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15595 SW 116TH AVENUE
e Z7, v, 110rn rt 1 15595 SW 116TH AVENUE KING CITY �t INSPECTION NOTICE i ! City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection Date Requested_ - L? ,�u Z-" Time A.M. y� P.M. qj Address S.. a •� S Cc, r ----— Permit i Owner_ _ Lot # Builder _ The following Bu;.lding Code deficiencies are required to be corrected: J k r _� 1A, - - 4 � � �-KFC--+ Gs✓.C� l &qtg,� Presented to — _ ❑ Approved Inspector _ _ -•- - -_ Disapproved Date _ 1 LL F'OR REINSPECTION 0 YES M NO BUILDING PERMIT APPLICATION KI' NG CITY DATE_ ''Y �_ ,�� 1315 THE UNDERSIGNED HEREBY APPLIE: FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANSAND SPECIFICATIONS. OWNER PHONE LOT NO. - - -- OWNER tern `:trot; JOBADD9ESS 15595 S.W% I I iti. -- _ - -- ARCHITECT --- -- --_-_- ENGINEER BUILDER 5kyland C.oraat ADDRESS 9570 S.W• 41arotir DESIGNER STRUCTURE ❑ NEW © REMODEL ❑ ADDITION ❑ REPAIR 1-7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE EJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY v-2 LAND USE ZONE ----BLDG.TYPE i-:• FIRE ZONE_.- —PLAN CHECK SY I;CtL -_ HEAT -� 'ie,iaut u+odiiicatioi, for Kivu: t:it.y i.iquor aturt SEWER PERMIT K OCC,LOAD I FLOOR LOAD C.01,L HEIGHT '"" NO.STORIES i AREA ] - NO BEDROOMS VALUE BUILDING DEPARTMENT_ SETBACKS FRONT _ 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 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 Sub-1otal _ —� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS _- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 1. SDC- Total _ By PDC# APPLICANT OR AGENT 1 Receipt No. Approved ADDRELB ---- -- --P ONF --- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor S Shc, g 8 70 _ /fit G_C.O 01�CttY Permit No.W7 LZ Rough-in Fixture — Final HEATING Contractor Permit No. 3 Gas or Oil �.,..-- Rough-in �y ~r -- Final .�-- — SEWER - ---- -----._- Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb 6 Street Final Apprrach –BLDG L>EP7, F-INAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final INSPECTION NOTICE City of Tigard Buiiding Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639-4171 .Address ---------- ------- ---- __�, Permit # _ Type of Inspection The following Building Code deficiencies are required to be corrected: Presented to insl,actor Dace CALL FOR REINSPEL7/ON G vFs No