11165 SW 125TH PLACE 11165 SW 125TH PLACE
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INSPECTION NOTICE
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� City of Tigard Building Department
P.O. Box 23397
L Tigard, Oregon 97723
Phone:639-4175
Type of Inspection __ --- YlOL-6 _
Date Requested
Time�— A.M• P.M.
Address
—LLL( (L' �J (AJ 1 `� S ll� �' Permit
Owner wT]1�7 °^ Oma — Lot #
Builder _ -------- —
The following Building Code deficiencies are required to be corrected:
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Presented to _-- �ry�ro�
Inspector ~`V' Y'" �' RC1 Dlapprowd
CALL FOR REINSPECTION
�(,�? YEI ❑ NO
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CITY OF TIGARD 639.4171 lur ana;)ectiot,6 ca11 f- 1-1-41/5 5 8 *3 0
BUILDING PERMIT DATE L( ruarY i
uunnelbert Construction TAX MAR ___LOT NO. — SUBDIVISIOIf a1tvL` ►a>rr.
OWNER JOBADDRESS 11165 SW 125th Placz
uasoe,— 144uU sw 86th, Tigard
BUILDER STATE REG.NG. EXP.GATE` 4 $b
BUILDER'S PHONE
ARCHITECT _ `Stugio r PHONEZ41-6629 OTHER
STRUCTURE SEJ NEW L_i REMODEL ADDITION_ REPAIR MOVE OTHER DEMOLITION
Li RESIDENCE ❑ COMM C 7 EDUCATION I ' IND RELIGIOUS ACCESSORY GARAGE _ OTHER FENCE
OCCUPANCY •S LAND USE ZONE 1-11 BLDG TYPE FIRE ZONE PLAN CHECK BY t.w HFA7
LOnsLr _. �jn, le `awily residence %.riattaehed gara;e, all , , r .11yrovru 1,1,.,,:; .
L Lo Aflart,':w l uou.. .•:v and L,,erau illi;,ilts , ,.I sewer char; es
SEWER PERMIT k i r)i)".2 , 1 a„ ,
OCC. LOAD FLOOR LOAD `ALJ HEIGH r "L"- NO STORIES AREA NO.BEDROOMS a VALUE
_BUILDING DEPA '
- __R.T_ME _ _
NT
SETBACKS FRONT REAR L EFT SIDE RIGHT SIDE
Permit - 31�/.Ul, THIS 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 T.IAT THE
Plan Check 199 `)d T WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. TF E ISSUANCE Or 1HIS PERMIT DOES NOT WAIVE
PI.Ck.Fir_e RESTRICTIVE COVENANTS. CONTRACTOR ANU SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAx PERMITS,SEPARATE PERMITS REQUIRED FOR!SEWER,PLUMBING AND HEATING.
State Tex 12.2A '
SDC—
Total.---- APPI]CANT OP Arsl rJT
PDCN 1 1�U.tIII
Prepd. WO.(lu
-- Receipt No. '1y�I ADORES, r�Nc�r�r
_
Bal.Due 16.132
-- Issued By Approved By
DATE INSP. TYPE INSPECTION. REMARKS PLUMBING -2�cATt
Contractnr rn- !1 2-��
--- Permit NoZ--
` Rough in —
S Fixture —
Final
HEATING
�� A- �f Z-I 0 A,4
b --
^-init No ,
Gas or Oil
� ..... � � Rough in
_ Final
SEWER
Final
- DRIVEWAY
— ----,.— Final
�- Storm Drainage
— — (Rain Drain)Final
Sidewalk
--- --- -- - —��_—.— Curb 6 Street Final
-- Approach
--BLDG.DEPT.FINAL CERTFICATE OCCUPANCY CE Pee
A�E OCCUPANCY Final —�
landscaping
Zoning Final
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CITY OF TIGARD 639.4171 DATE —_? � t9 C' AP4 T OA
BUILDING PERMIT p
TAX MAP __ II ``__LOT NO. _,�5__SUBD VISION
OWNER r r!j* , . -------- JOB ADDRESS
BUILDER ��yYT 'C _,_ STATE REG.NO. —._. EXP.DATE
BUILDER'S PHONE 1ZC7- ? y 3
ARCHITECT _� f Lc GQI O S! — PHONE
STRUCTURE N NEW ❑ REMODEL_ ❑ ADDITION ❑ REPAIR ❑ MOVE [A OTHER _ ❑ DEMOLITION
(1'f RESIDENCE L7 COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ ACCESSORY ❑ GARAGEp ❑ 01 HER ❑ FENCE
OCCUPANCY �/ I�11 LAND USE ZONE 8.2-ED-BLDG.TYPE ; .FARE 70NE PLAN CHECK RY _}� HEAT GAS
.�r��rrvu✓r✓ .S F RLLu,t�a,
4 60
SEWER PERMIT M
57,zoo
OCC.LOAD _I )OR LOAD 40" HEIGHT x V T NO.STORIES 2 AREA ` NO.BEDROOMS .3 VALUE
BUILDING DEPARTMENT $�SACKS FRONT 2.Cl� REAR �.. LEFT SIDE •) RIGHT SIDE k _
-
f�f�
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TYc BUILDING CODE, ZONING
nA REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEP,01Y AGREED THAT THE
Plan Check 77 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUI!HD F R SE)NER PLUM BINQ AND HEATINO.
Stats Tax /1 '
- SDC— ✓
Tolal APPL, ANTORAGE T
Prepd. 0 0.Ob PDCII �1 7 0 0 -s b-) O 6 �y � �0 7/ 41
Recolpt No. ADESS PH, ►'c
Bal.Due 1
Issued By__ -APProved By
S S U C --- $ 2- 5o ------- ,I a-j ^
SOCU
PDC - j — 15 p
SEWER CONNECTION 5 �
SEWER INSPECTION
SEWER SURCHARGE S 3 lo
-- I � V aa� Com' ✓w �,�. �-.
LAM,9m.-Z9 IR MAW F .R. LIA�
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INSPECTION NOTICE
City of Tigmd Buildiny Department
124dS.W. Main
Tigard,,Oregon 72222 3
P;ione: 639.41 1 71 j
Type of Inspection
j Date Requested f �� 4
Time A.M. P.M.
Address � Permit
—�I --
Owner, —` --- Lot #_
Ik Builder /
The following Building Code deficiencies are required to be corrected:
I — _
t
-----------
Presented to
Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
0 YES 0 No