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CAW
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
_Phone: 639.4171
i
Type of Inspection
Date Requested _ Time A.M..� P.M. —�
Address �� -� / �{/� Permit #_
tOwner. Lot # _
Builder
The following Building Code deficienpies are required to be corrected:
,24
II —
t
Presented to ❑ Approved
Inspector ! L�� � Disapproved
'6 cT i
Date ---- —
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639-4171
Type of Inspection _
Date Requested q � 11me A.M.
Address '� �y Permit
Owner
Builder ._ _
The following Building Code deficiencies are required to be corrected:
i
i
Presented to ------ - _. Approved
Inspector Disapproved
Date —
CALL ll'OR REINSPECTION
OrYE8 C-I NO
'1
t
INSPECTION NOTICE
City o1 Tigard Buildil,Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
�LLType of Inspection _—_—
Date Requested__-L- ~✓�_ Time_'e�K A.M._ _ P.M.
Address / U � �U �_ Permit #
Owner _�C/t'1 / /�(1V Lot # _�
Builder
i
The follow( Building Code deficiencies are required to be corrected:."
,✓ . --- - _,rte
Presented to Approved
Inspector — L-------- Disapproved
Dote
CALL FOR REINSPEMON
,L( YES ❑ NO {
INSPECTION NOTICE 1
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
.P e: 639-4171
Type of Inspection
Date Requested 2 � _c,,,-
Time A.M._. ls' —_P.M.
r
Address _l//� �:"`.�•- /C'7 --
_. Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
I
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSSPFiCTION
C] YES I,d NO
s
BUILDING PERMIT APPLICATION TIGARD DATE— �29
---- 19 `'
246-88v
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HERE N INDICATED Own�,�RP nI PHONE
OR AS SHOWN AND APPROVED IN'*HE ACCOMPANYING PLANS AND J. EC FICATIONS. LUT FA
l01 I' ` ( I�i J00 ADDRESS ARCHITECT
ENGINEEq
BUILDER S InwvlL _
ADDRESS F,O ����01��7`1 ' ` T op. ���ESIGNER
STRUCTURE NEW O REMOOEL Cl AOOIT_ION ❑ RE''AIR O RENEWAL O FIRE DAAAGE G DEIAOE
-AESIDENcr- (jC:,mm 0 EDUCATIONAL C3 GOVT ❑ REUGIOUS CO PAi10 ❑ CAR?ORT (:1 GARAGE G STr,RAGE ❑ SUB❑ FE
4/=SLOG.IYPE ,="�� FIRE ZONE PLAN CHECK BY� C-
i _
HEAT
OCCUPANCY � =LANO USE ZONE _
J
sEwERPEIIIAtrr � �'y� `—
? �'NO.BEOROOMS VALUE
OCC;LOAO FLOOR LOAD HEIGHT 7-L? No ST0RIE3 ti
' -•, ---, LEFT SiOE __" � FUGFtT S10E__'
BUILDING DENARTIAENT S£T BACKS FROMIT �- - REAR ��... � - -- --
��_�
ram�Mt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIG..S CONTAINED IN THE BVllO1riC CODE,Z
fi REGULATIONS ANO ALL APPLICABLE C���AND
PLANS AND SPECIFICATIONS APIO IND IT IS HEREBY ECOtAPUI
Plan Check 2 u WORK WILL BE DONE IN ACCOROAi:..
WITH ALL APPUCABLE CODES ANO ORD"NANCES. THE ISSUANCE OF TRIS pERI#IT GOES NOT
Su9.loU1 => -5" R[STRICTIVE COVENANTS.CONTRACTOR AND SUB CONTFtA,:TOAS TO HAVE CURkENT CITY CUSI
LICENSE.SEPARATE PERMITS REOUIREO 11 SEWEA,PLUTA41�J0 D HEATIN�3.
