14570 SW 91ST AVENUE 14570 SW 91ST AVENUE
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INSPECTION 'NOTICE n s-
City of Tigard Building Department r�/
P.O. Box 23397
1 igard, Oregon 97223
Phone: 639-4175 l
Tfpe of Inspection —
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Date Requested �_. w/ Time �: 4 .M. P.M.
Address Z, # '� Z
Owi;er _ G- __ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to /Appmved
Inspector _ Ll Disapproved
Date -
CALL FOR REINFACTION
rl YES (� NO
INSPECTION NOTICE G
City of Tigard Building Department
P.O. Box 23397 �•�
Tigard, Oregon 97223
Phone: 639-4175 '
Type of Inspection
Date RequestedZQG`— rime A.M. /P. .
Address �y Y�� —/ Sr Permit #.
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to , _ proved
Inupectur ❑ Disapproved
Date —
CALL FOR RF.INSPFCUON
C] YES 0 NO
r
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INSPECTION NOTICE /
City of Tigard Building Department �J
or P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ___ 6-1
Date Requested __ _ L-��L�� '.im _ A.M._ P.M.
IJ l, Permit
Address � --�--._._�_—�—�—..
Owner--_-.__-- _�_._✓�"�-a- _t'1 -- Lot
BuilderThe following Building Code deficiencies are requi-sd �o be correctedi
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1
Presented to T___—_-__-_ _ -_-._- �pproved
Inspector ___._... _ ___ _^ I Disapproved
Date
CALL FOR REINSPECTION
❑ YEI 0 NO
for inspectionsc /v-
CITY
�
all 659•-4 L 75
OF TIGARD 639.4171 DATEL _Ip
BUILDING PERMIT
P.O. Box 2339/, Tigard OR 97223 T.A.X MAP LOT NO. _ _SUBDIVISION
1.4-s
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OWNER '-Ay 1 1_C-0rC JOB AUDHCSS 1. 5:iXo W��'L A
dU1LOER `. IC' 2 , n=p2 STATF.AEG.NO. !V —EXP.DATE
BUILDER'S PHONE Bar!
ARCHITECT_ — _ _r PHONE _OTHER
STRUCTURE ❑ NEW Cl REMODEL vj ,1001TION ❑ REPAIR ❑ MOVE ❑ OTHER C7 UEMOUTION
RESIDENCE ❑ COMM ❑ EDUCATION
77 ❑ IND ❑ RELIGIOUS ❑ACCESSORY [] GARAGE U OTHER U FENCE
OCCUPANCY _ _LAND USE ZONE J�_-1—11LDG.TYPE/ FIAE ZONF.�`�''a'PLAN CHECKBY
LJ
SEWERPERMdTN, Ql�:,w�_ -Y�
OCC.LOAD FLOOR LOAD f1 HEIGHT`G-f'' N0.STORIES I AREA VN NO.BEDROOMS VALUE-SSOO O
LBUILDING DEPARTMENT SPT BACKS FRONT � REAR / y LEFT SIDE 1- RIGHT SIDE
Perinll U .Sv o , THIS PERMIT IS ISSUED SI.BJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AAO ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT T`1E
Pyr-Wk Z- �� WORK WILL BE DONE IN ACCORD/NCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH All APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS P'EAMIT DOES NOT WAIVE
PI.Ck FIre RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE(:URRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;late Tac
SDC— _
Tow S APPLICANT OR AGENT
Prepd. �I J /`'
�+ RsCelplNo ADDRESS
Bal.Due_ _
Issued By.—_-----Approved By—
SSD("
y—SSDC $ _�
SOC
PDC
SEUER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S
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BUILDING PERMIT APPLICATION TIGARD DATE . _ --- is.- _— 3596
'HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA i ED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
Lax LOT NO. ":l.'r .-Z`�I-I� 1
OWNER StEIVE9 5i1COX JOB ADDRESS 14570 SW 91st — -_ Lot Qu - PinsLi. :)ok Te�ri'.
_ ARCHITECT(-�,,6 r<�•.t — dE
ENGINEER_-.
