11140 SW 109TH AVENUE 11140 SW 109TH AVENUE _
u
.r,
c
Q,
;3
c�
O
d
.-r
q �
w- !
INSPECTION NOTICE 410
City of Tigaid Buildinq Departmen
12420 S.W. Mair St.
Tig,rrd,Oregon 97:23
Phone: 639.4171
Type of Inspection
Date Requested Tirne _ A.M.____P.M.
Address - r��(,� Permit # -
Owner- _
Builder
The following Building Code deficiencies are required to he corrected:
Presented to �'1 Approved
Inspector _ [_� Disapproved
Date ----- --- -
CALL FOR REINSPECTION
❑ YE8 G) NO
i
Q
1l�� � ,, 41� ',�� nl�' SII T• ���7;, ,l ;IIU� ,/, ,,w�' ttl! �/ji{�' �(! �.� riN hL�al�1G ./G�Rti• �l�r++
/+r`fi :,+'' `--jiilF' rjhll��,'AMAt, �,�tl�"j��/xMll� �, .aAiI1M' �4 +Mt� j�,;MItA�` °ANp� '�i�'11�' :MIIMr AII* ��1����1� '�!IIIA'9£�''•,' t+/
1�4 ��� �^•;>�lk�� ��'�a .�Gj° ��������'•��i1��rr����� ���"('n)'"�'!1+h,4�r����'fil�"'i�!�ri,�� !���• � ,� ` i
.51
:t �� � � `Q F' Ca''Q O '� fir'.''•.'fi' ��
CIS
AV
4-1
VNj L)
t
a ,-1rp
OA
a
cd
Ody
d
�• O 0a
,
w O s �
C
to :03
AL
t .i~
rp
�•;�41 'r U• � � 'O � tYJ W ', Am•�t,
y,
bai,id"Asn-,.,,--r - ►mss; ._ �. � --_ -- - ` 4
�1 • rJ,� '�ti "'• "'; ��,•� 4��__.•�1-��_r,N'_�,��!!� 111 1�,, � �tr +�'
, j�) . �V ,-rY���'rIIR/!/�. Ib "'y�\1,/s�+��• RrP�dl'i���� .�
+4.. ,. ,' �� I'.��...� •,�' ���, i 'y�'r. ��t� .,��µ, gi�,p�'�j��1' s-ls� i '"�'! �• 916e r. ,,
HuiIdiny Permit
Location
IJatv
Certification of Registration
With the Builders Board
(IV)
doing business as (dba) ,
ym am registered under the provisions
of ORS Chapter 701 Oregon N ebuilders Law) .
Fly Builders Board Registration Number is `�S'S3.� C5D
Fly registration is in full force and effect and expires on
Signature
+1�► VIII � � � I� t� � 1!
BUILDING PERMIT APPLICATIONTIGARD DATE_AULUS"4 19-Li- 5537
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE 24()-Lw °__L_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Don Norisset:te JOB ADDRESS 11140 SW 1U9tt, Aveaue
- - -- P. 91213 _-ARCHITECT
ENGINE
BUILDER 58MC ADDRESS L'.v. 1,UK 19514 DESIGNER
STRUCTURE [I NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE h r�'�LDG.TYPE 511 FIRE ZONE-- PLAN CHECK BY 1;fN HEAT—(sN8
dwelliau, w attached garage.
3 Bathroom
SEWER PERMIT# 2tI5 0 Gare 430
OCC.LOAD _ FLOOR LOAD HEIGHT_ ZU+ NO.STORIES 2 AREA 115U N0.BEDROOMS 3 VALUE hU,0U0.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 313oQu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE.: CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 203.45 WORK WILL BE DONE IN ACCORDA':CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 54 Ity.45 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSU.SEPARATE PERMIT$REUIRED FOR SEWER.PLUMBING AND HEATING.
State tax
SDC
Total 528.91 Aj - . J
POCd 1 150.UU APPLI,ANT OR 0 NT
ev L1. _ �r
Approved h;nf Racelpt No. PHONE
fIMIR
i
DATE INSP. TYPE INSPECTION REMARKS. PLUMBING DATE
/�"/!�s ��? _ - - _ `---•---- Contractor ....cFzt•ra�er � .? 6S -
y_2y�! I Permit No.
l / S7 � L '•�--SF�/ ��i<� Hough-in_ _
r _/[��i1 tn.�O�t�./_ �i• — _ Fixture
Final
—
`/�c�v�� �� � �O 1 HEATING
/(/� _ Contractor
— - Permit No. _X (,
• v�-�l-�/Jd,� ^ _ � � Gas or Oil
Rough-in
Final
/ � �ts — ---- —— — -- --
SEWER
— - —._—.. --- Final
DRIVEWAY
Final
— Storm Dralnuge
— (Rain Drain)Final
SidevAlk
Curh&Street Final
OEk f i. �W TEMPORARYCERTIFICATE 0EZ1)F A1CY
1ERTIF'ir.AT6 OCCU:'ANCY Final
J IIII Landscaping
o-ing Final
I
W W
BUILn
ING PERMIT APPLICATION TIGARD DAT cy /��---»t����
THE UNDERSIGNED HEREBY APPLIES FOR A PEF:AIT FOR THE WORK HEREIN INDICATED BUILDER i'HONE
OR SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P ZONE /
LOTNO._
OWNER��Lfii /!'L iiia D�/.L'. JOB ADDRESS �1/ l�Q !�I ��,1
ARCHITECT
` n ENGINEER
( ADQRES.S f U �-,f -� �'f ./ DESIGNER
BUILDER_ tt'-t.i_-10, -- -
STRUCTURE_�NEW ❑ REMODEL ❑ AOOITION 0 REPAIR O RENEWAL ❑ FIRE DAM,AGE C1 OE410LITIC
4RESIOENCE ❑ COMMS ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STOR►C E ❑ SLAB❑ FENC
- PLAN CHECK BY HEAT.
OCCUPANCY
OCCUANCY LANOUSEZONE Z•'7PUBLDG.TYPE �-Q-
''-
zl� Zest '.c• l �: ----
SE'WEJI PERMIT M '—:5
OCCLOAD FLOOR LOAD HEIGHT,:c,/4 ` NO.STORIES -'9—C AREA j?JQ NO.BEOROOMS_— VAI
BUILDING DEPARTMENTSET BACKS FRONT REAR L.EFT SIDE RIGHT SIDE
ParTnp - THIS PERMIT IS ISSUED SUOJECT TO THE REGULATIONS '"•ONTAINED IN THE ITUILDING CODE,ZONII
`�i�
EGULAIIONS AND ALL APPLICABLE CODES AND ORDIN4 ICES. AND IT IS HEREBY A�REFD THAT TI
PlanChock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND iw COMPLIANI
r WITH ALL APPLICABLE CODES AND CIDIPIANCES. THE ISSUANCE OFF THIS PERMIT DOES NOT WAIT
Subtotal RESTRICTIVE COVENANTS.CONTRACTOR ASND SUB CONTRACTORS 10 HAVE CURRENT CITY RUSINF3-
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATINCL
Stats Tax S y
SOC-
Tnlal ------ -_ -
APPUCANT OR AGENT
POCS
Receipt No. ADDRESS
Ap
SSDC -- $ �-� Uy9 7!N cf ,
SOC -- '� d — 17-7s 7 v
POE
_ CONNECTION S
SEWE`� ---
S__EWEL INSPECTION S
SEWER SURCHARGE 5
Comments: -