11618 SW PENN COURT 1161£ SW PENN COURT
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l o rK h,r !"J,3VECTION NOTICE
►ti 't City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection —
Date Requested----____ S' 'X 3 Time — A.M. ✓P.M.
Address ._ _ L�P. -- l�. 'C'►t�1 � _—. Permit #
Owner _.-- __r- 11 --- Lot #__--
Builder _ ----- -- - — —The followinq Building Code deficiencies are required to be corrected:
_ — �.��,�_�iN C� G�4./N�"rC' S a) n!= c�cam•
Presented to �( ❑ Approved
Inspector _. G'� Disapproved
Date --
CALL FOR REINSPECTION
YEt 0 r4o
l
5759
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
TAX MAP _,LOT NO. _I_Q__._--SUBJIVISION,'1.+S i-61w*D
Pinnacle ttomes. Inc. 11616 SW Penn at-
OWNER--_
t.
OWNER- -- --__.__— _---- -- JOB ADDRESS _ - --- -
9tstie P.O. Box 703„ Lake Oswego OR 97034 STATE REG.NO. _ I6177--- EXP.DATE7'ry!4`
BUILDER'_A-__..* — ---
BUILDER'S PHONE
ARCHITECT_—.-_
Piercy i Barclay PHONE OTHER
OTHER
STRUCI URE X❑ NEW _ ❑ REMODEL f ADDITION REPAIR i_' MOVE OTHER _ i.i DEMOLITION
! RESIDENCE L ! COMC\4 Fl EDUCATION IND RELIGIOUS n ACCFSSr5Y I I GARAGE OTHER ElFENCE
HEAT vas
OCCUPANCY L's _LAND USE ZONE'S ' _BLDG TYPE FIRE ZONE PLAN CHECK BYs� _
CQnS suet sinscle cag,Lly reaWelICU wicittached ).ara),.e
SEWERPERMITN 285197 (talc') ►�ntce�;e_52u _ 2 bath
OCC LOAD FLOOR LOAD hU HEIGHT 16+- NO.STORIES 1 AREA 1U98 NO.BEDROOMS j VALUF4jjjIUL
—BUILDING DEPARTMENT ---i SET BACKS FRONT _—,REAR LEFT SIDE - RIGHT SIDE
Petmit THIS PERMIT IS ISSUED SUBJECT TO T;IE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
�T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 'THAT THE
Plan Check 178,10 WORK WILL BE DONE IN ACCORDANCE ITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES// Npf� (r NANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire wU— RESTRICTIVE COVEN ANTS. CON�RA(:TO AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- _- i TAX PERMI1fS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
StiteTax 10.96 isgt, 250.t!+.a
-------_- ,d.I,OU -.._.._ ___- ----
TOt+lI d63.Ob SDC-
§{ �PPI��'4NTpRAdEN1'
_— - PDC#I 1`�U.00
Prepd. 1GlU.-UU�:--- 1► --,_ _..._..-----PHONE-- _
`- - Receipt No. Al7DRti88
Bal.Due 363 ___.._
_ Issued 6y_. - Approved 8yL
I
I
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECTION
aa Contractor —
? Permit No.
Fixture -
Final
HEATING 6
/�
— ContractorQ„u" /r _
i No.
Gag roll _
Rough-in
Final _
SEWER
— Final
DRIVEWAY
Final
Storm Drainage _
(Rain Drain)Final _
-- -- Sidewalk _
--- Curb&Street Final _-
-_^— ---- -- Approach _
CERTIFICATE OCCUeANCY Final _
BLDG.DEPT.FINAL CERTFICATEOOCCUPANCY
Landscaping
Q Zoning Final
s