9645 SW O'MARA STREET 9645 SW O'MAPA STREET
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INSPECTION NOTICE
City of Tigard Building Department 1.
12420 S.W Main St.
Tiga,d,Orejon 97223
Phone: 639-4171
Typa of Inspection
Date Requested. Time A.M. P.M.
Permit
Address
l')wrqr Lot
nudder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
❑ YE3 P'NO
WW �' I T
t
INS►„ECTION NOTICE
City of Tigaro Cuiiding Department
12420S W. Main St.
Tiga j,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested 1_f Me _ A.M. P.M.
Address
Permit #_�
Owner_--_-__--_ - ----� Lot #
Bodider
The
/following Building Code deficiencies are required to be corrected.
t
Presented to
rrrL----,,,�///Approved
Inspector �' S r _ _ D<'eapproved
Date __ 6
CALL FOR Fs'INCPECTION
2-�'YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S-'vV Midin St.
Tigard,Oregon 97223
Phone: 639-4171
ITYpe of Inspection
;I') (/
Date Requested _.xe _A.M. P.M.
5,
eife")( Permit
Address
tLot
ilde,
tollowing Building Code deficiencies are requirea to be corrected:
�Approved
.Presented to
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES 'KNO
i
I�
.BUILDING PERMIT APPLICATION TIGARD DATE —AfEi I&mss._ 5319
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 2x2-4 I�3Ct
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER D4id 'Kalb JOB ADDRESS 5 SW 0mrl' Street
ARCHITECT
5331 SW HmAda ► ENGINEER VIiI`1` Ft"Y
BUILDER Heartwood Inc, ADDRESS I'Ortland. OA . 720! DESIGNER
STRUCTURE ❑ NEW [ l REMODEL YXADDITION C' REPAIR C_I RENEWAL ❑ FIRE DAMAGE ❑ Dt..IOLITION
KXRESIDENCE O COMM ❑ EDUCATIONAL I l GOVT Cl RELIGIOUS 11 PATIO ❑ CAR PORT ❑ GARAGE C STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ._ LAND USE ZONE�AnZ--BLDG.TYPE —51____FIRE ZONE_ _— PLAN CHECK BY kr—d—__—HEAT GA
Construct addition to existing sta8lt featly dwelling all par cod:j b platltta requiremats. _
Storage below
SEWER PERMIT# NOVA
OCC.LOAD FLOOR LOAD 4u HEIGHT 16+— NO.STORIES 1 AREA 21U NO. .EDROOMS -- VALUE 5,,000
BUILDING DEPARTMENT SET BACKS FRONT SEE pj,ANSREAR Lr FT SIDE RIGHT SIDE
Permit SU•5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIP(4S CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES .CJD ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check X'•$3 WORK WILL BE DONE IN ACCORDANCE W;fH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
83• WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH!S PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIPED FOR SEWER.PLUMBING AND HEATING.
State Tex 4;4 2•UZ
X35 o 35 SDC
Total
PDC# nrrLicnNToP Gam,•., -- --
By �
,'1wIbjs Receipt No. A00RESS'u `—^ —` PHONE
P ;oved �
DATE IiVSP.I TYPE INSPECTION PLUMBING
111 _ DATE
I!Contra,tol-
J.
Permit No,
R
ough-in
F,"L —
L F;Xture
Contractor
Permit Iva.
Gas or 011
Final
SEWER
Final
DRIVEWAY
jrn.1
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FIN—L T r w f)R A TIFICAIJ OCCUPANCY
'CERTIFICATE E OCC"6PANCY
Final
Lane..raping
?nnlnn Final
w w 11� 6fi! IIi `I
A
BUILDING PERMIT APPLICATION TIGARD DATE-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDIC,,,(ED BUILDERBHS�E
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OW N R
—
/tNER (/A
o � �' JOB ADDRESS
ENGINEER
/
DESIGNER
I�F.Rj]Jc�,��i LTi/.? ADDRESS QQ ]
STRUCTURE (] NEW U RF_MO'JEL ADDITION �. FiERA1FO RENEWAL El FIRE OHMAGE ❑ OEMOt.ITic]
BUI
NEW 0 —
RESIDENCE ❑ COMM U EDUCATIONAL LI GOVT ❑ REL.IGIODUS��/❑ PATIO ❑ CAR K,RT ❑ GARAGE G STORAGE C) SLABO FEN4
/ BLOG.TYPE .� A--FIRE ZONE— PLAN CHECK 8Y HFJ►T _
- 'PANGY -_ '� __.LAND USE ZONE _Q/ s
SEWER P ER M I T N_._. —_----- ----'�'"_ — �^
— AREA `��j V NO.BFOROOMS— Vw.lUt��a
OCC.LOAD FLOOR LOAD HEIGHT `f' NO.STORIES — ------r--
BUILVING DEPARTMENT FRON f R �I�� ® �T SIDE FIGHT SIpE
PertnN _� v y d THIS PERMIT IS ISSUED S(1t3JECT TO THE REGUU�T10NS CONTAINED IN THE 6UILrA. COD[,ZO!t!1
may.
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY 4.GREEO T11 T'
ir'tanCMck sJ �- C1 � WORK W/ltl. BE GONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AP�D IN COIdPUtiNl
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS P£RMII DOES NOT WAII
�SU�total �' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTO7S TO HAVE CURRENT CITY BUST►.i.:
UCENSE_SEPARATE PERMITS REQUIRED FOR SEWER.PLUTAQING AND HEATING.
Staua Tax T• (� --- `� ---
?— 0 Ste. S.S� SO('--- _ �_�.�._...
Total APPUCA
. P()G NT OR AGENT
BY . Pttc�NE
f.^ceip(NO. ADDRESS
ApproY
50C -
POC - '
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE _5
w
Cl
for
INSPECTION TIME : ��- PERMIT NO.:
DATE: _`=da,, I�'" DATE IS UED:_1...L.
OWNERS
ADDRESS . ..�. ��i�,. �-
CONTRA-CTOR : �r" =- ---
TEST* Air ❑, Water 0 , Visual ❑ , Laboratory ❑
RESULT: Approved JV" , Disapproved ❑ , Pending ❑
SKETCH:
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INS EC`j"OR DATE
ICOTE: Attach supplemental ttst data heret-
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