12260 SW NORTH DAKOTA STREET 12260 SW NORTH DAKOTA STREET
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INSPECTION NOTICE
City of Tigard Building Department
17.420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection ._. ----��-�-----
Date Requested_— �'- Time-- A.M.--'C P.M.
Address ../_ '- c ' - Permit # ---.._
Lot #
Owner
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to _ -_ _ r] Approved
Inspector _ _ Disapproved
€?-i i
Date _
CALL FOR REINSPECTION
�] YES ❑ NO
BUILDING PERMIT APPLICATION ' r.AL �639-411 )
TlGAR� DATE -1--.—
THE
THE UNDERSIGNED HFREBY APPLIES f ')R A PERMI"T FOR I HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN I'HE.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHSONE
r iwton�E�e �---
OWNER Sts��+ �� DRi JOB ADDRESS 1226U i-4 N:-rth Dakota Lor No. -iT
sam% dd HITECT
rftfjtv;,. ARC; ; boeiva -------- ____ _ENGINEER
BUILDER ADDRESS au, 'ortaud DESIGNER d, }rrY Taft
S1 RUCTURE _ ❑NNEW ❑ REMC -EL11 ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
RESI[►EfICE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ND USE ZONE __ BLDG.TYPE - -_` FIRE 20NE PLAN CHECK BY HEAT
Construct sinl;le tamily dwelling w/attached garage — ��-
_� Subject to $360.0()-Amart/1dedgewood i $150900 Lerou tits. sewer chairges
SEWER PERMIT M 28592 garage area 449 3 baa
OCC.LOAD FLOOR I OAn\ 40 HEIGHT 2U"6"NO.STORIES 2 AREA 14 if, NO.BEDROOMS 3 _ VALUE 53,01D
BUILDING DEPARTMENT SET BACKS FRONT jp REAR 40 LEFT SIDE RIGHT SIDE
Permit _ +292.UIJ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1N9.liU 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
4bl.80 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LIGENE2FA(�i/�TE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
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State Tax 11.6tf , 4J1. , A, /
Total 493.4SDC— 500.00
—"�— PDCN Y 150.00 APPLICA�TD�A4ENT F'�
By jau
Kl Receipt No. d
Approved AnDREt3t3
- - ---- --- - PHONE
r'
DATE INSP. 'rypE INSPECTION REMARKS F'.fJMBING DATE
Contractor 0
Permit No.
Rough-in
Final
HEATING
A,il !)/3 Contractor &rzZ4A-.� Aloe
Permit No.
Gas o,Oil
Rough4n
Final
Final
SEWER
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORA.tY CERTIFICATE OCCUPANCYIFinal CERTIFICATF OCCUPANCY
Landsrapicg
Zonino Final
w w w w w awl wr .�
11� THE UNDr RSIGNEC HEREBY APPLIES Wit APERhII I FUN 111E vVUHri HL11LIN INUII.AILU
OR AS SHOWN AND AFPROVEO IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. k+Ov/NERi►!OI, '4""�
,/ / 1 /G e LOT NO
`
!OB 0.ODRESS C/ y �L" e ��f J)A
Q� ARCHITECT —
ENGINEER ^. /
\-aUlr_OF r. AODREW � �� �' JL _ { 'J�+ OESIGNER /-A,c/ 1 �-
STgUCTIIgE _tt-(t('�00
W ❑Rk'!�InOEL OADOITION _❑nePAln^ ORENEVIAL OFIRE DAMAGE ❑CIFNIOLIT
11ESIL�E"ICC ❑CON,M ❑EOucATIONAL CJGOV'T ORELIGIQUS OPATIO ❑CAR PORT OGARAGE O STORAGE OSLAB OFEI
!;C-&'tPAEZCY R-3 LAND USE ZONE_,_,_.._...OIOG,TYPE N ;.. PLAN CHECK BY- y HEAT l
_ CONSTRUCT SINGLE FAMILY DWEI.I.TNG W/A'TTACHED GARAGR.
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BAMRO(JM BEDROOM
.:_ ��_ _
S W R �ER11IT .� .zy� _ Gar.�Be
Qlx-Lo.sp_------FLOO l OA - HEIGHT NO.JTQRIES n+'_
SUILOING DEPARTMENTr
SEf BACKS FRONT REAR y LEFT SIDE RIGHT SIDF.
c7 o THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION;; CONTAINED IN THE BUILDING CODE, ZO►,
I :-:1,Check Q� ;;P, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
fes—"' WORK WILL BE GONE IN ACCORDANCE WITH THE FANS AND SPECIFICATIONS AND IN CCMPLIANGE V
$uD foul o ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH 5 PERMIT DOES NOT Wr
i I —CTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS To I.AVE CURRENT CITY 9USI►
t►t Tax I /� L' SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING APiD HEATING.
Tuta1 .2 c L •.. -- — ,)
APPI_I .L_4A- h -
AppruvM Receipt No. Ari
nfifSS H N
SSC (Storm)
SDC - $
PDC - $
SEWER CONNECIIGN $
SEWER INSPECTION $
SEWER SURCHARGE .rw`v'.U ��✓oor�
Comments :
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