BUILDER Liostside ?~t::i-,-)delars ADDRESS-12555 SU 3ummercrest Do E -A—
STRUCTURE ❑ NEW ❑ REMODEL [X ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EIRESIDENCE ❑ COMM_❑_EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑_CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY k-3 _LAND USE ZONE R-7 BLDG,TYPE --�Y -FIRE ZONE -- PLAN CHECK BY dWh HEAT '�'"-c0-
- 3truct family room, loft & dining additinn to existing single family
;Ji-it ;.ling. SEE CORRECTION SHEET FTTAChED. _ _ -
SEWERPERMITq
OCC.LOAD FLOOR LOAD 40 HEIGHT —19 NO.STORIES — �_ AREA 576 NO.BEDROOMS b VALUI1S, •"
BUILDING DEPARTMENT SET BACKS FRONT -- REAR 3 LEFT SIDE -- RIGHT SIDE i 4
Permit 42 a: +00 _ 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 44,00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODLS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES Nor WAIVE
Subtotal 132.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB :ONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 41 3. a2
SDC-
Total 13!.). 52 _ _ --
- PDC# APPLICANT OR AGENT- i-
By P 1
—�-- r --- Receipt No. -ADDRrS9 — -- - �- PHONE
Approved
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
2�0' � _ Contractor
Permit No.
Rough-in —
Fixture -- — -
--- — - Final
i HEATING
Contractor
I Permit No.
Gas or Oil
i Rough-in
Final
— — -- SEWER --
Final
DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
I Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL— TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Firal
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGA^--) DATE '' .19-8L.
THE UNDERSIGNED HER EBY APPLIES FOR A PER 1i F FCR ThE WORK HEREIN INDICATED BUILDER PHONEG3��rzs/
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS� OWNER PHONEQ- /
1�0I s &' 14 Lo.raU.,�Q,__ 2fI—/
—::A:ER gveve Jo rix J013A_ODRESS, I�, -_. 1� �'„-- L���� !�,'i►�b.sokjg�cF
ARCHITECT
�ZNGINEER
BUILL'ER aMq��— ADDRESS��,���� MM'I �i� GNER
STRUCTURE C NEW r REMODEL ADDITION REPAIR C1 RENEWAL U FIRE DAMAGE ❑ DEtAOLI'ION
RESIDENCE C COMM C EDUCATIONAL 'J GOVT C RELIGIOUS C PATIO u CARPORT C GARAGE -- STOR GF C SL.ABC FENCE_
`r;-'UPANCY �LAND USEZONJS 1-”-_BLDG.TYPE -,r.N-_FIRE ZONE PLAN CHECK
Rn M.
SEWER PERMIT a
OCC.LOAD -- FLOOR LOAD,/AD HEIGHT N0.STORIES L AREA NO.BEDROOMS ✓ VALUF.IffOO
BUILDING 5TPARTMENT SET BACKS FRONT -" RFAR .23 LEFT SICE PiGHT SIDE
�PiflTllt - � _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDINO CGDE, 7GP1:`4•G
REGULATIONS AND ALL APPLICABLE CODES AND ORCINANCES, AND IT IS HERESY AGREED THAT TFE
0InnCheck I wWORK WILL 8F. DONE IN ACCOP.CANCE WITH THE PLANS AND SPECIFICATIONS AND IN CU.�i�L1ANCE
WI1H ALL APPLILABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER";11T DOES NOT WAIVS
ut}t�tal D RESTRICTIVE COVENANTS. CONTRACTOR AND SUB r;ONTRACTORG TO HAVE CURRENT Clt f Eu5ItiE5S
— LICENSE.SEPARATE PEq%41TS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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�Total t-13 � . �-� SDC-
__O n+� 1 V'_�Qi''s0►'� -.--- --- —
pDC# APPLICANT OR ADEN f
FApp,o,,:
Receipt No. ADDRESS PMONE
i0C - s
%OC -
3EWLR CONNECTION S _
;EWER INSPECTION
;EWER SURCHARGE g ___-
I?«.GVY�II� 's ri IaF- geAvoD e7 Fe.. fggl
/�f�►'�o S 54. YL moo • 2s �- ►I/1c.
Lower Lwee lex2 & 4"
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PERMIT' TO CONNECT
Tigard Sanitary District
PERMIT N9 1038 DATE
IIER511T IS GIVEN TO
OF
TO CONNECT A !1TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST RF POSTED ON THE DESCRIBER PREMISES UNTIL.COtV-
NECTIGN IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
b... .... TIGARD SANITARY DISTRICT
PERMIT FEE PAID
1 I►��A.AfWAA4 waA.A.►ti•
CONNECTION INSPECTED AND APPROVED
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Address 14S 70.4-W y/�. Permit No.
Name of Occupant __ Permit charge
Connection fee. --
- --.—_.T ---- --� -- — Paid by-----
Date connected—/0 - 2_l— G 7 _
Type of Building__ Inspection fee d
Service Rate-- - — ----------_—... _ Paid by __ -- Date. _
Contractor _-_ Ass_esmer.i Paid
Size of connection