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13617 SW 121ST AVENUE 1. ••e i, i 1 I t, t I '1 A ' A 1. ) '1#�} y,: k � V..��i— �'�� -•'�,kl�l�?�°,pwp�'�f �'+w''' "'r P''q•{!�°�..,.+�"M,ti ��,�7r � y ��jpa�'`�I, °.. �� � -' ""� 1 �5�"o^• <`� �'r'iyY + t 9r� ti his�. � r ,��. 1r� \ ° 1C-•". wr PAW- 001 "a co Ln 000000 r 1 1KH Ott � u I 41 co G � ►� 1J a 0, to o, U a� -0 tte or I. ..eAIR''ry � ��, �t1 .`�• INM ,�f �1 �jh7,INp 1 ..o•• _,Y3_Y INSPECTION NOTICE r �Y� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone:639-4175 f Type of Inspection -- Date Requested_ `y ::7 Time A.M._._._ P.M. Address Permit Owner_.__ l_ot # Builder ----- The following Building Code deficiencies are required b. be corrected: Presented top pproved Inspector _ WALL _ _ ❑ Disapproved Date R REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requested - TJma- A.M. P.M. S� Address Parent #✓ Owner Lot'# Builder The following Building Code deficiencies are required to be corrected: --- L Presented to L] Approved Inspector / ,�—� �] Disaporoved Date _ 7 CALL OREINSPECTTION 1—► YES ❑ NO d II I,�sS //sb IINU�II`,il(iNtU H'_I{Lt1Y Al�r'LIf_S 1 Uli /l l't HI�,11 11•Url I rlt_ r'+Ilrin ti I��r1�1�+ rrv,ir..+� -!':. ��.•. . __�y� OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICA11ONS OVINLIt+'1curlC r Lor P10 _7'NNEF1� �'/",��( ftT 6- � _ JOJ ADDRESS /J A` �/ ARCHITECT CJ 1 /!V�j c / W7''T✓ ENGINCCIt Awe ADUR i� II OCSIGNER _ iTRLr;.T_URE _ NEW ❑RF'�tf10EL ❑ADOIT1011 ^ �RcP:IR ❑RIVE':/rrA1�L ❑F 11�1E0AMAGc ❑OE:,I_ G RESIUywc CCOr6r.+ ❑EDUCATIONAL ❑GOV•T ❑RELIGICUS[]PATIO ❑CAR PORT l_1GARAGE L,JSTORAvE JSLxa Ui I:CCI'P.�f;:Y R-3 -_LANO USE 1___OLOG. TYPE�N_._..—. _ _ PLAN CHECK dY l T1 . -HEAT_____- CONSTRUCTSllhf1:LL1N WIATTACHU) GAUGE?. BATH OOP[-�/ BEDROOM �Y SEWER_ rERf'lIT A Garaj4r. 2'-C. _-- y TOIF_s AREA N0EfiT BEDROC11,I VAS I 5r11LOIN; DEPARTMENT SETBACKS FRONT REAR -j LEFT SIDE RIGHT SIDE U 3 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7 13n '—'!It Ck ( / G / REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED TH WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPU4NCT ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT —"–'"---`r-L RFSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURSE-11T CITY BlC' `?.arm Tax / L7 f LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING. Tucal `� SDC �- C A PLIC TORI A N�)T Apprp;F(t I "� Rec^-nl No III 'All G` L RF �•2i SS / HOS--- o rill S D C - — PDC - $ �_ # SEWER CONNECTION $ SEWER INSPECTION S SEWER SURCHARGE $ ,�x.t-nk g ck? E-1Za,A-• W ,E rLIC_Z-) ■' It ■ Hu i I d i ng Perm it rig,. Location Certification of Registration With the Builders Board [. /7C�'cG �, '�5��✓ doing busine% as (dba) , /2% SE'S am registered under the provi,, � of ORS Chapter 701 (Oregon Homebuilders Law) . Ply Builders Board Registration timber is My registration is in full force and effect and expires on 3A F/&9-- - ignat re i INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 l Phone: 639-4171 � Type of Inspection ' Date Requested / f7G� Time A.M. P.M. j Address >ri/ /� 2� �_ — Permit # 6 Owner �rl'L /1 Lot # Builder ------ — The following Building Code deficiencies are required to be corrected: I _T 1'ULQO_ ll:x& Presented to , ❑ Approved Inspectorpprovnd Dnte - 2 CALL FOR REINSPECTION ❑ YES ❑ NO call 09-41.:> BUILDING PERMIT APPLICATION TIGARD DATE'!W6tuL THE UNDERSIGNED 1-11'`IEBY APPLIES FOR A PERMIT FOR I iE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPRO�IED IN THE