APERMIT FOR THE WORK HEREIN INDICATED 13UI LDER PHONF_6;4) —4bjC r
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ _
.ier•ry i'iurit:,) 11906 S.W. Burlcreet Dr. LOT NO_
OWNER JOB ADDRESS ROME ADDRESS
ARCHITECT
BUILDER slung ADDRESS ENGINEER
-- _�_ _DESIGNER
STRUCTURE. ❑NEW _ ❑REMODEL []ADDITION ❑REPAIR ❑"IENEWAI_ ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T [:]RELIGIOUS❑PATIO ❑CAN PORT—❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑ROND El MOVING ❑CONDITIONAL USE LI DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY 1 _LAND USE ZONE_ I►-l _BLDG.TYPE---.! _FIRE ZONE___ PLAN CHECK BY HEAT
tdc/Li a 1J X 18 rcull asigitinn I'mIn Q:i�r1n ---T--floor or - pour now patio lU x l.0
09C..L)AD _El UQR LQAD HEIGHINO STORIES—___$H.EA—__NO.BEDFj9Ql�1� VALUE 1200
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 12.UC) -_—
- THIS PERMIT IS ISSUED SU9JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 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 ANO IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax —i,3f3 LICENSE SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING.
Total .36
BY - --
ACANT OR � T ------
Approved Receipt No.
ADDRESS
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PERMIT TO CONNECT
City of Tigard
Permit N° 636 DATE_
PERMIT IS GIVEN
TO CONNECT A 161, c- -'
TO THE SYSTEM OF CITY OF TIGARG
AT_ --..,i-Lt./ Ire l - _ — - - - -
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL COW
NECTION IS MADE C,ND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID $ CITY OF TIGARD
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CONNECTION INSPECTED AND APPROVED
Date -- — - --Superintend Mt
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