16525 SW 93RD AVENUE 1.6525 SW 93RD AVENUE
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INSPECTION NOTICE
City of Tigard Budding Depa0ment
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175 �Q
Type of Inspertinn 01
p /���
Date Requested �'�Y� a le p Tim V A.M,—�-_ _ P.M.
Address ��s ��.r ALJ Permit
Owner Lot #
EuiiderThe following Building Code deficiencies are required to be corrected:
Presented to __— T7 Approved
Inspectar _ _ --,— --_ ] Disapproved
Date / r
CALL FOR R EINSPEC'7YON
❑ YEI ❑ 1Mt1
QUILDING PERMIT APPLICATION TIGARD DATE_.�a� 19 `� 55
THE UNDERSIGNED HEREBY APPLIES EO6Z A PERMIT FOR THE WORK HEREIN :NDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE,
LOT NO. _
OWNER SChO01 i.t�,�ttr::.t 2 ' BADDRESS . 42.1i SIJ 93rc. Ave. e�i�n—ifiF�t;�—
ARCHITECT �- ----- - --
('! ENGINEER
BUILDER DRESS DESIGNER
STRUCTURE L4 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
❑ RESIDENCE C1 COMM ❑ EDUCATIONAL ❑ G')V'T ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABL-i FENCE
OCCUPANCY - .Ft- .LAND USE ZONE _.-:-Z_BLD! TYPE _ SN�-FIRE ZONE _PLAN CHECK.BY_��T HEAT__
Const Single Family !►welling with, attached Saar--;cz _ 3 Bedrooms 'l Uuths
SEWERPERMITM 2t,S43 -
OCC.LOAD FLOOR LdAD 49 HEIGHT 1 NO.STORIES 2 AREA 15 ig NO,BEDROOMS 3 VALUE 5,5.000
- -------- -- ---------
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit waivett THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
--- r— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGR:ED 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
„' LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
State Tax
SDC- -oSU0.W
Total . II 15." 00
- PDCB APPLICANT APO
EN
By --- -- ---- __._�
Approved - - (sx�d ---- Receipt No. �i (` ADDRESS --'- - _ - PHONE •`� ,
DATE (NSP. TYPE INSPECTION REMARKS PLUMBING DATE
I 1 -
PermitNo. -
•LL Rough-in
Fixture
Final
HEATING
L _ Contractor
Permit No.
Gns or Oil
------- — ------- ----_- —_�.___�.�. Final
- - -----.._._�-. - SEWER
�— -- --- --- Final
- - - --- ---- DRIVEWAY
--- --- .-.�— - _- Final
Storm Drr,ineyt+
• -----�� --_�---� ---- (Rain Drain)Final
Sidewalk
-� Curb&Street Final
--- --- — v.- gppro'
- 19LOG. DEPT. i trJf 1. -i-_—TcmpoFtARY --rCnal
Ef.TIFICATE OCCttPLNCV r ,_- ----
CERTIFICAl I OCCI Ut ANC Y
I
Landscaping
Znninq Finw.I
r
BUILDING PERMIT APPLICATION TIGA:10 DATE—
'THE UNDERSIC!NED
ATE._THEUNOERSIC!NED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR SHOWN AND PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
/ / C� L�,Y(�1L,OT tAO.
OWNE 7 . �� 1 JOB AQDRESS�(� 15 -S`�l L �` tJQ ARCHITECT
1�d
7 E JGINEER
ADDRESS DESIGNER
STRUMIAE f�9(NEW ❑ REMODEL Cl ADDITION D REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DLMOLITIC
RESIDENU U COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE Cl STORAGE ❑ SLAB❑ FENC
Oc-CU 'ANCY _LAND USE ZONE - L BLDG.TYPE z!L ' '""� / _PLAN:HECK BY Lt.- HEATOf •f _
..
J �+ 2-
SEWER PERMIT r
OCC.LOAD 1=LOOR LOAD C HEIGHT NO. TORIES '00Z AREA IS-7F NO.BEDROOMS
BUILDING DEPARTMENT
r REAR LEFTSIDE RIGHT SIDESETBACKS RONT U
j
Pormh / THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONII
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT TI
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIAM
%%ITH ALL APPLICABLE CODES AND ORDINANCES. THE !SSUANCiE OF THIS PERMIT DOES NOT WAIT
Subtotal RESTPICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO FAVE CURRENT CITY BUSIhB
UCENSI-.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Stats Tar
L�v � SOC`
Total _- - --------- --- - —�� —_
PDC�J APPLICANTORAGENT
By ,\
-- llocelpt No. ---- -- --- _ —
Approved I ADDAF-55 P"ONF.
ssnc - - g
S D_.C....�_...�
POc
SEWER CONNECTION $
SEWER IN PELT ION $ �'
SEWER SURCHARGE
_—. �.. —
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