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15360 SW P)OTH AVENUE
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INSPECTION NOTICE I
City of Tigard Building Department
12420 S.W. Mai ,St.
Tigard, Oregor 97223
Phone: 63tj-4171
Type of Inspection — A,—
Date
Date Requested_ r� Time k A.M. P.M.
Address Permit
Owner _-- -- --- Lot #—
Builder
The following Building Code c'eficiencies are required to be rorrected:
G 1
i
L�
Presented to
❑ Approved
Inspector —�
7 .91DIapproved
Date
CALL FOR REINSPECTION
bT YES ❑ NO
—drM.
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.41*71
I
Type of Inspection J-
Date Requested 6-.'s Time A.M. P.M.
A(ldress LL T-) :5 Permit
Owner Lot
Builder
The f Allowing Building Code deficiencies are required to be corrected*
4CO,
Presented to Approved
Inspector 141 le U Disapproved
Oate V---—
CALL FOR RENSPECTION
El YES Z NO
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Building Permit Flo.
Location
Certification of Regist� ation
With tiie aui Iders Board
I 1��^ L$ .►'L— Nr doing business as (dba) ,
-un registered under the provisions
of ORSChapter 701 Oregon Homebui lder s Law) .
My Builders Board Registration Number is -4 As � I
i
My registration is in full force and effect and expires on ` Co
I
85
signature
I
January 26,, 190
BUILDING PLRK41TAPPLICAIION TIGARD DATE_ . -_,19. 5125
THE UNDER;IUNCD HEREBY APPLIE_b FUR A PERMIT FOR THE WCRK HEREIN INDICATED BUIL'lEP PHONE ud j_y 32
► OP'AS SHOWN AND APPROVED IN THL_ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE__-
LOT NO.---..—
OWNER 1{, JOB ADDRESS J5360 sw loot S reet Gulf aid! 6 to 40 a.,_
ARCHITECT
ENGINEER
BUILDER Lary Lecke, ConstruetiA00RESS DESIGNER
STRUCTURE CINEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
Int RESIDENCE ❑ COMM J EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO J CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB El FENCE
OCCUPANCY . IT3—LAND USE ZONA R—SPU BLDG,TYPE _AN_FIRE ZONE — _PLAN CHECK BY 1Ti1_ __HEAT
Constructisingle fancily dwr_11-ing_ j ttailhed_ garage.
4 Ledroom 3 Bathroom
SEWER PERMIT# 28274 — Gargge 4134 - -- --, -
OCC.LOAD FLOOR LOAD 4C HEIGHT IS+— NO.STORIES L AREA 1610 NO.BEDRooms 4 VALUE 55#000*
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 298.00 - ISSUED —= - ------
THIS PERMIT IS SUBJECT TO THE REGULATIONS ^ONTAINED IN THE BUILDING CGDE, ZONING
REGI,LAT,ONS AND ALL APPLICABLE CODES AND ORDINt,NCES, P,ND IT IS HEREBY AGHEFn;HAT THE
Plan Check 193.70 W0:1K. WILL BE DONE IN ACCORDANCE WITH THE PLANS ANn SPECIFICATIONS AND IN COMPLIANCE
'WITH ALL AP.'LICABLE CODES AND OPDINANCES. THE !SSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub•tota1 — 491.70 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUI"ED FOR SEWER.PLUMBING AND HEATING.
State rax 1 1.92 - __-- SDC- 0500.00 t !� ,
Total 5U3.61 IT 15t,.U0 - 4 _.._'``� ' ►`�� r
PDC# APPLICANT OR AGEN 1
By CL sSUCL5o.04
Recelpt No. _
Appr)ved IiTtiw ADDRESS
DATEsP. TYPE INSPECTION REMARKS PLUMBING DATE
Permit No.
Rough-in
FiXtura
Final
HEATING
Contractor
Gat or Oil
fl,wqh-in
4
Final
Final SEWER
DR14E(VA"Y
-----
Final
F--
H Storm Drainap
(Rain Dtain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.-i-i—AL:--j TEWO—ORZi�, ' —CERTI-FI-C—ATE OCCUPANCY
CURTIFICATROCCU: ANCY I Final
Landscaping
Znninq Final
en)
BUILDING
BUILDING PERMIT APPLICATION TIGA?D DATE_ � .le
THE UNDERSIGNED HEREEY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHON0�9 S ` 6 t2 _
OR AS SHOWN AND APPROVED IN THE.ACCOMPANYING PLANS AND SPECIFICATIONS OWNEP.PHONE
11 LOT NO.
U'IrNER / Y J08 ADORES f 5Li -S�L� "n�%n _
-- L
ARCHITECT
/tel j p / ENGINEER
Bull-DER (� dtN. 4►0( TRESS DESIGNER
STRUCTURE NEW ❑ REMODEL ❑_ADDITION ❑_REPAIR _❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIOr
RESIDENCE ❑ COMM ❑ EDUCATK;iI ,I ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCI
•—�- �-_�-ter- � - - -=-�-_
Ou,iiPANCY -0_= ,-LAND USE ZONE - P rn SLOG.TYPE FIRE ZON PLAN CHECK BY HEAT
SEWER PERMIT K
OCC.LOAD FLOOR LOAD U 0 --HEEIIr' j NO.STORIES .Z AREA 14 A) NO.BEDROOMS VALU�yO-00
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SI CE !— RIGHT SIDE
O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SU1LDiNG CODF,ZONIN,
REGULATIONS AND ALL APPLICABLE CODES ANF) ORDINANCES, AND IT IS HEREBY AGREED THAT HI
IPlanCheck Q 7e) WORK WILL HE DONE IN ACCORDANCE WITH ThE PLANS AND SPECIFICATIONS AND IN COMPL.IANC
r
t WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERrAIT DOES NOT WAIV!
I tefal —� l 7 a RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO dAVE CURRENT CITY 86SINFSI
UCENSF_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
StatA Tax � 'Ql
417
SOC-
Total �S J --- ----- .._..------ ------- --
PDCA APPLICANT OR AGENT
By _
Receipt No. _
ApprOv ADDRESS PHONE
SDC_
Z-
PDC
SEWER CONNECTION S I
SEWER INSPECTION S
SEWER SURCHARGE S .�
so