14620 SW 87TH AVENUE 14620 SW 87TH AVENUE
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ASPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639,4171
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented to Inspector
Date
CALL FOR REINSPECTION
YES ❑ NO
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BUILDING PERMIT APPLICATION T!GARP DATE - 19 ' �
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT F09 THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P.AASAND SPECIFICATIONS OWNER RHONE -
LOT NO_-, -
OWNER -tG t'Inrcienbur'tjor JOBADDRESS .1462 } 5W 87th Ayonue -- - ---_--
ARCHITECT
ENGINEER
BUILDER t>a11)lii ADDRESS same DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL U ADDITION ❑ REPAIR ❑ RENEWAL f_7 FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATILAAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO E] CARPORT r-1 GARAGE ❑ STORAGE O SLAB❑ FENCE
OCCUPANCY f?-3 LAND USE ZONE F;'7 BLDG.TYPEFIRE ZONE-3 PLANCHECKBY HEAT
;instruct Family zoom, k:tchun 5 bath addition to existing
single Family owelling, all per plans and code,. 1 Bathr,clum accii
+F Ct1ERECTIONr SHEET [TTACHF!).
SEWERPERMIT#
CCC.LOAD FLOOR LOAD 5') HEIGHT L NO.STORIES L AREA 41( NO.BEDROOMS _ VALU9 .11
BUILDING DEPARTMENT SET BACKS FRONT -- REAR l°:+ LEFT SIDE ~-- RICHT SIDE —
Permit Sa +0 0THIS °ERMIT IS 13SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— �� REGcLATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • 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
Subtotal _ 84.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex 2.24
SDC—
PDCM APP LICANT O AGENT t
By P1
`
Approved . h Recelpt No. ADDRESS ! a l 4�PHONE
1
- DATE INSP.I TYPE LNSFECTION REMARKS I PLUMBING I DATE
CA—
Contractor
—� —
K Permit No.
Rough-in
1f1_fp SO _�XAM B
to _ Fixture —J —
ii -� Final
HE,ITING
-- �— Contract,a -
Permit No.
Gas or Oil
_ Rouph-i _
--'� Final --�—
— ��—�— ---- +SEWER
Final
DRIVEWAY
Final __—
Storm Drainage
(Rhin Drain)Final
Sidewalk
Curb R Street Final
�� Approach
Rl. DEPT. FINAL TEMPf C CERTIFICATE OCCUPANCY
CERTIFICATIfOCCUPANCY Final
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGA D
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FO9'mE WORK HEREIii INDI ATED BUILDcR PHON. (D���i�I�_
Flo nc cynWN AND APPROVED IN THEA 000MPANYING PLANS D SPECIFICATIONS OWNERPHONE
-y`,IIS/ f n T010LOT NO. 200
1
OWN". �l�° ilmv&*lb,uAA or—J08 ADDRESS44(o.2-0(7
Q 3 '-Awe' �—
�� ARCHITECT
ENGINEER
BUILDER _ADDRESS I� t� _ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ADDITION�� REPAIR C7 RFNEWAL ❑ FIRE DAMAGE ❑ 4EMOLtTION
— — -- _ ..X DD_._ —_
RESIDENCE C COMM_'❑�, EDI).;ATIONA7L�:3GOV'T _❑ RELIGIOUS -❑�--PATIO 0 CA.R PORT ❑ GARAGE ❑ STORAGE r_SLABO FENCE
v�,IiUYMnl.l _^ / LAND USE ZONE r{ � ELDG.TYPE Y �FIRE ZONE— PLAN CHECK BY 1�7 HEAL V�
SEWER PERMIT M
OCC.LOAD FLOOR LOAD #4) HEIGHT !i2 NO.STORIES AREA 3(� NO.BEDROO:,(S VALUE/Z000
tN
BI!u_on DEPARTMENT
r..-_ ,,El'BACKS FRONT REAFI LEFT SIDE RIGHf SIDE
Purr-it W _ THIS PERMIT IS ISSUED SUBJEC-'TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON!N.;
no REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 7HE
PIan(,heck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMii' DOES NOT WAIVE
Sub-tcta! _ i Q RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE-SEPARATE PERMITS REGUiRED FOR SEWER,PLUNlaING AND HEATING.
State Tax 2'.2t
(� SDI,—
Total ''24-� ----— - �L�'-`���-------__--_-----------—— -- -
PDCO APPLICAN GR AGENT "
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Receipt No.
LApproved r AOURE&S� - — -- PHONE ---
SDC - __
PDC - $
SEWER CONNECTION $
$f 3t3-3
SEWER INSPECTION
SEWER SURCHARGE
r � Il,00v
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