12220 SW NORTH DAKOTA STREET 122.20 SW NORTH DAKOTA STREET
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INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of InspDction
Date Requested
Time A.M. P.M.
Address
C,v eryr Lot
Builder
The following Building Code deficiencies are required to be corrected:
--ma
- -
Presented to 7-w-- n Approved
Inspector —----------- Disapprnvad
nate0—X—,Op
CALL FOR REINSPECTION
KL YES ED NO
S•rti� 3.1Ybt•e'.Cl.ic�ne Cal.!. +
BUILDING PERMIT APPLICATION ricARo DATE "ovesnt,e.r 1819 569$
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T'-IF WORK HEREIN INDICATED BUILDER PHONE 639-4130 --
OR AS SHOWN AND APPRO j IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—7C�At1—ratrlt
OWNER SOB ADDRESS
Iksau c:utC@iC 12210 144 ilarth Dakota LOT NO
_--
ARCHITECT
acame MU SW Gentle Woods Jig.ENGINEER
BUILDER _ — .ADDRFSS _ DESIGNER —
STRUCTURE EUEW ❑ REMODEL ❑ ADDITION ❑ REPA!R ❑ RENEWAL ❑ FIRE DAMAGE ❑`DEMOLITION
6 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Lj STORAGE El SLBCS FENCE
OCCUPANCY LAND USE ZONE N1YU _BLDG.TYPE FIRE ZONE---PLAN CHECK B*4w- _— HEAT
uingLw family residence --
�_- St�iect tc S36(►_L e,,.Hrt/u�_—�'��.:-.b.-1:iL�.114-1.�xvci--k�trae-+sw�e�-� �w---- --_._. ---
SEWER PERMIT# 2§b4 arae area 4�'e►_—_ _----._.2 b•Sh -- — —_
OCC.LOAD FLOOR LOAD 44) _ _HEIGHT_ 22 _ NO.STORIES 2 _AREA16UU NO.BEDROOMS 3 VALUE 54 180
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR .18 _ LEFT SIDE ! RIGHT SIDE b
Permit _ 298.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IV THE BUILDING CODE, Z NING
�y 193.7U*e REGOILATIONS AND ALL APPLICABLE CODES AND ORDINANCES. ANU 'r IS HEREBY AGREED THA THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND LU COMPLI NCE
491.;0 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT AIVE
Subtotal _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
11.9'), Llq�r{IIF�E.SJWb#PERMITS REQUIRED FOR SEWER,PLUMBINr AND HEATING.
State Tax - 500.041 ** ,i ` 1 a
_ SDC _ P ..r UU.I?t/ re.c:el�yC r�FlS1�,10-.i,.-t15
Total rJUty __4y!2.b$ PDCN j, 150-Ut) PPLICANT OP AGENT "i
By
Receipt No. ---- -------------.—. _�_
ApprOVed ADDRESS PHONE
r
DAIS INSP. TYPE INSPECTION REFIARKS PLUMBING DATZ
Contractor
Permit No. --//2
Hough-in
Fixture
Final
HEATING
-51 Cootractor A 15
JA _r, Permit No.
Uar or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Orainage
(Rain Drain)Final
Side mik
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARYumricATECI ::UPANC� CERTIFICATE OCCUPANCY
Final
�� I D '1L !o Landscaping
Zoning Final
THE UNOEP.SIGNED HEREBY APPLIES I Oil APEHNII I FUR IHE vVUHK k10iLlN INUI4.-NILU UUILULII I:IvI��• ,__
OR AS SHO%J ! AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. uvrt�E�v►�o11rs ''' "'�'� I
LOT 1110
O'.VNEP '_��»p-t `C:'T1`L�100 :L70REiS /f A)���_7
ARCHITECT --
lNGINEER
,4A - .4ODRES5 Tr��./C/7 DESIGNER,
STnUCTURE EW ❑ntmnOEL CIA001TION CInEP.;In ❑RENSVIAL DIM:DAMAGE ❑DE:•IOt.
0-nESIOE WE. CICO►.:.; OFOUCATIONAL QGOV'T DRELIGIOUS UPATIO ❑CAR PORT ❑GA.iAGE ❑STORAGE QSLAB
4(hVPAr_-Y- SAND USE ZONE�� ' 4 OLOG. TYPE—'?IL PLAN CHECK BY . — HEAT F,A,
C1 �Sjjjs;l _FAMJj,Y_IWRIJ.1C,-WIATTACHRI) GARAGE;., -
___ yBATttROOM -28EI)ROOM
SEUCR PERMIT ;dL ge 420
0 ~
HELGHT .s-' _NO.STORtE i; _ AREA 160 Q NO RMROQI ii / W3E7Gy00
SI11L41N•,OEPAR TMENT _ SFT BACKS FRONT REAR . 3 2 f LEFT SIDE T RIGHT SIOF._6 _
THIS PERMIT IS ISSUED SU3JFCT TO TILE REGULATIONS CONTAINED IN THE BUILDING CODE. Z'
I C.':tCk / REGULATIONS AND ALL APPLICABLE CODES AND ORDIN4NCES, AND IT IS MEHEBY AGREED TFC.,
WORK WILL BE GONE IN ACCORDANCE N 4TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
5•,O't�tJl '� ALL APPI ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER-,,IT DOES NOT
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAC URS TO HAVE CURRENT CI'.Y B
� atR Tax LICENSE. SEPARATE PEnMITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
44
--
v I } PDC#
AGPUCANT OR AGENT
App+uvc-�1 I Receipt No.
SDC (Storm
z-
SEWER CONNECTION $ _S
SEWER INSPECTION $ -:�-rOU
SEWER SURCHARGE _ $ '� U a /il!(lt. ,
Comments :
$46�'@_.'SLI
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7.56b.OD _ —