15860 SW 80TH AVENUE-1 --
15860 SW BOTH AVENUE
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N INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. (Oregon 97223
phone:6330-Al 7�r
Type of Inspection 7 --
Date Requested L L Time A.M. P.M.
�- 41
'i Address '_ --C�4a�- Permit dE,...
Owner / Lot #_
rBuilder_ --
The following Building Code deficiencies are required to be corrected:
Presented to '�prowd
_� — ElDIMPPMwd
Inspector --
7 �
i
Date
CALLFOR REINSPECTION
❑ YES 0 NO
Or w
1
5715
CITY OFT17A`10 10 638.4171 DATE DeCeL1Ctbie w --
EIUILDINIG PEANAT
TAX MAP .,.LOT NO. _SUBDIVISfONIS�I_L'.."►ri6.
Jrt;y ;;tilier, t31dr. Sw both 1.Ii
OWNER _- .JOB ADDRESS
BUILDER -Z3 STATE REG.NO. EXP.
BUILDER'S PHONE
ARCHITECT - some PHONE _OTHER _-
STRUCTURE NEW C I REMODEL 1 ADDITION REPAIR MOVE '-1 OTHER DEMOLITION
RESIDENCE COMM I EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY l+p�'`LAND USE ZONE . BLDG TYPE FIRE ZONE PLAN CHECK BY "' _ HEAT
uOustiuct Bxnf, iu liwaily resitietttfflue w/attaetled guc., e
SEWER PERMIT M 269b5 � 4' L _ 2 Lutltm, - —'-'
1' ��,ry yi ,
OCC.LOAD FLOOR LOAD" HEIGHT'U+- NO.STORIEi AREA 1 IUL1 N0.BEDROOMS' VALUE'1
41re
ILD_ING_DEPARTMENT SET PACKS FRONT �� REAR LEFT SIDES` RIGHT SIDE
_ 313.Uu 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
k20145 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- - WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
e � RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1��SZTAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
- ,Stl.97 SDC �UtJuU _ii 150.1}0PPLIiANTORA(>fEN�PDCM' 31 1UU.00 PHONF
9Il19Ued 8 ( ADDREEiS
4Zti Receipt No.__' }clo
Y Approved By
EWKWIWUw
JLW
DATE INSP. TYPE INSPECTION REMARKS PLUMBING; HATE
7-
Dip Contractor 7
Permit No.
Rough-in
Fixture
7.V. 1Ae
C" Uff Final
HEAJING
v
'/-Z�J 6,
Permit No.
-Ole Gas or Oil
Rough in
_.ZLt2-0"7
Final
SEWER
Finia
DRIVEWAY
Final
Sto Tn Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL IrEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Final
Z.,i,.g Final
it r
W4
"A"
�► !' �' ill � � I� I� If
CITY OF TIGARD 639-4171 INSPECTIONS 639-4115
BUILDING PERMIT DATE P,c^c
\\ TAX MAP _ LOT NO. —SUBDIVISION P G_)
OWNER__.. 'r AMSI er � OI JOB ADDRESS ���' —'Q��uvn
BUILDER f C' _._- _ STATE REG.NO. -__ EXP.DATE_
B'UILDER'S PHONE
ARCHITECT_ J M PHONE -_--
STRUCTURE 4 NEW ❑ REMODEL ❑ ADDITION O REPAIR ❑ MOVE ❑ OTHER CJ DEMOLITI
❑ RESIDENCZ ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGL Cl OTHER ❑ FEN
OCCUPANCY ;U_-.t-LL LAND USE ZONE _!LL BLDG.TYPE , FERE ZONE PLAN CHECK BY HEAT
SEWERPERMITN AT At
OCC.LOAD FLOOR LOAD 4 c n HEIGHT :'C' ' NO.Sl ORIES L' AREA_/ '''"`NO.BEDROOMS4 S VALU 1
BUILDING DEPARTMENT SETBACKS FRONT ( REM j LEFT SIDE 64-e RIGHT SIDE JO
Permit_ 3 t 3 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAWED IN TAE RUILDINO CODE,ZONI
_ REGULATIONS AND ALL APPLICABLE COTES AND ORDINAWCES,AND IT IS HEREBY AGREED THi4T T
Plan Ctwk �% `> WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND Sr4CIFICATIONS AND IN COMPLIAN
"-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSN"!NCE OF THIS PERMIT DOES NOT WAI
PI.Ck.Fke RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTFACTORS TO HAVE CURRENT CITY BUSINE
-�" TAX PERMITS.SEPARATE PERMITS REGI!IRED FOR SEWER,("LUMP!!!!?AND HEATING.
State Tax _ L' S9Of,
SDC—
Total APPLICANT NT
C#
OR AGE
PD
C#
�O — — ---- --.�___ PNQNE--- —
Recelpt No. ADDRESS
Bal.Due
Issued By-_ .-.Approved By— __._
WC (storm)
SDC3 �i Off L)
I PDC
•$EWER CONNECTION S 9 "l� (?i✓
SEWER INSPECTION S
SEWER SURCHARGE ;
Comments: