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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection6. -- —
Date R3queste(4 Time A.M.—P.M.
Address Zi5–EZ Q5 64�r , Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
(2
Presented to was 05- Approved
Vittapproved
Inspector
er IT
Dite
CALL FOR REINSPECTION
❑ YES NO
tR 9e1► !I�' I�r � Etl► � !
BUILDING PERMIT APPLICATION 'TIGARD DA-fE is 8.5 5336
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORT(HEREIN INDICATED GUILDER PHONE 6�i9-7384)
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA i-IONS. OWNER PHONE 639-3428
OWNER Lim 1'errilu JOB ADDRESS 14565 SW 92 LOT NO.
12270 SW Sumtmercrest ARCHITECT
ENGINEER
BUILDER Arave ConstrM r i an W. ADDRESS Tigard, OR DESIGNER
STRUCTURE ❑ NEW L REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE C] SLAB) °ENCE
OCCUPANCY 4-3 LAND USE ZONE K-7 _BLDG.TYPE 5. 'I.____—FIRE ZONE----PLAN CHECK BY ZJN—HEAT —
Tannant modification to existing single family duelling '__
Plumbing PermiiL required. --
SEWER PERMIT#
OC,;.LOAD FLOOR LOAD 40 HEIGHT 20- NO.STORIES 1 AREA It 00 NO BEDROOMS -- VALUE 5&UW
BUILDING DEPARTMENT _ SETBACKS FRONT;i," I'T ANSREAR LEFT SIDE RIGHT SIDE
Permit 5u.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HER'-.BY AGREED THAT THE
Plan Check 32.83 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIC 4S AND IN COMPLIANCE
b3.33 WITH ALL. APPL!CABI_E CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOAS TO HAVr. CURRENT CITY BUSINESS
State Tax y 14 z.ua LICENSF.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA)ING.
_
Total gg.3�, _ SDC–
—� — PDC# APPLICANT OR AGENT— `--- ----
By _
i7«i i b s Receipt No. f i'
Approved 3 ADDRESS _ –V— PHONE
sm�qfwl�
_DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ // Contractor
Permit Nu.
,Q�� Rough•in �--r--i
Fitturr! �-v-
�_e— -- --- —r- _
Final ------ — -
r-- --- ----- — ---
--_a HEATING -- --
Contractor
Permit No.
�T G.cs or Oil —
i- Rcugh•in
Final
SEWER tFinal
DRIVEWAY
i Final
—� _— Storm DralnW
(Rain Drain)Final
Sidewalk
Curb&Street Final
_
Approach
,__ __ _gC —
V.00. DEPT.FINAL TEMPORARY --- FCUpUPANCY `—
CERTIFICATE OCCUPANrY Final
Landscaping
f7.oning Final
I
,� IIID IIII, VIII[ IIID � IIII, F�
BUILDING PERMIT APPLICATION TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA f F:D BUILDER PHONE '
OR AS SHOWN AND APPROVED IN THE ACCOI1,PANYING PLANS AND SPECIFICATIONS. OWNER PHONES
� LOT NO._ ,----.--_—� —�-
OWNERX.rON. F A('1�`�/ JOB ADDAESS ��+ �A s 9^� ��61�1F 1�,
. — ARCHITECT
ENGINEER
BUILDERk �V L �h/9'*Ip1J('
'4,i ACIJRESi �`r+�1� DESIGNER _
STRUCTURE C] NEW REMODEL �O ADDITION ❑ REP.IR C1RENEWAL ElFIRE DAMAGE-- ❑ DEI.I0LIT10,
'T C3 PATIO U CARPORT �GARAGE
G ST R�GT(/E�❑•S1J8
RESIDENCE ❑ COMM ❑ EDUCATIONAL C1 GOV
O�.i?ANCY LAND USE ZONE BLGG.TYPE FIFEZONNCHECK13 EAT -T
"
_—
74
SEWER PERM;, ! —r
AREA 40"C� NO.BEDROOMS ��VhLUcIc)C)�I
_OCC LOAD FLOOR LOAD Lf (✓ HEIGHT u�' NO.SiT_�O-�RIES --�--
BUILDING DEPARTMENT SET BACKS FRONT Rte+ '� ti- LST SIDE R,'GHT SIDE - T
Permit v THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIN D IN THE BUILDING CODE,ZOWN
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREdY AGREED TXAT Ti
,PlanChtck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANJ SPECIFICATIONS AND IN COtAPUANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N01WAIS
i Suh-lotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU:TINE`_
r LICENSE SEPARAT-'ERMITS REQUIRED FOR SEWER,PLUIaQING AND HEATING.
