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9695 SW RIVERWOOD LANE
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INSPECTION NOTICE
I
City of Tigard Building Departmei,'
12420 S.W. Main St,
Tigard,Oregon 97223
Phone: 639-4171
i
Type of Inspection ^ _ --- -; ----�
/Z--/ ( U
Date Requested / Time A.M.= P.M.
Addrejs 6 �"� �G✓ ,E 'r'r Cep C�C� Permit #— —_.
Owner f 4--c Lot
Lot #
----
Tho following Building Code deficiencies are required to be corrected:
L I
.41
..r v
Presented to ------ _-- CI Approved
Inspector Disapproved
Date —
CALI, FOR REINSPECTION
,Y� YEs EJ NO
BUILVDING PERMIT APPLICATION TIGARD DATE---y,- 4609
THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEPEIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 34
OWNER :: ; JOB ADDRESS 9695 SW Fiva_►r_Wand Latic _ ruupper Creeek 1I
ARCHITECT
ENGINEER R
BUILDER ADDRESS t 1'39-'162` DESIGNER
STRUCTURE E5.NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION ,
F1)8ESIDFNGE f 7 COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS CI PATIO ❑ CARPORT U GARAGE ❑ STORACE 1 SLAB_❑ FENCE
OCCUPANCY - "-3--LAND USE ZONE I;'�l BLDG.TYPE FIRE ZONE-----PLAN CHECK BY HEA f
ConetrucL sityle fa%ily dwelling.. aittr attacl►ed 'jar", e.
"i P�edYaora
;,tlfss
SEWER PERMIT N 4641.
OCC.LOAD FLOOR LOAD HEIGHT <<I NO.STORIES 1. AREA NO.BEDROOMS VALUE U9�24F'
BUILDING DEPARTMENT —� SETBACKS FRONT s' REAR LEFT SIDE RIGHT SIDE
Permit 14 3.UU
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIC;IS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 227.95 WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WI'rH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 5 5645 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.72
.7 2 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
_State Tax ''
Total SDC- 00.U(j -
- PDCM (000 APPL16A TOR R AGENT
By Receipt No. 1 a 1� 4
Approved —� —PMS—-
DATE INSPP, TYPE INSPECTION --'-- REMARKS PLUMBING DATjJ
41<
-- -- r -�
Controcto /
/O -a�• �`�'=e�1t ---- Permit No.
Rough-in ----__
�— — a ,• �•}�, Fixture — _
Final
HEATING
Contractor 9101,�1 5 r�ta r h 10-1a
Permit No. 301-7
a-(•�
Gas c r DII
Rough-in
Final
SEI/ER
Final ^
DRIVEWAY
--�--�- —� Find
Storm Drair age
(Hein Drains Final
Sidewalk-- — —_
Curb&Street Final
__jApproach
BLDG. DEPT. +VAL TEMPORARY CERTIFICATE OCCUPANCY
`5'RTIFICATF.OCCUPANCY Final
Landscaping -- W
Zoning Final
Q
BUILDING PERMIT APPLIGATION TIGARD DATEIs
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE"OAK HEREIN IPIDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
U'NNER ri`i1.�0 _
LOf NO.�
JOBADDREa5 LC/Zaoog
hVkj _
Y / ARCHI fECTENGINEEq
c
F �j a-
BUILDER �(,� /L� AD �asto � DESIGNER
STRUCTURE Lp!' EW El REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FARE DAMAGE ❑ DEMOLITION
[441kSIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PANO ❑ CARPORT ❑ GARAGF. G STORAGE C1 SLAB❑ FENCE
0%',-C iPANCY�„LAND USE ZONE k- PIWBLDG.TYPE FIRE ZONE PLAN CHF GK BY -:25W.H EAT
-3 adz
SEWER PERMIT K , �{ ' _
OCC.LOAD FLOOR LOADS HEIGHT NO.STORIES I ARCA �SyBEDROOMS P. GE b
BUILDING DEPARTMENT SETBACKS FRONT D REAR a�' t.EFT SICE y RIGHT SIDE y T'
P^rmit y i THIS PERMIT IS ISSUED Sl!B CECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NE
REGULATIONS ANG ALL IYPLICABLE CODES AND ORDINANCES, AND IT IS HERcdY AGREED TP,AT T'HE
�PlanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC!FICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVc
Suh fetal � � � ' RESTRICTIVC COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINFS5
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stato Taxu ,�,?,Z
SOC
Total .. -- ----- -- -
POCM .,PPLICANT UR AGENT
By
Approved flecolpt NO. ADDRESS _ PHONE
so c
PDC — _�.__ / w
_ G �
SEWER CONNECTION S
SEWER INSPECTION S �5
SEWER SURCHARGE Sto •
L n P1 m o rl f.C