9740 SW RIVERWOOD LANE 97440 �7W RIVERWOOD LANE
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I INSPECTION_ NOTICE
City of Tigard Building Department
12420 S.W.Main St.
TIrd,Oregon 97223
hone: 639-4111
� � U
ryp? of Inspection P.M.
rime A.M.
Date Requested
�——} Permit
L//v G1/
Address ._�L — /'v '
1./1 f
Lot
#
Owner
Builder
The following Building Code deficiencies are required to be corrected: N�
I
-------------
--
Approved
r
Presented to
D:sapprovei
Inspector
Date
CALL FOR REINSPECTION
NO
YES i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171 i
Type of Inspection s —'i) 'r*
Date Requested_ � Tl me r A.M._ P.M.
Address .i" . � – �4 Permit #_
Owner
Lot
----- _---------- �_ —�
BuilderThe following Building Code deficiencies are required to be corrected:
.-C. .---
. 1' d .
,✓�. _,rte. r c ,x.--�"
Presented to _
v � � Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES U NO
Building Permit No. ,
Location � ') /0 y.��l, T'
Date
Certification of Registration
With tate Guilders Board
Y� -' _�_ __ _�_____► doing business as (dba) ,
-- v, rk1- arra registered under the provisions
of ORS Chapter 701 Oregon Hcxnebuilders Law) .
My Builders Board Registration Plumber is
My registration is in full force and effect and expires on
Signature
i
BUILDING PERMIT APPLICATION TIGARD DATE-_-_•1x11 Y. J1 1934 49
61
THE UNDERSIGNED HEREBY APPLIES FOR A PERMI I FOR TML WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
LOT NO,�36
OWNER IWb Belson JOBADDRESS 4740 ';W '.ive�ra«od Coppetr Creek III
-�-� - — s � ARCHITECT --
ENGINEER
BUILDER 5a lue ADCOESS 1591)(.' SW Seare rm DESIGNER
STRUCTURE [3 NEW ❑ REMODEL C_' ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIHE DAMAGE ❑ DEMOLITION
a RESIDENCE ❑ COMM ❑ EDUCATIONAL F1 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABL7 FENCE
OCCUPANCYLAND USE ZONE ti-11ti BLDG.TYPE —A!LL—FIRE ZONE� PLAN CHIECK BY E 1'k HEAT TC�a�s
Construct single: fawi.1 dwellink u/atttachv!� arnret —
:! fie;lresar,
SEWER PERMIT# 279.37 Gairai.,e 440
OCC.LOAD FLOOR LOAD _4,� HEI3HT 2,�+ NO.STORIES 2 AREA I6'�o NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT x41 REAR LEFT SIDE (, RIGHT SIDE ;
_ ..
Permit _ 316.0NJ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOPi NO
REGULATIONS AND ALL. AFPLiCABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT !HE
Plan Check 21.15.40 WORK WILL BE DONE IN NCCOMDANCE WITH THE PLANS AND SPEC!r(CATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF ,THIS PERMIT DOES NOT WAIVE
Sub total 521 .4o RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
12.64 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
-- SDC- 450u.Llt.
Total 534.04
`-- PDG# C Z 1 5U•UU PLICANT OR AGENT
By CH T 250.00
Receipt No.
Approved E;'ll+ ADDRESS - -- PHONE --
DATE INSP. TYPE INSPECTION REMARKS PLUMBN T DATE
to
V_ Contractor �o
Permit No. �
, _ Rough-in _
Fixture -- -----
Final
HEATING — — —_
r7
e? Contractor
Permit No
Sl 7 _— �+ � �C✓
o i/
Gas or Oil -_
�-f=yaa; , _—_ Rough-in
p�� Final r.
� X6 ------ -- SEWER
Final ,,r�"
— �-'— -- - DRIVEWAY
-, Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
____ Approadt
i DG.DEPT.FINAL TEMPORARY � CERTIFICATE OCCU,7ANCY
CERTIFICATE OCCUPANCY I Final
Landscaping ——
_- 2onfnq Final --
w
i
r
BUILDING PERMIT APPLICATION TIGARD DATE__ - Is-gq
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDEP "NONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED.PHONE .
OT NO.
OWNER �JD!� / ( �.�-Qc�� l_ JOB ADDRESS �) J 7 (1 ?LA,
�'}o�-fix d t 12a MC �
ARCHITECT
ENGINEER
BUILDER �, �/ 6 ADDRESS `�'G �/f ./,,:j DE5IGNER
STRUCTURE _ NEW ❑ REMOULL ❑ ADDITtON _1 RFPAIR ❑ RENEWAL. 11 FIRC DAMAUE CI DEMOLITIQn
Of RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PAT!O ❑ CAR POHT ❑ GARAGr G STORAGE ❑ SLAB❑ FENGI
OCI iUPANGY �LANDUSEZONCyj •/��OG•nPE .��—FINE ZONE �`• PIAN CHECK BY G_1_yL_HEAT`9: +`
SEWER PERMILK
EWERPERMITK
t ' � r
OCC.LOAD FLOOR LOAD HEIGHT.A0+ NO.STORIES 2 AREA NO.BEDROOMS VF,LUEI Q�fG
BUILDING DEPARTMENT SET BACKS FRONT 0 REAM 4 LEFT SIDE RIGHT SIDE
P^rmi! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZON'.!J,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TNI
IPlanChe^k =yLt 0 WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANC!
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
Subtotal S �'/ �� RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax / a-- 1
CU t al --- ------ ---- --
POCS APPUCANTORAGENT
ey
— Receipt No.
App ADDRESS PHONE
SDC -
PUC -
SEWER CONNECTION
5EW_ER INSPECTION S s
SEWER SUFCHAR151" S � ,
ccmmoOf 5 : - - -
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4
72.
40
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