Stita Tax j --�----'ill
SOC - ` L —
Total �14-/ N
POGjWPUCANT CM
—' Rrc*lot No. rmmls
Approved
SOC - ..
loe
SEWER CONNECTION
SCUIER INSPECTIUN S —
SEWER SURCHARGE S
i
Cimirents; t�
Y
ev"v � 7 — 7 !
30
3 r
2 y 2
�G�
i
1
i
BUILDING PERMIT APPLICATION TIGARU DATE June 21—_,jg �' 5439
THE UNDERSIGNEn HEREBY APPLIES FOR A PERMIT FOR THc WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN ANi; (,PPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. '0
OWNER Lon hDrieasette JOB ADDRESS_ 11120 SW 10901 Cainahans _
P. 97219 ARCHITECT
ENGINEER
BUILDER Son ADDRESS P•0• BOX 19524 DESIGN-FR
STRUCTURE C(NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C; FIRE DAMAGE . ❑ DEMOLITION
CY RESIDEI ICE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T_❑ RELIG;IOUS ❑ PATIO_❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY _It-3 LAND USE ZONE _R-4:5 BLDG.TYPE FIRE ZONE - PLAN CHECK BY !CR HEAT C
Canstrmt sini;_le taruily dwelling w/attached f;arage.
4 bedroom 3 Nathroom
SEWERPERMITN 18459 Garage 522
OCC.LOAD FLOOR LOAD_ HEIGHT 20 NO.STORIES l AREA 2052 NO.BEDROOMS 4 VAI_UL 72 r_CIOU•
BUILDING DEPARTMENT _ SET BACKS FRONT 22 REAR b. LFFT SIDE _ 111GHT SIDE_! S
Permit _ 349.UO _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T!;E BUILDING -ODE, ZONING /
REGU'_ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY '.,iRE:ED THAT THE
Plan Check 220.8.5 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA flr)N!z AND IN COMPLIANCE
—�WI1H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES 140T WAVE
Subtotal 575.85 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICE $E.S P T ERMITS REQUIREDZN
WER,PLUMflING AND HEATING.
State Tax 13.96 1);)1 X&•SS SDC— $500.00Total 589.81 �-.—.PDUN 1 $15U•UO APPLI A
BY CZ
Approved BCK Receipt No. �� 7 ADDRE9ti PHONE
RENEW
DATESp. T E INSPECTION REMARKS PLUM-DING DATE
Contract
;7w" __
.16-a
Rough in
Fixture
Final
PXA
�ING
Contractor
�% � ,�/ _� `I Af I JA
Permit No
Gas or Oil
O 7 1-.
Rauch-in
Final
SEWER
Final
DRIVEWAY
Storm Drainage
(Rain Drsin)Final
Sidewalk
Curb&Street Final
App,r,rich
----'1 CMPORARY ;ERTIFICATE 0(;CUPANCY
:%.RTIFICATEOCCUPANCY
Landsc iw.:,p
70�,.I.j Finn,
BUILDING RCCEIPI
NAME: _-- OATEN
ACCT. M DF_SCRIPTION AMOUNT
.0-432 Building Permit Fees
10-431-600 Plumbing Permit Fees $
10-431-601 Mechanical Permit Fees $
10-230-501 State Building Tax
10-433 Plans Check Fee
30-443 Sewer Connection (20x) $ -
L
30-202 Sewer Connection (80x) _
70•-444 Sewer Inspection
51-448 Street System Dev. Charge (SDC) $
52-449--610 Parks I System Dev. Charge (PDC)
52-449-620 Parks II System Dev. Charge (PDC) f
31•-450 Storrn Drainage Systarn Dev rhrg (SSDC)
10-230-505 TRFD (95X)
10-476 TRFD (5x) s
10-230-506 Washington County Fire 01 (95x)
10--478 Washington County Fire N1 (5x) $
10-220 Amart/Wedgewood s
TOTAL
(be/1214P)
I
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4
Bu i 1 d i ng Perm i t No.
Location
I
Certification of Registration �.
With the Builders Board
doing business as (dba) ,
am registered under the provisions
of O. S Chapter��o�nHorn ebui1ders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
igna e '