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INSPECTION NOTICE
City of Tigard Building Departme,it
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Addrea __ yf Pormit #t
Type of Inspection _--_— —_----__-- r - ---
The Following Building Code deficiencies are required to be corrected } :.`� �----
-_.._ ._. ._-__—� .:�. J�»--:�lr•�' d'.._ ,(...✓.r-, i"i f r�1- v_._n" —��o::'y fir— "L'."��-.:i_._..a:,_._ _.—__
.r""�.. 'd.-�:F'�y+�.'.�.-•�- �i�-r" - �" .r.,rt:.ni:.ru.,. " 4 tom... y' ----
f ,
Presented to -- - ---_-- --- Inspector
DateCALL FOR REWSPECTION
D YES D No
I
3613
BUILDING PERMIT APPLICATION TIGARD DATE_.. —,ila - —
THE UNDrEI' ;GNED HEREBY APPLIES FOR A PERMIT FOR C,iE WORK HEREIN INDICATED +UI.DER PHONE 636—tf�90
OR,AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT r R PHO E
od Lane � Lenrclinu Y.
i�erwo __...��
C�vjr�IER ;Jerry (;DgpyCOn9t,>l�3HADDRESS 1ClOf�S_ SW R
ARCHITECT
ENGINEER
BUILDER �'RmG —� __,_ADDRESS 15047 SW Rosewood, L.Q.DESIGNER bates/_y:ami d
STRUCTURE
_ IX NEW U REMODEL_ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIREDAMAGE [1 DEMOLITION
[}(RESIDENCE 11 COMM_[_;_EDUCATIONAL C GOV'T ❑ RELIGIOUS ❑ PATIO Cl CARPORT G GARAGE_❑ STORAGE ❑ SLAB❑ FENCE ?.
�N FIRE ZONE_ PLAN CHECK BY duh HEAT el O r'
OCCUPANCY ._ R"`3 LAND USE ZONE R PD BLDG.TYPE _� 1
COnstruc' single family dwelling wretteched_t��,r Vie• 3 E1�draame 2 baths,
-SEE-CORRECTION SHEET ATTACHED. --- --
SEWERFERMITB 23275 - b7`0,0[1
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 N0.°TORIES AREA __1833 NO RFDROOMS 3_VALUE b��!q
BUILDING DEPARTMENT SET BACKS FRONT_ e?CI REAR 3 LEFT SIr)E a RIGHT SIDE l''.7
_ -- -- -_
Permit 1c25,0THIS PERMIT IS ISSUED 8119JECT TO THE REGUL�'-VIONS CONTAINED IN THE BUILD;NG ^.ODE, ZONING
REGULATION" AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 112. : 0 WORM WILL - DONE ISJ ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE
WIT;i ALL APPLICABLE CODES AND ORDINANCES. 'rHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 337. a0 _ RfcSTRICTIVE COVENANTS. CONT RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM71NG AND HEATING.
S►ateTax 4 ' 9.00 4gQ.UO r
Total 0346.50
PD
�Z ;100.00 APPLICAN70RAGEIIT ''--
By P1
Receipt No.
Approved duh -Abd 4ES3 1 1
r
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ - v Contractor _t faO�j
Permit Nc. 2&7#
Rough-in
Fixture
_ Final -`• _—
/2
1 HEATING
a / Contract
Permit No.Z
Gas or Oil —
" Rough-in
Final —
2-
SEWER
Final
DRIVEWAY
Final
Storm Drainage
— �— —A (Rain Drain)Final
— ----- �. '. Sidawelk —
Curb&Street Final v—T
Arproach
�13LDDEPT.FINAL TEMPORARY CERTIFICATE OCCUPA Final
CERTIFICATE OCCUPANCY
�S Landscaping
G.
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE A• w 0
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FON THE WORK H:–;:REIN INDICATF7 BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOM.PANY!NG PLANS AND SPECIFICATI:"'NNIS. OWNED PHONE
LCAT t:O., _
1W 4EP j 0, 9 h.i&AAOB ADDRESS 1 '�G?_�'!i 1 LQN Q. L,;"one x
ARCHITECT —4
ENGINEER
SIPLCER %vw%e —, ADORE SSQ ���01t4004 L.0 DESIGNER • (J�,IT '� ��
STRUCTURE NFW ❑ REMODEL ADDI"i!ON ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIO
RESIOENCF C C•�1 1M ❑ EnUGATICNAL '� GOVT C RELI GIOUS a PATIO u CAR PORT ❑ GARAGE G_STORAGc ❑ 51A8[ FENC
:w.t;iiPANCY BLDG.TYPE J'AO—.FIREZONE_ PLAN CHECK BY :Jpr�HEAAT-_
A
TP
04
dp
SEWER PERMIT
OCC.LO a0 FLOUR LOAD HEIGHT 1 NO.STORIES! AREA '.� NO.BEDROOMS VALUE(#9f
( BUILCING DEPARTMENT -1 SETBACKS FRONT lD REAR ZLEFT SICF &f. tj RIGHT SIDE �j►.��
THIS PERMIT IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED iN THE EUILDiNG CODs, ZON:`a
REGULATIONS AND ALL APPLICABLE CODES AND ORRI.NANCES, AND IT IS HEREEY AGPEFD THAT TH
'0IanCheck WORK WILL BE DONE IN ACCCPCAtICE WITH THE PLANS AND SPECIFIC4TIONS AND IN COLiPLIANC
WITH ALL APPLICA8'.E CO^ES AND ORDINANCES. THE: ISSUANCE CF TH Z: PERIdIT DOES NOT WAiV
Sub-total 7 f* RESTRICTIVE CCV!:PJA,'JTS. rC1NtRACTOR ANI] 5U8 CONTRACTORS TO HAVE CURRENT CITY s6MNES
p� LICENSE_SEPARATE PERMITS REQUIRED FOR S EWE9,PLUMBING AND HEATING.
tats i aX
Total •�+�G•s� SDC-- I ISN' I�IM!�• _
- - PDC,fl APPU T OR,,GE -� - - - --
By
- Recsipt No.
Approved ADDRESS --� -- -- PHONE_
IDC
30C
Ik.
,E' 'ER CONNECTION
)EWER INSPECTION S 1s
SEWER SURCHARGE S
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