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INSPECTION "IOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 39 417',
Type of Inspection
Date Requested '- Time,_ A.M. P.M.
Address /9 �jtd�� ,.-. Permit
Owner \ __ � 6- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ L-I Apprcved
Inspector -+-^' i Disapproved
Date. -� 'oe
CALL FOR REINSPECTION
❑ YES ❑ NO
� c
■
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of ;nspection �
Date Requccted - Time—1-'-_A.M.---P.M. j
r r {1
Address / 6 "166)� ->W //)�� Per mit # ,561-3 11
Ower Q 41 ail'v�
-•- Lot #
guilder
The following Building Code deficiencies are requires' to be corrected: j
'-J
!%resented f � Approved
]� Y-
Inspector
Disapproved
Date ��'�-_�,E-_J
CALL FOR REINSPECTION
❑ YES 4tWO
BUILDING PERM i'' APPLICATIONdoh 5£2-3
TIGARD DATE - - , is -�a
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE=CIFICATIONS. OWNER PHONE _.
OWNER _ f ei_JUlillnui,, JOB ADDRESS LOT NO.
__IUI j SW Sjpm=r Lake L)ri.ve Swata,erLlake
Hillsboro, UI: ARCHITECT Alan) Hasaord
!i Orth 6 Co. Const. 342 N.F. 16th Ave. ENGINEER 2725 EW Cornell it d. Ytl.
BUILDER 1 ADDRESS DESIGNER
STRUCTURE J NEW ❑ REMODEL G ADDITION ❑ REPAIR CI RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L4 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCYRa3 LAND USE ZONE_A 7PJJ-BLDG,TYPE SN FIRE ZONE--____PLAN CHECK BY UI'' _ HEAT—
CONSTRUCT SINGD, FAMILY 9WEL 1-NG W/Al'TACRED CAME
SVBJE2CT TO 4 36U.Uti 7fIdART/WKY('.1 CK)a t $ 150.00 LERON HEIGHTS SEWER SLIRCH1"GL
SEWER PERMIT# 1856F3o k)
OCC.LOAD FLOOR LOAD U HEIGHT,20-i- NO.STORIES AREA /39_1_NO,BEDROOMS 3 VALUW t1616
BUILDING DEPARTMENT SET BACKS FRONT` REAR `/ T LEFT SIDE �. RIGHT SIDE s
Permit 265,f)C _ THIr PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE: BUILDING CODE, ZONING
1%2.15 NEGUL.`TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
436.25 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOF S NOT WAIVE
Sub-total RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_
10.66LICENSE SEPAR�
State tax Ti�PERMI'1 S REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 447,85 SDC— > JUIJ-(W
f
By PDC# ! 4150.00 APPLICANT(:R AGEW-
1
Receipt No. _
Approved ADDRESS ----- - PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBINq DATE
_v C,
Contractor
Permit No.
ou -in
Fixture
/x.1.17-.r 4 P_ Final
HEATING
Contractor+r-0_1
Permit No.
Gas or
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Di, -go
(Rain Drain)Final
Sidewalk
Curb&Street Final
Apprnach
TEMPO UERTIVICATF OC 9kNcy
Final
BLDG. DEPT. FIN 10. TEMPORARY
OCCUPANCY RTIPICATE OCC
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE! ®_! '� +9
THE.UNDERSIGNED HEREBY APPLIES FOR N PERMIT FOR THE WORD(HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHOyF,�
LOT N . �L
OWNERO_tzJOB ADDRESS c �A
,� ')Qn.l � i lLl7
----- - - --�ri� G
7/Jp-7 p ARCHITECT
,` GG ENGINEER
y
BUILDER Q� UYL ADDRESSF, DESIGNER _STRUCTURE — LeNEW ❑ REMODEL _ F-1 ADDITION U REPAIR ❑ RENEWAL L.] FIRE DAMAGE ❑ DEMOLITION
Q,AESIDFNCE ❑ COMM ❑ EULIC 1TIONAL ❑ GOV'T LJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 3 LAND USE ZONE _ BLDG.TYPE FIRE ZONE----' PLAN CHECK BY�__HEAT
9:::_ c- -LEL sT-Q_. -y- M16' _-nW_M i -1AI i "��4r T`T" 1- IE:n c=AkAr.E:
L
SEWER PERMIT N _.�---
OCC.LOAD FLOOR LOAD ly ('? HEIGHT NO.STORIES — AREA_ NO.BEDROOMS -Z_VALUE qq,),
_ BUILDING DEPARTMENT SETBACKS FRONT 2 C) REAR LEFT SIDE / r RIGHT SIDE
Permit Z S THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
5/v REGULATIONS AND ALL APPLWABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check l 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 WAIVE
Subtotal cam- ,Z `/'O RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT ri-Y 13USINFSS
ivy LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
State Tax
Total
SDC -
rya !_
PDC# APPLICANT Op AGEi IT
By
--
Approved ' ------- Receipt No. ADDRESS------- Pr+oNl_
�,�
SDC (SLOrm))
SOC - 5 _-5 n
PDC -
SEWER CONNECTION $ % 7(-
SEWER INSPECTION S `>
SEWER SURCHARGE f _
Comments:
5
/ �? '�y � "' / Go
d .x � � `..�---
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I
1
S-4 � J?�
/ 1-11
BUILDING PERMIT APPLICATION TIGARD DATE�aG ~ iq�
THE UNDERSIGNED HFREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHON
to%o LOTNO.
