11125 SW 125TH PLACE 11125 SW 125TH PLACE
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INSPECTION NOTICE,
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested ? ' =/— . Titus__-- ,V1. _P.M.
Address -�/�.�_� ^s!. / ,.a `-S -i.. 1� lermit
Owner _ _ _-- Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to __--.—.--_ _ . -- - Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
El YES Vt NO
i W MM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tiga d, Oregon 97223
Phone:639-4175
Type of Inspection
Date. Requested Time A.M._� P.M.
Address
Permit #
Owner - — Lot #--
Builder
The following Building Code deficiencies are required to be corrected:
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Prssented to _-_ ! ! Approved
Inspector _ IN Disapproved
Date
CALL FOR Rh7NSPEWTION
IX- YES l-) NO
INSPECTION NOTICE
City of Tigard Building Deparr;nent
f 12420 S.W. Main St.
Tigard,Oregon 972'23
Phone: 639-4171
Type of lm.pec•:ion
Date Requesteu--_ _ _ Time__. A.M. P.M.
Address —�_ _ Permit
Owner
--- Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
-- - --
Presented to �` Approved
Inspector — ,4 ❑ Disapproved
Date _
CALL FOR REINSPECTION i
t ❑ YES ❑ NO
CITY OF TIGARD 639-4111 for jmsjx r!ti0,.0 tail tjx:+—wl lS 5826
BUILDING PERMIT DATE „_ iebruary
TAX MAP LOT NO. -17_—SUBDIVISION
OWNER ....Sam Gotter _ JOB ADDRESS illi, N", 1251.11 VlaCe
BUILDER :•t; a_ %71(G 51,E Cent le +it?0C�6 urSTATE REG.NO,J_U2:'
EXP.DATE
BUILDER'S PHONE
ARCHITECT Studio S PHONE -_OTHER
STRUCTURE_." : NEW ❑ REMODEL Li ADDITIC"I REPAIR MOVE ; 1 OTHER DEMOLITION
RESIDENCE COMM L❑ EDUCATION IND RELIGIOUS f 1 ACCESSORY 11 GARAGE ❑ OTHER FFNCE
OCCUPANCY LAND USE ZONE ' •'�' BLDG TYPE" FIRE ZONE PLAN CHECK BY HEAT
Construct sinije family residence u/attached 1;uraLe, tall per aVltru•:ecj p1aL..,
---------- Subject t a ,,; .r ICY 'u t 436t LJ t i. I vr m riTn 1I, LiL1
SEWER PERMIT a 2J_U4�0 L11Lu) -. ,ura};G 39U 2 beth
OCG.LOAD FLOOR LOAD y I HEIGHT 1Ut.NO.STORIES 2 AREA 155r, NO.BEDROOMS3 VALUE
BUILDING DEPARTMENT SETBACKS FRONT .11, REAR 1 i LEFT SIDE RIGHT SIDE .t.
Permit 295.UUTH!S 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 191.15 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANU IN COMPLIANCE
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire -U— RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRE vT CITY BUSINESS
_ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Taz11.60 A.
---—------_ SDC- ---
Total ta9b.a5
PDCM APPLICANT ORAGFNi ---- --�
-
Prepd. luu.uU ► 1SU.tx. '7; , ,
Receipt No. i; ADDRESS 1
39b.,5539b.,55PHONE
B.I.DLie
- Naiwd By---- Approved By
Will
J�4/ i ,zS Tl/ — U
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
qTE—
Contractor Q _—
G�/' Permit No 44
4/1- f4 �,, �l._/_ j --- Roughin
Fixture
Final ,—
}– HEATING
_ � �, p� �-_ D-_-✓_-- Contractor
ermitNc
31111 Srk, >
Ga rOil
Rough-in
D& _ r - -
��� Final
-
��, SEWER
Final
DRIVEWAY
9E Final
Storm Drainage
(Rain Drain)Final
Sidewalk
W Curb&Street Final
—_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
/7//t"(o Landscaping
Zuning Final
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CITY OFTIGARD 639.4171 DATE OJVV
BUILDING PERMIT 7 SUBDIVISION 4�01
TAX MAP LOT NO.
owNER�_✓1 JOB ADDRESS $
BUILDER
i(rl v✓� aFi �><� ��r V S I ' S1ATE REG.N0.� 0 34
� � EXP.DATE ,RF '
BUILOEWS PHONE _yam y Ll
ARCHITECT S 1 U L7 1 f) PHONE_ _ OTHFH
STRUCTURE ❑ NFW n REMODEL ❑ ADDITION L-1REPAIR (: MOVE U OTHER L] DEMOLI
RESIDENCE El Comm _ (-1 EDUGp/►.-00H�� U IND ❑ Rr.IJGIOVS U ACCESSORY U GARAGE,p �❑ OTHER Q F
OCCUPANCY �1 LANO USE ZONE JS.LLv-BLDG-TYPE FIRE IANF Pt�1N CHECK BY y.i _NEAT^A
_
�q17 ZEA wN r+
SEWER PERMIT I 29041---
S_—
OCC LOAD FLOOR LOAD 4�� HEIGHT O�? NO. TORIES AREA 15S L NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SE BACKS FRONT 3 j REAR 4 4- LEFT SIDE RIGHT SI Df
PwrMl THIS PERMIT IS ISSUEO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Zk),
AEG AND ALL I PPUCABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THA'
Plan �' _ '] WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFK;ATH'N AND IN COOT IA
%b
WITH ALL APPLOCABLE CODES AND ORDINANCES, THE IS.WANCE OF THIS PERMIT DOES NOT M
P1 Ck FIr+ ���— -- RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTR.ICTORS TO GAVE CURRENT CITY BUSIF-
TAX PERMITS.SEPARATE PERMITSREOVIREO FOR SEWER.'LUMBINCI AND HEATING.
Slate Tax � �, 80
SOC ti- -.-
Total � APPLICANT Op AGENT
- PDCI
Pr.pa. � G'R �PHONE
841.
- -- Recelpl No. ADDRESS
Bal.Due 9
IaweA By-- ,JlppmvW By —
SSIX --- $
SOC -
SEWER CONNECTION
SEULR INSPECTION 8 5
SEUER SURCHARGE
14
Cammente ; 11
y3 9
53,9 4 6, 91