11665 SW 92ND AVENUE 11055 SW 92ND AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
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I Type of Inspection _..__ - - --- ---_—_ --
I Darr. Requested &U /Q� --- TimeA.M.----P.M.
Address >( Permit # '
1
Owner _...--_ __— Lot
Builder
The following Building Code . iciencies are requir d to be corrected: I
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------ � l Approved
Presented to --
Inspector --�!-- LC - — 4 Disapproved
Date ----...,l— Z f2— •S'
i CALL FOR REINSPECTION
[ I YES 0 NO
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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 —_.___ / ? -yf- .� X02 --
Date Requested__ �'-��` " •Yz _ Time__. A.M._ P.M.
Address ���,: � — -NC ---- Permit -
Owner - -- -------- Lot #
Builder ---._—.- _ -- ---- — _._
The following Building Code deficiencies are required to be corrected:
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- —x���1-f1 �_—�-�c.,.i_ --:y".�...- -- icy� JC-(�►_ss��L _
Presented to _ —__. ___ Approved
Inspector _�.__ _- Disapproved
Date
CALL FOR REINSPECTION
❑ Yte ❑ No
IR t Fl wl WE a
BUILDING PLERMIT APPLICATION 'TIGARD DATEr•—`'_'___�_ 19- ' 4224
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER-PHONE 245-40-41
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
OWNER ..1J' ilair• jOBADDRESS 1,11565 8,1. 92nd Ave?. LOTN0.13 Sarbep Crt._
ARCHITECT
i.�1,1ti? ENGINEER
BUILDER ADDRESS It?151. '�`•'' isarbtlr l;1v,.1{)ESIGNER L)o4dni-
STRUCTURE l3`CNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
Fl RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY `--3 LAND USE ZONE _ !�•"�� BLDG.TYPE FIRE ZONE —PLAN CHECK BY _HEAT ESL'
Construct ')wvllitly �—�—
>�c? e't;rr��ctit�lt sn of ttt �Cit�r1. 3 �Fr-iroo)-As
SEWERPERMIT#
OCC.LOAD FLOOR LOAD ; HEIGHT I N0,STORIES 1 AREA L` N0.BEDROOMS VALUE +
BUILDING DEPARTMENT_ v SETBACKS FRONT 1 REAR LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
i 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
r 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
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
'
Total ,06
SDC-
By PDC# , APPLICANT OFI AaENT --
Approved Receipt No.
ADDRESS PHONE
1
I
DATE INSP. TYPE CNSPECTION REMARKS PLUMBING DATE
i -- Contractor
Permitt� /
Permit No. 3,2 3,2
1 J 0-W ®G�L�- -_� Hough-in
Fixture
Final
HEATING
Contractor SLE -�l/���
< /o+ Permit No. 7�f/,2 ��O�bT //-,c�! 6Z !1"
X Gas or Oiler
Rough in
— -- � Final
• ---------- seweRr�
Final
DRIVEWAY
- _A _-_------- Final
Storm Oralnape
(Rain Drain)Final
Sidevalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY
Final --_
Landscaping
Zomn_Final
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BUILDING PERMIT APPLICATION TJGAi�:) DATE OC* _97 I9.84
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE. G' 0qr
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVJNEP PHONES--� -
04j LOT N0.
CANNERMCANNERUh'l'j4Kt4 .C&JOBADDRESS lt(
_ 2 �—_-y-.
ARCHITECT
ENGINEER
BUILDER �bMt ADDRESS �b�ti �) 'a,�• ,,r '/`IIK- DESIGNER J)O/p!N G ---
STRUCTURE XEVV _❑ REMODEL_ ❑_ADDITION _❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C DEMOLITION
<RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR POR i' ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCA OPANCY/�. �2- 3_ LAND USE ZONE R'$ ZONE--:---BLDG.TYPE FIRE PLAN CHECK BY _HEAT
phi' S,10&4 4 t � 1 i/14!+��_ "' �° - Oise
gee L moo.AI ori.
SLWER PERMIT M 2?
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA / NO.BEDROOMS`� VALU#����
BUILDINGDEPARTMENT SETBACKS FRONT /r v'EAR /,y LEFTSICE _5-,� RIGHTSIDE
Pnrmil ,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 6UILDING CGDE,ZON•:N:,
(Plan Check , to REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERcEBY AG,,EED TPAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE CF THIS PERMIT DOES NOT WAIVE
sub—total /O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
16. 9(o
LICENSE.SEPARATE PERMITS AFOUI1?ED FOR SEWER,PLUM81NG AND HEATING.
State Tax /
r ,,// SDC-
_otal __-- -- "7` ��.� PDCF PL1� ENyICL_�ti1.�'7QN ----------
Receipt No.
Approved___ ADDRESS ---------WfONE--- -- ----
150C
1poc - s L o0
SEWER CONNECTION $ _
SEWER INSPECTION $
SEWER SURCHARGE S
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FUQ L OIL (AS V ELECT OTH E 1i -------
ITFIVI NUJ. FEE NO.
1,11T. bsuince oi Permit i llqUnit or Dula Sy-3tc,oj P;0
to & incl. Ia0,000 RTU 00 unci 1,kil 1:1od mn
NtAy 100,0 Y 60 1
�Q BUJI� V.( liom,fvi. - Cach 4
%1hodburninU'Sitova 41,50 I Trip Impoctlon (,.UU
Wat!-Flour- Smpended U.130
Ail-conditit)l I C'olnpressor-.1.1 is I E�. I LV.incl. 11.00
01(10
7-:71
CITY BUSINE-55 LICLIv 0QUII,*aE'D BY ALL CONTRACTORS Oil SUB-CONTRACTORS
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