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14945 SW 100TH AVENUE WW wTw w ■ 14945 SW 100TH AVENUE a M� C L .n T w w w w w w w w W i Lrl Lt a r4 I u y�� U O w '' r F c C t `l Ix i6 ftrtj Lr Ad M ra 3 y O 'q r. w O ^" 1 t Ln w or i ' INSPECTION NOTICE, i City of Tigard Ruild;ng Department y P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested //— Time P.M. __�.__e A.M. _ Permit Address Lot - Builder — - - The following Building Code deficiencies are required t.) be corrected: Presentedto - 4—A*roved Inspector �P F1 Disapproved Date _ -�--` .2 6 CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection h Z� Date Requested —, ime A.M. P.M. Address C���"�� ---- Permit # Owner- -----__-- —_.-- Lot # Builder �— The following Building Codr deficiencies are required to be corrected: .ice��M_-J �� ��✓i7• c1' -��" 1 Presented to Approved Inspector r� Disapproved Date CALL FOR REINSPECTION ❑ YES /b NO BUILDING PERMIT APPLICATION TIGARD DATE.N'cch is ' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE ORAS SHOWN AND APPROVE❑IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE Irvin Mack 14W6 SW lUUth LOT No. OWNER_ — — JOB ADDPE_SS • 155811 SW Hall ARCHITECT --- _---— ENGINEER BUILTER — ADDRESS Tigard, OR 97224 DESIGNER STRUCTURE _A NEW O REMODEL Ll ADDITION ❑ REPAIR` E-1RENEWAL 11 FIRE DAMAGE �❑ DEMOLITION ,F] RESIDENCE 1:1 C�MM 1:1EDUCATIONAL O GOVT L-' RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY [{•3 SAND USE ZONE _B L_—BLDG.TYPE 5h--FIREz:NE --r PLAN CHECK 13Y 1W _ HEAT Oar- Wnhtrur+ single fdmily dwwlling v/attached garag* ^!�� 3 bathrooms :3 bedrooms Garage 528 — Tress dir8ram require.! -- --� SEWED PERMIT M OCC.LOAD FLOOR LOAD 4U HEIGHT 20+— NO.STORIES 2 AREA 3 170 NO.BEDROOMS 3 VALUE 1 UU U00 BUILDING DEPARTMENT SETBACKS FRONT 64 REAR 151 LEFT SIC-f- 5;% RIGHT SIDE Permit _ 433.00 _ 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 ** 281.45 _ WORK WtI.L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE ]14'45 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N.DT WAIVE Subtotal, RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Y7 I7 X31—��J11, , tE.SEPARATE PERMITS Pr JUIRED v-OR SEWER,PLUMBING AND HEATING. State Tax _ Total `-- 7:31.77 SOCK )58:88 1D 450.:32 PDC# 11..!50.32 APPLICANT OH G NT --- _ Receipt No. 3/ -1 Approved / ADDRESS ---- _-- — ---- PHONE DA—ZE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 0 , Contractor Permit No,_ Rough-in Fixture Final HEATING vdntLoCtOf Permit No. Gas of Oil Final SEWER Pinel DRIVEWAY Final Storm Drainer (Main Drain)Final Sidevaik Curb&S*.ieet Final t Apprn361 BLDG. DEPT.FINI 1 TEMPORAWiCERTIFICATE OCCUPANCY 17ERTIrICATE OCCUPANCYT Final Ltndscop;nq Zoning Final r I 'OF IMU BUILDING PERMIT APPLICATION TIGARRD) DATE_1 f' �__. 