ACCOMPANYING PLANS AND SPECIF�G 3 OWNER PHONE _ dohs .kot;l.er. i`.I ' , S„ t21at � GG��-- �1� LOT NO. ,:�;1-e..r� OWNER _ - JOBADDRESS /rum •�_G�r r�c.Qws ARCHITECT ENGINEER BUILDER h6air 11omas ADDRESS 1111 SB li uth_ .yc+r sn_DE31GNE9 s� - — Ada.l.L_rau STRUCTURE [�"NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION U, RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Ll CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENCE OCCUPANCY '3 _LAND USE ZONE _ •S BLLO TYP N_ IPA, Z P HEAT — Con.AttuCt Bingle family residence w/attached g aQ h���,•,r.t y:. y\, t. SEWERPERMITN ,e,)tCk349I from /, UCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO.STORIES AREA 1"4 NO.B 1 OOMS VALUE44,4 4 BUILDING DEPARTMENT SETBACKS FRONT l3 REAR LEFT SIDE S RIGHTSIDE Permit_ _ _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIODING CODE, ZONING REGULATIONS AND ALL APPLICABLE COCES AND ORDINANCES, AND IT IS HEREBY AGREED THA"i THE Plan Check 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 WAIVE Subtotal RESTRICTIVE COVENANTS. CON)11ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED roR SEWER,PLUMBING AND HEATING. Stele Tax _ To-tal-- --1x44�3}u3 o - SDC- . 1z6 r` t1 � tJr .[1St .uCPwL // PDC# APA E � ] Ll+�j By Receipt No. Approved 0 - DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor nl� A— ——.— i 1)0 .4pj., `�rrnit 14 q5'7 A Rough.'in 4 Fi%ture A041A*4 0—, Final HEATING L/ Contractor Permit No. Gas or Oil Gas Rough-in Final SEWER 1%000� Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&3 treat Final Approach BLDG. DEPT. TEMPORARY I RTIPICATEUPANCY Finalr7FTWICATEOCCUPANCY Landsceping Zoning Final \j i WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH CR i� c Administration Building 150 N. First Refer Hillsboro, Oregon 9712.1 ---- Telephone 648-8722 Subject Location Health Department Memorandum The subject noted above has been reviewed and the following; decision is recorded: No Yes ( ) ( ) . . . . . .Health Department requirements have been met in full . No Yes ( ) . . . . . .Additional requirements as follows must t_e met before Health Department approval can be given. Comments Date Public Health Sanitarian 7/72 WCDPH SE-4 o v � lei ;z k \ — t N I Ii Q Tr Kn l� J '7 WpSNiNGTGN COUNTY, a� ps � Olt" .� / Acte errenp nehfdlnr laeetl°n, deptenh, „,k a tem h el the InQluiAuel sri'' Imes) wl'' dlslrlhutl°n hux ,I* plus plan Z-011 S ©rt 1 eY' vY / conlorm to detelb P ehW mu+ AnY dovutfon item th depertm°n' S pA Approved b/ th ilstinn, Fellure 3 S l sTjs �� 1n Idv is voids tt E Y ©Ir l. Ir wiNVnt � en Inn part r,I ids voids enr C°mn1Y with these ent epl>r °1 Ohl ie°l1°n 10r "Idth Ilnlsbed sYst°m. N L q dt °e tlwnet ci_l_ri i i �a� Pu k l I'c_ I:.t)0+P r- i i WA IN ION 0 NN �R[l OPARIM N1 150 Borth brat Avenue Telephone . 640-3461 HOU-spono. 0aa0o" 97122 IMPORTANT TO: All Septic System Permit Holders FROM: Washington County Department of Public Health RE: Plot Plans and Drainfield Installations All septic systems must be installed as indicated on the approved plot plan. If any changes are anticipated, a revised plot plan mu3t be submitted to the Washington County Health Depart- ment for approval. All drainfields that are inspected and are found to differ in any way from the approved plot plan will be disapproved. Before a drainfield can be backfilled, a precover inspection must be made. The inspection will. be made within 1 days after requested. WR:aat WCDPH S.E.-9 rev. WCDPh 1/16/80 kcimiik/ mist #j