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13760 SW 114TH AVENUE-1
13760 SW 114TH AVENUE r I r � t\ ti ut r'7 :t rct O a (0a4 I� rq F� 4 x � Y N to U E+ crEi �r r: F• �e �I �� �n. ;C�7 � cr� I� W w rr) s �n N INSPECTION NOTICE City of Tigard Building Department P.C. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Requested �c Time_ . A.M. P.M. Address ___ . x l —'`��—� — Permit _--- Owner ..__ _ ___.— Lot #__ Builder The following Building Code defio.iencias are raquired to be corrected: - - --- - Tr Presented to - Approved Inspector —� Disapproved Date ---t�--- CAL', FOR REINSPECTION YEIII ❑ NO i 6096 CITY OF TIGARD 639.4171 /, BUILDING PERMIT AA,ap. Nina 639-4115 DATEJl3A8 39UU AxMA _ LOT NO. _ SUBDIVISION JOB OWNER �4c'rdman 13760 SW 114th Ave. _ ADDRESS —_�_--------------- BUILDER t lansic ltaiwdelin,& STATE REG.NO. 49 5 —__EXP.DATE --- BUILDER'S PHONE _-_- ARCHITECT PHONE ._.-______ ---- --. OTHER STRUCTURE NEW LL REMODEL ADDITION �' REPAIR MOVE OTHER - DEMOLITION L RESIDENCE COMM n EDUCATION IND I RELIGIOUS ACCESSORY GARAGE OTHER FENCE OCCUPANCY _LAND USE ZONE _BLDG TYPE FIRE ZONE- PLAN CHECK BY iIEJ HEAT t.k'uo +ir tiLCi L<Zji.Ll�tr�•�-�wL11�.Y VotLi t:�ti - SEWER PERMIT N -- OCC.LOAD FLOOR LOAD HEIGHT N2 STORIES AREA NO,BEDROOMS VALUE_"jut _BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGH f SIDE Permit �11;�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD ING CODE. ZONING REL"LATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY k REED THAT THE Plan Check 21.13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE --- WITI' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PL CK Fire RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 1• ______ 1.54 -- SDC- r r Total _ 55011 PDCN APPLR-ANT KR AGN F 1 Prepd, atlne _ rHc�Nr - - - - Receipt No./ ADDRESS Bal.Due all ----- . — Issued By— . Approved By I( DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in -- .—____- --.--- Fixture ---- Final HEATING ._- --`— ----- -- — - - Contractor Permit No. Gas or Oil — - ---- - --�_ — Rough-in - --- -- ------- �--.. Final ---__.— SEWER Final --_._�_ --- — DRIVEWAY — __ Final Slorm Drainage -----.—T— —_.-------- -------� (Rain Drain)Final — ---- - ---— Sidewalk Curb&Street Final Approach - BLDG.DEPT.FINAL CFRTF CA TEMPORARY OCCUNCY CERTIFICATE OCCUPANCY Final -- - Landscaping Zoning Final i ! r rw t for inspections call 639•-4175 CITY OF TIGARD 69.4171 DATE BUILDING PERMIT 2 �,_ -fir-, ��� SUBDIVISION P.O. Box 22j3'.-3997, Tigard OR 97223 TAX MAP � y��OTNO• 3 OWNER�F`AA (-- i�O/�lA�� JOB ADDRESS rpt&t) �..— BUILOER LJf ZA. C'• STATE REG.NO. Q ;ti 3 --EXP.DATE � OTHER JL- �-- BUILDER'S PHONE A—s�- '�' ARCHITECT .'-.',4 ��/--l��'�.t/ �' % =— PHONE � s' �- — STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ).REPA.IR ❑ MOVE ❑ OTHER LJ DEMOLITION 1°l RFSIOENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE > N PIPE LJNF PLAN CHECK BY ,�E'- HEAT OCCUPANCY LAND USE ZONE i BLDG.TYPE --- -- , 6L- Ix- SEWER PERMIT 1, _ _ OCC.LOAD FLOUR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALU E' _B_UILDING DEPARTMENT _ SETBACKS FPONT _ REAR LEFT SIDE RIGHT SIDE Permit >2- c S v THL; PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED •'I THE BUILDING CODE. ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND%I IS HEREBY AGREED THAT THE Ptan Check _2 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM!T DOES NOT WAIVE PI.CIL FREST RK:TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tex _ � SDC- APPLICANTOr1AGENi Total Prepd. Receipt No. ADDRESS BN.Dile -- --- issued By_-__._— Approved By— -__. SSDC --- $ SDC - POC - SEWER CONNECTION 5 SEWER INSPECTION S SEWER SURCHARGE S , Omrlente: CITY OF TIGARD 12420 S. w, JMNn Show TIGARD, ORROON "M APPLICATION FOR BUILDING PERMIT New Construction nx Demolish ❑ Addition s❑ Remodel ❑ Move❑ ZONING__ _ DATE ISSUED 8-7.73 11UILDIWfnPP34W c D No.BUILDING FEE $ DATE RECEIVED --�QQ-- HY PLAN CHECK $ e•7u — —��— OTHER $ VALUATION S'5 TOTAL $ 7.50 RECEIPT No.—L.11.-, ^ TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APP_ICATION LOT S MAP 1 CENSUS TRACT JO;- w Architect or Engineer Address __,Phone_ Owner_ John 1l, lis�is Address _ 137650 W. 3l,yth��rs� Phone Builder Address_ _V Phone BUILDING USE Single Res. nX Multi Res. ❑ Comm. ❑ Industrial C OCCUPANCY GROUP No. of Stories Total Height Area of Lot Type of Construction I II II1 IV V Floor Area B 1 2 Set Backs: Front Back _ L.Side_ R.Side _ Private Sewer Pipe Size _ Sewer" _ Septic Tank ❑ Water Service Pipe Size_ Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements nriveway Width No, of Parking Spaces SEPARATE PERMITS REQUIRED FOR REWER AND PLUMBING SPECIAL INFORMATION perudt for a desk osgr - ADDRcSS ASSIGNED�� p FIELD CHELK PERMIT APPROVED BYg`,jj.&(/ It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, anti that the building will not be occupied until a Certificate of Occupancy has been issued by the City of ' Tigard Building Inspector. §Tg—nature o Appp can 10 1 i SII A ' AUG 7 CITY of rl fop IE�Mi1 v l ►v w �7�u i 5 It i i 1 I I City of Tigard I INSPECTION REQUEST i for I INSPECTION TIME. 4th. PERMIT NC. . .__.__-.. DATE: DATE ISSUED : .—l—!/.--- OWNERS NAME : ADDRESS : --_- CONTRACTOR EST '- - N-:ter [j , v'sual 1] , Laboratory r I RESULT1� kporoved L] )iaapprarad G ?er►diog p , SKETCH: 1 1 I r t< - 7� INSPECTOR DATE NOTE: Attach SuppleMWO1 test c ata hereto I! IF I ,piG I I city of Tigard INSPECTION REQUEST for jINSPECTION TIME * '"'-^ '. PERMIT NO.: 7s f DATE'. —"— DATE DATE ISSUED: �' ' a I OWNERS NAME : -- ` ADDRESS : ------------ CONTRACTOR : CONTRACTOR : TEST. Air ❑, Water Q , '✓isual ❑ , Laboratory ❑ RESULT: Approved © Disapprived ❑ , Pending p SKETCH: _. I I I I I � I I INSPECTOR DATE I [OTE : Attach supplemental test dOn heret] I Address 1 Edi S.w. 114th 11%C - Permit Noo___72-1640 Permit charge:______ ._... Owner Homan Connection fee_ _!+00_00 Paid by_ Columbia Custom Homes_____ ..__ Type of building Residence-___ Date connected Service rate 3.00 per month Inspection fee 25.00 Contractor rol.uMbja-Cuv:4uzo. Paid by same Date---- Size of connection_ 411 AssessmentPa1.d___ S � l I i