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11591 SW 134TH PLACE U U LOI UU LJI .,7 11591 SW 134TH PLACE r w INSPECTION NOTICE City of Tigard Building Department 1 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection _� ��•� —.—.—._-- i Date Requested ' Time_ A.M. P.M. Address -/ r f //// .L Permit # Owner — _ Builders' j The following Building Code deficiencies are required to be corrected: C t - _ T U Presented to —_ n Apprtwed Inspector — F. isapproved Date, F CALL F 051AINSPECTION 1EVYIES D NO INSPECTION NOTICE City of Tigard Building Department 3 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested 1 �i5�— Time �` A.M..— P.M. Address _ / �(� / �finit Owner t% r c:;) oz" * Builder The following Building Code deficiencies are required to be corrected: �tLc1- 'D L"'-t L. �- C -cam-^- ri-- �---•-_.-�- I � y Presented to I Approved � Inspectorbisapproved j �^ Date __� J � CALL FOR REINSPEC77ON <ES I__1 NO INSPECTION NOTICE i City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 { Type of Inspection --�` I Date Requested Tim% A.M. P.M. � I , Address S r- ' Permit # `-� c A Owner f_.-_—____...___ Lot ,# i Builder 1 The following Buildjng Code deficiencies are required to be corrected: ; �.1_ i %. �- - �i..�_���_-•.t ter_..� Presented to Approved Inspector _ _. y„(1�,a L Disapproved Date _—_-_._----- L- � CALL FOR REINSPECTION 0 YE8 P� NO � � sar � ilr � itn � INSPECTION NOTICE City of Tigard Building Dupartment 12420 S.W. Main St. Ti rd,Oregon 97223 P one: 639.4 i 71, i Type of Inspection 'J Date RequestedE" ma A.M. Address �— � _— Permit Ov:,er -- _ — Lot # _— 1 EBuilder --- - —' The following Building Code deficiencies are required to be corrected - — — ---- oe te — 1 I - Presented to _ -----__— Arproved Inspector / ` �r'i Disapproved Dere _ � -- CALL FO REINSPEC770N ICI 'r'ES ❑ NO BUILDING RECEIPT NAME: % ' y� _ DATE: a ACCT. N "ESCRIPTION AMOUNT 10-432 Building Permit Fees f L���•��-� [' �� 10-431-600 Plumbing Permit Fees s 10-431-601 Mechanical Permit Fees 10-230-501 State Building Tax 10-433 Plans Check Fee s �y 34-443 Sewer Connection (20x) 30-202 Sewer Connection (80x) 30-444 Sewer Inspection s J 51-446 Street System Day. Charge (SDC) 52-449-610 Parks I System Day. Charge (PDC) 52-449-620 Parks II System Dau. Charge (PDC) _ 31-450 Storm Orainage System Day. Chi g (SSDC) 10--230-•505 TRFD (95x) s 10-478 TRFD (5%) : 10-230-506 Washil9ton County Fire M1 (95x) f 10-478 Washington County Fire N1 (5x) : 10-220 Amart/Wedgewood (be/1214P) �l BUILDING PERMIT APPLICATION TIGARD DATE---_ _--.19 THE UNDERS!GNEP HLAERY APPLIES FOR A PERMIT FORTH EWORK.HEREIN INDICATED BUILDER PHONEOR AS SHOVVN AND APPROVED IN 1 HE ACCOMPANYING PLANS ANU SPECIFICATIONS. OWNER PHONE OWNER -antury 21 lames JOBADDRESS 11591 SW +►____-. uritanl 5�lurar.A __ ARCHITECT ENGINEER BUILDER ^ame _ ADDRESS716th 3W 11azel.fern DESIGNER _ STRUCTURE_ &I NEW : ] REMODEL ❑ ADDinON ❑ REPAIR L] RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION Lel RESIDENCE ❑ COMM F1 EDUCATIONAL ❑ GOV'T L7 RELIGIOUS ❑ PATIO C' CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY 