15240 SW 100TH AVENUE 15240 SW 100TH AVENUE
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II:3Ik,IVrUIIEItCOY ,APPLIFSFOIIAPEli MI ; FOII ItIL. 'vV0111< WI HLININI)It.AILL) li4r_
;ii(I�VN 4Nn APPOOVEO IN THE ACCOMPANYING PLANS ANO 'KIFICATIONS. OVINL11P►iOtI _
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ADORE�� OESIGN£R
IRE _ VEW - ❑RF-I1`10EL _ F1
❑RENE:'/AL FIRE DA.-AAGE ❑oemOLITI
^I E ❑COMP.1 E1F'OUCATIONAL ❑GOv•T ❑RELIGICUSCI?ATIO ❑CARPORT ❑GARAGE ❑STORAGE[]SLAa ❑FEt'
>f_'Y LANO USE ZON OLOG.TYPE ,FIRE ZONE__ PLAN CHECK BY l` HEAT CY_
7 a
5cWER rERf1IT m `l—
FLOOR L.04D i c HEIG!iT /�' NO. TORIES f •ARES/r�'��NQ $Af FIMKIS� VALUE �,�U+
g111LO!ti OF_PARfMENT SET BACKS FRONT 2 � R !•EF
EAR 'Z-( T SIDE RIGHT SIOF any
C [.�.
Imo_ THISPERMIT IS ISSUED SU8JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZON
13':An ChecK /D REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A'.SREED THAT i
r— WCIAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN cGhIrll<.NCF, W
Juti•toul I ALL ',PPLICABLF CODES AND ORDINANCES. THE 1:,SUANCE OF THIS PERMIT DOES NOT W.n
i' REST. ICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SLM. IN
! °YtA Tax I �� j�p LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER, PLUMBING AND HEATING.
I Towl JUL.
r '' rLj 1, PDC#
--. APPLICANT OR ACr.NT
Approvm it Receipt No.
- nnr,gFtS �-�r+UnE
SDC - /I/oo X it�cl• ) a
PDC -
SEWER CONNECTION $ 7 Y
SEWER INSPECTION $
SEWER SURCHARGE
Comments : '�, �� `f• "
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
hone: 639-417 '
Type of lnspection ---
Date Ret jested _ L.r27_ —_ ime� .A.M. P.M.
Address .��C�C✓� L> — Permit —
Owner— --- _ _, Lot #
Builder _ -- --
The following Building Code deficiencies ars o-equired to be corrected:
ti
PIM 1 to Approved
Inspector i" / (_� Disapproved
Data
CALL FOR REINS XTIOPJ
[� YES NO i
r
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. M a i i St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested__ ---1— Time__.A.M.— _P.M.
Address __1_. :__ ?S`*' � — Permit #
Owner _. _ Lot
Builear -The following Building Code deficiencies are required to be corrected:
--------
Presented
s
i
- i
- � 1
Presented to _ — ❑ AppnwW
Inspector I/Y [ DlupprwW
Date
CALL FOR RI1 III
YES IINO
I'a ■ s Iw � ■ ■ ■ ■ ■
I
BUILDING PERMITAPPLICATiON TIGARD DATE <arch �- __ „19 4760
THE,JNDFRSIGNCD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOW'! AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC!FI CATIONS. OWNER PHONE
LOT NO.
OWNER I)1siAL llcwt .s� JOB ADDRESS 15240 Rei 100th AVNnlie i,ulfsirie
— ARCHITECT
P. 97219 ENGINEER
BUILDER $ _ ADDRESS _P•n. $G. ' '� DESIGNER—� _SarcI Ay
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION ❑ REPA : ❑ RENEWAL :l FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 1:1 PA-, O ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY __ R-3_LAND USE ZONE _iL—Z?VLDG.TYPE _ 5N FIRE ZONE PLAN CHECK BY HEAT
-- Cmisttcuc;t singe f:),,ily NS_ lin - w/attached ryarasr,e.
i!tiiity rawIvAnt 5' each tide? yesed --__
:i ::+�cirsaoa� 7 "l�+tl:rsav
SEWERPF.AM1T# 27192 i :tXa ( 5J6 _
OCC.LOAD FLOOR LOAD 4s) HEIGHT i6-1 NO.STORIES _1 AREA 1400 NO.BEDROOMS 3 VALUE
BUIL DING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE_��:� RIGHT SIDE , 5
Permll TH15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, '.ONINQ
REGULATIONS AND A' L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 2 17. 1sJ __ WORK WILL sE DONE IN ACCORDANCE WITH THE PLANS ANL SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ 551.11 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Slate Tax 13.36
LICENSE.SEP►.RATE PERMITS REQUIRED FOR SEWER,PLUM13ING AND HEATING.
iI isJU•U
-- soc—
Total 564.46
-- PDC# 1, 1Ul)•Q+: APPLICANTORAO&NT
By Cli r '1
Receipt No. I, r � .''s ltl► f ily rt L J
Approved ETiT ADDRESS PHONE
I
i
DP,TE INSP. TYPE INSPECTION REMARKS I PLUMBING v DATE
tontractor
1_——
�G �- .4�.� Permit No. at
0 Fixture
Final
Contravor--
Ap, --__— Gas or Oil---- ----
Final
---- --------
SEWER
Final
DRIVEWAY
;Final
(Rain Drain)Final
Sidewalk
Curb&Street Final
__ Approach
BLDG.DEPT.FIN%L- TC!77RTl
TI3. 6RARY CERTIFICATEOCCUPANCY rl,:ATE 0CCUFAf-T Y Final _- --
Land'capin�
Zoning Final —
Building Permit No.
Location
Date
Certification of Registration
With the Builders Board
doing business as (dba),
I. de-, ,
am registered under the provisions
of ORS Chapter 70 Oregon Homebuilders Law) .
My Builders Board Registration Number is �eo,/j,
hey registration is in full force and effect and expires on
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Signature