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11500 SW 90TH AVENUE-1
11500 SW 90TH AVENUE .c u 0 rn 3 0 0 Ln ! INSPECTION NOTICE City of Ti(,arh Bniiding Department 12120 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection � date P.equested_ _ Time �A.M. Address . /�–S�_� �1'�— / Permit Lot # I Builder i The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector __--._ Disapproved Date CALL FOR R ,INb'P';CT1011 ❑ YES /NO ! i BUILDINO PERMIT APPLICATION TIGARD DATE-- 7 4557 THE UNDERSIGNED 1-1,rRFBY APPLIES FOR A PERM II FORTH E WORK HEREIN INDICATED BUILDER PHONE OR AS SHOW'S AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER Tom iLOT NO.:. Doll, JOB ADDRESS 1150U Sti 90th _ ARCHITECT sans 1,aztU! ENGINEER BUILDER _ _^ ADDRESS _ —UESIGNER _ STRUCTURE U NEW _ ❑ REMODEL [j ADDITION _❑ REPA:R ❑ RENEWAL ❑ FIRE DAMAGE _ ❑ DEMOLITION_ ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL l_-] GOV'T ❑ RELIGIOUS 11 PATIO ❑ CARPORT &GARAGE ❑ STORAGE ❑ SLAB[] FENCE OCCUPANCY t; _ LAND USE ZONE -j1tL-,BLDG.TYPE -11N-__FIRE ZONE ••- -_-PLAN CHECK BY M—_HEAT -•• ` — _ Construct Single Story Acc Bary tilde;. 31 `i 12 No p1wibin:; or •u•c hanical SEWER PERMIT# Or^.LOAD FLOOR LOAD(Aber. HEIGHT 20 NO.STORIES 1 AREA 992 NO.BEDROOMS �• UE r BUILDING DEPARTMENT �---- ------- SET BACKS FRONT ol• REAR ', LEFT SIDE RIGHT SIL .i Pei,"k !U•- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING i2�3`1 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 132,63 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 3.22 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— � Total 196.05 ' PDC# APPLICANT UH AGENT By Receipt No Approved J ADDRESS - PHONE V4 s t DATE INS.". TYPE INSPECTION RILMARKS PLUMBING DATE Contractor Permit No. — /D— / `>� A� td— 1-- Rough-in j,Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-i Final SEWER Final DRIVEWAY Final Storm DrainagL (I,.iiii Drain)Final Sidewalk Curb&Street Final CERTIFICATr OCCUPA ,1prooch TEMPORARY BLDG. DEPT I 14,il- 'In N t:Y Final KATE OCCUPANCY Landscaping Zoning final i-of -'s Building muss b cnmpletcd -)ccording to city codas a'd fii��l insp�;ctic:;, rrt�de before occupancy. CITY OF TIGARD APPROVEp FUR c0Iy5TRUC7'IOfV CITY OF T�GARD I PE -�^�__ SITE ADDREADDRESS'ADDRESS' - ----------_-- _--_ —DATE� X: /V A-Kh U �. y L Jr P � vb P7 16 L1. I ,1 I— I � 11 i ' . /32- w � `A . 9 Sr Wool © .�.. `�... i aw BUILDING PERMIT APPLICATION TIGA::) DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERI`AIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE, OR S SHOWN ANC APPROVED IN THE ACCOWIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 7 ` - 7-7.' LOT NO. OWNER J 'l [` C JOB ADDRESS l�.S U(J L �L ARCHITECT c C"7 ENGINEER BUILDER 5 ,�2 AnDRESS S DESIGNER STRUCTURE ❑ NEW O REMODEL 6AODITION ❑ REPAIR D RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION Cl RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT &eARAGE Q STORAl = ❑ SLAB❑ FENCE CW--C,U'ANCY _LAND USE ZONE � _ BLDG.TYPE ..6L-,1, ' FIRE LONE T PIAN CHECK BY SEWER PERMIT N OCC.LOADFLOOR LOAD 4 VHEiGHT %C NO.STORIES AREA ',i� NO.BEDROOMS VA.LU- ,�00 BUILDING DEPA?TMENT SETBACKS FRONT eVe REAR S LEFT SICE �� RIGHT SIDE j - Pormit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIClfgz> t--,NTAINED IN THE SUiLDiVG CODE Plan Check �-3 REGULATIONS AND ALL APPLICABLE COOLS AND ORDINANCES, AND IT IS HEREBY AGREED WORK WILL 3E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COI. L:;kdCf F WITH ALL APPLICABLE CODES AND OPOINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV, Sub-total ? 2 ?' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINES- r--- LI-ENSE_SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. i 9tatn Tax L Sr�C-- Total PDC# APPLICANT OR AGENT BY �- ---�— Receipt No. Approved J ADDRESS - ��— PHONE � �----- CDC - PDC - _ SEWER CONNECTION ;EWER INSPECTION 3 .;EWER SURCHARGE S So l� AddressQQ !( —Aldte Permit No. Name of Occupant p r e mit c4 _------------�._..----_._. Date connected Type of Building Inspection fee- P _.� Service Rate_ P,id by Contractor w Assessment �� d _Paid Size of connection., / ___ I