14860 SW 74TH AVENUE -- 1,,860 SW 741.1H AVENUE —
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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 i
Date Requested 16 44-C Time A.M. Z"W P.M.
Address —1 [2U d I4goo gw 74'�—Permit #`_—__-
Owner _ Ag1"C�5 X _ Lot #_
Builder
The following Building Code deficiencies ara required to be corrected:
Presented to _ _ Approved
Inspector _
❑ Disapproved
Date Q 1
CALL FOR REINSPECTION
❑ YEt VfNO
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A w rw
BUILDING PERMIT APPLICATION TIGARD DATE _.,19_—d 3972
THE UNDERSIGNED HEREEY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
i
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
is� LOTNO.-
OWNER C'C':i1' il[1. JOBADDRESS � '� '4'+t' �� /4th
POttlaT.0 ARCHITECT
9FtTt1C' ?f,3f, �'I7 76*h Avenur, ENGINEER
BUILDER ADDRESS DESIGNER — —
STRUCTURE ❑ NEW ❑ REMODEL Ll ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Q DEMOLITIO,.
Li RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE CJ SLABf_7 FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _ FM–LONE__PLAN CHECK BY HEAT_-___-_-__
Ormolition of 0!-milinn and attacliod, aarece, may he bl...lrned by rR P —
:'onn,1-ition to be rentov_ed. Septic- tank tO be put ��1 atn fi11 c1.
rnll for inspomcttor, wher; rc��r�lc t�cj.
SEWER PERMIT M
_OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 1 _ AREA NO.BEDROOMS VALUE
_BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ._--
___ 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 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 NO, WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FQR GEWER,PLUMBING AND HEATING.
State Tax
Total A ] SDC-- `�,✓`•.%
PDC# APPLICANT OR AGENT
By ['1
Approved Receipt No. ADDRESS - —PHONE
i
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING
DATE
Cintractur — -
__. Permit No.
hough-in — —
-- __ Fixture
—• _ Final _ --
—_- HEATING — —---
Contractor
F,:rmit No.
Gas or Oil
-- — Final _
— _ SEWER
DRIVEWAY
— ----------------- i Final
-- -- ------------__ Storm Drainage
- —__ — (Rain Drain)Final
--- -- ------ -- Sidewalk
Curb&Street Final-
-- Approach
—BLDG DEPT. FINAL TEMPORARY_ CERTIFICATE OCCUPANCY --
CERTIFICATE OCCUPANCY Final
Landscaping
_ — —_ Zoning Final
BUILDING PE. AIT APPLICATION TIGARD DAT /
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BJILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER,P,-,ONE ;1 1,6
cVINER .z e.P„r/ 2tJOP ADDRESS �G��f/i / C Q/� �c�d S C!/7_0e—`i . LOT NO.
C� ARCHITECT
BUILCcr J CG2_ _0 ADDRESS 7 (o Ce j . DESIIGNER i
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _❑ RENEWAL Cl FIRE DAMAGE DEMOLITIot
Cl RESIDENCE u COMM ❑ EDUCATIONAL ❑ GOV'T ❑ AELIGMUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE 0 SLAB❑ FENCI
Cti.CUPANCY LANDUSEZONE BLDG.TYPE —FIRE ZONE— PLAN CHECK BY HEATr
c
01
SEWER PERMIT
OCC.LOAD FLOORM)4II— �NEIGFI'I'— 7 -NO.STORIES �^ ARE_A _ILUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SICE RIUHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON:'�..
9EGULATIONS AND ALL APPLICABLE CODE:,,AND ORDINANCES, AND IT IS HERESY AGREED TY.AT TF'
Plan Check I. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO.MPLIANC'
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NL)T WAIS•
Sa:•total 7 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CIIRRENT CITY HUSINES:
I L U LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
I Stata Tax �+ f
Total C SDC
—
POCN APPLICANT UR A_i_NT
By -• -
Approved Receipt No. ADDRESS --
PHONE
loc -
Dr, - S
EWER CONNECTION �
HIJER INSPECTION �
EWER SURCHARGE s
n n!trI o r]}C a
,s
�Q
BUILDING PERMIT APPLICATION T'IC,, DATE_ /?_;
THE UNDFRSIGN-D HEREBY APPLIFS FOR A PER AIT FOR Tf;E WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPR7VcD IN THE ACCOMPANYING PLANS AND SPECIFIC.ITIONS. OVlNER PHONE�,Z-
J;.r:c' JOBADURESS r� y�C y C� LOT NO
17& J Oa J Cts 7
ARCHITECT
-'DDRESS�< / 1/L�l 2� ENGINEER
-,�/�4t,w Vcri� DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL C1 AOD'TION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE EMOLI i 10
u RE,MENCE C COMM ❑ EDUCATIONAL ❑ GJV'T ❑ RFLIG;OUS ❑ PATIO ❑ CARPORT ❑ GARAGC' C STORAGE ❑ SLAS❑ FF•.NC
GZ.t:vr.4NCY _ LAND USE ZONE y--SLOG.TYPE FIRE ZONE______PLAN CHECK BY HEAT _
QIsti
SEINER PERMIT qIJI --�Lt'L�� L�, �7_.. �r. �c�s —
OCC.LO, FLOOR LOAD AtO_STORIES _ AREfr W-REDROOMS VALUE
BUILDING DEPA....... G SETBACKS FRONT REAR _ LErr i;i1OE RIGHT SIDE_
Permit THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDiNG CODE,70Pt'.4
REGULATIONS AND ALL APPLICABLE CODE'S AND ORDINANCES, AND IT IS HEREBY AGREED TP.AT THE
`PlanCherk WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICANONS AND IN CO;;iPUANC�
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIV"
Ls-UA-total RESTRICTIVE COVENAN'f5. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CIT-f B631NftSS
State lax y D
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
`�
Total SDC—
BY PDCU APPUCANT OH AGENT --- `--"— -- --
_
Approved Receipt No. —_—� -- -----
ADDRESS PHONE
EWER CONNECTION $
:EWER INSPEECTION S
5F IER SURCHARSE $
mm�nrl�C •
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigapd, Oregon 97223
Phone 639-4171
Address
Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented to Inspector
Date
G4LL FOR REIAGDEMOtV
0 YES NO