15525 SW 114TH COURT (2) 15525 SW 114TH COURT _
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INSPECTION NOTICE
N -A City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 r
J
Type of Inspectsony��IA( _--
Date Requestec' �Z Z�o _ Timey� A.M. P.M.
Address /--Y Permit -
Owner -- ----- -- Lot #.
Builder 7 ZI)
_�_..�.
The following Building Code deficiencies are required to be corrected:
Presented to 1"Approvud
Inspector _ __ �_� Disapproved
Datey" —
CALL FOR REINSPECTION
YE! 0 NO
w w w w IW50,
r!
BUILDING PERMIT APPLICAT!ON T16ARD PATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HLRE N INDICA TEC• BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECH'ICATIONS. OWNER PHONE_
LOT NO.
OWNER 'tu;rlal:..,. Jey. Caa.JOBADDI.ESS 'KL _- - -
-'...tt-C 151.0 500 it. ToiHat1ataL lslo.m ARCHITECT
ENGINEER
BUILDER Tualucin Dev. Go. ADDRESS 43Af6x. 9X d'tC• DESIGNER
STRUCTURE a NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE D DEMOLITION
El RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 11 GARAGE r7 STORAGE ❑ SLAB[-] FENCE
OCCUPANCY _ "i LAND USE ZONE _ =L _BLDG.TYPE -5N FIRE ZONE`_ PLAN CHECK BY --L'- i HEAT 'ice,. -
i:ui1L IUUi4TA1D';i CUNUt*t1N1U;1 0 Units) — - — �—
il� „ 1 dwelling unit builaings oll per approved plans and co(le_te,,uirements.
Lb )a irooms
SEWERPERMITN
LL
OCC.LOAD FLOOR LOAD `'Ll HEIGHT 2()+- NO.STORIES Z _ AREA 1636 NO.BEDROOMS dam' VALUE _
BUILDING_DEPARTMENT SET BACKS FRONT Pee 1,7.ar11�EAR - LEFT SIDE RIGHT SIDE
Permit !3]0.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
planCheAk (3�tj.2U) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-0!c 1, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
9Uh•ttlMl 1565.83) RESTRICTIVE COVENANTS. CONTP,ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax `' 34.132 ;;
cp
DATE INSP. TYPE INSPECTION PEMARK.S ( PLUMBING DATE
Contractor � 4 ,y• (.
Jjr
/ 4 qfwlfl�,A-- Permit No. L(�$�/
y Rough-in
3f — —.-- — —— —
t � fixture
� oo" Final ---
- 47,
v'� , — HEATING 2 —
3 ' - 2 i
�, — Contractor
Permit No.
Z Gas or 011
Rough-in — — —
/`�J'/ final
SEWER
-e, Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Aoproach
31-130.DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY final-_--
CERTIFICATE O:CUPANCY
i�,endscaping
Zonary Final
BUILDING PERMIT APPLICATION TIGARD DATE- t9--
THE UNDERSIGNED HEREBY APPLIES;FOR A PERMIT FOR THE WORK HERUN INDICA7ED BUILDER f a�E�_ OA
OR AS SHOWN AND APPROVED IN TH17 ACCOMPANYING PLANS AND SPECIFICATIOIIS.
Q'NNEa IU�,�n� ZIP, �_ J08 ADDRESS �5 �'��� 1/0)q'� ,61( —
ARCHI TECY
ENGINEER
�_ DESIGNER
STRUCTURE NEW O REMOO0! .1
►_aaTION aEPA!R ❑ RENEWAL _O FIRE DAMAGE ❑ OEt
&!iES10ENCt: O COMM O EMICATIONAI C] GOV-T �� REU'GIOUS Cl PATIO O CAAPORT ❑ GARAGE G STORAGE O SLAG❑
OCCUPANCY .� FINE ZONE `"" PLAN CHECK9Y�_HEJ►
�J-_LAND USE ZONE -1-&- 6-�•TYPE'
s uAJ (F5 1
SEWER PEAMIr if
__azo
OCCV LOAD FLOOR LOAD ( HEIGHTaO?^ NO.STORIES A* AREf G1..t1fG VO.BEDROOMS I VALUE
_ .-c-^
6c;lp
UILDING DEPARTMENT SET BACKS EST SIDE RIGHT 510E
7SD THIS,PER1 f r ISSUED StltIJECT TO THE REGULATIONS CONTAINED IN THE fU1LO1NGCODE.REGULATIONS AND ALL APPLICABLE CODES AKD ORDINANCES.ANO IT IS HERESY AGREED
''j ..�U WORK WILL ■E OONE IN ACCORDANClF KITH THE PLANS ANO SPECIFICATIONS AND IN COPA
yy.. WITH ALL APPLICABLE LODES AND OROINANC£i THE ISSUANCE OF n4lS PEAIMIT DOES NO
5 4ofal �4�i RESTRICTIVE COVENANTS.CONTRACTOR AND 4U8CONTPACTORS TO HAVE CURRENT CITY B
1 :Stau Tsyk/` 3 SENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMgItIG AND HEATING.
