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13165 SW FALCON RISE DRIVE
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INSPECTION(� TION NOTICE /
City igard Building Department
P O Box 23397
�( - Lard, Oregon 97223
3 54,,Phone 639-4175
Type of Inspection
Date Requested — ��� _-- A.M. __—_--P.M.
Add•ess � r 1.—..1/ d�i(�� - Permit
Owner --- -- L"— �-//� to Lot #
Builder J -The following Building Code deficiencies are required to be corrected:
Presented togpproved
Inspector �[ !a_�a r ��11
l_J Disapproved
Date - — ✓y„� �, _
CALL FOR REINSPECTION
0 YES ❑ NO
i
I�QA LUSPIvCTION CAI,1, 63,4-41,"_,
BUILDING PERMIT APPLICATION TIGARD Da.TE__ _ October 5 5 U
a92—.35�a..
THE UNDERSIGNED HEREBY APPLIES FOR A 9ERMIT FOH THE WORK HEF?IN INDICATED BIJILDFR PHONE
OR AS SHOWN AND APPROVED IN THE ACCNPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
kew e>rroo.] l!cnnK
OWNER JOB ADDRESS 13165 SW ealcon ki$e Drive LOTNO.-�.���P+ �� I
_—_
ARCHITECT
•
BUILDERyy ADDRESS 1132505W Falcon k;Be (!r' ENGINEER
DESIGNER
STRUCTURE 1' NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
a RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY "1 _LAND USE ZONE v M BLDG.TYPE 5h FIRE ZONE— PLAN CHECK BP** � HEAT —
Conrt..ruct slugle fami11i" wiattabccd karake --
keiiiue rsf 94092
SEWER PERMIT M 2859 ger&Ae area 440 2 bath
OCC.LOAD FLOOR LOAD U h EIGHT_ 20 NO.STORIES `) _ AREA 1154 NO.BEDROOMS VALUE 56,000
BUILDING DEPARTMENT SET B/CKS FRONT 21.5 REAR 25 LEFTSIDE(' RIGHT SIDE b
Permit 3r11i""' THIS FERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
4(I. REGU,.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAV THE
Plan Check USA* WO',K WILL BE FONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN �,OMPLIANCE
WITH ALL APPLI%;ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 1'� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT"ORS TO HAVE CURRENT CITY BUSINESS
12 LICENSE.SEPARATE PERMITS REOUI;:FD FOR SEWER,PLUMBING AND BEATING.
State Tax
sSJX--25U.(NJ
Total
SDC— SC►U.Ot�
tt61.1J _ + PDC# 15()-('() A PLICANT OR AGENT
By j do
�y�Tlc Receipt No. - ---- -- - --"--._..-- ---
PHONE
--
ApproveA ADDRESS
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DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
r0 3/! _._-_--/ G71 _ Contractor
/ 6(` �� r Permit No. [
Rough-Ir
Fixtur"
Final —�
HEATING
Contractor .,Uj L. 6
Permit No_��31j
Gas nr Oil —
`1f Rough-in
Final _
�, �.– ------
SEWER —
_,.____�,--- --------- Final -- ----
DRIVEWAY
Storm Dr.inage
(Rain Drain)Final
Sidewalk
Curb&Street fir s,
_ Approach
EE.DG-DEPT.FINAT.. TEMPORARY CERTWICATE OCCUPANCY
CVRTWICATE OCCUPANCY Final
" �¢•�• Landscepiny ----'—
�/? rJ� Zoning rinal