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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection --- A.M. P.M.
Time i
Date Requested
-1 Permit #.------
Address Lot #
Owner ._
Builder
The following Building Code deficiencies are required to be corrected'
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------------
Approved Approved
Presented to ____ -
s �Dlgpproved
Inspector
Date —
CALL FOR RETN,IPECTION
,[!/YE8 0 NO
INSPECTION NOTICE
City of-Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type, of Inspection
ll
Date Requested /1L ' //l/�� Time A.M. P.M.
Address �7 J y J -� ;0 71'6444 n 01--e'-- Permit *--2VY
Owner _-___ Lot #
Builder ///t_�1
The following Building Code deficiencies are required to be corrected;
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_ y� ,2�'+./�•C _fid-- - = -� _-�--� �:..`.��. c dG --
Presented to _ � Approved
Inspector Disapproved
Date V .JC!< r
CALL FOR REINSPECTION
YES ❑ NO
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jINSPECTION NOTICE
City of Tigard Building Department
` 1242.0 S.W. Main St.
11 'Tigard,Oregon 97223
i \ Phone: 639-4171
Type of Inspection
Date Requested f / wit-
Time i�A,•M. P.M.
C - lr �l/_-c� =— Permit
Address _._._— - tea,
Owner _ /`�L L---�- �-�- Lot #
Builder
The following Building Code deficiencies are required to be corrected.
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Presented to Approvedf�
Inspector L�1 Disapproved
Date —
CALL FOR REINSPECTION
Qj YES ❑ NO
IN PEC ION NOTICE I
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639.4 171
I
Type of Inspection ----
f
! Date Requested___ Tima, ?!� A.M. P.M.
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Address s
-��/ lye L4/* '6�oper"it #�—
Owner )Lot #,.
Builder�__-_— lyz4 /J
The foilowing Building Code deficiencies are required to be corrected:
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`''�` `✓w'" `U Approved
Presented tt
I
Inspector _ �Disapproved
Date
CALL FOR REINSPECTION
�zJ YES 0 NO
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BUILDING PERMIT APPLICATION TIGARD DATE---_JURO 26544
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 635-2466 _
OR AS SHOViN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 01 VNER PHONE
LOT N0. 77
OWNER Mr. HolO JOB ADDRESS 9545 SleI kliverwood Law► _ L'jpper Cmalt
L.O. ARCHITECT —
ENGINEER
BUILDER hint HOW ADDRESS 16690 SW Gienwr3od Ct. DESIGNEE'
STRUCTURE L2 NEW ❑ REMODEL rJ ADDITION r] REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
BC,R
OCCUPANCY _ " _ LAND USE ZONE tt--7P r BLDG.TYPE ^ 51u FIRE ZONE____.—PLAN CHECK BY ..— HEAT--._ Gas
---- —_--- -----__—___,_Construct eing4i family dw&&UNr w/atta►cted garage._
3 Bathroom 3 Bedroom
SEWER PERMIT# /840 Garage 444
OCC.LOAD FLOOR;.OAD 40 HEIGHT_ 21 NO.STORIES 2. AREA 11%16 NO.BEDROOMS 3 VALUE 5B,UU%j-
BUILDING DEPARTMENT SET BACKS FRONT 25 REAR i'? LEFT SIDE RIGHT SIDE 6
Permit 3k!7.0,J 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 I'�9.5:5 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total W6.55 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE'RS
LICENSE.TSEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND 4EATING.
State Tax 12„28 ,, �u.
Total 5184.83 soc— r;.
-- PDCM j l S 15U.UG APPLICANT OR AGENT
BY UZ
Approve1 :K Receipt No.
r) { ADDRESS— -- -------- -- -- -- --- PHONE - _--
DATE INSP. T PE INSPECTION REMARKS PLUMBING DATA
Contrac,.±r
f?ermitNo.
, � J �j -
1
Flough-in
Fixture__.
