9915 SW RIVERWOOD LANE-1 9915 SW RIVERWOOD LANE
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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 Time A.M. P.M.
Address _Z Permit
Owner I-ot
Builder
The following Building Code deficiencies are required to be corrected:
17
16
ol
00,
Presented to F1 Approved
InspectorDisapproved
Date
CALL FOR REINSPECTION
F.,rYES EI NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. Tom-•/— y
Tigard,Oregon 97223 ✓'``�1
Phone: 639-4171 ,J�'�
r7 r ..t
TYpo' of Inspection
r � �
Datt Requested_. _
_Time_ A.M.--k _ ,
Address _ „1� J ( U� �y —
r� Permit #_______�
Ownjr _ _
-- --- 4-- Lot # �
IBuilder .
The following Building Code deficiencies are required to be corrected:
Presented to � —�
- F-1Approved
Inspector r
Dlrepproved
Date - _ - --- —��
CALL FOR REINSPECTION
YES ❑ NO
k
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 2 Time�'_A.M.—P.M.
_
Address -_ — sem-- ae-ze-, 2ymA Permit #
Owner Lot #—
Biiilder
The following Building Code deficiencies are required to be corrected:
Presented to J- __- ;1( Approved
Inspector _ 1 Disapproved
Date ---------------------
CALL FOR REINSPECTION
❑ YES C1YNO i
W ! W f !�
Building Pennit No. 1
Location rj�3 i -;.LA _AAO;'
Oate
i
Certification of Registration
With the Builders Board
doing business as (dba) ,
_ am registered under- the provisions
of ORS Chapter 701 Oregon Homebui lders Law) .
My Builders Board Registration Number is
a
My registration is in full force and effect and expires on
Signature
MWERIN
t
BUILDING PERMIT APPLICATION TIGARD DATE July H., _,,g UA 4910
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -A3:f_.3UL_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.__ Id _.
OWNER iwfa Lg9un _ JOB ADDRESS 9915 SN Rivwrwood `A _r.'se _L�Iri+tinx�ll
ARCHITECT
ENGINEER
BUDDERSaute ADDRESS 1'5900 Sid Serena _— DESIGNER
STRUCTURE ❑]NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
CJRESIDENCE ❑ COMM ❑ F"LICATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY It—� LAND USE ZONE 11-4.5BW.TYPE `ti FIRE ZONE - PLAN CHECK BY !►G HEAT —GSA
--- — -- Construct eill6le ij'1 _f welling w/attached µarms. ----- —�--
SEWER PERMIT# 27919 _5
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES AREA _11t5 NO.BEDROOMS VALUE b6 00U.
- — -
BUILDING DEPARTMENT SETBACKS FROM, _ ;�; REAR LEFTSIDE RIGHT GIDE 10
Permit 3:1 1.uu THIS PERMIT !S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2115. 15 REGULATIONS :kND Al_'- APPt'CABLE CODES AND ORDIr ANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check
—_� WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES, AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SUi•Total 540. 15 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY !WSINESS
13.24 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEALING.
State Tax -001J.uu
SDC— ;dd
Total :?54.39r 1.. --- -- R
PDC#! 1J(J'UO APPLICANT GENT
By Git SSW: 250.00
Receipt No. 12,
_.. x,) .. t,) 'y( ..� `,, ✓� e I �1-:..
Approved 16C1t AN PHONE
xf
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epA
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contra tar
a Permit No.
�G Rough-in Z
Fixture
�— oQ r � Fin
HEATING
Contractor
_.
Permit No.
i
6 Ciao or Oil
' Rough4n —_._..
Final ------
SEWER
__ cinal
_ DRIVEWAY — --- —
• �V� Fine'
Sto,m Drainage
(Hain Drain)Final
Sidewa l k
Curb A Street Final
Approach
BLDG. DEPT.FINAL TEMPORARYCERTIFICATE OCCUPANCY� Fine' F CFRTIFICATE OCCUPANCY
Landscaping
T'
Zoning Final
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�,G '`i9/�� 6•.�-3929
I I11_ IIi<(?:IIJII I �I 11 It'_Ill B , Itl . Lit,_I I lll. .t l l MW I l k".
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANU SI'LCII ICA MONS, LOT
LOU AOOrtE55
ARCHITECT
�., ENGINECII
_UI'.0-'I AOUREi. �.Q ��i�rFi11 Ur-NE ER
STFILICTIIRE _ VEW ❑Re%InOEL LJADOITIOv UFlEVEYIAL QFIREOAMAGE� ❑DE:.IOLI1
-nESIVENrE C]CGr/M ❑EDUCATIONAL OGOV'T ❑RELIGIOUSCj?Arlo UCARPORT UGHHAGL USTORAGECJSLAB UFE
NEAT
Cc,ck:PdRr•_Y„R_ O `'—f'.�_:.ANUSE ZONE OLOG N T'YPE.�_ PLANCHECK BV _
(.;G(JS7ltUGT SINGLE 1 nM Y JyeIF.I.T.TNG W/AT'rA[HF.I)
v— BATHROOM _ BEDKOOM
:EWER ^ERMITzr / `i.� Garat'r
^.L'S.�L9=A F14LTR LOAD %, _ NFICr1T NO�STORIES �' PEA: _ NQ.OEQ�i4n�I v �Lrt~
SIP LOING OEPARfMENT SET BACKS FRONT REAR- C'� LEFT SIDE RIGHT SIDE
THIS PFRMIT IS ISSUED SUaJECT TO THE REGULATIONS CONTAINED M THE BUILDING C'JOE, T
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED TH'
j---- VvOr WILL BE DONE IN ACCORDANCE W1TH THE PLANS AND SPECIFICATIONS AND IN Cr•�LS'UF.N:'
J'.f7•rOldl II 5/ ` ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
RFSTRICTIVE COVENANTS. CONTRACTOR AND SUD CONTRACTORS TO HAVE CURRENT CITY BU
r;;art Tax � Y '_ICENSE. SEPARATE PERMITS REOUIREC FCR SEWER, PLU-MdING ANO HEATING.
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Tutal II J ! PaC#
APPLICANT Uq AGENT
A;pru:Ud t , ' Receipt No.
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PDC — 8 _
SEWER CONNECTION
SEWER INSPECTION S �3
SEWER SURCHARGE S y
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