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14245 SW 112TH AVENUE-1 4F R I 14245 SW 112TH AVENUE i v d� a; N H H r= U) U'1 mt N e!' H INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone- 639-4171 Type of Inspection �(90 ' Date Requested'',,11 — Z -Z—; rimer A.M. P.M. Add!ass 2.�S -� ��� _ Permit # A 7 7° Owner J.-YO _ nn/ Lot14 # _ Builder The following Building Code deficiencies are required to be corrected: "tmPtilml in Approved Inspector __ _ Disapproved Date -�3 - CALL FOR REINSPECTION ❑ yes Y NO BUILDING PERMIT APPLICATION TIGARD DATE= ' � -- ,g- 4269 TI4E.UNDERSIGNED HEREBY APPLIES rORA PERMIT FORTH EWORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANC SPECIFICATIONS. OWNER PHONE LOT NO. _ OWNER Jc1rn--3 `;• Young JOBADDRESS 14-145 111L.I1 i,VO. - -------- -- ---- ------ — ARCHITECT P11kE? o,tf?l a -1ne.7ADDRESS STRUCTURE ENGNEER DESIGNER BUILDER— —-- --- - STRUCTURE _ C7tNEW _ ❑ REMODEL _ ❑ ADDITION_ _LJ REPAIR ❑ RENEWAL_ U FIRE DAMAGE_ ❑ DEMOLITION G ® RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T_❑ RELIGIOUS C-1 PATIO Cj CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE I OCCI,PANCY — LAND USE ZONEI' t BLDG.TYPE SIv FIRE ZONE "' -PLAN CHECK BY Constrict i tAtS►J r,Z JjhkLjtnn0j all. p_jr Co,..jQ T>Ic+j i l ri?lae is — Reinforcing !",to-el ig riyujirms.11— SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT `' NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SET BACK.^. FRONT REAR LEFT SIDE RIGHT SIDE Permit -'•UQ _ THIS PERM T IS ISSUi.,1 SUBJECT TO THE RcGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE 'N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE !SSUANCE OF THPc PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS - n•60 — LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. State Tax Total 15 1.Ei 0 SDC— ---- PDC# APPLICANT OR AGENT By �r.I.7 Receipt No. —� NE Approved �� ADDRESS DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor do-J ` Permit No. �"-. D ��. /lS ��l� Rough-in — - 7 � ../ FiKtum Final HEATING --_- - Contractor Permit No. -` Gas or Oil A--- Rough-in -- - L - --- final ^-- --------- -- - - SEWER - - --- Final —` DRIVEWAY r - --------------_---_--- Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final _ Approach 'BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Finer — CERTIFICATE OCCUPANCY Landscaping Zoning Final IN rM!LU!m3 I IU1'9 UI- THE UNDERSIGNED HEREBY APPLIESFOR APERNII r FOR THE YJORK HEREIN INDICATED ©UILUCR?NOW GR S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF?PHamr���Y�� Z LOT MO____— O'.VfJEP 1 � t' jos ADDRess /'f� ��f � �(,y'/I�, �C.�J / ARCHITi (CT nUI1-Q$• �� " (, , ENGINEER ••• �>( ADD_ R�.iG ,i J .��� c ~ DESIG'VER vTRU T�7R`_ C_I`IE'N Flt`,IFI _ —. -- _ EL_ ❑:.DDI TIO J _ ❑_ RcP:iii RE'.G:/aL ❑FIRE DAIAGE �•, R SIL�E'ICE ❑CONIII-I ❑EDUCATIONAL CJGOV•T ❑RELIGIOUSOPATIO UCARPORT --_ _ ❑GARAGE Cl STORAGE EISLAB ❑F l`CCI P.�r;'Y!F _LAND USE ZONE �� OLDG. TYPE �✓ _FIRE ZONE �EAN CHECK BY_ _ HEa.T_-- c W E R PE R M I T NO STORES I S1/1LCIN G OEPAR I h1ENT SETBACKS FRONT REARLEFTSIDE c' RIGHT SIDE t I �`K THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Zt' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY A.GRF.EO THA WOR IC WILL BE iJONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGf,7Pt.IA.NC.F S.:J•tJCdI II `� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT t4 ` RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON -TRACTORS TO HAVE CURRENT CITY t3U''0 t2 T`I I e LICENSE. SFPARAIE PERMITS REQUIRED FCR SEWER, PLUMBING AND HEATING, Tota! t' SDC — r PDC#� r APPLICANT OR AGENT `_---" �cpru:Fn Receipt No JL; '-- P�+ONE - SUC — POC. - SEWER CONNECTION $ SEWU_INSPF_CTION $ SEWCR SURCHARGE $ Comments ; i,i I r i,i o A D U R E 3 -7- PFIMIT CHARGE none OUNER COIJNI-*CI'ION FEE PAID BY V, IAF OF BUILDING DATE CONNErTED ATE INSPECTION FEE CON ...... PAID BY DATE SIZE OF CONNECTION ASSESSMENT ...... dAID ia,qr��r�wr aeair � e� a�lr l City of Tigard INSPECTION REQUEST f® r INSPECTION t< .., PERMIT NO. : TIME: - DATE: DATE ISSUED OWNERS NAME :--? - ADDRESS: CONTRACTOR ' t' - -- TEST : Air ❑, Watery , Vieual , Laboratory 0 RESULT: Approved )( , Disooproved O Pending p SKETCH: AA- INSPECTOR DATE COTE: Attach euDDlemental test dot t beret] Xw XMI City of Tigard INSPECTION REQUEST for INSPECTION TIME: ASAP PERMIT NO. :— DATE.' O. :DATE: 7 /.A/ZAL DATE ISSUED ._.__�L___ CWNERS NAME ; ADDRESS: CONTRACTOR TEST : Air ®, Woter❑ , Visual ❑ , I_aborotory 2 RESULT' Approved , Disapproved O , Pending [) SKETCH: n ; J a OVI, N PECTOR DATE 5OTE : Attoch suppiementa! telt dato bereto