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13265 SW F4LCON RISF DPIVE
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IPj31DECTION NOTICE
City of Tigard Building Department
12420 S.'N. Main St.
Tigard, Oregon 97223
Phone 839.4171
Address 1 Permit #► _�
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented to�.�-- --.._ Inspector
CALL FOR REINSPECTION
0 YES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address t 4Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected-.
Presentet) to Inspector
Date
G4LL FOR REIAGPECTION
❑ YES ❑ No
BUILDING PERMITAPPLICATION TIGARD DATE_. ,19_ACt
THE UNDE"ISIGNED HERFBY APPLIES FOR A PERMIT FOR THE WORK. HEREIN INDICATED BUILDER PHONE 292-3563
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN;AND SPECIFICAT IOL IS. OWNER PHONE
i�urtland zp LOT NO.d' _Morning 1113.
OWNER r.;c�uooc� kyom®e 0 JOB ADDRESS 1Ah.f, SW falcon Rise Drive
ARCHITECT
BUILDER 3�mb ENGINEER
ADDRESS 91166 SL! 13eayertOn HWy_DESIGNER
STRUCTURE 13 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 1-1FIRE DAMAGE ❑ DEMOLITION
EI RESIDENCE F-1Comm11 EDUCATIONAL Cl GOVT 1:1RELIGIOUS 'IPATIO ❑ CARPORT ❑ GARAGE .0 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _L4—_3 _LAND 115E ZONE RBLDG.TYPE �nI ^FIRE ZONE—.PLAN CHECK BY _QWH HEAT
Construct single family dwelling w atujched ger.ege. 3 Bedrooms - 1 Oaths,
AEE. CQRREC-EIJN CHEE:T ATTACHED - "Montego" ` --
SEWERPERMIT#/ 111) -�7t) ;.>lp GarQ Lie
OCC.LOAD FLOOR LOAD LIQ HEIGHT 13 NO.STORIES 1 AREA 1606 NO.BEDROOMS 3 VALU
BUILDING DEPARTMENT sE-r BACKS FRONT 21 REAR I b LEFT SIDE + RIGHT E;DE `
PermitT313.50
209900 = --_ ----- ----- -=—_-- �= _
THIS PERMIT IS ISSUED SUE lEC7 70 TNF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chec104. 50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TAAT THE
WORK WILL BE DONE IN ACC)RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub total WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI t DOES NOT" WAIVE
RESTRICTIVE COVENANTS. CO's i 9ACTOR AND SUB CONI RACTOA%TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS NEO ARED FOR SEWER,PLUMBING AND 1!EATING.
State Tax 8. 3u I'R,fEF2 `iUit(.►. _ . 0F' 1150.00
Total 321.86SDC-- "4 i,!.1.C s
By -- P1 PDC# T. .1QQ.L LiCANTORAOENt ---- -
------------
Receipt No.
Approved f.IIF! / ADbRE98 --
- - -- — PONE
i
q�
�`�D�ATE INSP. TYPE
,.I�NSPECTION _ REMARKS PLUMMING DATE
//Ir�. Contractor
(`led �. f'.a/ a► baa.... - �.----- Permit No,
�_ Rough-in
1'� —_ ti► afA� -- Fixture
q`�l�Tr qE t�t,�.r Qk Final
HEATING
•
Contractor
Permit No. i y
_. Gas or Oil V
Rough•i n
Final
_ SEWER
Final
DRIVEWAY
Final
-- Storm Drainage
_ (Rain Drain)Final
Sidewalk
Curb A Street Final
_._ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFlCATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
U ' Landscaping
Zoning Final