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10825 SW FAIRHAVFN WAY
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INSPECTION NOTICE
City of Tigard Building Dep;,i ment
12.420 S.W. Main St.
Tigard, Oregon 97223
Phone 6354171
AddressPermit-----
Type of Inspection
The following Building Code deficiencies are required to be corrected:
4.
Presented to InspPttor
Date
CALL FOR REIAVECDON
YES 0 NO
BUILDING PERMIT APPLICATION TIGARD LATE -�9L1_L3394
Th E UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDiCATED BUILDER PHONE t)�D-5696
OP AS SHOWN AND P.PPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ � ' 4
t,::t LOT NO.4i
OWNER Virt4inia L ars JOBADDRESSIUL,/-j 5w Fairhaven Way 13 Fairhaven Ct.
ARCHITECT
ENGINEER
BUILDEK TuQ' s CunF9tr. ADDRESSPJ). Box 23276,Tigard DESIGNER
STRUCTURE ❑ NEN' ❑ REMODEL CA ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
DRESIDENCE ❑ COMM ❑ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO El CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY_ I_ANP USEZONE BLDG.TYPE FIRE ZONE--- PLAN CHECK BY AtW HEAT n
Lo�tstruet I A. X 20 addition to oinyle Ffsmily resident, all per plans end cods,
Plumbing permit Required. _
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES .1,--AREA _240 NO.BEDROOMS --@ VALUf 10 y 000.
BUILDING DEPARTMENT SET BACKS FRONT _ REAR LEFT SIDE RIGHT SIDE
Permit a2.Dq 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 THAT THE
Plan Check 26.00 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEPIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE (.,= THIS PERMIT DOES NOT WAIVE
Subtotal 76.CIa1 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PECIMITS REQUIRED FOR SEWER,Pt;'MBING AND HEATING.
State Tax 2.08
Total---- 6 00 OH SDC;—
-- PDC# P7C PLICANT 08 AGET
By - p�=— + Irl¢
Receipt No ADDRESS
Approved s t w PHONF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING C ATE
Contractor d
-j(140 64k .at I' ok Permit No. -1361 Q k , Rough-in
1l 5 v
;r T", Fixture
Final
' r� r� �—►� HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Firal
DRIVEWA'f
Final
Storm Drainer
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
OL.DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
2nning Final
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE 'nmtr �l '_'��° 0884
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK ',AEPEIN INDICATED 631341
OR AS SHOWN AND APPROVED IN THC ACCOMPANYING PLANS AND SPECIFICATIONS,
OWNERPHONE
v1.r&Ltkik 13yef 1,0825 Fairhaven >'ay�
QYINER .�— ADDRESS _ BUILDER"HONE
Soat'R 4 `yoebuck ENGINEER
BUILDER _ ^ AREC
CHITT
ODESIGNER
SfRUCTURE ONEW 0REMOOEL ADDIT!ON ❑REPAIR DRENEWAL� OFIREDAMAGE [:]DEMOLITION
❑ RESIDkNCE ❑COMM ❑EDUCATIONAL OGUV'f ❑RELIGIOUS PATIO []CAR PORTOGARAGr (-1STORAGECISLAB []FENCE
0130ND _OMOVING OCONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
�__�
OCCUPANCY-_---LAND USE ZONE_ BLDG.TYPE_, FIRE ZONE PLAN CHECK BY _ HEAT.-.
Install new rtwf fiber,glerlal teat. 20 y*ars all per cod* 1L*rluir4waete
Qf&.LOAD .'FLOOR LOAD HEICAT ^ NO.STORIES AREA VALUE
BUILDING DILPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1().(11) — � �� — --_-- ------ — ,.—_
THIS PERMIT IS ISSUED SUBJECT TO THF. REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THP I THE
_. WORK WILL BE DONC IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND!N COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'40 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY F..USINESS
State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total l D•3C1
By
A—Pr ANT OR AGENT
Approved Receipt No _.
- ADDRESS
DATE INSP. TYPY INSPECTION REMARKS PLUMBING DATE
1 0 Contractor
Permit No. —
Rough_in
Fixture.
_ Final
_ W HEATING
Contractor
Permit No.
Gas or Oil
— -- --- ---- — Rough-in --
- Final --
SEWER
Final _.__ _--
DRIVEWAY M
-- ---- — ----- Final
Storm Drainage
(Rain Drain) Final
--. _-- _ Sidewalk
tZo
rh&Street Final
roach
BLDG.DEPT.F!NAL TEMPORARY CERT'FICATF CoCCUPANCV
CERTIFICATE OCCUPANCY nal
ndscaping
i,
ningg Final ':
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