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II't 'ECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -----
Date Requested /— Time_ A.
Address 1-- �. -�� � Q1—_ Permi --
Owner _ w�--!Z--� Lot
Builder
The following Building Code deficiencies are required to be corrected:
.--
_ 1Iv
_L-c>✓/V V,
i
Present!,d to [] Approved
Inspector �.���.�,IG..r... _— Disapproved
Date --� — '}
CALL FOR REINSPECTION
YES Cl NO
JFW
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address� -5 7 2-Y
Permit
Lot
Owner
Builder
The followTin ,7Bilding Code deficiencies are required to be corrected: OF
-t-ic2c71z) �r-- Ajl to-o= %1dr9.-r'9=L0 Z�
Presented to Approved
Inspector eeDlupproved
Date
CALL FOR REINSPECTION
"Y E 8 EJ NO
i
FORIN:+t'! C7 x4'r! CALL 63'9-41 i
CITY OF TIGA'RD 639.4171 �/ 5729
BUILDING PERMIT DATE -_�®"er19- 95---
TAX MAP _.__LOT N0. 9 SUBDIVISIONBrittAtll+
OWNERi)ennia k. Clark 11559 S6 133td Place Square
JOB ADDRESS
BUILDER - lark homes 0.4.5 --1 P'o/
STATE REG.NO. _� QZ. -__-_,_EXP.DATE :30-•Bb _
BUILDER'S PHONE
ARCHITECT_J&tW Barton PHONE
------ . OTHER
STRUCTURE NEW i REMODEL I i ADDITION REPAIR MOVE OTHER 17 DEMOLITION
RESIDENCE Cl COMM EDUCATION IND RELIGIOUS F! ACCESSORY GARAGE I OTHER FFNCE
OCCUPANCY i LAND USE ZONE .�_BLDG.TYPE L4--FIRE ZONE PLAN CHECK BY HEAT electric
Co-Iatruct si►igle tastily residence w/attackie:u &aVage
Subject to Amart/Wedj.oewood $269.00 and Leron i,eithts
11,450.00 server surchar;er
SEWER PERMIT# )_b9��F ( ' garage 164 L hath
OCG.LOAD FLOOR LOAD 4i1 HEIGHT 1`} NO.STORIESI AREA'"' NO,BEDROOMS VALUO%.4u(j
BUILDING DEPARTMENT ji
SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
_- .-._ 229.OU
Permit T _ 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 l $ WORK WILL BE DC NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _U_ �v RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
PERM133,f. ,IeRATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 9*16 v+
SDC- 50U.UU
Total 381 ul 7 _ !.,
- . - PDC# J 150.UU APP ICA(NITORAOENT
Prepd•93b8 lopP� �7 � �S_�'"� 7"��•L. 440
�I.IC'/
Bel.Due
281.01 _. Receipt No. ' �� ADDREg-9 _ ( ONE �I
Issued By, _ _---mmApprovsd By_.-_._
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING `--T DATE
Contractc. /0
fit. O110 Permit No. Ll vyc)
/ Rough-in—
O Fixture
Final
HEATING
Contractor
�i
AL? —v Permit No. +
o,
Gas or Oil
/J Rough-in
Final _
_ _l-- SEWER — —
'�P20v!=n Final
r22,,,,2, EPIZO- l=—t-2 DRIVEWAY
Final
Storm Drainage
(naln Drain)Final
Sidewalk
Curb 6 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY C 0 O
Landscaping
Zoning Final
i
1
i
ellr � s ■r w� ® �
CITY OF TIGARD 633.4171 DATE �/ DF C- 19 S
BUILDING PERMIT —
TAX MAP _LOT NO. SUBDIVISION, '-'� Ut:*'�
OV�NER 0t���s G L� �� JOB ADURESS 11559 SIJ 3 3 2D. PL AG E
BUILDER STATE REG.NO._ �`):. EXP.DATE
BUILDER'S PHONE
ARCHITECT---t/�Nf /�i �'��'�L _ PHONE __.__OTHER —
STR ICTURE NEW ❑ REMODEL _❑ ADDITION - ❑ REPAIR ❑ MOI E ❑ OTHER Ci DEMOLITION
B RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE
OCCUPANCY R3`M J–LAND USE ZONEBLDG.TYPE _ _FIRE ZONE—PLAN CHECK BY ALL HEAT - lT
SEWER PERMIT
OCC.LOAD FLOOR LOAD �t r' ` HEIGHT 19 1 NO.STORIES 2.1 ARE A,'U O; `a NO.BEDROOMS VALUE 3-'4()` 't`
BUILDING DEPARTMENT SETBACKS FRONT .�- REAR - 3 •
LEFT SIDE RIGHT SIDE
Permit 2 29, v C THIS SPERMIT 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 TH1.
