11300 SW 97TH AVENUE 11300 SW 9,TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Departms-nt
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Z2 Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
presep".'Ar; to U Approved
Insreaor
Disapproved
------
Coate
CA U. FOR REINSPA'17,77C.Y
BUILDING PERMIT APPLICATION TIGARD DATE Sept' 9 82 4180
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR-HE WORK HEREIN INDICATED 3UILDER PHONE 639-6691
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH NE ___ __
TRX LOT NO. 1700,- _
OWNER 8dward Webb JOB ADDRESS 11300 SW 97th court
ARCHITECT
ENGINEER
BUILDER Omer ADDRESS Sates DESIGNER
STRUCTURE F] NEW REMODEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL AFIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL C GOVT ❑ RELIGIOUS L-1 PATIO ❑ CARPORT ElGARAGE ❑ STORAGE CJ SLAB❑ FENCE
OCCUPANCY ___7 LAND USE ZONE ---!!--7 _BLDG.TYPE _5N FIRE ZONE_ PLAN CHECK BY ! HEAT
Repair fire damage - roof !attars, sheathing, *NW6j&ice, 9yy. board
to mate!) existing. All per coda. No plumbing or mohanical -- ---
SEWER PERMIT k
OCC.LOAD FLOOR LOAD _ HEIGHT 2 NO.STORIES AREA NO.BEDROOMS VALUE 5,000
BUILDING DEPARTMENT_ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit 50.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN3
.,� REGULATIONS AND ALL APPLICABLE CODES AND ORDINAN.:ES. AND IT IS HEREBY AGREED THAT THC-
Plan Check _ WORK WILL BE DONE= IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
50.50 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
.2.02 � LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax d
SDC
�2.5Z - �..,i/
Total r
PDC# APPLZANTMRAd N
By _
— Receipt No.//7a
Approved A'DD'RESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor - ---
Permit No.
Rough-in
-y Fixture
Final
- - HEATING
- -- J Contractor
— Permit No.
Gas or Oil _-
-- - Rough-in — --
Final
SEWER e - --
DRIVEWAY
..------------- — Final)
Storm Drainage
(Rain Drain)Final
-._- _--_- - Sidewalk
-�� Curb&Street Final
Approach
BLDG. DEPT. FINAL JEMPORARv CERTIFICATE OCCUPANCY
IFinel _ --
CER1 IFICATE Cr:CUF1NCY
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGA7:) LATE—t ��— — .19_ek
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE\AORK HEREIN INDICATEDBUILDER PHONE`_jPw_6&f 1
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLA NS A ID SPECIFICA i IONS.DRM ClPJi4ER PHG,- E 66f f rS���(g
Ci::"JE.? PM:IaJ&m�b JOB ADDRESS I I�b0 10 �.• _
--- ARCHI rECT
/n rr__ ENGINEER
BUILDER ADDRESS �tt+�Irr DESIGNER
SSTTRRUCTURE Cl NEW` ❑ REMODEL _ ❑ ADDITION Y❑ REPAIR El PENEWAL FIRE DAMAGE ❑ DEMOLITION
JQ•RESIDENCE C COMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS G PATIO ❑ CARPORT ❑ GARAGE G STORA^E 0 SLAB❑ FENCE
OCCOPANCY—.LAND U E ZONE BLDG.TYPE ED--FIRE ZONE Pl_'1N CHECK BY - _HEAT_
of. '14 00A .
SEWER PERMIT N
OCC.LOAD FLUC.R LOAD HEIGHT NO.STORIES Z AREA , NO.BEDROOMS VALUE-f.000
BUILUING DEPARTMENT �__ ___.._w- -----_ =�_—=
SET BACKS FRONT REAR LEFT 510E RIGHT SIDE 1
' Pormit ��to THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT10N5 CONTAINED IN THE 8U1LOiNG CGDE, ZOPi;43
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED Ti.AT 7•,e
�Plar,Check
I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
,.� WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Svdtotal _ ..��• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR'' 'n HAVE CUNRFNT CITY BUSINESS
.0& LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total SOC—
PDCN APPLICANT OR AGENT
By
Receipt No. _Approved ADDRESS ADDRESS -- -�-PHONE
SDC
PDC
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE S _