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK,HEREIN INDICATED BUILDER PHONE __ OR AS SHOWN AND APPPOVED IN THE ACCOMPANYING PLANS A NU SPECIFICATIONS. OWNER PHONFe'2 �r QU, LOT NO. OWNER �IJ 11"'e, JOB ADDRESS �z ARCHITECT L/ l ENGINEER &k/J164' /- BUILDER ADDRESS�.S�Src�� GC.�/Y-�c—� DESIGNER STRUCTURE NEW ❑ REMODELQ AUDITION ❑ REPAIR — ❑ RENEWAL I] FIRE DAMAGE ❑ DEI.IOLI_IO� RESIDENCE ❑ COMM ❑ EOUL ATIONAL 0 GOWT ❑ RELIGIOUS ❑ PA i 10 ❑ CARPORT ❑ GARAGE G STCRAGE ❑ SLAB❑ FENC' OCZii?ANCY `` VNO USE ZONE 6 -7 BLDG.TYPE ,�j%FIRE ZONEC— PLAN CHECK BY ' HEAT .� SEWER PERMIT N _ OCC.LOAD_ FLOOR LOAD 9 HEIGHT :X) *—NO.STORIES �" I REA NO.BEOROOMS Vhfll`c,'Uc.c o BLii,DING DEPARTMENT SET BACKS FRONT � REAR rS LEF-SIDE ` RIGHT SIDE �d THIS PERMIT IS ISSUED SUBJECT TO THE REGUU,TIONS CONTAINED IN TAE BUILDING CODE, ZONING t+,— PEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERESY AGREED rXAT THI Plan Chack �u WORK WILL BE DONE IN ACCORDANCE WITIj THE PLANS AND SPECIFIr>TIONS AND IN C01143UkNC' WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIW Su!stolal _ A RESTRICTIVE COVENANTS.CONTRACTOR AND SU 3 CONTRACTORS TO HAVE.CURRENT CITY BUSINEs, LICENSE SEPARATE PERMITS REOUIRE0 FOR SEWER.PLUMQING AND HEATING. StatA Tax 3 ShC— Total — .a 0 , 5T —-- __ —_— --- Mrex APPLICANT OR AGENT By Approved FTecalpt No. ADDRESS -�- "PONE �- soc - ,i'4) u 1 , POC -' � i�l l / SEWER CONNECTION 504 SEWER INSPELCTION $ - G SEWER SURCHARGE 5 mr Y J 1� i z i Building Permit No. .50 Location Date e i Certification of Registration With the Builders Board I, _ doing business as (dba) , _ am registered under the provisions of ORS Chapter 701 Oregon H(mebuilders Law) . My Builders Board Registration Number is _ Fly registration is in full force and effect and expires on Signature THE UioOERSIGNcD HEREBY APPLIESfOFi APtHM11' f 1`01iI rlt 'rVUllK tIL11c.IfJ U 1?LJ Uu1LLJt-,. 1+�+ �.����p� OR AS SHOWN AND APPROVtU IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV/N F.I' 't:OEIrell L_z�✓_i+ LOT P10-' 1rj ACk JUB nnoRrss a1+ct11TECY 1 _ ENGINEER %iUll_O-'t �J�r7L ADORESn OESIGNER STRUCTLIRI__ IINEW _❑r.iN1(10EL ❑AL71TION _ _❑RcP:IR URENEVIAL OFIRE DAMAGE CIDE0.1DL11 1� RESILlC";CC ❑COM M EUUCATIONAL ❑GQV'T ❑RELIGICUSC J?AT10 ❑CAR PORT UGARAGE LJ STORAGE.EISLAa L]FE r c PIAN CHOCK BY_ `L'- HEAT-(--' C!CLt P C•:Ya_�_LAN0 USE 20fIc ,.TY' -- - - CON CT SINGLE FAMILY I)W :LI7-ING 'A,HAC_E, _ 4Z je zzf f, — / .� ,iL -t Cc 1 L--E 0 B_ ATHKQOM �z _ BEDROOM 2— SEDER P-I:.Rf'lI7 _ — Car egor .y/ a Q UCJG� QC-C- -LIp FLo013 l 01'(? ! t�---fIEiGHT "70 t NO.STORtfs ? AREAS �'^ AI KV Lu 5111LOI?,•1 OEPARIMf.NT SET BACKS FRONTREAR -� LEFT SIDE r Z- RIGHT SIDE /Q 1 THIS PERMIT IS ISSUED SUaJECT TO 1HE REGULATIONS CONTAINED IN THE BUILDING CODE. XOI REGULATIONS AND ALL APPLICABLE 1:00E5 AND ORDINANCES, AND IT I5 HEREBY AGHEED THAT r----- WORK WILL BE DONE IN ACCORDANCE KITH TILE PLANS AND