11720 SW 92ND AVENUE _ 11720 SW 92ND AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
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Type of Inspection -
I
Date Requested __�!'_ y` - Time A.M. P.M.
Address __�1! � ___ �� Permit #
i OwnerLot
Builder
The following Buildir Code deficiencies are required to be corrected:
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Presented to — _ �] Approval
Inspector --�j,�--'— ❑ Disapp eml
Date -,—
CALL FOR REINSPECTION
❑ YES V NO
a-
INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
..cif
Type of Inspection —
i
Date Requested Time_� A.M. P.M.
Address _._��LA`�—�s:�+r/ ��.------- Permit #___ __—��
Owner _- — _-- -- Lot #_--
Builder ---
The following Building Code deficiencies are required to he corrected:
0001,
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Presented to _ ❑ Approved
Inspector �++ J Disapproved
Date 'a `// 4L
TALL FOR REINSPECTION
[V YES ❑ NO
INSPECTION NOTICE
City of Tigard Fuilding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 2;fe %fesTime A.M.--P.M.
Address Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Lj approved
Inspector 0 Disapproved
1 Date
CALL FOR REINSPECTION
YES ONO
BUILCING PERMIT APPLICATION TIGARD DArE_- -- ts___- 4189
THE UNDERSIGNED HEREBY APF ' S F")R A PERMI i FOR THE WORK HEREIN INDICATED BUILDER PHONE 246-8t,U3
OR AS SHOWN AHD APPHOVEb IN THi ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO _.__. !4*lrb" Coirt
OWNER mn sloriUfi4sLLe! .14"6 JOBADDRESS IIi2v jW `J?nd Aye:uua
A+W+ItTEeT
ENGINEER
BUILDER :.aloe _ ADDRESS 111` 6ox 19524, 1't 97219 DESIGNER t:Ori:;setts _
STRUCTURE E1,61 EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
)Q.RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY k-3 LAND USE ZONE HY-5 BLDG.TYPE 5 ?' iFIREZONE"' W—PLAN CHECK BY I° HEAT h
Cortetruct Single Family lyellin;. w/attached Garrote. _
Re-I of Penait yA V,7 (11740 Stb 92nd Ave) 3 Oedroows
• 2 Baths
SEWER PERMIT# ' _ *ara9Q 41U
OCC.LOAD _ FLOOR LOAD_ 4u HEIGHT '?_ NO.STORIES L AREA 1 144 NO.BEDROOMS 1 VALUE 5 1 lQ�l
BUILDING DEPARTMENT SETBACKS`FRONT REAR i, LEFT SIDE RIGHT SIDE
Permit :2tl9.UJ 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 15.00 WORK WILL BE DONE IN ACCOPDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE COCES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 10�• _ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO t+AVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED F $E"R,PLUMBING AND Ht` TING.
State Tax 11•�f
iSDC._
Total 3 15.�c
PDCa .UVL�R AGENT
BY Receipt No. 1 1905 -- --
Approved I f ADDR N PHONE
w WXF W N W A
DATE INSP.—TYPE INSPECTION - — REMARKS PLUMBING DATE
Contractor 2_ ,� —y(Y��lfr
Permit No. 2C�� 06.6 � ZJT
Rough-in _�_^ -•—----
?TK--
Fixture
lox'4.2cled1-1 — Final—
d HEATING
�vtl�!'z � Contractor P
t'Z r Permit No.
Gas or Oil
— _---
Rot gh•ir.
--•— _--_�—� Final -
- S&IN&R --
--_ - — Final.—./2. ,7_JZ
DRIVEWAY
Final `
Storm Drainage
(Rain Drain)Finai—
-idewal k
-- +— Curb 6 Strset Find
Approach
BLDG- DEPT. FINAL TEMPORARY CERTIFICATE OCCUPArICr
ICERTIFICATEOCCUPANCV Find
Land-caping
Zoning Finnl
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HERLBY APPLIES FOR A PERMIT FOR THEWORK HEREIN INDICATED BUILDER PHONa'&y 03
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN
ppSPECIFICATIONS. OWNER P8 NE
NLOT 1`10.
� 5�� om • E,OI."1r1ER eQ1AWDDESS L
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BUILDER J ane, ADDRESSPQ 0&L1;J�'�T 1� DESIGNER I r
ol gjge4Pbw
STRUCTURE NEW ❑ REMODEL ;_J ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE E] DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE _G STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _!5� LANDUSEZONE -L--S'—BLDG.TYPE -S N FIRE ZONE--,!"—PLAN CHECK BY _HEAT
_�— �ond'�rwe.`�' i IZ-.�2w,�.� ��h ��A C� M ar-�►��.� ` —__
IPA-
6440
SEWER PERMIT# �u30_
OCC.LOAD Y FLOOR.LOAD HEIGHT �/Z NO.STORIES � AREA /t I T 4NO.BEEDROOMS 3 VALUis
BUILDING DEPAii Mf f SET BACKS FRONT .20 REAR Is' LEFT SI CC p RIGHT SIDE 7_--
Permlt _— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOP:.tiS
1
00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TeAT 'i Xt
�.
Plan Check "WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. TFiE ISSUANCE OF THIS PERMIT DOES NOT WAIV!
I Sub-fetal _ 30 - RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINLSS
r LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stato Tax �l♦
--
Total --- "�--y� POCJt ---._. -------. _.._ ------------
APPLICANT OR AGENT
By
--- ---- Aecelpt No. ——------- -- --- ----- -- -----
AporOved AODPESS PHONE
soC
100c /00
SEWER CONNECTION S 9zo'
SEWER INSPECTION S �!
SEWER SURCHARGE S
ccmment4• (?8401.7.82 �t 7• $ Q�Sfi..`Lr l'� __ ---
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