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I
R O ! illr SII
INSPECTION NOTICC
City of Tigard Building Department I
12420 S.W. Main qt-.
Tigard, Oregon 97223
Phone 639-4171
Address_ --- _--_ -- �— _-- _ Permit #
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented tn --_--_----_ Inspector
Date — -- --
CAL L FOR RElWEMON
❑ VES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address
�` -- --- __- Perm;t #
Type of Inspection
The following Building Code de**-iencies are required to be corrected:
Pr,.sented to
---- - - --- Inspector — —
Date r
CALL FOR REINSPECTION --- _-- --
❑ VES ❑ NO
®r
BUILDING PERMIT APPLICATION TIGARD DATA _ - —.19 3385
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 64.1;-9417
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 01 �
OWNER 2adonne`Enterpr9JO1111111ADDRESS 1213 SW 123�d Court Uindlnll.�
ARCHITECT
ENGINEER
BUILDER ADDRESS 11090 SW Allan Bvtn DESIGNER
STRUCTURE U NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
In RESIDENCE ❑ COMM [I EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGC ❑_STORAGE ❑ SLABCJ FENCE
OCCUPANCY -1- 3 LAND USE ZONE N-7 BLDG.TYPE �5N FIRE ZONE PLAN CHECK BY _ dW _HEAT gas
Construct einrje family dwelling u/etteched gargge. 4 Bedrooms 2 Onthee
_ Rel-Issua of Permit Z'3333 (12105 Sl_I 123rd Court)
SEWERPERMIT# «034 },�;�Q.00 u4racic 4,Ljl
OCC.LOAD FLOOR LOAD 40 HEIGHT_ 12 _NO.STORIES 1 AREA 1539 NO BEDROOMS VALUE666,500.
BUILDING DEP"RTMENT - SETBACKS_FRONT n REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN, THE BUILDING CODE, ZONING
Plan Check 10.nQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WfTH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 219*()0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
state Tax �.�I�
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�;; �4Qo.Qo
SDC---
Total S227, 36
By P1 PDCN I 1100-QQ APP-LTCANT OR AGIAT
" Recelpt No. _
Approved �WWfr ADDRE88.......- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracts
Q'Yj COSI ♦ «t-�r- _— - -----` Permit No. �3�09
Rough-in _—
Oy Fixture ------
' r' Final
HEATING
Contractor
t V
Permit No� 2U'7/
1G. ( Ao ow L ��1� - .tic 1i-`moi`.—�t°L?---
�
Gas or Oil
--
Rough-in
- ---- -- ---_-_ — ---- — Fuel
SEWER
_ --- _�--_ - - — Final C1 --L u
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— - ---- Sidewalk
- — '-------�^— - Curb J9 Street final
Approach
BLDG- DEPT.rIN/.L TEMPORARY CERTIFICATE OCCUP CY Final
CCq TIFICATE OCCUPANCYT
Landscaping
r
Zoning Final — ---
IINNIINOpl�llll�llYlNppMINMNIM�M •.y YfFM1M�MM11�IfiMIM11Mi1iI�i1MbN4riilblhMl>�IIIItlI�I�X t,
}
.1
I I I 11 I I
3'JILDI'�:G PERMIT APPLICATION Cu Y I IC,'.RD DATE jj���
D HEREBY APPLIES FOR APERMIT FOR THE WORK HERElN INDICATED BUILDER PMONF •�' y�
.._. __.
;'JD APPROVED IN THE ACCOMPANYING PLANS A D SPECIF ICA1 IONS. OWNERPHONF---
LOT NO t�.•P_�_�'
OtJllEfi //'fli�M! ApDR /2/3i7 54) /i` ADORE55 00"90 blll
ARCHITECT
cENGINEER
BUJ i_` 3r. . . /A MItr ADDRESS CIDESIGNER —
v^E N'VEW ❑REMODEL ❑AD'ur�-•I-'TION0P.CPAIRORENEW&L ❑FIRE DAMAGE_ ❑DEMOLITION
X +_NCE r11"-%4M ❑EDUCATIONAL 000V T (ORELIGIGUSC]PATIO ❑CAF. PORT C]�,ARaGE ❑STORAGE OSLAB ❑FENCE
�40Np� QMOVING ❑CONDITIONAL USE ODES-GN REVIEW ❑COUNCIL APPROVED ❑SIGNS
�rPZNC� l tiD USE ZONE_ft- _____8LOG I VPE -aJR� F!RF ZONE_"•' PLAN CHECK 8Y-..:i)4 �_ 1iEAT(J
&0v
_.LQAQ_ ._.._. F_LSJSZ?Ls�A�_._� M Si�2 L _..�O.STORI°S__ _ A 364syD
NO,BEDPOOMS yALtIF
BUI1.DING DEPARTMENT SETBACKS FRONT ZD REAR_ LEFT SIDE .S•3 RIGHT SIDE `j.,r
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINra
Pian Check Q �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPeCIFICATIONS AND IN COMPLIANCE WITH
duh total �� . O� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tete Tax , �/ LICENSE, SEPARATE PERMITS REQUIRED FOR SERER, PLUMPING AND HEATING.
Total
BY I AI45in
APPI [CANT OW G N
4w,oved
Receipt No.
ADUPESS
�!__
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