8790 SW REILING STREET 8790 SW REILING STREET
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City of Tigard Building Department
12420 S.W. Mail'St.
Tigard,Oregon Y7223
Phone639-4171
Type ()f inspection
Date Requested— Time A.M. P.M.
Permit
Address
O%"er Lot
Builder
The f ollo%p ing Building Code deficiencies are required to be corrected:
PresentedtoApproved
Inspector Disapproved
Date 42 7--
CALL,gR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main S .
Tigard,Oiegon 97223
'Phone: 639.4171
Type o' ispection
Date Re Guested__ 2 U Time. _ A.M._—_ P.M.
Address/ /G� _� �,L_ _ Permit #
s
Owner �� - _ -- ___._.__ Lot #
Builder — --- - --_--
The following Building Code deficiencies are required to be corrected:
Presented to ____ Apnroved
Inspector - — -- r-- ❑ Disapproved
Date � —
CALL FOR REINSPECTION
El YES /NO
Building Permit No. �7 3
Location Zj — _,:5 ,
Date
Certification of Registr.ltion
With the Builders Board
doi ng bus i ness as (dba) ,
IL L J--•: ct am registered under the provisions
of ORS Chapter 701 Oregon Homebui lders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
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ignature
� i>t
43
BUILDING PERMIT APPLIGA'TION GTIGTI AR DATE .t �ri1�4�X'L it �,ts_ 4T
THE UNDER l IGNED I"REBY APPLII S FOR ER 11 ORK REIN INDICATED BUILDER PlIONI:
OFA AS SHOWN AND ANPRCI\/'r_D IN THE A OMPANYI , ANS AND 5P CIF 1CATIONS. OWNER PNJNE
LOT NO.
OWNER _ wAstsel 1118i--- JOB ADDRES
-- - l --- —mil•- s irk _
ARCHITECT
ale�R� ENGINEER
BUILDER L:Obt.rC (•illesc,l _ DESIGNER
ADDRES _Seta__._._..__._ER
STRUCTURE C EW f_1 REMODEL ❑ ADDITION ( REPAIR ❑ RENEWAL C1 FIRE DAMAGE - ❑ DEMOLITION
RESIDENCL ❑ COMM_ C1 EDUCATIONAL_❑ GOVT 171 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE [I STORAGE ❑ SLAB❑ FENCE
OCCUPANCY .-� -LAND USE ZONE ,._JhyP1)BLDG.TYPE St's FIRE ZONE--PLAN CHECK BYj,4 HEAT
("'4_'I1sCCUCt sjjjj; e Eenaiy dwelli,x,t w/s[tached
SEWERPERMITN 1I � L�r- _ ;t,.t, 436 --�
OCC.LOAD FLOOR LOAD 4u HEIGHT ;tit NO.STORIES 1 AREA 1 i).7t; NO.BEDROOMS 3 -VALUE 16,000.
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ I • ' ! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_ REGULATIONS AND ALL APPLICABLE CODES ANU ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WIfH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total ' tom'•" RESTRICTIVE COVENANTS, CONTRACTCR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
T LICENSE.SEPARATE PERMITS REQUIRE[!FOR SEWER,PLUMBING AND HEATING.
St3teTax14.44 SDC—
$40{31•Uu
—
Total (>iw1�lU`.' lY IIJt).tJCJ -- -
- --�- PDCN APPLICANt OR A�ENT�
By
-----------
- Receipt No. ---
Approved t:' w ADDRE98-� PHONE
VAIs INSP, TYPE it4xiP£CTI0N REMARKS PLUMBING DATE
- Contractrr� -
�►: _ -
J� - Permit Na.
Rough-in
Fixture _
Final
H^ATING
- �r
' 1l^ Contractor / �y
Permit hn. tn�� i✓�/l�
Gas or Oil
l1-- Rough4n
Final
SEWER
— - Final
DRIVEWAY
Final
- Storm Drainage -
-`- (Rain Drain)Final
Sidewelk
Curb&Street Final —__—
Approach
�BIDG. DEPT tVA). T TEMPORARY CFroTIFICATF OCCUTANCY Finer _ _-
CERTrC+ICATG OCCUPANCY
Landscaping
Zoninj Final
i
7c[ ',
THE UNDERSIGNED HEREBY AF'?LIES FOR APERMIT FOR THE WORK HEIIEIN INUICAILD oUILOCR1�loNEtd�y_�7�
GP AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ovmlEraNOr'"
L _ LOT MO
.V W E ` e
10B ADDRESS
�
,TARCHITECT
ADDRESS (� , ENGINEER
DESIG'V�R^
1TRLICTLIRE _- NEW rIGR InD_EL_�—QADoiTION �R:P._Rrr�t ❑RENEl.'4AL DFIREDA..MAGE � ❑DE-MOLIT1
RESILILL•ICE ❑COMAl `JEDUC.ATIONAL CIGOV'T IDFIELIGI^U5OPATIO t_.ICARPORT ❑GARAGE CISTORAGE
-�
05LA0 ❑FEt,
CCCI:P.Nr_•_rz_=a_.•L_ANO USE ZONE�Jc�OLpG.TYPE�_ n�_FIRE ZONEPLAN CHECk BY�' C- HEAHEAT
d --.
SC� _ER PERMIT ,',�— �ec `'
FLODR LOAD �I C hILLra 1L �Y lJ i NO.,jQRt�S�L ^t
_ E3t��N0.BEDROQ _v OC G
S11lLr;lN,DEPARfMEN7RIGHT SIOF,uW --
SET BACKS FRONT ,,L+) REAR � ff- "'Y> LEFT SIDE (O "'U
p–c. 1—
I r � THIS PERMIT IS ISSUED SUS.,ECT TO THE REGULATIONS CONTAINFD tN THE BUILDING CODE, ZON
~' R `- (p� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCESAND IT IS HEREBY PCREED THAT 1
�� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUAMPLIf..NCE v.,i:1ti•iOfd)
I S ~ S^ry S ALL APPLICnB1.E CODES AND ORDINANCES. THE ISSUANCE OF CHIS PERMIT DOES NOT WA
T— RESTRICTIVE COVENANTS CONTRACTOR AND 5110 CONTRACTORS TO HAVE CURRENT CITY ULISlh1
S:ata Tax Q v LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING: AND HEATING..
I Tota! , SDC -
f - PDC#
1 a•.
APPOCANT OP AGENT ----
�A.Dprp / 1 Rempt No.
SDC •- $ Llvo
PDC - S � Q O
SEWER CONNECTION $ & JJ
SEWER INSPECTION $ ��-
SEWER SURCHARGE_$ -----
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Comments:
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