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■ it WNW—IN t __N
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection ._ —_ '441GJ----
Date ReUuested_
—__ �' Time A.M. P.M.
/ 9
Address J �� J � -2 vZ Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
—toe CO
Presented to tri Approved
Insper.tor (Disapproved —i-)
Date
CALL FOR REINSPECTIO V
0 YES IV NO
INSPECTION NOTICE
City of Tigard Bui;ding Dupartment
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address Permit # _�
Type of Inspection
The following Building Cc-le deficiencies are required to be corrected:
Presented to _ Inspector —
Date .� — ------ ----- -- ---- — —
CALL FOR REINSPECTION
0 VES ❑ NO
INSPECTION NOTICE
City of Tigard Building 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 . - - -----—_— Inspector -
Date - --
CALL FOR REMPECTION
UVES C1 NO
BUILDING PERMIT APPLICATION TIGARD DATE uiarct.c ltd __ 191 3639
THE UNDERSIGNED HEREBY APPLIES F�R A PERMIT FORT"F WORK HERE IN IIVDICATED 9UILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PNJNE
LOTNO.,!_:YB�11jA L ,jmi11
OWNER "'donna EnterprieerOBADDRESS 12003 SW 122rvJ Ct,
ARCHITECT
ENGINEER
BUILDER ' � ADDRESS 3815 SW Oxbow - DESIGNER __
STRUCTURE NEW L] REMODEL ❑ ADDITION _ ❑ REPAIR _'�1 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EkAESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE ..R--Z —BLDG.TYPE _FIRE ZONE-PLAN CHECK BY _J_{M__HEAT_._Gai._.__
Construct Single F&,dly duelling with attrv,:hed gararc
See correction sheet attachade --- -� 3 bedroo,18 — ---_.---
2
SEWER PERMIT# 23232 �_-. garahe 4.51
OCC.LOAD FLOOR LOAD 40 , HEIGHT 12 NO.STORIES i 1. AREA 1.'. NO.BEDROOMS ,;_ VALUE 57, 11)
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 'G L EFT SIDE 5. RIGHT SIDE 17."
Permit 13.(xl 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 .50 WORK WILL_ BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPI ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 304.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS,h ESS
State Tax 4 li.12
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
•
- SDC— 400.0f)Total _ 317 .62 _. ---_ t- t_�.___ _
PDC# I 100.()f) APPLICI(VOFt nt,EN I
By _ / r
--- -- Ut91 Receipt No. RE
Approved h ��In ADD'- B PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING
DATE
7L Contractor
Permit No. 1)
ICO
Rough-in
Ott
Fixture
Final
go -
HEATING
,45
Contractor,
Permit No.
F/ - PV
r
GAS O.Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Sturm Drainage
(Rain Drain)Final
Sidewalk
Curt)&Street Final
Approach
lk:_DGf)ip_f_. 1EMPORARY CERTIFICATE OC.7^NCY
Final
�i��RTIFICATE OCCUPANCY .
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGAR� DATE-� —_L 19S 967 ST
THE UNDERSIGNED HERESY APP'UES FOR A PERMIT FOR THE WORK HEREIN INDICATED BU11-DEER PHONEI'yy-lfef
OR AS SHAWN AND APPROVED IN THE ACCOMPANYING PLANS AND
/�SPECIFICATIONS.Cr 0 WJE-R
01AINICR 04"PlD►. LA'A l �J_C AD_DRESS `� 1..1, LOT NO -
-"" - - ARCHITECT
ENGINEER
9L;ILl1EF g¢M1 _ ADDRESS _ 15 �/lt gOkJ DESIGNERSTRUCTURE NEW ❑ REMODEL — 7_j ADDITION ❑ REPAIR —❑_REN_EW_AL _G FIRE DAMAGE ❑ DEMOLITION
TRESIDENCE C COMM ❑ EDUCATIONAL _i GOVT Cl RELIGIOUS G PATIO ❑ CA,l rORT ❑ GARAGE L STORAGE ❑ SME❑ FENCE
_XtijFANCY .Y�'Z_ LANDUSEZOINE Q BLDG TYPE yt(� FIR/EZrOrv�'. PL4NCHECKUY _= HEA)'
o low�0-�4/� -
SEINER PERMIT N
CCC.LOAD_ FLOOR LOAD V HEIGHT 17- NO.STORIES AREA/f,28 NO.,IEDROOMs VA.LUr_f76o0
BUILDING CEPARTWENT _ SET BACKS FRONT .20 REAR LEFT SICE RIGHT SIDE
Permit 2�3• _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,7.0PJ:NG
t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYIAT i HE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI-)CATIONS AND IN COf.'PLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
5'0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY F:JSIN_SS
• /2 LICENSE.SEPARATE PETS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:;tarn Tax
- / SOC—
!"total — �,� . G�.0 t\�►'�.� � �------------
-- PQCII APPLICANT -�`—
Dy
Receipt No.
Approved ADDRESS --------------- - PHONE �—
,oc
'EWER CONNECTION 5 7 7
ELIE R INSPECTION
GUEy SURCHARGE $
12 oos SW- t2z"d' C4.
G 25
l3 x 8
27-4 27j'_
sG ,S19. -
.9 3:5-
SJR �v0 c