4t-3_LANDUSEZONE _ 12_ BLDG.TYPE 5N FIRE ZONE..._ PLAN CHECK BY_ SCEs HEAT_ Couatrurt si leWfauily dwelling w/�atta:cl,sii wage. — .subject to $350.00 Laron Height & 8360.00 ,art/WedgevMd ;ewer S#rcharge f �Qieaaabe of Permit /4904 2 Bathroom 3 114dtoom SEWER PERMITM 451 i G1ra,,I. 4 18 OCC.LOAD FLOOR LOAD 40HEIGHT _ NO.STORIES_ Z AREA 1607 NO.BEDROOMS 3 VALUE 64 1,W0.B_U_ILDING DEPARTMENT SET BACKSv FRONT _ 21 _ REAR 21 LEFT SIDE 5 RIGHT SIDE ING Permit 325 et l)THIS PERMIT IS ISSUED SUBJECT TO THE REGI)LAT10NS CONTAINED IN THE BUILDING CODE, ZUNTHE REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Plan Check 4u.011 I 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 Sub-total 34-'�.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR:TO HAVE CURRENT CITY BUSINESS 13• l�aC�E1 SE.SEPARAT 'PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax �l �,,t�ii SDC— ;ai _!.UG Total 378.00 h - PDCMi $►yJ.UU APPLICANT OR ANT ey C_� _ Recelpt No. r"' Approved 6C'p-- ADDREL DATE 1INSPI TYPE INSPECTION REMARKS PLUM NG DATE Contractor -71- d j Permit No. Rough-in Fixture 2 Final HEATING Cnntracm&� Permit N,,. 9�/sem Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm L'tainagp Main Drain)Final Sidewalk Curb 1%St,eet Final OCCL9 `ICY Appr-i,61h 1131.13ci. D911911 i6tl IL TEMPORARYrinal CERTIFICATE.OCCUPANCY �LanduapinQ Zoning Final THE UhOERSIGNF.0 HERE©Y APPLIES FOil APERMI I FO11 IIIL -vVl)1 K I1L:IILIN INU1UAILU uUILULI+:':lul+l�Z-1'ys[1�6� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS q,Nn.S►Y�C .ATIONS. ovnJLr..'e�onF' /� '75�/S,� LOT rlo._— � JOB ADDRESS ARCW TCCT � ENGINEER ADORES5 i/C'' Sw���/��}i �s. DESIGNER STRUCTURE — NEW 0RE1,111DEL ❑ADOITION LJRcP:.IR ❑RENEWAL ❑FIREDAMA'GE EJOEtdOLIT ,9RESIL1r_NCE QCO►1M ❑EDUCATIONAL CJGOV•T ❑RELIGIOUS[]PATIO OCARPORT ❑GARAGE ❑STORAGECJSLA8 ❑FEc CCCUPANC-Y-aaj_LANO USE ZONE - -OIOG. fYPE5N PLAN CHECK BY �'� ►IEtiT _ CONSTRUCT SINGLE FAMii Y DWr .i.iNG WJATTAI]JjE)—GARAjjE �I 0BAIHRQOM BEDROOM I SEDER PERMIT �• Gara$e. -ZAY ^.ti,�.WL Lp_ Flela OAD y HEIGH] NO STORIES i AREA--'K1—NO.8E.QFj-(ZQA15 n VALUE I bif)ILOING OEPAIRrmENT SET BACKS FRONT REAR _ LEFT SIDE RIGHT StOF. THIS PERMIT IS ISSUED SUZIJECT TO THE REGUI-ATIONS CONTAINED IN THE BUILDING CODE, ZOI I'r'an Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AIREEV THAT r-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGA1PL14.NCE 1 5:17-tutdl3 �� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT Wt r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSH o ata 'Tax I ;, LICENSE. SEPARATE PERMITS REOUIRED FOR SEWEq. PLUMBING AND HEATING. .. SOC — Tutal 13 — PDC# APPLICANT OR AGENT Appravm Receipt No. nr•f+FSS ►+ON rSCJ Sl)C (Storm) SDC — POC — SEWER CONNECTION $ r SEWER INSPECTION $ 3 -45- SEWER SURCHARGE $ ! r_, ���_ ✓�- ,�. .-� Comments : Building Permit (1o. I_ocat ion Date Certification of Registration With the Builders Board doing business as (dba) am registered under the provisions of ORS Chapter�O1 Oregon Homebu i lders Law) . My Builders Board Registration Number is My registration is in full force and effect and expires on _ 41gj�nahur � r