9701 SW LONDON COURT 9701 SW LONDON COURT
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INSPECTION NOTICE
City of Tigard E);',-!ing Depatmel t
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requesed Time A.M. P.M.
Address
Permit
Owner
Lot
Builder
The following Building Code deficiencies are required to he corrected:
Presented to
Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
F-1 YES V NO
BUILDING PERMIT APP_ICATION TIGARD DATE_THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE 29 _
OR AS SHOWN AN)APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER , ontury ',,: J tioClt , JOBADDRESS +J. 'd London d.L. __ L(milon 'i(�a- ru
AfiCHITECT \
'uitg ENGINEER
BUILDER t" ADDRESS 7412 St' roev. llitl DESIGNER J'9 pol al.-
STRUCTURE 0 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
D RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAUE ❑ SLAB❑ FENCE
OCCUPANCY LANn t1SE 70NE 12 BLDG.TYPE ��� FIRE ZONE._--PLAN CHI7CK BY HEAT
trs,Gt Ingle Family 1+,�nlJ.i;, • a/artnc'�vd +?SIT tie. —_-_.__—___- _ —.
2 "ledro m,
SEWER PERMIT# ?'-?#(s _�
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES ? AREA t 1 NO.BEDROOMS VALUE 4 ri t1►00
BUILDING DEPARTMENT _ SET BACKS FRONT /7 REAR 7 LEFT SIDE 114 ' RIGHT SIDE 3`
Permit 265.0 1 THIS PERMIT IS ISSUED SUBJECT I'D THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ "a"�� WORK WILL BE DONE IN A^C,)RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total '" RESTRICTIVE COVENANTS. CON'RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I(t.
LICENSE.SEPARATE PERMITS RE.]UIRED FOR SEWER,PLUMBING AND HEATING.
State Tax $40(
Total 44 7.t1�-- SDC—
--- PDC# 100""' AWLICANT OR AGENT R
ey c:ll
NO
Recelpt . _.—_�
Approved T`� ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Rough-in
-!.lure
Final
HEATING
CA %--4 -AAt 0 6-e Contractor (.-
Permit No. or
t 7,liz Gas or nil
Flnugh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Ffnal____
Sidewalk
Curb&!Nraet Final
Approach
f3L DG 'SEPT. FINAL --TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
A .
7 -
BUILDING PERMIT APPLICATION TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE„'S'7---r /3
OR !S SHOWN A APPROVED IN TH ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER,PHO E
OWE IER JOB ADDRESS ` J 1 '' Yi
u ENGINEER '�` -Pa
13UILDER ADDRESS y�2-S� 610 N� �aiT4 DESIGNER �,J _
STRUCTURE >CNEW ❑ REMODEL —❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIOr
N1' RESIDENCE CI COM-M ❑ EDOCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C3STORAGE ❑ SLAB❑ FENGI
OGGUPANCY -R-3_.LAND USE ZONE -BLDG.TYPE FIRE ZONE- PLAN CHECK BY _ k[_HFIAT
SEVYERPERMIT M
S _. _ ------ _--ice
_ _ BEDROOMS
OCC.LOAD _FLOOR o_OAD� 1-- AREA N
_ HEIGHT NO. _ O.
BUILDING DEPARTIAENT SET BACKS FNS REAR LEFT SICE ) t( RIGHTSIDE
P '.i
�
_ � -f TH PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'.NL �
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED TY.AT TF'"
PlanCheckWORK WI'-L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC'
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
Sub-total _
Vj
� RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINES
I --- I1e `O LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
'State Tan _
SDC--
Total --- — -- —
PDCJI APPLICANT OR AGENT
RY --
Receipt NO. ADDRkSS — u PtiONE
`Approved — —
----- 0 4 c G
M
SOC r�
PDC �— _----- l
SEWER CONNECTION
EWER INSPECTION 5 ��
_WER SUF�CNARGE —�___�_
`n M m o(It r-