SOC
Tol AFp4ICJlNipgAGfNT ----~ --
ay
fucelpt No. BOON RfOr E
App
A
17
OC A
SEUE R ICON E T I�NS 7 _
SEULR INSPECTION f
SEWER SURCHARGE S ,S .O O
�
Cammwntet
/,2 - '�,�' �1C�0 -� a� (�,�_ ' 10,43 .�-
Iz�7 -G /U� S('
R/ t EI•
BUILDING PERMIT APPLICATION TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE VV ORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING FI.ANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER_ y�_ JOB ADDRESS 1552,5 -54tV,I t� t1 4ts��
ARCHITECT
`iSUN' 1) l� n i ENGINEER
BUILDER- ------ ADD' 8S1530-sy�� 11 y+tvs @ —fid 3' OESI N 1 ►1 �A$-�----
STRUCTURE 12XNEW ❑ HEMODEL ❑ ADDITION ❑ REPAIR F7 WAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ PASIDENCE U COMM IJ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY !i LAND USE ZONE X12 BLDG.TYPE 5N FIRE ZONE---.PLAN CHECK BY _L_W HEAT._
Construct 2 four (4) mit 6ar�%!a_s_all per approves plans and code.-
SEWER PERMIT M
OCC.LOAD FLOOR LOAD cons HEIGHT °''T NO.STORIES 1 AREA ?112 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pe.mlt UU.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CJDE, ZONING
(11U ±�Z) 1'Aill REGULATIONS AND ALL APPLICABI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ' WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND 1' "OMPLIANCE
2!i 1.33 WITH ALL APPLICABLE CODES AND ORDINANCE'. THE ISSUANCE OF THIS PERMIT DOC NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
G*32 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
288. 15 - SDC --
Total
uAL JZ 2 11%.37. Pf)GN APPLICANT OR AGEIIT
By — - Recaipl No.
Approved ADDRE93 — PHONE
REMARKS PLUMBING r+.%TR;
DATE x If18Pr TYP INSPKCTION _ �--
Contractor _
Permit No. '
- — D
sough-in
._._._._.HBATINti
Contractor
Permit No.
Gas or OII
-- — ---- —_--_ _ Rov,phdn
} __ -- -- -- - - Final
_ - ------ .�_-. SEWER
-------- -- ---- Final
— DRIVEWAY
- — Final '—
Storm Drelnape
— - -J- _-�---- IRdn Drain)Final
-- -- - -
Side-k
Curb 6 St— Final
Approach
IILOG.DEPT.FINAL TEMPORARY C6RTIFICATB OCCUPANC`/ Foal
r;r'RTIWICATE OCCUPANCY --
Londecaping
Zoning Final
■r Iw ■ir ■r s Igo w fe
f�
BUILDING PERMIT APPLICATION TIGARD DATE���--•14[�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT NS. OWNER PHONE _
N _
CANNER JOB ADDRESS J,�_,_
O
ARCHITECT
ENGINEER
BUILDERADDRESS I ( .(�/ ` DESIGNER
STRUrTUHF. NEW ❑_REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE►AOLITIG
1;a.AESIDENCE fi��6•"t;OMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABLI FEN(
OCCUPAOCy ,�_LAND USE ZONF _ _BLDG.TYPE PLAN CI'ECK 8Y �HEAT
- _—� _—- — — --- _ - --- - __--- -------
SEINER PERMIT M __—
OCC.LOAD FLOOR l OAO�HEIGHTQ , NO.STORIES ARE jt.2.- NO.BEDROOMS
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
POImlt TIIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'7I
REGULAT',ONS AND ALL APPLICABLE COOTS AND OW-INANCES, AND FT IS HEREBY AGREED TYAT TI
C—(-.hec 10 WORK WILL BG DONE IN ACCORDANCE WITH THE t J1NS AND SPECIFICATIONS AND IN COMPLIAW
WITH ALL APPUCAOLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT IYAII
5ctrfotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIND
UCENSF_SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
3Lats Tax 4ri I
- SDC---
-040 1
POGO APPU(ANT OR AGENT
By
i Receipt No. ------ —�� —_ -�-
Ap ADDAM PHONE
I .
SSI)C - - $
SOC -
PDC -•
SEWER CONNECTION`S
SEWER INSPECTION $
SEWER SURCHARGE S
Comments: -- --- -- - _--- - ------
I
Cl1Y0F E AR® No. 7361
12755 3.W.ASH
P.O.BOX 2339% Date S _
TIGARD,OR 97223
fk��-
� Name
Address
Lo! Block/Map St-bdlvlslor lAddress
Permit M's ]Bldg. Plumb i Cash Check
Sewer Uther Other Rec.
Acct. No. Description Amount
10-432 Building Permit Fee3_
10-431.600 _Plumbing Permit Fees
10-431-601 Mechanical Permit Fees _
10-230.501 State Bldg. Tax _
10-433 Plans Check Fee _
s 30.4443 Sewer Connection
30-444 Sewer Inspection
_31-448 Street Syst. Dev. Charge
32-449-610 Parks I Syst. Dev. Charge
w 52-449.620 Parks II Syst. Dev. Charge
31-450 _ Storm Drainage Syst. Dev. Cha_ ge
10-430 Business Tax
10-434 Alarm Permit
10-227 Bail
10.455. Fines-Traffic/Misd/Parking
10.230 CPTA Trefflc/Misd/Vic. Asst.
10-456 Indigent Defense
30-122-401 Sewer Service1USA T �-
30122.402 Sewer Service/Clty ao%
�-- Viewer.;evlce! Tty Malnt. � I a
30 25 li"nmatched �` J
�1 124 Storm Drainage --
4P75 aancroft PrIn. Pyrnt.
40471 antro tn•: Pymt,
i _ TOTAL
W".
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