12045 SW 122ND COURT 12045 SW 142ND COURT
U
b
q
N
N
;3
.n
Q
1�
ti,� m r - � x �o- .�.�. N., ��' .,nKti. ,�• ,�..+s•�yq,� / gyp-tij-
�P ., ��••,�'�+1i ,�i •� �. tl: w .Ptl�i�•..�,�-�" ,•`X14 ,jlh A��.,, .i, r�'•� ^�!�t�`� w"�J� 1•i'$rpr .?A4l,P'�
,��p* �Kv''^`tis '� 7IV,Sw4 �� / t
�&tt,,
!
r001
04
° u u on ( a y
N 00 ++ O aC14 r4 0 0
F to Cr � r-1 O ° •LS 01 u
H r, N rz P '10 10
v m �, ,• ,
��t ►-� u to u
� , ,r 0 V
to
N 0 utj CL
01, fa
bri
td
PC
to
F
r
1 l! 1. i ,u��aeaar.�audn���,,6��iac2�i;cntnun •;,-.,t-�-as�®csc 6 � -. ,r ,-r+rT�Y:y�! a', �y, ! '�+
INSPECTION NOT ICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested p -
-` 5 �-=-- -- Timc�–
Address
�. Permit #
Owner "– ---
y__?�—� — -- Lot #
Builder
The following Building Code deficielSc'es are required to be corrected:
---------------
Presented to
Approved
Inspector _� ���
— — ❑ Disapproved
Date t�
J 1
CALL FOR REINSPECTION
0 YE8 ED No
BUILDING PERMIT APPLICATION T IGARD DATE__J' Al& 82
4114
THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOR THE WOP.K HEREIN INUICATED BUILDER PHONE _ 297-1
OR AS,SHOWN AND APPROVED IN THE ACCC 'ANYING PLANS ANDS ECIFICAT17N8. OWNER PHONE .
OWNER Cbnt:L y 21 :orn er -- JOB ADDRESS 12045 3.W. 122n4 CC„ LOT NO. fl vttrnim i
— ---- ARCHITECT ------'-�—
BUILDER Sage ADDRESS 7412 S•*• Reav• xills ' ,.ENGINEER
DESIGNER Century 21
STRUCTURE — KNEW `_ 1 1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION_
C RESIDENCE ❑ COMM ❑ EDUCATIONAL 11 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STL r-1 SLAB❑ FENCE
' ---- ----- _ g
OCCUPANCY "AND USE ZONE BLDG
.TYPE
_ .TYPE S _FlRE ZONE ?LAN CHECK B_Y_ iEAT
Omstrwt Single Fan+ileY (11mlling al per plans & pods —�
SOO 00rreatian sheet attached ------ -- 2 Iieax+oosls 2 Bathe __--
SEWER PERMIT# 2385 - S610mQBI ( <,p.wc> --- —ca;raga 400 sq. ft.
OCC.LOAD FLOOR LOAD 40 HEIGHT 20+ NO.STORIES 2 _ AREA "76sg t 2 46,200
_ _ N�.6_EDROOMS VALUE _
BUILDING DEPARTMENT SETBACKS FRONT -- REAR LEFT SIDE RIGHT SIDE
a ---- ---- —_
Permit o•50 ___ TRK: PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING-CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGEED 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-total _ __ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
10.78-- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
N__
455.46 SDC— 400
_ I 100By dmj
PDC# APPLICANTORA4ENT -- ADDRES8Receipt--- -- PHONE
I
i
i
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —
.
i —� _ Contractor j179
Permit No. 3/4-,&
Rough-in
—� Fixture
Final91,17, -- --- -
�1i (-� HEATING �f
_ ..3 ��. �_.� �t Contr9etor IPNI VO I-/�0- 1(�
Permit No. .2681,Y-
Gas
2681-/-•Gas or Oil
- — —
Rough-in — - ---
Final
SEWER
--- _� - --- Final ��, c --
DRIVEWAY
— - ------------.—�.— Final
Storm Drainage
(Rain Drain)Final
Sldevia I k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY —Ju Final_
ILandscaping
Zoning Final - -
WW—LW-ll
I�f
- r
BUILDING PERMIT APPLICATION TIGARD DATE ___ is
THE UNDERSIGNED HEREBY APPLIFS FOR A PERMIT FOR Tl iE WORK HEREIN INDICATED BUILDER PHONE_R_tz ' s
OR AS SHOWN AND PROVED IN THE:,CCO�J PANYING N�SASPECIFIC.ITIONS. OWIVEP,PHONEOVINr-P oG I __ JOBADORES. - �L-�✓� _
�C�AR^..HITECT
cM1:,INEER
BUILDER J _� AfjDRESS 2� �lG,' _� _�/ _ DESIGNER
STRUCTURE NEW ❑ REMODEL Cl ADDITION ❑ REPAIR 0 RENEWAL Cl.FIRE DAMAGE Cl DEMOLITION
[h"RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS I:1 PATIO ❑ CAR PORT Cl GARAGE G STORAGE ❑ SLAB FENCE'
OCCUPANCY 3__.LAND USE ZONE _BLDG.TYPE _sZLV FIRE ZONE----- CHECK BY HEAT. < �!
20 6
SEWER PERMIT N - le
4 '
OCC.LOAD FLOOR LOAD '-/0 _ HEIGHT c-),0? ' NO.STORIES_2 - . AREA �G N0.BEDROOMS`� VA.LUe :G,. Oo
BUILDING DEPARTMENT SET,SACKS FRONT .20 _ REAH LEFT SICE /40 RIGHT SIDE
Permit THIS ;PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,70WN3
, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TY,AT THE
Plan Check �� �� WORK WILL 13E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA71ONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIW:
Sub-total RESTWCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State TF . 791
SS G sDc-
Total --------
- PDQ APPLICANT OR AGENT
By
Receipt No. — -
Approved ADDRESS PHONE~
50C - A/o
PDC - S D U # yd 6r A, ten. 14, 'V
SEWER CONNECTION S� _: � �� Lf(o �� 3
SEWER INSPECTION S �s ~ ei I •Lr` '
SEWER SURCHARGE S
VIA
TTT ri
A -i
i t � �
'7 � 9 �" �
� � �-
� ��
k CUA �;� .�---.
.._--- z � ._._
i
i
__1
"'�--•fir
����
.�.�
r----...
I(�`
__.:. _._�.�_.__ �.. r
---
,�
` �. .
w
t
� � � � a Z'sai�y
�'
7 '� " �.� !pti u� w �� �-,
,�aw��5' i�,;