11760 SW 92ND AVENUE 11760 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
Type of Inspection - _ � 1—"--�-' L —
Date Requested ! x Ti,pa "_ A.M. x
Address _iC _�' --. Permit #'T,
Ownar __—. Lot _—
Builder ----------
The following Building Code deficiencies are required to be corrected:
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Presented to _ /Approved
Inspector - I ❑ Disapproved
Date — --
CALL FOR REINSP •CT ION
�] YES NO
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BUILDING PERMITAPPLIGATION ' > 4183
TIGARD DATE____ °- ' lg__
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOH THJ i WORK HEREIN INDICATED BUILDER PHOt "—
OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON,
1
LOTNO.___tI'-��3�.C' '� -5irt:
OWNER .2',_'11X! InVv )atf'114!4 BADDRESS 11 , f.- J. 2dd Avenue
ih�lfif�I ail ,211,150 ARCHITECT
BUILDER ENGINEER
ADDRESS 3 0151 Sill 1larhur Blvd. DESIGNER `tt1 lits �'
STRUCTURE L NEW ❑ REMODEL ❑ ADDITION Cl REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IT-RESIDENCE i_7 COMM LJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZON E �+ _BLDG.TYPE ' —FIRE ZONE_ PLAN CHECK BY _ HEAT_ f d
.ons.truct !3j-,j.,g0 f,-t..;ily ::1:�c�111,•1rt w/attact'jc3 —
:��. ra n shut att< ctx�,' 3 F) tiroo
SEWERPERMIT#
OCC.LOAD '•'`' FLOORLOAD "0"{lci IGHT 1., NO.STORIES 1 AREA (��� NO.BEDROOMS 3 VALUE4 000
BUILDIN7SDC
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SET BACKS FRONT 1• REAR LEFT SIDE ' ' RIGHT SIDE
Permit ) --- _-�-_
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 ChockWORK W11 I. BE DONE IN ACCORDANCE WIl II THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
) WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub totalRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
19.96 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
TOtaI SDC— 40Q
By PDC# i OAPPLICANT OR AGFN r
ApprovedReceipt No. AODRH99 PHONE
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DATE INSP. TYPE IP.BPKCTION REMARK$
— PLUMBING DATE
Contractor r•
L_ --- ----�-- i -X80
Permit No. 011
Rough-in
Fixture
Final
HEATING
Contractor
za - - Z Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
_ (Rain Drain)Final
Sidewalk
Curb&Street Fina.
_ Approach - --
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERT11 ICATE OCCUPANCY Final
Landscaping
Zoning Final
BUILDING PERMIT APPLICA-FION TIGA-:) DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1IiE WORK HEREIN INDICATED BUILD-cR?HOME
OR AS SHOWN AND APPROVED IN THF.ACCOMPANYING PLANS AN.0 SPECIFICATIONS. OWNER.PHONE _—
L 7� w LOT NO. <7 - �a,
J:"�r�E.� f&_A .a•N��JOB ADDRESS N ' • ��
Srtd, /I TJ)nn �7T/� ENGIiITECT
NEERf/��p
BUILCER Har- N ADD RESSI(, DESIGNER tepCrr� !_
STRUCTURE_ NEW ❑ REMODEL ❑ AODITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE-- ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORI' ❑ GARAGE ❑ STO GE ❑ SLAB❑ FFNCE
OCCOPAr C _.LAND USEZONE BLDG.TYPE __,f.9_FIREZONE— PLAN CHECK BY HEAT-._C�.__
4ee Gio�I���hr•�f-__�, _-�i��--- -- 3_IB s _
SEWER PERMITN -
OCC.LOAD FLOOR LOAD _A HEIGHT �„�— NO.STORIES AREA �QI�� NO.BEDROOMS 3 VALU6COW
BUILDING DEPARTMENT
SET BACKS FRONT /,> REAR 04LEFT..F
CE RIGHT SIDE � —
Pormit 41do 0
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'NG
hhQQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
IPIinCheck �/D °w WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICt.TIONS AND IN C0141PLIA14CE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE
Su"total Ap AEST7ICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
96
Total
!.ICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Mata Tax 7
TotaSDC— D., �
l •�j _
POCOAPPLICAN f OR AGENT
By —
Approved wv Receipt No. ADDRFSS PHONE
SDC _ - -
SEWER CONNECTION S --
SEWER INSPECTION s ,
SEWER SURCHARGE_ s —T
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