16460 SW 93RD AVENUE L6460 SW 93RD AVENUE _
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INSPECTION NOTICE a;'-
City of Tigard Building Department
12420 S.W. Main St.
'Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection `r Y\
Date Requested_ ( Time A.M. F.M.
Address >r> � � r _ Permit # -..---_-._--
Owner Lot # 1
Builder
The following Building Code deficiencies are required to be corrected:
l
/J
i
Presented to —i ^ —__ —� Approved
Inspector — Disapproved i
Date
CALL FOR RFINSPF,CTIO)N
C1 YES V� NO
1
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
t I Phohe: 639-4171
Type of Inspectiona-
n
Date Requested Time A.M.lir- P.M.
Address ._1��,t� Permit #r_
Owner_ _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
I -
Presented to _ ( ] Appioved
Inspector _r
Disapproved
i Date _
CALL FOR REINSPECTION
❑ YES Ln NO
UUUN w
INSPEC-i ION NOTICE
City of Tigard Building Departmert
12420 S.W. Main St.
Tigard Oregon, 97223
Ph e://639-4171
Type of Inspection -
Date Requested & � Time . A.M. P.M.
Address _ �' � r' 1 i ,• t -- Permit #�.
Owner_�. �,Lot
Builder
The following Buildi.ig Code deficiencies are required to he corrected:
.-.51W 7'
Presented to _�r„?,,. __. ❑ Approved
I
Inspector J^Disappro:ed
Date _ all,-'01,
CALL FOR REINSPECTION
(r YES C] NO
EWA
Building Permit No.
Locat ion _ 1, y�(0a�LI)_, 3
Uate
Certification of Registration
With the Builders Board
doing business as (dba) ,
am registered under the provisions
of ORS Chapter 701 -7Oregon Homebui lders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
ignS—nature
BUILDING PERMIT APPLICATION TiGARD DATE 19--'+_ 4824
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATt D BUILDER PHONE 244-3b93
OR AS SHOWN AND APPROVED IN THEA COMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_635-1551
LOT NO.
_OWNER Sh !b rrie—jilLy ip... _J05ADDRESS 1b46Q SN 93rd Kneelassti -L&t.Ateg _
ARCHITECT -
ENGINEER
BUILDER - _ADDRESS 1559 Ave_que Iaake oswdWIG JER
STRUCTURE _gNEW U REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEM'1LITION
DARESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE-0 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _1;—3 LAND USE ZONE __li ,5_BLDG.TYPE —.Sly_FIRE ZONE—_PLAN CHECK BY —_jmj—HEAT' Lams _
Construct aics} Ie family dwellinz ',+/attachedszaLe. -
--- —
3 1:edrouv, 3 Bathroom
SEWER PERMIT 0 2652,, `v GarmLe 465
OCC LOAD FLOOR LOAD 4U HEIGHT I h N0,STORIES 1 AREA1544 NO.BEDROOMS 3 VALUE fids_.ODU.
BUILDING DEPARTMENT _ SETBACKS_ FRONT REAR — LEFT SIDE
_ _ ZU 6 RIGHT SIDE �•
Permit 331.uu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL ANPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 2 1'1.05 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIN4NCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 556.05 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CCNTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13.4,1
LICENSE.SEPARATE PERMITS REOUIRED FOR
SEW
PLUMBING AND$1EATING.
,'f5tJU �/.t+ !`V
Total _sG`.).5.9 SDC—II 15U.uU
PDCM APPLICANT ORG
By (.;t ,(. 2 50.of)
Receipt No. _ __ _ _
Approved It' ADDRESS PHONE
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
Contractor G � �
Permit No.
Rough-in
Fixture
Final __- ---- ---
HEATING
Contractor
I a Permit No.
a r
Gas or Oil
Final
_— --- -------- SiBWER
---_ --- ------- Final ---
i DRI VEWAY
J ,-- F'nal
Stoim P;ainW
--^_--�—�—� (Rain Dain)Final
Sidewalk
— — — Curb 6 Street Final
Approach _
Di.na DEPT.FINAL — TEMPORARY CF_RTIrICATE OCCUPANCY Final
�CErtTIFICATF.00CUPAWY _ --
iLandscaping
q Zoning Final
II
i
Uf W �' i
(Ale �
THE UNDERSIGNED HEQ1.EIY AP?LIES FOR A 'ERh11 i FOR ME WORK HEREIN INDICATED OUILL)ER!-�ONF
(j'i AS SHOWN AND APPROVED IN 1HE AC'--OMPANYING PLANS AND SPECIFICATIONS. OVINEF!TF!ON
LOT No Z _
)P9 ADDRESS._J�I O' ��
-- -: ARCHITECT
ENGINEER
ADORE i, 1. F� R
:illi_7C'T r � r^-t -IL-[ DESIG.'Jt R
STRUCTURE_ NEW - ❑REINICEL [_.1ADOITION LJncPAIR URENE4/AL ❑FIrREDA'AAGE ❑DEMOLITI
FnESILNENCE ❑COMMI L_'EDUCATIONAL CIGOV'T ❑RELIGIOUS❑PATIO OCARPORT ❑GARAGE L-1STORAGE❑SLAB ❑FEr,
CCC�Par;_v/_LAND USE ZONE Lf, � _..OLDG.TYPE" ' FIRE ZONE— PLAN CHECK BY•tT. HEAL �-
SEWER r ���
FLQOri t b4J (� kIE H 4 NO.STORIE5 ( A8EA/0 VV NO.BEDROOMS ', VALUE&
-
51/1LQIti•; DEPARTMENT SET BACKS FRONT e' REAR {' LEFT SIDE J RIGHT S:'NEMit
J
1 - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON
Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT i
---- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AMD IN CC•MPLIANCE W
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
--T----- RESTRICTIVE COVENANTS. CONTRACTOR AND SUE CONTRACTORS TO HAVE CURREr4T CITY SUSIN
;ata Tax vivLICENSE. SEPARATE PERMITS REOUIRED FCR SEWER. PLUMBING AND HEATING.
Tuta► `� / C (� ? SDC -
r— PDC#
A IPLICAtIT OA AGENT
app ;�� Receipt Nu.
L / - 1 irl�if1F5; V J/ �2 (M,OIVE
SDC
PDC - ffi / 3—U 5 X /g �!
G
SEWER CONNECTION $ a
SEWER INSPECTION S y' y
SEWER SURCHARGE $
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