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14807 SW 109TH AVENUE-1 14807 SW 109TH AVENUE w z x H rn 0 I 3 U) r 0 w �� I f �,,� r, ����i ,�_.,,'��"�� 4 ' ;y �` fr ;�.:. ;�'�.y '+i�a����ry�{ba��"_.t�Iµ' ,r\ ��.d�r+ Z��7r R'/�'q•. \ � �+' r SAMA"•���8''�.� , ��b ,�„�INR�"�1�11�'y.'T!{l�tt'} s'�A y y 1xm" 71�'�1�'s'�N1�'�"'•=,,':"�tl��hf�� ,^'� �1 ti ` ;,� tlV�t tSSS1, + 501 00 va bc F.4 Ln to T. ee �� o°n a �' �., G +m wad G4I 4'' Vi 1J 1 4 J M C; N (U O i bo r�1 V1 Ir r4o o � w 4 AiG v, V . Sd t-4 00 CIO) ca to 0 a "I 3 to tj 44 1 , V A# l t,? "Sx"• fir.,.. 1 d} '"1K//,.• .._ �. ..;ti r'• .?� ��!:v/r' M1. �. ty '':v`�/d �.� �, tY :�;:}4t• a NOTICE City of Tigard BuikJ.ig Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested 6 Time A.M.—, P.M. Address C Permit #---I Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspectnir UDisapproved Date < CALL FOR REINSPECTION YES 1:1 NO BUILDING PERMIT APPLICATION TIG.'%RD DATE6/-219/__,,�s �l 3795 THE UNDERSIGNED HEREBY APPLIFS FOR A PERMIT FOR THE WORK HERE!N INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PtlgyyE. LOT NO. [7.3� OWNER JOG 0ev©lopment (ARADDRESS 1 r)7_"' 1101 10 'Ai Avenue _ ---- - - Po 9 I LOARCHITEC— Joe VanLcIm 4raxt. — ENGINEER BUILDER same ADDRESS _ cOF:SIGNER 292-889b STRUCTURE CX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑tiIIIESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE C, STORAGE C SLAB❑ FENCE OCCUPANCY __R_'!!_3 LAND USE ZONE A-12-BLDG.TYPE 5N—_FIRE ZONE "" PLAN CHECK BY _dwh HEAT Construct single faMily :]welllnc� tr�attach©d racL 3 Bedrooms 2 Oath_ - SEE CORRECTION SHEET ATTACHED, Re-Issue of / 3794 (14815 — - ----- PLAN 11811 /9 k 2 1'u—I -- - — - SEWER PFRMIT# -')7'77 -. X750.QQ 401 �•(� OCC.LOAD ?LOQR LOAD 40 HEIGHT i 1 NO.STORIES t AREA 1501 N0.BEDROOMS VALUE , BUILDING DEPARTMENT SETBACKS FRONT `; REAR 2.1 LEFT SIDE 3 RIGHT SIDE Permit •dd TH-S 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 10.110 WORK WILL. BE DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE SubR..total •00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LWENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Ta)(/ 7.130 Total SDc- �4UO.U0 /�. ,•. ,..�''� / �L - PDC# I I S100-00 APPLICANT hR A&ENT By No. Recelpt _ Appros ad dwh f ADDRESS PHONE w w w w DATE INSP. TYPE INSPECTION REMARKS H PLUMBING OATS 7�-L/ %/ Contractor / _VRI Permit No. 273 Rough-in Fixture Final Ho ATING Contractor�� _ Permit No. 1 �3�/ cr 5/ Gas or Oil Rough-in Final SEWER — Final DRIVEWAY Fiml _ Storm Drainage — (Rain Drain)F.nal Sidew%l k Curb&St:eet Final _—�T--- Approach BLDri. DEP . F'I—NALT-_ TEMPORARY CERTIFICATE OCCUPANCY - — - CERTIFICATE OCCUPANCY Final Landicaping I Zoning Final I' i F tl i i .I 1 BUILDING PcP,1r11T.4PPt_1GA.T! a. - .-. -- . _. . . -q ,.• -- � 7Cr� ON TIGA, 0 DAT THE UNDERSIGNED HEREBY APPLIES FOR A PERNIIT FOR THE WORK HEREIN 11IDICATEO BUILD_R PHOrac9�•�� CSR AS SHOWN AND APPR VEO IN THE nCCOO..PANYING PL.Ay3 Ar IO SPcrCiFICATIOi�IS. OWNEP Pmo :E • 4Q LOT r 1�3u 3 "� � �oQ,�Q„ ke. sO. C 2S1•aAD �e IM 03 ADDRESS /-/ G U r �j� ARCHITECT oe VG�1RLb ,ax E 1CTo y39� / ENGINEER 5 BUILDER �/�M`e ADDRESS Lf � ��j/'LilA�OESIGNeR 7`f7� STRUCTURE NEW ❑ REMODEL !"! AO0I-,;0N �] REPAI E U RENEWAL ❑ FIRE DAMAGE ❑ DEMOL1110 R_SIOENC C COMM [? ECUCATICNAL ❑ GOV'T Cl RELIG:OUS r PATIO Q CAil PORI Q GARAGE G STORAGE [ SLASO FENC .rC,C.iir'•ANCY _ LAND USE ZONE BLDG.TYPE �_FIRE ZONE^ PLAN CHECK BY tr�EAT �• Pei yam_Sc.-o) !O0'*t. /ave 3 PAoll d. SEbVERPERMIT A �O NO.STORIES Y �3 Z AREA r+J�U�/ NO.REDRO0'.IS GCC.LOAD F'.00R LOAD HEIGHT '� VALUE BUILDING DFPARTNIENT ,'j,� SETBACKS FRONT ;,� Z• LEFTSICE REAR RIGHTSME 7sr�lt I �• vQ THIS PERMIT IS ISSUc J SUBJECT TO TPE REGULATIONS CO`ITAINED IN T}i_ BU;LDING CGDc,iGr;:`1 r O' 00 REGULATIONS AND At L APPLICABLE CODES AND ORMINANCES, AND IT IS HtRiE3Y AGR=_ca iY,AT TH ray Check ^_ WORK WILL BE DONE IN ACCOP.D ANC'_ 'WITH THE PI ANS AND SPECIFICAT *; • r,•• +'�• WITH ALL APPLICABLE CODES AND OHOINANCES. 1HE ISSUADICE OF THIS I`ER, IT DOES NOT WAI PERMIT Sub-fatal �J`.�D RcSTRICTIV.•;,COVENANTS. CONTRA^.TCR AND 5U9 CON i RACTORS TO HAVE CUA?t't•i7 CITY etvSltieS d LIMISE.SEPARATE PE9MiTS REQUIRED FOR SEWER,PLUi`.aING AND HEATiNG. ..i?[.3 i2x • . �D rn i total _ _ 2(z• aors< ARS �ocJl�' .,♦1�" �. rte- _ UCaN7GRAGEvr Approved Receipt No. Dag R ADD qac - s 1>L X Lccose03 3 7 �4-- 5EUrR CONNZC T ION _ S 7z�— �Fo (,•30� �EUERR INSPECTIOPJ 154* . 1 ;o U"' 'tYtr�: G!tQ rs.,•i 3, �jd' (�pr,,,t�,�•J