15895 SW 76TH AVENUE-1 a`
15895 SW 76TH AVENUE
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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 i� "'��� Time A.M. P.M.
Address �--5 t1` l— Gv Permit # _
Owner. _ Lot #
Builder_ —_.__ I
The following Building Code deficiencies are required to be corrected:
I
Presented to �Approved 'y
Inspector ✓~/ L ❑ Disapproved
Date -
I
CALL FOR REINSPfC'TION
0 YES Ur NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Ph e 639.4171
--17
Type of Inspection tl
Date Requested &' ---- A.M..
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
LI/
Presentid to ,fol"Approverf
Inspector L i Disapproved
Date
CALL FOR REINSPFCTION
M YES IeNO
INSPECTION NOTICE
City of Tigard Building Department
I12420 S.W. Main St..
i Tigard,Oregon 97223
hone: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit #__
Owner _ __ Lot
Builder
The following Building CoAadeficiencies are required to be corrected:
Presented to Approved
} Inspector / Disapproved
Date
CALL FOR REINSPECTION
E?'YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639 4171
Type of Inspection
bate Requested `_- _ Time I--.A.M. P.M.
Address __,�___`v 'ti' G'—�SL._—_— Permit #
Owner_._—._— _�__ Lot #_-_
Builder
The following Building Code deficiencies are required to he corrected:
:1
a�
Presented to Approved
Inspector - L) Disapproved
Date
CALL FOR REINSPECTION
L7 YES � NO
BUILDING PERMIT APPLICATION TIGARD DATE k ebruuT 14 ,q 114 4748
-1 HE UNDERSIGNED HEREBY APPLIES FOR A 11FRMIT FOR THE WORK HEREIN INDICATED BUILUER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.._1.3._
OWNER kiiv ;,i eG JOBADDRES;;-_ _ 15395 SW 76Lh pagk _
ARCHITECT
Sriu� YENGINEER
BUILDER ADDRESS ..O._i3ox 23291_ DESIGNER
STRUCTURE_ 12 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE [I DEMOLITION
URESIDENCE CJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ ;.LAB❑ FENCE
OCCUPANCY K LAND USE ZONE —1=12 BLDG.TYPE-_ _FIRE ZONE_—_PLAN CHECK BY _AGE3 HEAL_4 8
— C;rnatruct tlir le f'.a�r,ii�itwc►ll_ iv w attached
garage. ------�
- Re- lisuw.. pi Pe wit #4734 3 8edr"As-J Aart{iroomaa
SEWER PERMIT# 2717 Garai,e 484
OCC.LOAD FI_JOR LOAD 40 HEIGHT 23' NO.STORIES 2 AREA 163) NO.BEDROOMS 3 _ VALUE 66,UOO.
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SiDE
Permit 3� 1.U( THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.UU WORK
BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANU IN COMPLIANCE
WITH ALL APPLICABLE i;ODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal A) 1.UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13.24 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC- $400.01)
Total 384.24 _ _
PDC# IT IOU.Ul1APPLI_GANTORAB_Eli1T - ---
BY Ch
Approved L acb. - Rec3lpt No. -- PHONE
DATE INSP. TYPE INSPECTION
� /� —REMARKS PLUMBING DATE
3 � —SLC _• _-- A -_— Contractor
Permit No.
Rough-in
r — - Fixture -----
_ Final
r -- - HEATING { — --
Contractor
Permit No. ✓ 7
Gas or Oil
Rough-in
Firal
SEWER —
Final
DRIVEWAY -
Final
i Storm Drainage
— (Rain Drain)Finil
Sidewalk
Curb&Street Final
_ Approach
LD DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CE?TIFICATE OCCUPANCY Final
Lannccaping
toning Final
BUILDING PERMIT APPLICATION TIGARD DAA
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEHL IN INDICATED BUILDEt PHONE
,�_34i.5
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNELOT NQ5_ _
OWNER _ JOB ADDRESS
ARCHITECT
ENGINEER
DESIGNER
BUILDER ADDRESS `
STRUCTURE (D NEW ❑ REMODEL ❑ ADDITION REPAIR ❑_RENEWAL_ ❑ FIRE DAMAGE� C.1 DEMOLITION
} RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAF'?ORT C1 GARAGE ❑ STORAGE C] So/1B❑ FENCE
O�a,iiP/1NCY LAND USE ZONE � _BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
SFINERPERMITM 2 7/7 --- " � - --
e NO.STORIES.i' AREA./u/ 3c7 NO.REDROOMS
OCC.LOAD _FLOOR LOAD HEIGHT . `�
BUILDING DEPARTMENT REAR LEFT SIO RIGHTSIDE
SET BACKS FROhT�,,�w� _r ---�- T-
Permtt ' ILDNG CODE.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULA11ONS CONTAINED IN NED IN IS IE SU EREdYLAG EEO TxATNTPE
REGULATIONS ANU ALL APPLICABLE CODES AND ORDINANCES,
Plan Check t% WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COI/IPLIANCf
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
Sub-total RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�y LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PI.UtABING AND HEATING.
1AlA Tax
.7 SDC—'
Total POCII APPLICANT OR AGENT
.
By —
Receipt No. AOORESS -- PHONE
Approved l�G/
S_D C —
/ r
PDC—
SEWER CONNECTION S %q Z;�
sFWER INSPECTION_ $ . �
SEWER SURCHARGE s —
�• f
W t ■d i ! ! N'
Building Permit No. y'?
t_ocat ion ,�- �l sw y - -'
gate d ,
Certification of Registration
With the Builders Board
�M t �' , doing business as (dba) , - ,►
ti 4' 6J— am registered under the provisions
Of UR6 Chapter 701 Oregon Homebui lders Law) .
toy Builders Board Registration Number is d 1
i
h(y registration is in full force and effect and expires on _