11100 SW NORTH DAKOTA STREET 11100 SW NORTH DAKOTA STREET
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INSPECTION NOTICE_ x I
City of Tigard Building Department 9-00
12420 S.W. Main St. r�
Tigard,Oregon 9722:3
Phone: 639-4171
Tyne of Inspection ___—. (V\(- 1 ' ' z
Gate Requested u iris�_� A.M. _�P.Il9
Address __--._III U U ln� �l � — Permit #-A' 11
Owner Ul���flv�^ ` c Lot #- ---
Boilder
The following Building Code deficiencies are required to be corrected:
i
---- — '(''tC ✓ Z.c_., i 4r
1
Presented to � __--`+— — .--��-� (� Approved
Inspector —,_ _ ___._ __ Disapproved
Date _
CALL FOR REINSPECTION
YFS FA NO
Q
BUILDING PERMIT APPLICATION TIGARD DATE .-- July 25 — 19 � 4537
THE UNDEFSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK. HEREIN INDICATED BUILDER PHONE 09-2635
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN:;AND SPECIFICATIONS. OWNER PHONE
- ---- -
OWNER Julian TorlAnd JOB ADDRESS I I ICO S.+J. '3orth DLT)T NO.—__
akota -
ARCHITECT _ +
ENGINLER
BUILDER lamp ADDRESS Satme DESIGNER
STRUCTURE ❑ NEW ® REMOUEL L1 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE IJ DEMOLITION
[Si RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS El PATIO ❑ CARPORT O GARAGE El STORAGE ❑ SLAB❑ FENCE
OCCUPANCYr'� —LANDUSEZONEr� BLDG.TYPE FfREZnNE. PLAN CHECK BY HEA-- �__
Conat. addttien to e-isatinF; f&mily dwallinn,.
approx. 24x I0- add I 4a►th
I bed room
SEWER PERMIT III
OCC.LOAD •- FLOOR LOAD 40 HEIGHT _ ' NO STORIFS i AREA ^61 NO.BEDROOMS I VALUE 4000.00
BUILDING Dlc'PARTMENT SETBACKS FRONT REAR LEFT SIDE _ RIGHT SIDE
Permit —_ 44.50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7q•� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORA WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
7�.�a i 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
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ I•J`�'
X5.21 - SDC -
Total _
-- PDCM APPLICANT OR AGENT
By
Recelpt No.
Approved �' ADDRESS PHgrIF
DATE INS P. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No,
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Fon.l
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
-
BLDG. DEPT.FINAL TEMPORARY -T-CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fri ne I
L."
Landscaping
Zoning Final
do
BUILDING PERMIT APPLICATION TIGA?D DATE '
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE��-
_OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
( ! ✓ LOT NO.
_J'NNE'RGt:�.��,t.�Gt./{�Lda�WOB ADDRESS
' l ARCHITECT
( ENGINEER
BUILDER ��ti'.-s L 11� ADDRESS ,`c-u- c 1 r' DESIGNER
STRUCTURE 0 NEW a-REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q] RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE C SLAB❑ FENCE
OC,UPANCY --�-LAND USE ZONE _�s" �� BLDG.TYPE LN__.FIREZONE_ ` PLAN CHECK BY
SEWER PERMIT
--T— 4
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES / AREA , y NO.BEDROOMS ^VALUEah)
BUILDING DEPARTMENT SET BACKS FRONT • EFT SIDE - RIGHT SIb1!—
iP+srmit THIS PERMIT IS ISSUED SUBJE.'T TO THE REGUL '"ONS CONTAINED IN THE EUILDING CODE.ZON'-"JG
Ir REGULATIONS AND ALL APPLICABLE COnES AND ORDINANCES, AND IT IS HEREBY AGREED TY,AT THE
Plan Check ` WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
a, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'c
Subtotal �7 I -� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAC70AS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
;Stats Tax ` �. /�
SOC—
Total
PDCtI APPLICANT GP AGENT ---- --—— _�—�__-__------_--_ _----
By
Approved i Receipt No. _.__.------v__-- --------• -
ADDRESS PHONE
PDC ---Ar
SrWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE _ 5_�
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested A.M. P.M.
Address
Owner
Builder
The following Building Code deficiencies are required to he corrected:
Presented to Approved
G2
Inspector El Oisappro-ed
Date
CALL FOR REINSPECTION
YES L1 NO