SPECIFICATIONS AND IN CCAIPL1ANrE i 5'.17•W(:. /`� ALL APPLICABLE CODES AND 01111314ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W RESTRICTIVE COVF-NANTS. CONTRACTOR AND SUB CONTRACTORS. TO HAVE CURRENT CITY BUSH �-arx Tax I Z• LICENSE. SEP< "TE PERMITS REQUIRED FCA SEWER, PLUMBING AND HEATING. Tuul i SDC - r PDC# APPI_ICAN1 QR AGENT Approved Receipt No r J ILS IWC (Storm.) _ J D C - r. SEWi R CONNECTI SEWER" 515ECTION $ _ SEWER SURCHARGE & , bA2 E Comments : C-1'If Ali.1 /* ,� • .LTi.! -- s_ �_ �I'' `1 >z X /�- _ _�--" y � l � '-� r ��� x -��; � 7� �� � , . ? z. , , i --------------------------------------- JA -- ___-------------- __ - --- ------- ---------i,.---------- SHINGTON COUNTY DEPARTMENT OF PUBLIC IIEALTH CRR _Iministration Buildinp 5U N. First Refer_ ' � 'C illsboro, Oregon 97123 Telephone 645-b` 46- Subject il1 Location Ilealth Department Memorandum The subject noted above has been reviewed and the following decision is recorded: No Y" ( ) . . . . . .Health Department requirements have been met in full . NO Yes ( ) . . . . . .Additional requirements as follows mus* be met before Health Department Pl/ni'liapprovdl can b given. Commentg (�. i. e �� T r /1 r Date Public Health Sanitarian 7/72 WCDPII SE 4 _ �� i ../ _. I �. ►,yrs=�,,�: . . J� C ' rJ �J 1 PRICE-RITE SEPTIC SERVICE INC. 538-2276 538-9161 Application for Subsurface Sewage Permit BATE !,-, -$` ___PHONE `j� —HERMIT NO---------. OWNER nLNr __-- MAILING ADDRESS --- LOCAT!ON SITE TAX LOT NO T._�5-.� R.-1 ----SEC. 11_C a SEPTIC TANK CAPACITY Lp� �`"� GAL.!���_NO.OF BEDROOMS TRENCHES: NO Of__ _..___—______`�_--LENGTH 6--N -) WIDTH__ 2-4 " /� DEPTH ZIA'' _ ir" _._GRA4Et ��fl DROP BOX TYPE SYSTEM _ S_ _STANDARD TYPE __._WATER SUPPLYw�als�� Pio culling,grading or IIIIing to be done In dralnlleld area.All dralnlleld lines to follow contour of land.Required setbacks by maintaining from all water supplies,boundry iln@,house lines,and cul banks.System to be Installed 11 ac.; lance with the "Regulations governing the subsurface dlsposst of&@wage" as set forth l/the 0@parlment of Environmental Qusilty. SKETCH OF INSTALLATION BY Price-Rite --SEPTIC-TANK2ERVIC� I�C- � C.ely Cp-1.11 0-, 'Cj-7.y -11'so -1• Iu-1, ®_I .41 tie to 300��f �m„l Z✓ t wpSHIN6TOh�DUtIT'1, ro� � 5� , � I r ��•2y-� C.,MR- t /0 out rnrlemenl nl oil 901\01 1 a w pne 1'In,e•Qnrludlnl t1 the I lh, a 1 prfel .111 t , I of iM Ind Idue lubeurls” lel GUn. Gbit 1pvppn ba b neer an InN b t r to delNle/ n nwl ednlGdo len a here Iho'rertmeN + Any dwilthn,the D nti Neellh 1 1 be I hived bl the CoG IMiNl'I'll hilar@ t In wrNmt In wive"@@ p1 11der of Genet la the w etl of IM h't eM on ,to the" r/GulreTenU veld@ echo Nth Oenerlment b/MGv11 GI I^ + ob11/111eo to /hM the onlehed t I I5 00 red !ttder end+ar perner r , {1 f k 1 u f n� V) Y IF /o t /rr G�ei-� l� © I ,to I ?� 0