13475 SW CRESMER DRIVE 13475 SW CRESMER DRIVE
INSPECTION NOTICE
City of Tigard Building Department
12 420 S.W Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection
1P,
Date Requested Time- — P.M.
Address Z 3 t'o'
Lot
Builder
The feilowing Building Code de,ficipacies are required to be corrected:
--------------
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES 10 NO
BUILDING PERMIT APPLICATION TIGARD r)ATE— -_""� � ts____
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEOR AS SHOWN AND AF-ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
n_ LOT NO.----__.. ---
OWNER Gordon Fuller JOB ADDRESS 1.:3b 75 56J l'.t�asr.�r Ar.»..... 1�!/T,N'.�,
----- -- —
ARCHITECT
BUILDER SAr� ENGINEER
_._ _ ADDRESS g` — —, DESIGNER
STRUCTURE — C l NEW ❑ REMODEL L ADDITION ❑ REPAIR ❑ kENEW�L I FIRE DAMAGE U DEMOLITION
URESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T n RELIGIOUS ❑ PATIO ❑ CARPORT ® GARAGF FJ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R-3 LAND USE ZONE —A--I—BLDG,TYPE St: —FIRE ZONE___PLAN CHECK BY L HEAT ---
_-- '.onotraction 12 X 21 attached stor.are S'ail,iing all ---per plans code. - — --
SEWER PERMIT#
OCC.LOAD FLOOR LOAD -- HEIGHT 16 — N0.STORIES I. AREA _ NO.BEDROOMS VALUE
BUILDING DEPARTMENT_ SETBACKS FRONT — REAR I'.' LEFTSIDE lU RIGHTmr)F. 1,
Permit _ •'Io THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
norle 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 AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVi_ CUPI.ENT CITY BUSINESS
State Tax 4 .bti
1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATIVG.
Total J y•Fa; SDC—
— _ PDC# APPLICANT OR AaeN?
By I
Receipt No.
Approved ADDRESS' — — PHUNF
DATE INSP TYPE INSPECTION REMARKS �-PLUMBING _ DATE
c ^ a /jam /- Contractor
Permit No._--- `—
(/ 67Ro+4ifidn
Fixture
-
Final—
HEATING
'— — Contractor --
�P
Permit No. �y
Gas or Oil
Rnugh-in
Final
SEWER +-
-- — — —__- —.------_. Final --
— _—_ ----i--� - DRIVEWAY
Final.....—_._—..-
- Storm Drainage
—_— -- - --� - (Rein Drain)Final
`--- Sidewalk -
s— Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORAIR CERTIFICATE OCCUPANC` Final -
CERTIFICATE OCCUPANCr ---------- ----
Landscaping
7-onin,u Final
I
t
i
r
i;
t g
Y
Perm i t N o a
Permit charge.
l_ <1, y_k•i Connec ti on fee l
Owner �--�--�-�-•-r--6�-� �11,x,�-y�.. _ - -
Paid by_�__-_-____v�.�.._.�._..�
Type of building i' 'c : Date connected._.— , �L�_2 -
Service rate Inspection fee_
Contractor Paid by__•__-________ DdGP
Size of connection Assessment_ —Paid
P.,RMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1369 1)A'rE
PERMIT IS GIVEN TO 1, 1 l� . _ _____.__
TO COWIECT A 4TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DEBCR'-ED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID 1••• w.l..... .........TIGARD SANITARY DISTRICT
831
CONNECTION INSPECTED AND APPROVED
f
__� _L1Date quiiRnten ent ` -