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12492 SW EDGEWATER COURT
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INSPECTION NOTICE
amity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection -- / �� ---- --_ --
nate Requestedr — Time_ A.M. __ P.M.
Address `a��-!_L - _ Ck3CL. -( Permit #-_�v� U_
Cwt er ___ _ Lot
Bu0der
The fallowing Building Code deficiencies are required to be corrected:
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Presonted to ❑ Approv:.J
Inspector [I'Dimpproved
Date
CALL FOR REINSPECTION
EOT' Ea 0 010
MOUNILM90
BUILDING PERMIT APPLICATION r DATE �'"� ,19c0
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -L2-5-m6t E7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER
L07 NO. S
OWNER .►n ^i ? laar _JOB ADDRESS 12492 Sw Edgewelcr Ct . _ .i' 'd ly ow
_ ARCHITECT
ENGINEER
BUILDER Same ADDRESS DESIGNER J_
STRUCTURE IX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCYtt 3t _LAND USE ZONE --SA-.-5 BLDG.TYPE .5X-FIRE ZONE_ PLAN CHECK BY HEAT is-0 __
Construct single f a,mA ly dwelling w/at tachedgarage all pnz ;nn.,rro•:ej3 oTanA_-
laXSubject to 85 code. Stiti-ject fire ilwrt $360 sewerr surcharge.
Do not oncr-jaach on Pascmen t s.
SEWER PERMIT# 340',1 l( du) 2 baths, --–9trA?s —gar gg arQa 528 --
OCC.LOAD FLOOR LOAD 4C HEIGHT 17,4 NO.STORIES AREA 1413'10.BEDROOMS 2 VALUE 66,680
f- BUILDING DEPARTMENT _ SET BACKS FRUtr- 2 REAR 40 LEFT SIDE 17.5 RIGHT SIDE f' _
Permit
331.011 THIS PERMIT IS ISSUED :'OBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
217 . 10 PEGULATIONS 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
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
16.70 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ ;Ul .:,U
Total 567.80
SDC– 600.00
By
100.00 PDC# T 250.00 A PLS IcAN FtA
Approved
467.80 Recnipl No. ADDRIS& PHONE--
----- -- -_
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DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
--1- Contractor
Z 7 Q _ Parmit No.
Q- k Rough•in
i ixturs `-- - -- i
J Final
HEATING
OF v
Contractor
� _./7(• �M�_ G�f� 4� Permit No.
-iq fi
Gas or Oil
Aougn-(n
Final ---
SEWER
Final
DRIVEWAY
Final
Storm Dralnapo
(Bain Main)Final
Sitsewalk
Curb a Streit Final
B.DApproach
G.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Approach
CERTIFICATEOCCUPANCY Final
Landscaping
Zoning Final
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