16282 SW 93RD AVENUE Cl0
16282 SW 93RD AVENUE
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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
Date Requested_ Time_ — A.M. P.M.
Address L_. -- -- ,J .-�— Permit #__ +l
Owner _-_ — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to — Approved
Inspector C_ _ ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 4 NO
INSPECTION NOTICE 12 20
City of Tigard Building Department 1- 7
12420 S.W. Main St.
Tigard,Oregon 97223
{ Phone: 639.4171 t�
Type of Inspection _..r_
Date Requested A . Time.- A.M. P.M.
Address 7 < 2 ! f , Permit #
Owner _-_ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
�!;.L /''`-•vtn.��-.t- -�:1 ._ ,gin_ ��-. .�L���
1�.�-i�'It'�'TJT'i3.. 5�--�`._1 ..c_y=..r�iC-A_..-�•.��ir�7 ..
i
I
Presented to _ Approved
Inspector ____ Ll Disapproved
Date
CALL FOR REINSPECTION
C l YES /`-j NO
Ii
BUILDING PERMIT APPLICATION TIGARD DATE_ . 1 �s_�_ 4726
THE UN )ERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INIDIUATED HUILDFFi PHONE b2U-7416
1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANC SPECIFICATIONS. OWNER PHONE.--
OWNER
HONE.OWNER Taro Miller JOBADDRESS 16'182 SW 93rdLUT NO.
knrae_land
ARCHITECT
ENGINEER
BUILDER Saaue r ENGINEER
ADDRESS 1 8270 W Boones by. tial/ DESIGNER
STRUCTURE [3t NEW ❑ REMODEL
___ 11 ADDITION Cl REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 11DEMOLITION
❑xRESIDENCE ❑ COMM ElEDUCATIONAL 1:1GOV'T ❑_RELIGIOUS C7 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R-3 LAND USE ZONE R-7NIbLDG.TYPE 9t -
---- FIRE ZONE._—__PLAN CHECK BY EFW-..HEAT--' 8
C,onstruetiSingle fs,oily dwelling a7`attacl,ed ptarage.
This permit is--a Eh.:la>ar.e of PerrAt #462+
SEWERPERMITO 27157 a�ru r 435
OCC.LOAD FLOOR LOAD 4U HEIGHT Ili' NO.STORIES 2 AREA i Si3(y NC).BEDROOMS 4 VALUE
----- ---
BUILDING DEPARTMENT SETBACKS FRONT '211 REAR 5()'-() LEFT SIDE 7_T_-6 RIGHT SID ! r�
Permit 3S1.0U THIS PERMIT IS ISSUED SUPJECT TO THE REGULATIONS COHTJ INED IN THE BUILDING CODE, ZONING
Plan Check 40,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, PAD IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THS D PLANS At. J+ F-CIFICATIONS AND IN COMPLIANCE
Subtotal .392.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE_
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRIC'ORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUME<NG AND HEATING.
Total W 4 UG.1.1., - SDC- $400.UU
By
PDCN 11 i(jiguU APPLI ANT OR AO _
Approved Receipt No
PHONE
A.
I
s
I
i
DATE m.s . TYPE INSPECTION REMARKS PLUMBING
DATE
Contractor
Permit No.
Rough-in
Fixture --
Final --'--
•}�, HEATING
Contractor
or
Rocgh-in
----_- Final
---- — SEWER
F mal ,
-__- DRIVEWAY
_---- Final
-- - --- - --------.---`- -_-�— Storm Drainage-
- -- __---_ IFiain Drain)Final
- - Sicloymik
-_, Curb R Street Final
Approach
SDG.DEPT.FINAL �— TEMPORAR' CERTIFICATE OCCUPANCY
-GRTIr KATE OCCUPANCY Fhul
p'Landscaping
Zoning Final
r
BUILDING PLERMIT APPLICATION TIGARD DATE---? is��I
THE LINOERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPR')VED:N THE ACCOMPANYING PLAN:i AND SPECIFICATIONS. OWNER PH
�j ' LOT NO.
O,NNER 0 IY\ ) L( =QJOB AOORESS1L� �Z
- 7- AFiCHI TE(-"f
l ENGINEER
ButISiER �__ 3r ADDRESS �C 7'� - /1- DESIGNER v s�
STRUCTURE ` I_J NEW Cl REMODEL _❑_AOOITION ❑_ REPAIR Cl RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
(RESIDENCE 0 COMM 0 EDUCATIONAL
' Cl GOVT ❑ RELIGIOUS ❑ PA710 ❑ CARPORT ❑ GARAGE ❑ STORAGE ClSL.AB❑ FENCE
C"--iPANCY R` , LANDUSEZONE ��BLDG.TYPE y __FIREZONF FLANCHECKBY Lrw HEAT--GA-c.---
v
EATGlc
__`'�-+a► ��'� .�-� � nom.. -,�.,(f.�nC.
ell
SEWER PERMIT Y
GCC.LOAD FLOOR LOAD Y HEIGHT , ' _NO.STORIES 1. AREA& t 4i NO.BEOROOMS � VP.LUE7
BUILDING DARTMENT) SET BACKS FRONT 2-v REAR ,7 py LEFT SIL'E J 1' �/" RIGHT SIDE 7
EP
Pvrmlt S` .vc THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGACED TEAT THF
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANCE
WITH ALL APPLi;ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOl" WAIN;
I Suh-total / 2 'fin RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I--- ! 4 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SOC-
TotalIle -
POC,N APPI(CANT OR AGENT
By
-- Receipt No. ----- --- ---- __— -------
Approved
AOORESS -- PtiONf
SDC
PDC —
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE
io
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Building Permit No. c`)
Location
Certification of Registration
With the Builders Board
IM
doing business as (dba) ,
am of ORS Chapter 10i Oregon Homeb liu de7s Law) .egistered under the provisions
P4y Builders Board Registration Number is
i
My registration is in full force and effect and expires on
i
igign��
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