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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection
Date Requested " � _ Time A.M. . . ~P.M.
Address � !(Y�_��q�d�j ������ _ Permit
T `--
Owner_^
---- —__ Lot
Builder
The following Building Code deficiencies are required to be correctee
Presented to
Approved
Inspector 7 r,
/ u Disapproved
l7AtA .r-. - / �y
CALL FOR REINSPECTION
DYES 0 No
Ilirldin(i Permit
A
Location
Cert if icat ion of Registrat inn
W i tf► Lne flu i Iders Board
I 1. ,' 7 .c,) o` r,_� __ doing business as (dba) ,
am registered under he Prov is ion
(-6f OR Cha ter 70i Oregon Homebuilders law) .
Ply Builders Board Registration Number is 0
My registration is in full Force and effect and expires on
. � nature
;
tar
BUILDING PERMIT APPLICATION TIGARD c.,rE `>��t• '4 ts_"> 5612
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IWDICATED BUILDER PHONE 625-JUt7_
OR AS SHOWN AND APPROVED!N THE ACCOMPANYING PLANS AND SPECIFCATIONS. OWNER PHONE _
1176 2- LOT NO.
OWNER Glen hodson JOBADDRESS -t;ri Swenclon Loop
Sherwood Uln 97140 � ARCHITECT
k9oclKsorl 4 tio " ENGINEER
BUILDER n _ADDRESS Rt. 3 Box 286A ENGINEER
_
S'RUCTURE _FJL NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR �❑ RENEWAL U FIRE DAMAGE ❑ DEMOLITION
(_19RESIDENCE ❑ COMM ❑ EDUC!.TIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLASE] FENCE
OCCUPANCY R-3 LAND USE ZONE !t_7—BLDG.TYPE 5R FIRE ZONE PLAN CHECK BY E T1r HEAT_ pea
— SrS?i� iSi " '';T -Y ijb'L ------
rw.r.�' _i1ctLhroo>us 1ledrao A
SEWER PERMIT# H56U -
OCC.LOAD _ FLOOR LOAD HEIGHT __ NO.STORIES 7_ AREA 1342 NO.BEDROOMS VALUE 41 ,,UUU
BUILDING DEPARTMENT Z
'-� SETBACKS_ FRONT II REAR 1 _LEFT SIDE_ 1U RIGHT SIDE 15
Permit lbJ'�U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
I i5. lti REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BF DONE. IN ACCORDANCE WITH TI'r PLANS AND SPECIFICATIONS AND IN COMPLIANCE
444*68 WITH ALL APPLi^ABLE CODES AND ORDINANCE_. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ IrFSTRICTIVE COVENANTS. CONTRACTOR AAD SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1U.%I3 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax . 1., v: -
Total
45.5,46 SDC- v 50u.Uu
�
--- PDC# I $150.UA ATLIC NTO�R`AGENT
By
Approve) h;1 i� Recelpt No. %r .t ADDRE8S —T-
PHONF
PLUMBING DATE
DATE IVSD TYPE INSPECTION REMARKS
S yp
C,.)mtr
Permit No.
nough-in
1d P — 0��0��` —'.:.�—"` --------
Fixture
HEATING
Contractor
Permit No.
-3. L--
-
Gat r Oil
Ava
ni -in
SEWER
Final ks,
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
sidewalk
Curb&Street Final
Npprooch
—EE—RTIFICAT9 OCCUPANO
BLDG. DEPT. FINAL TEMPORARY rI
Final
CERTIFICATE OCCUPANCY
Landscoplog
'Zoning Final
TIDE UNDERSIGNED P.ERCOY APPLIES POR APF.RMII FOH 111E '6011K 11LI(LIN INUIL.AILU UUILULIt1':101<s`'=�%�'
OR AS SHOWN AND APPROVED IN THF. ACCOMPANYING PLANS AND SPECIFICATIONS.
-,LOT rX�& _
vSNN[P a/E-' 7 SOJ-t 109 ADDRESS 2l 11 U S 22--
ARCHITECT
ENGINEER
AOORF'Sa - -1 DESIGNERt-1
STRUC.TLIAE W ❑RF%fnOEL ❑AOOITION ❑nvAIR_ DAENEVIAL L.-IFIREOAMAGE CIDEM01
`M RESIDENCE ❑COMM C.IE000ATIONAL C]GOV'T CIRELIGI0JLrnCIPAT10 [_](:AR PORT CIGARAGE Cl STORAGE CISLAB C
ANO USE ZOf1E OLOG,TYPE L_ ���" PLAN CHECK NY�_� HEAT
CONST STNGT.K FAmli.Y OWFT.LTNG b►/ATTR:^. 11 GARAGE,
--- BA -�� BEDROOM
`.ts'�,l9�D _EL RO9I.SL41L H ETS i H T __��S ISL'lE _ 1 SHF A,/3�t1 NO.�eEL2flS2CL�1; • U
I ALOING DEPARTMENT SKr BACKS FRONT a REAR �� LEFT SIDE / U _ P.IrHT SIDE�J'r
THIS PERFAIT IS ISSI ." SUBJECT TO THE NEGUI.AT:ONS CONTAINED IN THE BUILDING COVE,
13��rn^t�eCk '" REGULATIONS AND I APPLICABLE COOF-S AND ORDINANCES, ANO IT IS HEREBY AGREED IHI
r-- WORK WILL BE DO'.:_ 1 ACCOROANr.f.WITH THE PLANS AND SPECIFICATIONS AND iN('.OMPLIANCI
$77-[pGll ALL APPLICABLE C%t JES AND OHJINANCF.S. THE ISSUANCE OF THIS PERMIT DOES NOT
r 4L RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY 11C
I S:ata TaV4 �- LICENSE. SEPARATE PERMITS RIEOUME-D FOR SEWER.PLUMBING AND HEATING.
Tow
r— POC#
APPLICANT C1R AGFNi
App rov"I _ Receipt No -
rl��p FFSS -�ON�I
SDC (S 1:o r>n? �. 695 "g 3 S.11 .
SOC - yy !
PDC - s� Lam' •4 y 11 k iF
SEWER CONNECTION
SEWER INSPECTION S 3J'
79 i
SEWER SURCHARGE S � C� l 73
67
Comments : 62,
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