S12us Tax C�2
� � SOC— �----- ----
Total ----- —
I'♦xA APPL1f:ANi QR AGENT
B
ApprReceipt No. ADDRESS PttONE—
oved
S O C
POC
SEWER CONNECTION
SEWER INSPECTION $� —
SEWER SURCHARGE
C
IF
�21
r;l-.�.,�n+.w..w,.F�rwrwr...v,...,........,...w+-rw..+..,.sysw+�M� wM1.+.+-+w.»r�,...--...w.+...a-..��.,y,.,.w.,wr.�,w.-..t.{)4'1•+py.». .wy.,.......
BUILDING PERMIT APPLICATION 10 Y TIGARDIDATE 1,10-22)-»77 is
THE UNDERSIGNED HEREBY APPLIES FOR APERMi l" FOR THE WORK HEREIN INDICATED BUILDER PHONE—
OR
HONEOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
---
LOT NO.
1rJhn �nehr,l-i.m, 16565 "il.; 92ndOWNER JOB ADDRESS HOME ADDRESS
ARCHITECT -'
ENGINEER
DUILnER ADDRESS DESIGNER
STRUCTURE ❑NEW (3 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
L_! ESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RFL;GIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV114G ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS_._
OCCUPANCY LAND USE ZONE._-__-___-BLDG.TYPE `' FIRE ZONE a PLAN CHECK BY D C"L'' HEAT
�r,.;dit wn to e.,urit kng QWr_IllrL 14.<19 t �. w/t�c�ttl w/L)riL — _
OCC. LQAD FLOG LOAD HEIGHT -NO.STO 1ES-___—__-AREA NO.BEDHOQMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit d'.
THIS PERMIT IS ISSUED SIIBicur TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 16.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 411,(](7 ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
R[STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taxf LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PI UMBINC. AND HEATING.
Total
BV
APPI SCANT OR AGENT -- _ -_ -
Approved Receipt No. ADDRESS
DATE INSV. TYPE INSPECTION REMARKS PLUMBING DATE
,
PC yr?F_ I V f 14pv Contractor
TNS z T I c�v — c, r i S TaP cc ooa r< o-2,o r rz Permit No.
n-,w t17-tl � jou h-in
(_iA'a 'te- ��t 1 �t,�.u_ Fixture —^
Final
HEATING
— _�✓n, » tip, Contractor
3 t Permit No.
�1,0, li��.���_��,t � Ga,or Oil
(2) y "f Rough in ---- —
l
Final —•----_ _�-
_ l SEWER
t"n Final
DRIVEWAY ---_—
Firal
--- ------_-. —___ Storm Drainage
(Rain Drain) Final
Sidewalk
Curb a Street Final
A roach _
BLDG DEPT.FINAL TEMPORARY CERTIt-ICA1E OCCUPANCY �—
CERTIFICATE OCCUPANCY Final
( landscaping
Zoning Final
l
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DUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE 192,_ No!?
ONDF PSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
J J `NMN AND APPROVFD IN THE ACCOMPANYING PLANS AND SPECIF ICATiONS. OWNER PHONE_.._..Y.
LOT NO_
� JOB ADDRESS .] O � �I.:.��'+ HOME ADDRESS
ARCHITECT
ENGINEER
ADDRESS _ DESIGNER !
qE - ONEW_-��yyyClREMODEL ADDI' ION ❑RLPAIR��11 ❑RENEWA_L ❑FIRE DAMAGE- ❑DEMOLITION
Lit NCE L�1_(-iMM L_IEDUCATIONAL OGOV'T ❑RELIGIOUSOPATIO OCARPORT ❑GARAGE QSTORAGE❑SLAB ❑FENCE
lH9NO ❑MOVING []CONDITIONAL USE _❑_DLSIGN REVIEW ❑COUNCIL APPROVED • ❑SIGNS _
':t'FANCY � LAND USE ZONE-fln-Y—OLDfi,TYPE��!v,_FIRE ZONE] PLAN CHECK SY.S; HEAT
AAE9101" NO,8E1D9_Q.QMS VALUi;_ C� OBJ^
_ -BUILDING DEPARTMENT SET BACKS rRONT L7 M-R LEFT SIDE r�
� � i"" RIGHT SIDE
-"-` -` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIGNS CONTAINED IN THE BUILDING CODE, ZONING
,,an Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANL) IT IS HEREBY AGREED THAT TH2
-— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH
lit, 10181 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF.
--'- -'-- -' RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
81� Tax LICENSE SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
Tolal
By — - --- -----------
_.__.__..y.._.._ APPL ICAN1 ON AGENT
Approved -_�_ Receipt No
ADDRESS PHDN