11585 SW GREENBURG ROAD III ilia
11585 SW GREEN"IJRG ROAD
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tiqard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested '' ` - /y -� Time A.M. _P.M.
�Addirss
Owner - -- - ------ --- Lot #
Builder - — -- ----
The following Building Code deficiencies are required to be corrected:
Presented to _ ,G'I Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
C] YES R.(N0
BUILDING PERMIT APPLICATION TIGARD DATE _-_ �9_ 133 4486
TI IF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EW01IK HEREIN IND!GATED BUILDER PHONE _ 619-6355
OR AS SI IOWN AND APPROVED IN Ti,F ACCOMP,ANYING PLANS AND SPECIFICATIONS. OWNER PHONE 620-7463
OWNER leim ..eyraiich JOB ADDRESS 11585 SW Grvenbtery 1;�1. LOT NO. .----- _
�- ARCHITECT
BUILDER �Id Cat.190 Const. ADDRESS 14645 S"." '33rd ENGINEER rd r
DESIGNER
,TRUCTURE [a NEW ❑ REMODEL _ ❑ ACIDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DtMOLITION
0 RESIDENCE Cl COMM CI EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑_ PATIO ❑ CARPORT 9 GARAGE f-i STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ .X LAND USE ZONE BLDG.TYPE �" _. _FIRE ZONE=_PLAN CHECK BY _ HEAT_—
ronstruet flet achwl p.aras,,e all ,ivr «lane --
qee wcrrecticm sbenh nttaf:Iw,I. -- Y
SEWER PERMIT#
OCC.LOAD FLOOR LOAD conc4HEIGHT It NO.STORIES AREA 2 NO.BEDROOMS VALUE_ :'>,1 O
BUILDING DEPARTMENT ^ SETBACKS FRONT REAR ! LEFT SIDE RIGHT SIDE t
Permit 50.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGUI.ATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH TH_ PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal '3.33 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 2.02 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
�� �� SDC -
Total
PDC# APPLICAVt OR AQENT _. -
By *0 rl+^j
Receipt No.
Approved r / ADDRE — ----- - - ---'-------��._—
-- _-- __ PHONE
1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING- DATE
0 r- ��os+.a-- .�,., .�5 l-� �r- —-- Contractor i -
7r U •(� - - Permlt No.
-71
Rough-in
- --— ---`-- Futuro ----
--- Final --- -
HEATING
Contractor
Permit Nn.
^ — t3ae or oil
—� �— — Final y
— W SEWER
Final--- — --
_--�___ --------- DRIVEWAY_--- —
Final
Sturm Drainage
(Fain Crain)Final
S idewal k
Curb&Street Final
Approach
M.DO. DEPT.rINAL TEMPORARY TCERTIPICATE OCCUPANCY
CERTIFICATE OCCUPAPN:Y I Final —
Landscaping
Zoning Final
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Address �" Permit No.
Name of Occupant� � ,L1 /�1^� �'T�1d�?r /Permit charge
Paid by
Date corrected st " � ' ! 9,
Type of Building ��Z oL� ��t r u' Inspection
Service Rate__-- 2 ,60 Paid by
Contractor_- - Assessment _Paid_
Size of connection__ '