11520 SW FONNER STREET i
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U520 SW FONNERST
INSPECTION NOTI(_,
ity of Tigard Building Dapartment
P.O. Box 23397
V_-4 ^, gard, Oregon 97223
v• ykr `b QPhone: 639-4175
Type of Inspection __---
Date Requested_ y Timz A.M.
t
Address _�fs�•� i` '- -- ----- Permit 7.G'– f--
Ownir Lo: #
Builder -
jhr fnllowinn Building CuOe d iciencies are required tj be corrected:
%I�;ACES�_•", '"� tita../T n �-.�� c_'_i .
Presented to - ----- ._--.. Approved
Inspector ❑ Disapproved
Date --- ----- – —�
CALL FOR R.F,INSI'F;C'7YUN
❑ YES I _I NO
REQUEST FOR ACTION
MOFTWARD
wAs~,tcN comry.0000N
LOCATION:
PROBLEM:
By: Date:
FORWARD TO: Administrator Police
Building Public Works
Library Recorder
Planning Other
Department Head Responne:
A,cTiON TAKEN:
Forwarded to: County P.W. State Ilwy. Dept--
By: Date
WHITE: To 'Drqinator CANARY: To Dept. Head (9/81)
INSPECTION NOTICE
City of Tigard Builoing Department
P.O Box 23397
ligard, Oregon 97223
1.11 Phone: 639-4175
Type of Inspection 21
Date RequestedTime A.M. P.M.
Audress Permit
Owner J-'? G�l
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented t
Inspector
Disapproved
Date
CALI, FOR ;�'I&SPECTJON
0 YES Ll No
BUILDING PEWITAPPLIGATION I� DAT:: �__:? to_ ;; � 967
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUiLUER PHONE r2L1j_-_43C.7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Jay Pd. Back JOB ADDRESS 11520 SW font .t:' `.;!'. _ _ _ 1.3AC,2600
�. ----- ARCHITECT
W.A. IIu+31308 Coils ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑ NFW ❑ REMODEL ❑ ADDITION L) REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 1:1 DEMOLITION
LJ RESIDENCE [I COMM 1 EDUCATIONAL ❑ GOV'T Ll RELIGIOUS I-1 PATIO ❑ CARPORT ❑ GARAGE Cl STORAGE 11 SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE ____—ftLDG.TYPE -------FIRE ZONE PLAN CHECK BY .—HEAT-
Demolish
HEAT_Demolish S,infle farni ly dwelling. Site to be keret Free of dobria, dust
control t:a be maintained. Site to be innpected by city.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA _ NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT _ REAR_ �__ LEFT SIDE _RIGHT SIDE
Permit 15.00
THISyPERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL. APPLICABLE CODIcS AND ORDINANCES, AND IT IS HEPEBY AGREED THAT THE
Plan Check -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANn IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORUINAN^.ES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ - RESTRICTIVE COVENANTS. CON fRACTOR ,AND GUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax .75
5
-- SDc—
Total "
PDCB AP?UCANY�AGENT
By
----------- ------
Approved jLr�r� ADDRESS PHONE a-��
DAT[ INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractors
T Rough-in -- j— --
Fixture _ T
-- Final
HEATING
_ Contractor
-- — Permit No. —
_ --_- -- Gas or 011
Rough-in ----_�_—
Final
SEWER —
Final
_ DRIVEWAY
Final
—__ Storm Drainsip
(Rain Drain)Final
i
-- SMrnelk
- Curb&3treet Final
Approach
LOG. DEPT. FI►•ALTEMPORARY ICA fr-KATE OCCUPANCY
CSRTIRtCATE OCCUPANC-• Final
Landscaping
• +1- Zoning Final � +
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