13865 SW 104TH AVENUE 13865 5W 104TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Depaitment
12420 S.W. Main St.
Tigard, Oregon 97223
hone 639.4111
Address— ---------___.—,- J ''.,�+ si'-'s --�__ Permit #_--�---�
Type of Inspection
The following Building Code deficiencies are required to be corrected:
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Presented to ,--------____--- —. Inspector _
Date
GAL L FOR RE14WF.C77ON
C_7 ifES G NO
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F ry
INSPECTION NOTICE T_
City of Tigard Building Department
12420 S.W. Main St.
Tigan Oregon 97223
(,r' shone 639-4171
Permit
Type of InspectionThe following Building Code deficiencies are required to be corrected: --- --~
_.
Presented to __ InNeotor
Date -- —
CAL ,FOR RE'WECTION
yes ❑ NO
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BUILDINr PERMIT APPLICATION TIGARD DATE__._.___''-'` �_ 19- 3501
THE UNDERSIGNED HF-fiEBY APPLIES I ORA PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. :,-7igar(: $gUc�i
OWNER J—Ent Cor.str. JOBADDRESS 1.. '. S SU 104th Alislua
ARCHITECT
ENGINEER
BUILDER same ADDRESS_ jA:D3 $E 28tho. Ptld DESIGNER R. Jeans Designs_
STRUCTURE MEW f7 REMODEL ❑ ADDITION T❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
11 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY Fi73 LAND USE ZONE . 07_ 3LDG.TYPE -AN —FIRE ZONE-- ®-- PLAN CHECK BY duh HEAT 9$S
Construct single family dwelling W attached garage. 3 Bedrooms 1 Bat',
Re–Issue of Permit ;349? 13935 SW 104th Avenues)
SEWERPERMITM 2320U - S7S0.OQ - $.rags 400 U, f t.
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 N_O.S'ORIES 1 AREA 1008 NO.BEDROOMS 3 VALL1k41,7[+L--.
BUILDING DEPARTMENT SETBACKS FRONT l2 REAR 32 LEFTSIDE ! RIGHT SIDE
Permit �163.00 _ THIS PEFIMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPL;C ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TFIAT THE
Plan Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAVE
Subtotal 173.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARtTE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 11, 6,52
total 5179.52 SDG - •40 0U I � � 2- 2
By P1 2- �Jti
PDC# I i10O.Qb APP IC TOR AGENT
Receipt No.
- - --_ - --
Approved Uw ADDREt PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING TATE
7' Contractor �io►ro !�
�^ ist � Permit No. zyBG �j�•�t� �Z"�i2'BG
Rough-in —
�2/- Fixture
Final
HEATING
Contractor F'O110"(1
Permit No.
Gas or Oil
Rough-in --
v Final — ---�
SEWER
Final �/f F E
DRIVEWAY
Final
Storm Drainage
'ain Drain)Final
Sidewalk
Curb&Street Final
__ v Approach
BLDG.DVT. MN WL__ TEMPORAF'Y CERTIFICATE OCCUPANCY
f ERTIPICAT9OCFMPA14CY Final
Landscaping
'Coning Fiord
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UN,
BUILDING PERM ITA PPLICAT ION TIGAR7 DATE
THE UNDERSIGNED HEREBY APPLIES CORA PERMITPOR TIME WORK HEREIN INDICATED BUILDER PHONE 2 76—
OR AS SHOWN AND APPROVFD IN THE •^CCOM.PANYING PLANS ANp SPECIFICATIONS. OWNER PHONR
I I 8 S LOT Nq.
EN�►'ti� JOB ADDRESS- 4 --_�'�,I�----
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ARCHITECT
�j_,1 ENGINEER
BUIL:EF� 9)� _ — ADDRES57LAJ DESIGNER-9.,J'2A"s }!E$ gM5
STRUCTURE NEW ❑ REMODEL —'71 ADDITION —_❑ REPAIR ❑ RENBVAL ❑ FIRE DAMAGE_ ❑ DEIJOLI 1101.
RESIDENCE C7 COMM ❑ EDUCATICNAL J GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPDX 01 GARAGE ❑ STORAGE 0 SLAB❑ FENCE
CrCZUP ANCY LAND USE ZONE :7—BLDG.TYPE 5- AAIl _FIRE ZONE PLAN CHECK BY NEAT
SEWER PERMIT N --
SGC-LOAC FLOOR LOAD ' HEIGHT NO.STORIES —_AREA QU NO,BEDROOMS 3 VALUE//,�7ao
BUILCING O'ePARTMENT SET BACKS FRONT ZZ EAR R
T _ 32 LEFT 51 CE „r RIGHT SIDE S
Permit �� 3.O0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZGr,:TJ'
REGULATIONS AND ALL APPLICABLE CODES AND ORDI`;ANCES, AND IT IS HIl'.
GREEY AGREED THAT _
�tanCheck �U WORK WILL BE DONE IN ACCOR.^.ANCE WITH THE PLANS AND SPECIFICATIONS AND IN C0:'•PLIAr1C'
WITH AL.L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA16
S_u`}t:tal _-0 0 RESTRICTIVE COVE` ANTS. CONTRACTOR AND SUB CONT t ,;,ORG TO HAVE CURT ENT CITY 6USINE!3
r LICENSE_SFPI,RATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:ata Tax • S.Z
Total
By PDC$ APPLICANT OR AGENT --
Receipt No.
Approved ADDRESS PHONE
IDC
iEWE:R CONNFCTION
EWE- I 'SPEC i ICIN $ .�T
,EWER SURCHARGE= S
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