9600 SW RIVERWOOD LANE 9600 SW RIVE:.WOOD LANE
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INSP E CTI0NN6TII E
City of Tigard Building Department
1242.0 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection P-M.
_ Time -- A.M.
Date Requested
Address .
—--+��� `�!.(� �Y(�L�'>��— — Permit �
Lot
Owner — Q
3uilder _The following Building Code dmicienries are required to be corrected:
-.ter-
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------------
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—
Approved
Presented to
/F-1 Diapproved
( Inspector
Dine
CA Td, FOR EIN i ECTION
YES t7 NO
13u ; 3ding Permit No. f�l'oZ
Location �f� i
l � �
Certification of Registration
With the Builders C,oard
CrIv �
I. #0 ' Zit ti^" doing busines_ as (dba), rlq,4
RQ
am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
ture
1
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E i1
ILDING PERMIT APPLICATION T:GARD DATE—__g_tember � ,ts.84— 5002
THE UNDERSIGNED HE=REBY APPLIES FOR A P!_RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 20- 2� 03
OR AS SHOWN AND APPROVED IN THE A0GOP1PA',4YING PLANS AND SPECIFICATIONS. OWNER PHONE ---
LOT NO. -.--
JOB ADDRESS W Ki Vw'TWt>U l- ' ?- _CUYuer-uea1c II
OWNER j r i. ►{Oc�K OTI ---- �—�— ARCHITECT
^�3�etwnudy j 14U ENGINEER
ADDRESS R •i Bas 286A DESIGNER
STRUCTURE _CRNEW ❑ REMODEL_ ❑ ADDITION__❑ REPAIR LJ RENEWAL_ _( J FIRE DAMAGE ❑ DEMOLITION
._._
' [Y RESIDENCE El COMM f_] EDUCATIONAL El GOVT C] RELIGIOUS El PATIO ❑ CARPORT C! GARAGE El STORAGE ❑ SLAB❑ FENCE
--- _ ��1n' HEAT_
OCCUPANCY k—j __LAND USE ZONE _ 111-1 —BLDG.TY __ N FIRE ZONE_--PLAN CHECK BY ___
CcrostrucK Ailolglx fa�►ily �welling WfIttachet 861a96. --
---- - 3 bedroom 3 Dathroam
�_ —___ -----
SEWERPER_MITN 27954 Garage 504
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES '.AEA 17 IU NO.BEDROOMS 3 VALUE 65,000
LEFT SIDE RICHT SIDE )
BUILDING DEPARTMENT SET BACKS FRON�?_ 1_!__ _REAR $V _ _1`___ _ - --- —_
NED
E 0
Permit — 328'UU REGULATIONS nINS ISSUED
DUALD APPJECT TO LICABLE ICAB ETHE CODES ANDATIONS CONT
ORDINANCES, ING
IAND IN SHHEREIBYIAGREED THATNG CODE. THE
PlanChecr, 213.2u WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND W COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 541-20
RESTRICTIVE COVENANTS.LICENSE.SEPARATE PERMITS REQUIRED CURRENT CITY BUSINESS
FOR SEWER,PLUMBING AND HEATING.
State Tax 13-12
SDC— ySUU illi.+ - r •�
Total 554-32 1�8:& APPLICANT OR
PeC11 *y(y (1
By _ CL
Receipt No. --�T IONF
RE88
Approved — FTW c IcI u AD
+0
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contriu_tOr —
.�
Permit No
��/f Rough-in
Final
HEATING
Contractor
Permit No.
Gas or Oil
Roo!gh-i n
Final
-- ._. -- -- --- - SEWER ---- — - --
--- — — Final —-
--- DRIVEWAY
Final — -
Storm Drainage
— (Bain Drainl Final
Siderh;Ik
Curb A Street Final
Approach _
ULDG.DEPT.FIAAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE _
CERTIFICATE OC7CUPAW7'
Lands wring
ZonlmA Final
I
� atr
j~vtJ
BUILDING PERMIT APPLICATION TIGARD DATE__ 5_t_--tg
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TETE:WORK HEREIN IND CATED BUILDER PHON42O���
OV'dNEP,P ONE _
OR AS SHOWN AND APPROVED IN THE:.CCOtAtAP_ANYING PLANS A;•.D SPECIFICATIONS. 0%N E NE --_
JOB ADDRESS��[ "-� ITECT
E:NCANEER
EilJll-GER _
— ADDRESS DESIGNER
STRUCTURE NEW _❑_REMODEL ElA_ODITICN - i, REPAIR
Cl RENEWAL ❑ FIREUAMAGE C1 UE�AOUTIO
��RESIDENCE G COMM C3 EDUCATIONAL i:1GOV'T ClRELIGIO``UIS�❑/NATIO ❑ CARPORT GARAGE f.3 STORAGE C1 .SlJ1� O FENC
03c i::APJCY w LAND USE ZONE ` BLDG-TYPE +i FIRE ZONE` PLAN CHECK F;Y HEAL -_
_ -
SEWER PERMIT M_��- _-_� ---- — -
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA/7/10 NO.BEDROOMS VF.LU,�MM
BUILDING DEPARTMFNT' SET BACKS FRONT 21
REAR 1_EFT StCE RIGHT SIDE
7
�`— NG CODE,ZOWN
Portrait - 3 u- THIS PERMIT IS ISSUED SUBJEC"i'i0 THE REGULATIONS CONTAINED IN THE 6U1LDI�
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERcBY AGREED THAT TH
Plan Check Z/ 3 WORK WILL BE CJONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA«IONS AND IN COtaPLIANr'
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE RPAIT DOES NOT V1 All
1
Sutrtetal RESTRICTIVE:COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINES
LICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax -
Total 5 32._ APP_UC ANT OR AGENT J ^
PDrA
R-y- -- - -- -- __--
Receipt No. ADDRESS PHONE
fz
o c
P Dc
SEWER CONNECTION
SCWW[R INSPECTION "a ? �~
SEWER SURCHARGE 5 _ _ __