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15220 SW 79TH AVENUE-1 — 15-220 SW 79TH AVS-140S W W ti x H rn r v: 0 N N In ,-1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 % "-igar i, Oregon 97223 + Phone: 639-4175 t� Type of Inspection — Date Requests _ Time ✓A.M._ P.M. Permit Address # � _ Lot BuilderaL��[L1Lv.—�The following Building Code deficieviries ara required to be corrected: Presented to pproved 00, Inspector _ L, Disapproved relate CALL FOR REINSPECTION " ❑ YES El NO CITY OF TIGARD 639.4171 Da TE 'illy_ �'{' 6 2 13 BUILDING PERMIT ,r;hp. Line 639-4175 TAX MAP 2d1j_L2L--I.OT N0. !?(�—.SUBDIVISION _ j OWNER__ ,arold Joiiee —____-. JOBADI LESS 1:22(" ;;'.i 79th AVB.---- Y BUILDER lg8_ie STATE RE'S NO EXP.DATE f,39-•5730 BUILDER'S��HONE ARCHITECT PHONE _O'HER STRUCTURE NEW ❑ REMODEL LA' ADDITION REPAIR MOVE Lj OTHER C DEMOLITION RESIDENCF COMM ❑ EDUCATION .] IND RELIGIOUS ACCESSORY f`I GARAGE I OTHER I'FNCE -._._ . , OCCUPANCY _LAND WiE ZONE _91-r G TYPE _—FIRE ZONE__ PLAN CHECK BY1'6j— HEA) _ Cmistvict ,ara,v for r-, :+"ellirj};� to be ottuched to 110118e. SLWER PERMIT If • OCC.LOAD FLUOR LOAD HEIGHT NO.STORIES t AREA fit' NO.BEDROOMS V4LU�j DEPARTMENT I BULDING DEi —_ � SET BAr:KS FRONT REAfS '� LEI TSIDE RIGHT SIDE—_ — Permit _ 136•_50 THIS PE.AM'T 1S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING RFGULATIGNS AND ALL APPLICABLE CODES AND ORDINANCES, RND IT IS HEREBY AGREED THAT THE Plan Check 56.73 WOnK WILL BE DON'c IN ACCORDANCE WITH THE PLANS ANn iPECIFICATIONS AND IN COMPLIANCE -- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ---13. 6 TAX PERMITS.SEPARATE PERMITTSSRj.E9UIRED FOR SEWER,PLUMBING AND HEATING. State Tax 146.11) iSDC Total---- PDCM APPUCANT OR AGEN '� `�_ V °repd. i�o;ie ; ,� Bal_Due 146.111Aece pt No/��''ry� ACORFSS�--- ----- — PH---�--- �. ---_-- Isslied By Approved By--.. ...�n.....7.s.i..iw..aa.+rd.._.. -_•s ,-... -,. ._..�....« �—"a.+wlrrWii�.t�.i...•a...o+Lw:.r+«r...rs.......:... --.�,;.✓..i.. —DA'IF INSP. TYPE INSPECTION REMARKS PLUMBING DATE —-------- Contractor— — — Permit No. -- -- �— --- ---— -- --------- Rough in -- Fixture — -�--------- -- .—_._�._- Final HEATING Contractor Permit No. Gasor Oil Rough in — — -_--_--_ --.—.._-- Final ---- - — SEWER Final — ----- V -- - � DRIVEWAY — ---------- ----------- Final -- .-- -- '-------- --� _- Storm Drainage --- -- �— — (Rain Drain)Final Sidewalk -- — -- ^_ - —+-- -'_-- CurbAStreet Final - ---- - -- --- Approach — BLDG.DEPT.FINAL TEMPORARY CERTIFICAI E OCCUPANCY Final 1 -- CERTFICATEOCCUPANCY l-andscaping Zoning Finel r.•rr, 17/ 912 for inspections call 639-4175 CITY OF TIGARD 639.4171 DATE 7 BUILDING i P.O. Box 2J397, 'Tigard OR 97223 TAX MAP __ —LOT NO. SUBOIVI:',IOfa _- OWN,; J� J JOB AODR SS _t✓—��U S;GCr J G� — BUILOE9 �u''Lti- —__ STATE REG.NO. __---EXP.DATE BUILDER'S;'HONE "�s ARCHITECT_ 1y� . _ _ PHONE ' J_.ZS�_OTHER �— STRUCTURE NEW ❑ nVMOCEL ❑ ADDITION U REPAIR ❑ MOVE ❑ OTHER l.) DEMOLITION ❑ RESIDENCE _❑ COMM ❑ !MXATION ❑ IND ❑ RELIG.OUS ❑ACCESSORY GARAGE 11 OT R ❑ F NCE OCCUPANCY .,Adft_L,LAND USE LONE BLDG.TYPE 5C`AL_FIRE WNF-" PLAN^HECK BY �� _ T_ lowr OCC.LOAD_ FLOOR LOAC HEIGHT " NO.STORIES AREA S NO.BEDROOMS — VALUE _^ BUILDING DEPARTk.ENT SETBACKS -7,ON Permll ;HIS PERMIT IS ISSUED SUBJECT TO TIIE REGULATIONS CONTAINED IN THE DUILDINC CODE, TONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE °tan Check T RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEGFICJITIONS AHD IN COMPl1AN:E WTTH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pi.CIL F" ` RESTRIC''IVE CCVENANTS_CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY RUSINESS TAX PERMITS.SEPARATE PERMITS REOUIRf D FOR SEWER.PLUM INO AND HF-ATINO State Tu. • �� TOlal �Y S� A �,TRGEN� , _ —_ POCJ ^l Soo G _Ste^ 2 Receipt No ADDRESS PHONE Bal.Oue �'� Issued By_ - - Approved By__ - SSUC. - - SOC - POC - 9 __ SEWER CONNECTION S •- `:EVER INSPECTION S rl, SEWER SURCHARGE S — Svd�r�rTi��Ss' �o�e<,• l� SEVVEB PERMIT Unified Sewerage Agency � of Washington County CITY OF _— 1 ,5 DATt = OWNER: - OWNER 'S ADDR. SS: TYPE OF INSTALLATION: SIDE SEWER [] LINE TAP AND .SIDE SEWER ❑ LINE TAP TYPE OF OCCUPANCY: ❑ NEW [] EXISTING SINGLE FAM_LY ❑ COMMERCIAL i EXIST. (PRIOR TO 7--1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS-___- DWELLING UNITS--/- ADDRESS NITS_-/ADDRESS OF STRUCTURE : &0-04- Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, When calling for Inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120) days. The amount paid will be forfeited should expiration occur. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is -lot located at the measurement given, the Installer shall prospect three feet in all directions from the distance and depth given. If not so located„ the installer sh,.; purchase a 'Tap and Sic; Sewer' Permit at the current charge and the Agency will install a latoral at the location specified by the installer F / _ O� IT FEE CONNECTION CHARGE LINE TAP INSTALLATION _ IS'.'1ED BY OTHER TOTAL $ _ a,� APPLICANT- DATF SEWER PERMIT ADDRESS OF STRUCTURE: TAX MAP .251- 1.2 TAX LOT �2©� SYSTEM LOT BLOCK - OF _ 4- dl- &z AF'F'jt ED BY DATE ISSUED BY 1 DATE D. U . - S -__ rR E N A R K 5 w