Plan Check /4$, 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
PI.Ck.Fki - RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 9, / 6 SDC_
Total . ..-' L--- ---
APPLI NT OR AGENT J
n<.F P()C# 6!r."
Pfe ! 00-00 2'.<' Z 41,E Z 00
Bal.Due Receipt No. ADDRESS
PHONE
-- Issued By .--__-Approved By
ssnc --- s Z50.00
fi
soc - 5 o 0, 00-
Poc :�: - r s o. o d
SEWER CONNECTION 8 975.E
SEWER INSPECTION $ r' -I 1
_ t
SEWER SURCHARGE s 3 60,00 Q.rY�.a-.�
Cammenta;
Sr
i
I
YAcvario,,/
23.zo : r c, oz 0.00
GARA G& 264 18,Dd :� 7SZ. Ov
37, 399 , ��
iw r
sus/
THEUIN'UEFRSIGNEOHEIiEUYAPPLIES1-0iiAPERMIIPJH IFIL 'YVl)IlriFILIIL I(vUI" iLU UInI_uLlt:':wItLSG1y7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV/NEV01-Ol1F•
LOT
•:7'.VfJENL.0At4r'1 I Inn JOB AOORr:i ��.�5, SL:�t 133,,4 . "titCL14 e _,-
--- '7 ARCHITE I'
// / ENGINEER
ADO." (�JrGtJ t7 / �Y1��d�a/rf� OESIG VER F
STRUCTURE MNEW_ IJRfMhOEL ❑AD01TION - L_1REP%!R ❑REENEVIAL [ FIRE DAMAGE UDE:.IOLIT
61 nESILIE'NCE QCOMP-1 ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE CISLA3 ❑FE
CCCSPar,•� R-3 LANA 115E ZONELYOLOG. TYPE�N /� P-L NCHECK BY I _�— HEAT �•
_— CONSTKUCT SINGLE TAMIL
BATHROOM, 2. BEDROOM
•S E W t:R P E R f1 I T ;r a S�9 �- '_ � g.��lL3_-,+�� � � .—
��,� aukIS A x/78 NQ,�•EnH1 VALUE
�ic_l9�D FLOpR LOAD ''�E.LCiN_L_��L���
i
I 511ILOING DEPARTMENT SET(3ACK:S FRONT 2 Z EAR Z LEFT SIDE RIGHT SIDE .5
ter----..
P!!.r..I(
THE 6ERMIT IS ISSUED SUBJECT T'7 THE HE LATIONS CONT/y11QED IN THE BUILDING CODE. ZOI
Chi-ck // O �: REG LATIONS AND ALL APPLICABLI CODES AND ORDINANCE'S, AND IT IS HEREBY AGREED THAT
--^-- WOA ' WILL BE DONE IN CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGI.IPLIANCE 1�
$:1ti•(o(11 •� ALL PPLICABLE CODS AND ORDINANCES. THE,1S$UANCE OF THIS PERMIT DOES NOT W
-'T-- REST ICTIVE COVENAN S. CONTRACTOR AND SU(! CONTRACTORS TO HAVE CURRENT CITY 80151;
S:ate Ta)!_ Q LICE E. SEPARATE PERMITS REOUIRED PCII SEWrR. PLUMBING AND HEATING.
1'utal SDC
APPLICANT OR AGENT
LAGprovm I ReC Ipt U.
Annq FSS HONE
Sd)C (Storm)
s o c - 8 6 v 0 .—
rY141v\ Poo,- . 765 'x 35. ii _ 26859. 1,
PDC - $ # _
UPP,w flog 'r',3 ' X �3. 1u = 9 S $/.40
SEWER CONNECTION $
SEWER INSPECTION S �51 v �38,
SEWER SURCHARGE $ � a v• "'' /J-rosrK
Comments : S�co�d is a•
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