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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone- 639.4171
� % r
Type of Inspection _
Date Requested
l��----- lime_ A.M. P,M.
Permit
AddressL —AL2----
�� Lot #
Owner .__— —�
Builder ___-----
The following Building Code deficiencies are required to be corrected"
Presented to
Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YES 0 NO
- I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
i
Type of Inspection
� I j
Date Requested Time A.M. P.M.
7
Address .� % :(/� ,7L��.� yti ��'� . _ Permit 7
, Owner
I,i Lot
Builder�
The follo n ilding Code deficiencies are required to bg corrected:
Presented to --_ -- —--- /�Approved
Inspector —= �/ ❑ Disapproved
Date - . i '__- i
CALL FOR REINSPECTION
0 YES f'—] NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-417
Type of Inspection -- -.--------
Date Requested Time__ A.M.- P.M.
i'
l
Address ��1 _, Permit
__._.._w --�
Owner___..._. _ Lot #-- ---
Builder_ — —__-- -----
The1following Building Code d^ficiencies are requir d to be corrected:
_1.,#-�,� --
R
A r --
y_� ri' _ — .�"i2.��✓T GA.t^.dcC
P4
—
i
i
I ,
Presented to _ ❑ Approved
Inspector _ / Disapproved
Date
CALL FOR REINSPECTION
,Ll YES ONO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
+ Phone: 639.4171
` Type of Inspbetion _
Date Requested Time --_A.M._ PA
` .Address %��� ��'� � `�� .-,1 (tl>�.� 1 t� • Permit #
Owner _ Lot
Builder -----
The following Building Code deficiencies are r,quired to be corrected:
- _ 7r �-
� ----------- ---__---
Presented to to : e' _S Q — — —1� Approved
Inspector --- I Disapproved
Date
CALL FOR REINSPECTION
I
❑ YES X NO
BUILDING PERMIT APPLICATION TIGARD )ATE-_-'�__�2 is . ___ S622
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERE:N INDICATED BUILDER PF ONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PF,ONE _
/1795 LOT NO. _
OWNER JOB ADDRESS 9== .:4 Swondon I.00l C�CArlald ��8[1ow8
ARCHITECT
ENGINEER
BUILDER _ bai+� _ _ _,.._ ADDRESS 10211 SW barbur Blvd. DESIGNER
STRUCTURE [;d NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Dc RESIDENCE Cl COMM [1 ETIUCATIONAL D GOVT ❑ RELh11OUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY _,DL7-.1__LAND USE ZONE _AL2.,_BLDG.TYPE S1i _FIRE ZONE .._PLAN CHECK BY __"w HEAT_t'_'t'8_-
-_-- Gi,14STRUCT SM'LE FAMILY OW1,LLING WJAT1ACI1L*U CAkAGC KE-issueofof # 5239
:jUBJEC7' To $360.0(► AttA1tT/wt:1jGW009 + ►'(6.,00 LFRUN NEICUT SUKCRA.R.Gh�— ----
SEWERPERMIT# 28561 I (:sisze a 4y1.
OCC.LOAD FLOOR LOAD41? HEIGHT I() NO.STORIES I AREA 1624 N0.BEDROOMS 3 VALUE bj UUU
BUILDING DEPARTMENT SETBACKS FRONT + ` REAR LEFTSIDE ' RIGHT SIDE
Permit 326.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40.01) 'WORK
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 'WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS P,ND SPECIFICATIONS AND IN COMPLIANCE
36'�•UO WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SubRtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CCwiRAC10!'S TO HAVE CURRENT CITY BUSINESS
13. 12 LQRS%��PAFjATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax .' uVtl a�U•UUIi
_ _.— .
Total 381. 12 SDC— $5Uu.U0
PDC# IAPPLICA004 AG NE T --
BY $150.00
Receipt No.
Approved AD0A3S PHONE
DATE INSPP, TYPE INSPECTIOr. REMARKS PLUMBING DATE
7 ContrecturIIZZ Il]r?1
T19j `ilPPrmitNu.
��'�7.8 'YeL�.Q�+�Jty'•1[,'�—d��._. ___ Sough in
fixture
S1 -_G6�� -__- Final ---- -
/r�, /t HEATING
J
Contractor ���/Z'Z 4
Permit No. _
Gas or Oil
Rough-in
Final
SEWER
Final
--_ _ _.._._. _-------•-- DRIVEWAY
i Storm Drainer
(Rain Orain)Final
Sidewalk
Curb&Street Final
Approach
CT�FCATQ OCCUPANCY
C�CU�PANCYBLDQ DEPT.PNAL TEMPORA
Final CCCERT1PANrY I and
scaping
,n —.�
J II Zoning Final
TF�E UiL()Frt51G�Jr01�EF1E LIY r�r'?LIES ( U11 APf_nwr FON mE W01AK FIErILIN INolt.AILU uulL��ul;u�t+E
OR AS SNOWN ND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ovrtvNO' 2�IIE
LOT Nd.�:-_
10B ADDRESS O \V fEl ARCHITECT
.7LVNEN L i '� y r�r. �.a�� 7,..
-"�- ENGINEER
ADURE s 1_S1•- �
AFIRE oA�do��
RcP.41Fl pRENEMAL DEMOLIT
STRUCTURE XNFW ❑Rk'!�/f10F_L_,.pA001_T10'V ___❑. -_- r-t —
UPATIO pCAR PORT pGARAGE IJP RAGE pSLA8 ❑FEL
o nestuENCE ❑COI/.til pEDUCATIONAL pGOV'T pRELIGI�'U5 — _ _
---- t, '7r'\\/ HEAT
Y
IYPE5N- _ PLAN CHECK F,Y
CGLrI__ _R-3 -AND USE ZONE _ _ --.
C0;'STI:UGT SINGLE' I I TN( ATTACH}.I)
—7 3G lir •��: -/ _ �"�c�vLi -F SU ' Lr-- JI c�rJ 2-DATHROOM BEDROOM
_
SEWER
25,x.i.05D FLU9.9.1 nno h1Ea_H _n4 STONtES f AREA -_�� BEOR(t1At5 YALS1E_T -
SBACKS FRONT C.' REAR I .S LEFT SIDE � RIGHT SIDE/ ('
� y111L4iN•a OEPAFlrMENT q -
I-Pcrr-.It
THIS PERMIT IS ISSUED SUi1JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, T.On
I Y:ln ''hri'RREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT
r----Vy- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V
ALL APPLICABLE CODES AND ORDINANCES. T!iE ISSUANCE OF THIS PEgMIT ODES NOT W
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8'.158
e ata! Tax I r / LICENSE. SEPARATE PERMITS REQUIRED FOR SkWER. PLUMBING AND HEATING.
SDC -
Total I 3 = PDC#
APPLICANT OR AGENT
Arpro:e� 1 Receipt No —S '—
SOC
SOC (Storm)) -2- 4
SDC - $ o
PDC
SEWER CONNECTIONS 27 :5-
SEWER
SEWER INSPECTION S -� 5
Sc' —- 7� G CJ Ar 1�t--r�V CAG♦Y a^L7
EWER SURCHARGE= 8
.- Z
Ifu i l d i ng Permit (10. -
l.ocat ion _ -- ---- _
Certification of Registration
With the Builders Board
1 �`--+- ' c�`1 _ doing business as (dba) ,
•r` s,_? . , ���, _ am registered under the provisions
vV4 U, 1.
of ORS Chapter- 101 Oregon Nomehuilders Law) .
I.1y Builders Board Registration Number is -
My registration is in full force and effect and expires on _
ignature