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13025 SW GRANT AVENUE GG 13025 SW GRANT AVENUE w I I C41 N Ln C ro ti cn Ln N f] M 1 I INSPECTIONNOTICE City of Tigard Building Depai trnet.t 1�420 S.W. Main 14. Tigard,Oregon 97223 /0 ci Phone: 639-4171 Type of Inspection — Unte Requested Time A.M. Address Permit Owner Lot Builder The following Building Code deficiencies arquired to be corrected: PrPsentad to 'pproved Inspector [ IDisapproved DF,te 011,L FOR REINSPECHON L' al 0 No ♦"i i M # l7 i BUILDING PERMIT APPLICATION 11TTIGARO DATE .-_-_ _, � 639-6791 39-67. 1 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS ;H(IWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_ LC T NO. -- SWIIE:R yLiyo t J%pbla.11 JOB ADDRESSI`301'j 5LJ "'a"t, HOME ADDRESS .__-�-- - ARCHIL ECT._ 11"tfQ 91114th Place ENGINEEP BUILDER t. lik�t �t, HfJrtT"w� ADDRESS DESIGNER STRUCTURE ❑NEW ❑Rf-MODEL ❑ADDITION _❑REPAIR []RENEWAL ❑FIRE DAMAGE _ ❑DEMCI_ITION © RESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CA.RPORT ❑GARAGE ❑STORAGECE rISLAB ❑FENC ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COON-IL APPROVED L.JSIGNS OCCUPANCY —3 .LAND USE ZONE___ 9LDG.TYPE_ —FIRE ZONE_ PLAN CHECK BY_ __-- HEAT — -- CunsdruCt ehimnoy — ell per plana and GUM: . _— Pruvido, rairifv:t il►L.)s acral mruye, Clda#.ncautts_psi' .Q-"—L_9.912_----_FL.448_LQA_ HEIGHT _ N9�LQfl1� —___—A���.— _—NQ—H ROQMS— YALU — BUILDING DEPARTMENT SEI BACKS FRONT REAR LEFT SIDE RIUHT SIDE THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING 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 AND IN COMPLIANCE. W17H Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE: NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI iv nu�rNFSS State Tex`1 « rll LICFNSF. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total i], o AOBy r - uh AOENI Approved I ReCeI pt Nn No ?PO4 BUILDING PERMIT APPLICATION 11 Y T�GARD DATE__ 2 5 ,y THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UII-DER PHONE— OR HONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON r� I_OT NO._ _ T_ OWNER . atwRlAtw1�1 Z _ �r "CDRE"a5 fY 3W 6rant St; " I F10ME ADDRESS ARCHITECT BUILDER :1#I9diC �1%oMLR Im r• LNGiNE'ER ADDRESS Lt.cIGNER _ STRUCTURE ❑NEW 11RumnDEL _ ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOLIS❑PATIO ❑CAR PORI ❑GARAGE �❑STORAGE CSLAB ❑FE.NCE — ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED Y ❑SIGNS CCUPANCY?_""�' LAND USE ZONE=__.___BLDG.TYPE`"1 FIRE ZONE PLAN CHECK BY r' HEAT o uct new ares to existing NA1161" f6m.i ly Uwallingo rand revise existing area per plant. Plumiiing Permit. Required. QGC.LOAD ____.E1D_QR_L0AD HEIrL'__.._. �N91 iI4HL�s----13RE�`�� N4,8_ULR_ M.5____Y_AlS�k°� BUILDING DEPARTMENT SET BACKS FRONT REARLEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THr. BUILDING CODE, ZONING Plan Check T.f3 C) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND vT IS HEREBY AGREED THAT T.IF WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W41TH Subtotal ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE RESTPICTIVE COVENANTS, CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRENT i,'I TY 'USINESS State Tax,; ��l�r! LICENSE. SEPARATE PERMITS REc.',,REO F01• ""IJFR, PLUMBING AND 14FATING Total 1160-00 By PI APPLICANT OR AGF- - --- - ---_---- N i A1A% -- -----__-- -" `pploveci 4.'d,'..C+� a on RecQlpt No - r.,.... REMARKS PLLMIBING DATE DATE INSP. TYPE INSPECTION _ __ or _ Contractor L ` Permit No. - - - Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in , Final SEWER -- — Final - DRIVEWAY --"--" Final Storm Drainage — - (Rein Drain)Final Sidew, i - — Curb d Street Final _ — Ap, oath _ BLDG. DEPT.FINAL TETAPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OC,7UPANCY —' Landscaping Zoning Final Tax Lot 2 SI 2 BC 4301 North Ti ar.dville Addn Assessment 525.19 Lateral 67 .59 592.78 Paid in full 5-25-61 P.0dress, f �� 4rJ��.. ��{L✓, ta,ea~/ ezmit No Name of Occupant,G4/ C �1� Perm : charge �;G C _ Connection fee, Ael ----- ----- ---- - Paid by. AL _,, - t." - -- ---- - -- — Date connected Type of Building "- _ _ _- Inspectk n fee-___/_9. 00- Service Rate-__ �=_, 0 �) _ Paid by �'�.�-c�2's��_ _Date Contractor. _ Assessment_ __ _Paid Size of connection