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11556 SW 133RD AVENUE
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INSPECTION NOTICE
J
City of Tigard Building Department T~
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-41'11
Type of Inspection
Date Requested—.Y G�- – r�' Time --Ar _ A.M. P.M.
Address //_ �_�_`�.s� �� - /� 2 ''�V
Permit
Owner — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to / n Approved i
Inspector Disapproved
o. 1�
Date
a
CALL 'OR REINSPECTION
YES ❑ NO
!�► rlr yell �[ � i� ar wr �Ir
INSPECI 'ON NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection -- ----
Date Requested Time ... yA.M P.M. �
Address ..__ J L, L�� � r ¢-__ Permit —
Owner -- - ---- ---- - Lot # -- — —
Builder
Th hawing Building Code deficiencies are requi ,d to be corrected:
" . 4ts�
Presented to —t� �--� I.j;Z`proved
� 11
Inspector ____T
Date �-
CA a OR 17EINSPECTION
YES ❑ NO
s P
i
I
I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
M Tigard,Oregon 97223
hone: 639-4171
Type of Inspection
iDate Requested__ ;& Time A.M. P.M.
Address
Permit
Owner
-- Lot +r_
Builder
The following Building Code deficiencies are required to be corrected:
=-'l=�',2_,-►�__..�..��-.. .tom.u"
Presented to
[7 Approved
Inspector
-- — — �Dl. ipproved
Date
CALL, WFR REINSPECTION
YEi 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
)ate Requested Time A.M. P.M.
Address_ �� _ '� ��` AidPermit
Ownpr_ Lot w
Builder
The following Building Code deficiencies are required to be corrected:
i
i
Presented to __ )Approved
Inspector __`____ •_ /❑�' Disapproved
Date
CALL FOR REINSPECTION
ED YES � NO
BUILDING PERMIT APPLICATION TIGARD DATE_yra -__._. ts,� 4 4 796
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 684-2762
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED PHONE. _—
OWNER (� Y 1 Ho Lets JOB ADDRESS —� -- _ LOT NO.�_.
— I_I� f St! 1133rc1rcl P aCe _
Tuelati�n °97062 ARCHITECT
ENGINEER
BUILDER �;a;,�,�_ ADDRESS 716U SW Llag elfern hi DESIGNER
STRUCTURE CINEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ ❑_FIRE DAMAGE ❑ DEMOLITION
Cjd RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORr ❑ GARAGE CJ STORAGE Ci SLAB[] FENCE
OCCUPANCY X- _.LAND USEZONE iE_7 .BLDG.TYPE 14FIREZONEPLAN CHECK BY :.TW _ HEAT.._
Construct sin,-le family dwelliuA v/attnched._parmec -
�Y ke—Isstle of Pprodt 04582 Subject to S3atJ.UtJ At+art Wedse►-to !—
_ +ewer •trrcharge
SEWEH PERMIT N 26511 �— 6arage 396 2 bathruo.r., 2 Beo ruuu.
OCC.LOAD FLOOR LOAD 40 HEIGHT ;1,J NO.STORIES 2 AREA 1245 NO.BEDROOMS 2 VALUE 491()0
BUILDING DEPARTMENT SETBACKS FRONT 21 REAR 53 LEFT SIDE 5 HIGHT SIDE
Permit 170.S1) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EWILDING CODE, ZONING
REGULATIO14S AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4t1.1►t) WORK WILL PE 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_ 31ti.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOIiS TO HAVE CURRENT CITY BUSINESS
11 . 14 LICENSE.SEPARA'E PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
State Tex $4 CI,.t,
Total 324.64 SDC-
---
By t;►l
-._- — --
PDCk" APPLICANT Oq AUEN7
_ �
Approved Bct: 45DRE88 Receipt Na.
—`-
PHONE
DA7T�E�INSP. TYPE INSPI-rCTION REMARKS i PLUMBING DATE
Contracto
_ Permit No.
Rough-in
Fixture
.`��121•�.-L..(��4f�� _...___ Final
HEATING
Contractor
Permit No.
— - — — Gas or Oil
Final �-
-- - ------ --- SEWER
F-nal - —
---___----------- -- ------ DRIVEWAY —.
Storm Dt3indge
(Ikein Drain)Final
Sidewalk
Curb&Street Final
`^ Approach
BLDG- DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTInCATE OCCUPANCY Taal
Landscaping
II Zoning Finel
r•
M
1
t
Building Penn it No.
Location
Date o4X Y
Certification of Registration
With the Builders Board
I. Cdoing business as (dba) ,
am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
My Builders Board Registration Number is Z(o A—
My registration is in full force and effect and expires on h 11,�d= _
awn Uk)
Signature
TFjCiJNDERSIGNED H�-HEBY APPLIES 1-01i APLHNIII FUN lilt. vVt)"t, I,ILIt,nv IIJUI\.NICD 14 ::Iln� � 2112-
COR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINER PrOfIt'
LOT PIO.-_1
F/VT../F t/ /!�ca�'F- 106 ADORES`: �j��..�C� ��*i' Z -3 3 ~ L f ITA/v v 5� _
/ ,9,<1diA11CWTECT
�I Ir ENGINEER
:�UII_O-t rtif r,ASI�
❑ OOREIS-1. �•(' fc /��?2FL —/1-1114 ZO . DESIGNERr�
STRUCTURE _ NEW _ REIMI
OEL ❑ADTIOW - ❑R2PAIR, ❑RcNeY ^^1AL L,_1FIRE DA` AAGE ❑OEt.10LIT
'RESILIENCE ❑COPrM QEOLICATIONAI. LIGOV'T DRELIGICUSUPATIO L.]CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FEI
i
,�-A` `iPLAN CHECK BY �' NEAT '~•
CCCUP.�CCY,$�-'.-ANO USE ZONE OLOG. TYPE-=_N — _
RUCT SI^IGLL FAMjl.Y )W?LI.TN , W/ATTACHED GAI Al (1
S5,'s;r re-r i✓ 'S �o " /.�i ,i.� -rt �K- /J�. a �,i) -S/T<<- ,rj '._ '•< i.' < /1
BATI;RUUM BEDROOM
.SEWER PERMIT 12 d'All Garage y6
HEHT NO 5TOR1ES AREA/: -/- NO.LEDROOAtS VALUE -174-1
SUILOING DEPARTMENT get BACKS FRONT REAR LEFT SIDE RIGHT SIOE "
( - I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE• ZON
j'r:art C�rck REGULATIONS AND ALL APPLICABLE COMES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
(------ WOaK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGhIPLIF.NC:E V
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W!
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO.ITRACTORS TO HAVE CURRENT CITY t1US1P
':;atr Tax I ✓ri LICENSE. SEPARATE PERMIT: REOUIRED FCR SEWER, PLUMBING AND HEATING.
Total 2 SDC
PDC#
1 a.,
I APPLICANT OP AGENT
Receipt Nu. -
nnr•nFss
5 D C
PDC
SEWER CONNECTION
SEWER INSPECTION S
SEWER SURCHARGE $
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