Finol
yyGLC t d9 HEATING
Lc!nt'
j� --- Parmit No, _3"70 ! B=IG
—
y-/o�� Gat or Oil •-- -- ----
9-2�$S Rough-in _ --
��77
10 Final
_C'__ _ _
SEWER --^
Final
DRIVEWAY
A-I —— --
Storm Drainage
(Rain Drain)Final
W Sidewalk
Curb&Street Final i
Approach `
-� SLbrL DEPT -INAL �TEMPORARY CERT111CAT"CCUPANCY Final
"ERTIFICATE OCCUPANCY
Landscaping
I Zoninq Finr-.l
i
6 -2 6•�3
THE; UNU!:H`,,IuNEU H'_NLUY NNr'LILS t U►I AA-#'0iN,, i I kilt ' crrrNcl•�..__
Coll AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. Lor NO
.a.Vf�EN ��11t"t•'-U/V�J !OB ADDRESS ARCr/tTE
ENGINEER
tUlr Oc'i 1 r/�( 'I;`� ,Q S`YV�►c
ADORESS ".11 ZCrr,,L/�•`CE� ESIGy£R
r� N OnEp.;In ❑RENEWAL (:)FIRE DAMAGE ❑DEMOU
STnVCTUryE —�EW Q
._ RfhIf10EL_ ❑ADO!TIO'v _ - _
nESIhEMCC 000I�M LJEOUCATIONAL CJGOV•T ❑RELIGICUS❑PAT10 ❑CAR PORT ❑GARAGE U STORAGE CJSLA8 ❑F
T , OLOG.TYPE 5N PLAk CHECK BY ' i HEAT`-_'.__
CC L'P•>t;•'�v $-- ANO USE ZONE ---�
CQNSTRUCT SLE EAMTr Y DWFJJ_ ilG_MJAT.TALHU GARAGE_
pA' RO) BEDROOhL7)
SF_IJER PERMIT na •�� _ � GaraRe !/`/4/, —_
T1= �.,�L_' �
� t Ft; �91.�'f-5N nED9o�A15,,_� VALU�
OsS 1.9 _ FLQga
SI/ILDIN G OEPARTMENT SETBACKS_ FRONT �' REAR `7..` LEFT SIDE RIGHT SIDE C'
o^_rr..It •� �j � � � � T
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7(
::-;,In �.SteCR fa —S� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI
r,-- NOAK WILL BE DONE IN ACCOROANCE WITH THE PLANS AND SPECIFICATIONS AND IN ComPLIA.NCE
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT r
• — , -- p RESTRICTIVE COVENANTS. CONTPACTOR AND SUB CONTRACTORS TO HAVE CURRErIT CITY AUS
r•.rtt+t Tax I{r Xt LICENSE. SEPARATE PERMITS REOUIRED FOR SEWEn,PLUMBING AND HEATING.
•
tosac
tal I —/ ' —
T PDC#
APPLICANT ON AGENT
rovert _ �' Receipt No
�nnRfSS r�ON
SIX (SCOTm)
SDC - S -5-
POC
SP0C --
SEDER CONNECT ION _$
SEWER INSPECTION S
SEWER SURCHARGE $
Comments:4,'", /-a
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,aye'
2 dc
7Z
713
yy y
BUILDING RECELPI
NAME: ` t s_ DATE:
ACCT. M DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees s
10-431-601 Mechanical Permit Fees f
10--230-501 State Building Tar.
10-433 Plans Check Fee s / �
30-443 Sewer, Connection (20X)
30-202 Sewer Connection (90X)
30-444 Sewer Inspection
51-448 Street System Dew- Charge (SOC:) _
52---449-610 Parks I System Dew, Charge (PDC) s --
52-449-620 Parks II System Dew. Charge (PDC)
31-450 Storm Drainage System DQv. Chrg (SSDC)
10--230-505 TRFO (95X) s ,�
I
10-478 TRFO (5X) _
10-130-506 Washington County Fire 01 (95x)
10-178 Washington County Fire M1 (5x) :
10--220 Amart/Wedgewood = \
TOTAL
(bo/1214P)
uu i Id i ng 11 i t No.5"?� 7_�__. .--
Locat ion
— _—
Uate _
Cert ifiCdtion of Registration
',lith the Bu Iders Board
doing business as (dba) ,
7�fa� ..��______ ��. �- � • am registered under the provisions
of ORS Chapter 101 Oregon Homebuilders Law) .
fly Builders Board Registration Number is
Fly registration i in full fort an -.affect and expires on
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