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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 6394171
Type of Inspection
Dt.te Requested__. { Time— y-/ — me �J A.M. _.._._P.M.
Address C� �Sv. "�� ' z-�c:r� Permit #-_._._—
I
Owner---- ----��._-----_
Lot #----
Builder —__Builder
The following Building Code deficiencies are required to be correr:ted:
J
Presented to _ ._ Approved
Inspector —_�_ _ Disapprovpd
Date --
CALL FOR REINSPECTION
i ❑ YES &NO
i
w
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection
flo,216`6
Date Requested Time A.M. M.
Address Permit
i Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
C.
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES VfN0
INSPECTION NOTICE F
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
i
Date Requested--2' ''i:Z1 "1- Time A.M. X P.M.
Address �� �Q �u/ rct� 1' Permit
Owner Lot
i
Builder e i
The following Building Code deficiencies are required to be corrected:
j e /rr�:�'�+•C __—.:� +�-+mss=t-� r
i
I
Presented to — _ Approved
Inspector —_--- Disapproved
Date
CALLFO REINSPECTION
,DYER, 0 NO
i�
iNSPECTIOrw
City of Tigard P,lilding Departmei.,
12420 S f. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested �%r Time A.M._ __P.M.
Address
Owner----_--___-__ _ ___–_ Lot #—
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _____ — , Approved
l`.1
Inspector Disapproved
p –
Date
CALL ,OHH REINSPECTION
C] YES A NO
INSPECTION NOTICE
City of Tigard Building Department
I
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested �(�
q lime A.M--P.M.
Address - �'
�+ Permit
Owner _-- _ lot
Builder
The folllowing/Building Code deficiencies are required to be corrected:
r
` Presented to --- — n Approved
I �
I mpector XDIupprowd
i
Date —
CALL FOR REINSPECTION
YES 171 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested ��-�� " 1�1 Time /� A.M. P.M.
Address _2 ,m Permit #_
Owner __ Lot #
Builder
The following Building Code deficiencies are required to be corrected: t
3
I �1�
Presented to KApproved
Inspector _ �.�J�-/ _ __ ❑ Disapproved ,
! Date
CALL FOR REINFECTION
❑ YES NO
BUILDING PERMIT APPLICATION TIGARD DATE_ Y�+�-•r,er }er 19 �s:� 4698
THE t)NDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILUER PHCNE YbL.5S__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_1t .5�. ►,__
5 t ewe Chew LOT NO.
OWNER Ly;Aa Schruedfr JOBADDRESS — {j77t1 :31v :dveL'wuv(1 Lu. reek 11
___.,
Went Linn 97065 ARCHITECT
� ENGINEER
BUILDER Jorst"ph Inc. ADDRESS 3166 Oak tree: Ct. DESIGNER_ Ulsun Amro
STRUCTURE ChddEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
U' RESIDENCE U COMM ❑ EDUCATIONAL ❑ GOV'T 0 RELIGIOUS ❑ PATIO ❑ CARPORT' ❑ GARAGE L] STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _��-.. _LAND USE ZONE Nli-i-7BLDG.TYPE �►t'1_FIRE ZONE_ PLAN CHECK BY LTLI HEAT.y__.,._S;Ap_—_
_ Construct ningle- family dwellin w attached jsarake. .
4 hedruo►ao 2 ? athroocis
T SEWERPERMIT 0 2o',.J1 jarel„H S ,ia _
OCC.LOAD FLOOR LOAD HEIGHT 20+ NO.STORIES 4p AREA_17!lr; N0.BEDROOMS A VALUE 79.(}Gt),
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT WDE
e Permit 370.00THIS PERMIT IS ISSUED SUBJECT TO THE REGU%.ATIONS CONTAINED IN THE BUILDING CODE, 20NING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 24U.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
^r.�i[).5t) WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
14.HO LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
0t.t
Total 625. SDC– $4UU,0()
By cll
PDC# it 100,00 APPLICANT UR AGENT
Recelpt No.
Approved t TW ADDRESS PHONE
DATTE� INSP. TYPE INSPECTCON REMARKS PLUMBING DATE
�-I --I - --- - ------ --- __ Contractor
Permit No.
� -- --
1 --
�/ � Fixture
Final
HEATING
N-
I'1y - — —! Contractors
Permit No.
_--- - --
� Gas or Oil
Rough-in --
Final
SEWER
_-- ---- Final
— DRIVEWAY
—_-_-^
Final —
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street F. al
Approach
— BLDG. DEPT.FINAL TEMPORARY CERTIrICATE OCCUPANCY -
<'ERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
I
Building Permit No.
Location '
Certification of Registration
With the Builders Board
I, Ah/) doing business as (dba) ,
am registered under the provisions
r
of ORS Chapt 701 Oreyon Homebuilders_Law) .
My Builders Board Registration ;;umber is #- / /�5 `> c
My registration is 4n full force arl effect and expires on
,� ign� ure
lf',k UtNC?EFiSIGNED HEREBY APPLIES FOR APE RMI f FOR TFI� "NORK HEREIN INDICAi
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND `' CIFICAf10 ov7Ncf .�rurJt1�2�T'44go
LOT
74VIJEr30 3-gAw � _ ` JOS AOORESsARCHIT
3,66 04/` *rcc G� ENGINEER I �
. ENGINEER
nUl�_7:'T (4
.�C��AODRE'i._ aT-�ll'l.�_V� _-`�-L- dESiGYCR Vr�• (�n }Q
�STRLICTURP_— 11INEHJ _ DRFMnOEL4 D`DO+iIUN, Cf1cP:.lAr�--�OF1E�lE',•!AL ❑FIR: D4',IAt - 1D°'.1�LIT1
'rJ ftESIL�E"ll:E OCOI/P•1 DEDUCAi+ONaL OGOV'T DRELIGIC`USCIPANO [jCAR PORT OGARAGE OSTOPIAGE OSLAB OFEP
CCCUPALt.—_�J_LAND USE ZONE�.B�BLDG TYPES__/ __'FIRE ZONE __ PLAN CHECK BY_ y _7 HEAT U
EWER PERMIT ;�
QsG_Lr)J� FLog�l.oAD rel HT 10 t ni�,STO�IEs_.Z_nREa �N _aEQa=&. 1 F7 GCh
�
51I1Lr,'IN5 DEPARrmENT SE f BACKS FRONT �(� � REAR LEFT SIDE G Z RIGHT 510E�I
°^rr-tt 7a 0�
1" THIS PERMIT IS ISSUED SU3JECT TO THE REGULATIONS CONTAINED IN THE BUI!DJNr, CODE, ZON
1�' ar C'.'ck v" REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED WAT
j-"'— --- WORK WILL BE NONE IN ACCORDANCE WITH THE PLANS A, 40 SPECIFICATIONS:Nra+N COMPLItNCE Y:
S.1ti•tOtdl fl ! ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PENMIT DOES NOT 'N-
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COPITRACTORS TO HAVE CURRENT CITY SUSIr!
r.ate Tax yy,► �y. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
I Tutat !� SDC t
r POC#
L
Receipt No
APPLtCANT OR AGENT ArprOVFA -
SDC - �11d? -- 416G8'
PDCup
SEWER CONNECTION
SEWER INSPECTION 3S
SEWER SURCHARGE S
Comments :
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