--- --- --
_OWNER TZ II,.� JOB ADDRESS Dr,
ARCHITECT (A+r, MNStc„r
14-'1116-1 ENGINEER
BUILDER 'r� + u ADDRESS 5Y7, Nr_/6_' ��
DESIGNER 7,-71
STRUCTURE &? EW 17 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL �[J FIRE DAMAGE ❑ DEMOLITION
"ESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 11 GARAGE_❑_STORAGE ❑ SLABE] FENCE
OCCUPANCY _ LAND USE ZONE F-0 BLDG.I YY�P��E _FIRE ZONE_ LAN CHECK BY —IL--HEAT(_____
-1/
SEWER PERMIT-N�� �l1 �`
OCC.LOAD FL')OR LOAD C'`HEIGHT,*a f — NO.STORiES�R AREA ��"'1' NO.BEDROOMS VALU
BUILDING DEPART M;:NT SETBACKS FRONT 119 REAR A y LEFT SIDE RIGHT SIDE
Permit— tr>; LI 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGU'.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check s �r WOR'c WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WIT'! ALL APPLICABLE CODES AND ORDiN.ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total r-[< RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIFhED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total SDC—
PDC# APPLICANT OR AGENT
By'-
Recelpt No.
Appr ADDRESS —��- PHONE
SIX (Storm))
SDC - 8
POL
i
d I�.
5£WI R CONNECTION S
SEWER INSPECTION S 5
^T r
SEWER SURCHARGE
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Comments: Ilu mr
n � 0O
Ilu i Id i ng Perm i I No
L cation /D�,loO _-.-
Ua t e —40-
Cert if iCdt ion
.0-Certification of Registration
With the Builders hoard
doing business as (dha) ,
+ (o C am req istered under the provision
of ORS Chapter 101 Oregon Homebuilders Law) .
Fly Builders Board Registration Number is __-_ _ �T 7 ) Z 9
Fly registration is in full force and effect and expires on IL
ignature
UILDING PERMIT APPLICATION TIGAH:) DATE>9!-! 19-ft
fRHEUNDERSIGNED HEHEBY APPLIES FOR A PERMIT FOR THEWORK HEREIN INLICATED BUILDER PHONE(720'8600 AS SHOWN AND APPROVED IN T'AF-ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER,P N
O"1NE aft
WADJRE5� Ii LOT NO. '—� f.
` �� JQ �+ AFiC1IiTECTh�^ a�=•S�f/�
FrNGLN&E•Fl
BLIILDE q wl f, _ ADDRESS YI ^,(�k�.__� � 6�'-Rttvch ' --
S
J'RINCE
�NE4V —_❑ REMOC EL _- ❑ ADDITION ❑_ REPAIR _❑ RENEWAL_❑ FIRE DAMAGE ❑ DEMOLITION
COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO I7 CAR PORT ❑ GARAGE G STOR GE ❑ SLAB❑ FENCE
Y " --.LAND USE ZONF. BLDG.TYPE �� FIREZONE PCCK BY HEAT-
� 1.��•J w�.�3�..� - _____ -
SEWER RMITM
OCC.LO D FLOOR LOAF) HEIGHT NO.STORIES X AREA 1405' NO.BEDROOMS Va.Ltli� 0 G
�_...�Q_
IILDING DEPARTME�NTr SET 13ACKS FRONT y REAR 23 LEFT SIDE pJ RIGHT SIDE
Permit ��7•pp_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAAIINED�IN T_HE BUILDING CODE,'ZOWNG
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 7HE
Plan Check I i • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA71ONS AND IN COMPLIANCE
� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su'.rtotal hESTRICTIVE COVENANTS. CONCRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slats Tax ��
Total , SUC - Vn
( i.�•, -.' _•J��a.
- �- pDCJI APPLICANT OR AGENTBy _
— - -- ---
Receipt No.
Approved _ ADDRESS^--�- ® - -- — PHONE
PDC - # /C) s"04.E t �k'o+�.•�
SEWER CONNECTION_ $ 632r @ ' 9T. f .
SEWER INSPECTION $ f Lo
SEWER SURCHARGES
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