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9740 SW LONDON SQUARE
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INSPECI ION NOTICL l
Ci y of Tigard Bwld�ng Department.
12420 S.W.Main St.
1'igard,Oregon 977.23
Phone: 639.4171
Type of inspection —
—�,� Ti me . _`AM P.M.
Date Requested__ - —
Permit
Address ____--- _— "—"
#
Owner Lot-.._-
Builder ___-- ---- - - --- r
The following Badding Code deficio.,.cies are required to be corrected:
.! �-•i.... � `mac'' —_ �--� / �
❑ Approved ._.�
Presented to - -- - rx
Inspector __ / _+� Disapproved
Dote
! LL FOR R1".Y4,5PECTION
2n Yet 13 NO
C&VRM
B LDIING�'EA APPLICATION TIGARD DATE '''�t.:''_'^r _,18 a'_ 461
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WOE!(HEREIN INDICATED BUILDER PHONE 2'9/-1491
OR AS SHOWN AND Al PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER F HONE
1.01 NO.._ �G ___-•--
OWNER ';wintry 21 o-it-i JQ5 ADDRESS 9740 q'ti Londort Sq. _^--- -- --
ARCHITECT
ENGINEER
BUILDER ;ame ADDRESS /412 S'd Bev. 'IillS. I{o►f. DESIGNER job "217 ,�—
STRUCTURE ETNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
D RESIDENCE ❑ COMM 1.7 EDUCATIONAL [1 GOVT ❑ RELIGIOUS L.I r;TIO ❑ CARPORT ❑ GARAGF "' *FOt'AGE C SL4B __] FENCE
OCCUPANCY ____"1-_•; ,1D U5E ZONE 4112 BLDG.TYPE r' FIRt ZONE--_PLAN CHECK BY ` HEAT
f'onetrurt Sin;jle j?mdly Dwpllit wiattaelled gur®r.e. --- --
Re Issue of Ferr.dt 04562 2 110roo,:r 2 119th
SEWER PERMIT# 2(A4 j I !mraye
UCC.LOAD FLOOR LOAD 40 HEIGHT NO STORIES 1 AREA I i f", NO.81-DROOMS VALUE 6
BUILDING DEPARTMENT SETBACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
Pe►'^'+ 2;)5000 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIO011 CONTAINED tN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40900 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
Sub-total 305-1` RESTRICTIVE COVEN;NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT t'ITY BUSINESS
_ LICENSE.SEPARATE F RMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 10
Total I'i.,, , SDC— 949..
PDC# ' I�' APPLICANT OR AGENT
By
Receipt No.
Approved ►;'J ! ADDRESS �P11-ur
w w ■u w w w w w
I
I
DATE TYPE INSPECT'ON REMARKS PLUMBING DATR
C^-itractor
Permit No. 2 ^ J 1/
Rough in
fixture
--tom G----------- •--- - ---__-�--____.
XA d4
- LG HEATING
Contract
1-Z j Permit No.
Gas or Oil T
--�
Rough-in --- - ._
T- �- - — final - - - -
- -� SEWER
Final -- -- ---
- DRIVEWAY
— ---- � _- Final
Storm Drainage
(Rain pain)Final
Sidewalk
Curb R•Stieet Final
Approach
13L.DG. DEPT.FINAL _ TEMPORARY CERTIFICATE OCCUPANCY Y+
CLPTIFICATE OCCUPAPICY Final
Landscaping
_---��` Zoning Final
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I
BUILDING PERI IT APPLICATION TIGARD
THE UNDERSIGNED HEREBY APPLIF'� FOR A PER?AIT FOR THE WORK HEREIN INDIt;ATED BUILDER PHONE-2-9-7-1-9.,Q-,
()RAS SHO'^1N AND APPROVED IN THE ^CGOtAPANYING PLANS AND SPECIFICATIONS. OWNER P�r___A—_
_� � >-"' �J C� G LOT NO.
OWNERDR -��LzLs�frCs�_ �] �l
/ . // ENGINEER
1�TECT
BUILDS I ADDRESS ����� DESIGNER
STRUCTURE .NEW ❑ REMOOEL -_❑_ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCI_ ❑ COMM ❑ F"UCATIONtiI _,J GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _Q"�_U1N0 USE ZONE J#'/L _ BLOG.TYPEx CL._FIRE ZONE_!—'--PLAN CHECK BY �. (�w_HF-AT-619L
�_-
�s"4ey� _,� - --- ---
SEVER PERMIT 0 'p . _
7
OCC.LOAD FLOOR LOAD L/ HEIGHT NO.STOHIES 2 AREA —NO.BEDROOMS Z /h.LU
BUILDING DEPARTMENT SET SACKS FRONT REAR _LEFT SICE _RIGHT SIDE
Permit i .� dN THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNC
-�- 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 AND SPECIFICATIONS ANC IN COMPLIANCE
�— WITH ALI, APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT NOES NOT WAIV:
Sub-total -_ 4 RESTRICTIVE COVENANTS. CONTRACTOR AND SU9 CCNTRACTORS TO HAVE CURP,EN r CITY BuslNiS:
i
LICENSE SEPARATE PERMITS REOUIRED FOR SEW-R,PLUMBING AND HEATING.
;Stats Tax „3 � ,� 4�
—�- SDC -
Total
POC4 APPLICANT OR AGENT
By
--- Receipt No. --- - — - ------ --- ----- -
`Approv — ADDRESS �PNONE
SDC - �d
SEWER CONNECTION S
SEWER INSPECTION S 3 T
SEWER SURCHARGE S _ �t �