12395 SW 129TH AVENUE u LU.LI Ld . • ,u
\ ` ? Art Y E N u.
1•
12395 sw
o.
129TH AVENUE
k'
CA
en
j
1 ,
.f
r 1
o '
/ n .. A
F INSPECI ION NOTICE
" r ty of Tigard Building Department
12420 S.W. Main St.
i Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection _
Date Requested dull r!o -13 Time__�_ A.M. N.M.
—
Address � __�� � ' (,� � — Permit #
Owner_ _ _ 3 ptl ,{--1I 1G ' ' � Lot #
Builder t i uf' �G �I d The following Buildirg G,de deficiencies are required to be corrected:
/) t;2t..•-.- 4 iirr..>> i��-^r'o'c;/`-�-r�'-F'
- _-Com'--Gt-•--ur'+ c.�.,�.^'" "`� _CG�`�i�ti� "r'� ---
Presented to .�� —`- — Approved
Inspector ,— — C_� Disapproved
Date
CALL FOR REINSPECTION
C7 YES 67 NO
INSPECTION NOTICE
C;ty of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection G'Ga'WL/
Date Requested Time A.M.
IL _P.M.
Address - OL Permit #_I
Owner Lot
Builder
The following Buil de deficiencie! are required to be corrected:
Presented to
Approved
Inspector - El Disapproved
Date
CALL FOR REINSPE,7TION
YES [A NO
i
i
I
hQ
BUILDING PERMIT APPLICATION TIGARD DATE_1LLAq_
THE UNDERSIGNED HEREBY APPLIES FOR A IT FOR THE WORK HEREIN IN6&TED BUILDER PHONE2;?7-62,?/
OR AS SHOWN ANG 1PPROV IN THC_;,CCOMPANYINGQPLANS AND.VECIFICATIONS. OVVNEP,PHONE
nEA 39,140 ADDRESS I.G3',�r ,7w ��Q --Aue LOTNO. I3a /lluDeK +i
ARCHITECT
BUILDER �'' LC. I DRESS Q/ ! OESIGEER d
,�z 3 ^ti �IIj� C �)ESIGNEfi —
STRUCTURE Y NEW ❑ REMOC,:L ❑ ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOL�''ION
ARESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T _) RELIGIOUS ❑ PATIO G CARPORT ❑ GARAGE ❑ STORAGE ❑ SUBU FENCE
OCCUPANCY LAND USE ZONE - _ dLDG.TYPE --LW— ="_-FIRE ZONE PLAN CHECK By HEAT_
1�„t,11 wt w--ka," -
SEWER PERMIT N ? �¢ A e. 4&0
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES � A-IEA/qVNO.BEDROOMS VALW362".'10O
BUILDING DEPARTMENT SET BACKS FRONT .Z C7 REAR .27 LEFT SIDE _�`t RIGHT SIDE 7..f ;, _ � 1
Permit _ 33A-00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE fiU1LDIVG CGDE,ZONING
00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TkAT THE
�Ptan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
h0 Wi rH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
5ut>-total RESTRICTIVE COVENANTS. CONTR,\CTC AND SUB CONTRACTORS TO HAVE CURRENT CITY 811SINE5S
LICENSE.SEPARATE PERMITS REOUIh!D rOR SEWER,PLUMBING AND HEATING.
State 1'ax � �{O ,f
Total SDC— 01 /AGI'` OIL t'1
Dr CN0(l11
-'� PDCN APPUrANT OR AGENT
<_ _ - � .3� _ f
Receipt No. n"7—
Approved ADDRESS PHONE m
SDC - d0
FDC -
SEWER CONNECTION
SEWER INSPECTION $ 3✓
SEWER SURCHARGE S
r 72 a
2,
to 7. 3 _-- -_ ok