10725 SW DERRY DELL COURT-1 0
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10725 SW DERRY DELL COURT
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested �'� - 5 " ' ' Time A.M. P.M.
Address e ��' ti �� - - J� Permit
l
Owner __ Lot # ,�
Builder,_ —
Th, following Building Code deficiencies are required to be corrected:
C. .r
J /
presented to _ ❑ Approved
Inspector --� — Disapproved ,
Date
CALL FOI► REINSPECTION
YES L-1 NO
BUILDING PERMIT APPLICATION TIGARD DATE____ � :�� 19
THE UNDERSIGNED HEREBY APPL.!ES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
t8XLOTNO. S(10
OWNER Thelma Gulden JOBA.DDRESS 1072b SW Derry ')all Court _ Dort —
Ij.. ,VilloARCHITECT Schuette
ENGINEER
BUILDER NOViCU fit. 01it.y BldrsADDHESs 1079 SW (Manf-j,. -i,y WByDESIGNER
STRUCTURE El NEW ❑ REMODEL [N ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 11 DEMOLITION
IJ RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE F1 SLAB[.1 FENCE
OCCUPANCY P-
- .-J LAND USE ZONE .ri---]Q BLDG.TYPE � FIRE ZONE -- PLAN CHECK BY dwh_ HEAT
Canstruct oalarlum addition to single family dwelling, all per plans
and ccjIJs3. No plumbing or mechanical.
Nun-Habitable spece.
SEWER PERMIT M — �._- --- --_---
OCC.LOAD FLOOR LOADCL) HEIGHT 6 _ NO.STORIES 1 AREA 90 NO.BEDROOMS -- VALUE
_ BUILDING DEPARTMENT SLI BACKS FRONT _ 25 _ REAR LEFT SIDE —' RIGHT SIDE y
Permit • �[) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
Plan Check 1.4.00 REGULATIONS AND ALL APPLICABLE CODES AND ORD.NANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE 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
Subtotal q •00 __ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB ;ONTgACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SE -ABATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING.
State Tax 1.1
-- �
Total ;-53. 12 SDC—
_
By PDC! APPLICANT OR Ar f N t —
dwh Receipt No. -_ ---- --
Approved ADDRESS (` PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING D/!TIF
-3 Contractor
.p, ( L Permit No.
Rough-in — —
Fixture —
Final
HEATING
Contractor
Permit No.
Gast or Oil
-- �- -- '—
Rough-in
Fina;
SEWER
Final
'^ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
13LDG. DEPT. FINAL TEMPORARY ^-�-CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY I Final
Landscaping
'- �'� 2o,ing Final