16190 SW ROYALTY PARKWAY x
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16190 SW !LOYALTY PARKWAY
—KING CITY
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 �rr
Phone: 639-4175
Type of Inspection
Date Requested_ " = � _ Time A.M. P.M.
Address / r .a� .� 1 Permit
Owner_.__..,.__._ / '�-�' Lot �!
C
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ �� _� [ a Approved
Inspector J (J Disapproved
Date
CALL FOR RFUNSPFCTION
Cl YES ❑ NO
BUILDING PERMIT APPLICATION KING CITY DATE uctuber 21—,g--8_6 1362
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 645-7201
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
John Rowland r 1b19U SW Ko ali k'arkwa LOT NO.
OWNER .IOE'�ADDNE�S Y y 5
ARCHITECT
BUILDER Oon Ringer 373U N6 166th Us. dvton ENGINEER
_._ ADDRESS DESIGNER
STRUCTURE L- NEW ❑ REMODEL __ADDITION ❑ REPAIR I RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
13MESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPCRT ❑ GARAGE C_1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY Ft3 LAND USEZONE __.BLDG.TYPE �SN�FIRE ZONE_-.A.-PLAN CHECK BY _ T4 HEAT
1.NSPLCT TON ltiv:QlIReD AT THROAT I.M.L. _
SEWER PERMIT#
UCC.LOAD FLOOR LOAD HEIGHT NO,STORIES_— _ AREA NO.BEDROOMS _VALUE 12UO
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE r
Permit_ �'•U{) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS 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 AC^ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
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
State Tax LICENS SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total_ SDC -
By �g PDC# APPLICANT OR AbEN?
Receipt No.
Approved / � , J� ADDRESS'. PHONE
DATE INSP. TYPE INSPECTION REMARKS qeq PLUMBING DATE
Contractor
&M i t N u,
elt-M Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
SI)rm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERT IFICATE OCCUPANCY Final
Landscaping
Zoninp,Final