12360 SW 128TH AVENUE 123Fj SW 2.28TH AVENUE _
� v
A
u
to
N
6 'n
M
I
X'
Wwn.
NU qJ4 T1. Alit
N
"14410,011N,lov. :V
17
u
iv ei 4j 04 14
cn tb to
4
00 u
Cd
lipiT a4
fi
14
0 elkSc, 4-j
vy,
cot
tit
f� 44
u
04
10
u U
0
i it tn to
>
e, cn 0
in
oc
it
OAA-4
toq
in R1 0 4J
C14 14
4.1
+j
Cd
'Tyro
A WI'
C.
P, -.q ul
-fir,
04!-
i
I
i
INSPECTION NOTICE 43
4f
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
f Phone: 839.4171
t
Type of Inspection . --
Date Requested -' Time A.M. P.M.
Address Permit �`
Owner _ Lot
Builder —
t ,
E The following Building Code deficiencie/are required to be corrected:
Presented to —_ I Approved
Inspector GSL 1T Disapproved
D,,. --
CALL FUR REINSPECTION
YES L1 NO
BUILDING PEP AITAPPLICATIONTIGARD 444
THE UNDERSIGNS ;HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
-T ,- -
OWNER ,Jeff 1!iorth JOB ADDRESS 12360 SW 1213th Ave. LOT NO._
"illoboro� ARCHITECT ____ - -
.h F Co. Const. .1�i2 N? Ibth Ave. ENGINEER ;;night's i31dv,. Desi n
BUILDER AI"_oRESS DI:GIGNER
STRUCTURE 13 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
CJ RESIDENCE ❑ COMM ❑ EDUCATIONAL C1 GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT 11 GARAGE—Ci STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE t`!BLDG.TYPE �i` -FIRE Z01.c _PL'N CHECK BY }� HEAT----soa _.
__—_L:L+naYrirt i �;�lsr far �il, ,I�ellir4; �j/attaQlled i:arake
see correction stwet: attached. 3 iaer9ron;ns
2 t+atli�l
SEWER f E_RMITM, '572 - ` 611.0J 4,u
OCC.LOAD FLOOR LOAD Oil HEIGHT 11 NO.STORIES I AREA 1255 NO.BEDROOMS -] VALUE 60-fel
�BUiLDING DEPARTMENT SET BACKS FRONT REAR i�) LEFT SIDE 1.5 RIGHT SIDE 10
Permit THIS P 9M1T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGUL. !ONS AND ALL APPLICAB'E CODES AND OPDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 2U5,40 WORK WILL BE DONE IN ACCORDANT' WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. rHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 511•4 — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
State Tax 12.64 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
-- SDC- 4QUa VO _
Total 534.;)6 _ f
�— - PDC# I 100.Ul] APPLIOANTOfiAGENT
By duij ,
Receipt No. - —.. + 1. /.;�' r r I'•l r,u 1 , 4' /tr %.
Approved �]t,rtt ADR 8 - ------_._- --
-- -- --_-- — PHONE
DATE INSP. TYPE INSPECTION REMARKS FLUMBING DATE
(/ � Contractor ��
6-/- u?3 �� _ -�_ ---------- Permit No. 1 . y'�ai..�
Rough
•in
�- `- —1� Fixture —
�
Contractor
Per n. 2 /b r /ti Oe (
Gas or Oil
Final
SEWER _
Inal
DRIVEWAY
—_�— Final
Storm Drainage
_ — (Rain Drain)Final .
Sidewalk °6
Curb&Street Final '
--- — Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY --�`
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
0
f
i
F PCBUILDING PERMIT APPLICATION TiGARD GATE_ 19W 4 413
THE UNDERSIGNS HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BU�-DER PHONE& �-M-
OR AS`1-IOWN AND APPROVED IN THE ACCONIPANYING PLANS AND SP,�CIFICATIONS. OWNER,PHONE . }--
'^ .o LOT No._l _e-1�e 3
G:wNER jq i JOB ADDRESS �90 .� _ r
y /7t /L I� 11.A 1 n AENGINEER
RCHITECT V 1
BUILDER q `,D• L%1j . ADDRESS J�/Z.!)E JVEESIGNER �
STRUCTURE _ NEW ❑ REMODEL Cl ADDITION - ❑ REPAIR ❑ RENEAAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE_ ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Q STOR aE ❑ SLAB FE CE
OGGiiPANCY — _-- LAND USE ZONDG.TYPE FIREZONE PIAN CHECK BY
9a4G
SEWER PERMIT M _ _^__
OCC.LOAD FLOOR LOAD �7�' HEIGHT _11_ NO.STORIES AREA 12 3' NO.BEDROOMS a VALUE► 60o
BUILDING DEPARTMENT SETBACKS FRONT ,2G. REAR j?O _LEFT SIL`E f j— RIGHT SIDE /(P
Portrnt �' odp
THIS PERMIT IS ISSUED SURJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON114G
�os REGULATIONS AND ALL AOP;_,rABLE rODES AND ORDINANCES, AND IT IS HER£3Y AGREED THAT 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 WAIVt
Sub-total _ _ _ �� �_40_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' 'Gt1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State T'ax 'i
�( — SOC--
Total _—_�� ,ol ---- - ---
PDCA APPLICANT OR AGENT ----- - " '-----
BY
Receipt No.
Approved ADDRESS -- -- --PHONE. —--
SDC -
- r �
PDC - S T.- # �t7� tv U.. �•...
SEWER CONNECTION _5 '�7-3�
SEWER INSPECTION S _
SEWER SURCHARGE S Levmx Ws , JL""e .
,A..-•------
�'nmmnfl t'C ' �• /�' VJ
/v ' - ------ ----
"`' 15
Sv
-A
c"i
(oa- leah: 20 x 9Z
4x �2v-& z
zo x 22-l0 .s o
/O x 7 70
2 0 x
60. X 3 3
�lo� 600
i