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13170 SW F'ALC'ON RISE DRIVE
INSF'ECTFUN NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phony: 639.4171
i
Type of Inspection _.___ ----.-�3 �'�`�/t• __ —
Date Requested_ -::5--'5' ' Time A.M..___ _P.M.
fAddress r �_-�� ormit
Owner- --- - - -- --- - - Lot #-------
Builder --- - — --- — - -----------
The following Building Code deoiciencies are required to be ^orrected:
i
Presented to _ �App►oved
In"ctor -Az - ) 1. isapproved
CALL POR REINSPECTION
j ❑ YES'116 NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
N
Type of Inspection I r.Y _ ----- --�_--.
� ------
ipate Requested—2_ C �' -- _ Jane�_A.M.. _P.M.
Address ._ �_ �C' ,e /C4—,. �F5 < Permit
Owner-- ---— --- —� Lot #
Builder -_-----�–_—.--- ___�_
The fo9owinq Building Code deficiencies are required to be corrected:
Presented to Y -- �� Apprnved
i
Inspector __ ____ U Disapproved
Date
CALL FOR REINSPECTION
0 YE3 ONO
INSPECTION NOTICE l0
Ci,y of Tigard Buiijing Department /
12420 S.W. Main Vit.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ( r,
Date Requested �^A.M.- — P.M.
Address _ � ~LJ � � �' � � Permit # "104.
r
Owncr_ v b=1Vw Lot #}
Builder
The followin wilding Code deficiencies are required to be corrected:
Presented to Approved
Inspector _-__----- ---—� —. — Disapproved
Date ZZI
CALL rOR RE SPECTION
YES C) NO
BUILDING PERMI'TAPPLILATION TIGARD DATE--i'grolubor ig-in 4692
THS UNDERSIGNED HEREBY APPLES FOR A PFRMIT FOR THF WOHK Ht RFIN INDICATED BUILDER PHONE 292-3563
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPFCII iCATIONS, U'NNER PHONE
LOT NO.-� _ _
OWNER Wedgy eKc—)O( 101±94 JOB ADDRESS 13 17U SW r'alca� �.e drive _ Morlhinu (till .t_
ARCHITECT
ENGINEER
BUILDER Saltie ADDRESS DESIGNER
STRUC'I URE 1i NEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ _DEMOLITION
E�RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D. GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _.iiiLAND USE ZONEamp f_BLDG.TrPE __x__FIRE ZONE_PLAN CHECK BY _ 1 +_HEAT GAS
_ Construct mingle family dwelling w/attacl-ked ger"o, �-
r
3 Bedrualll 2 Kathroom
SEWER PERMIT# 28665 _ Garut,e 440 _
OCC.LOAD FLOOR LOAD 40 HEIGHT—20+ NO.STORIES 2 AREA I 154 NO.BEDROOMS 3 VALUE :th,uUtl
BUILDING DEPARTMENT
——,. SET BACKS FRONT 21' REAR24+ LEFT SIDE RIGHT SIDE b r
Permit 30 1•00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 195.6'y 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 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 496.65 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12.04 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,',LUMBING AND HEATING.
Total 5U6.69 — SDC— 4gtlsa.,.,,
BY
PDC# I IW100 APPLICANT 69 A6ENT
Cil
Approved Receipt No . .
r.�N ADURESB PHONE
DATEINSP. TYPE INSPECYION REMARKS PLUMBING I pATg
- _ Contractor � -
Permit No. _ S► %`Z �L.-�7�
Rough-in
Fixture
Final
Contractor ,
-s � •� • Permit No.
e or Uil O—
Rough-in
Od' Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewelk
Curb&Street final
Approach -
BLDG.DEPT.FINAL TEMPORARY CEP`.IFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fina!
Landscaping
Zoning Final
i;
3
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3,
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6394171
Type of Inspection
Date Requested.--- Time —A.
r/U
Address _ _ �,t)' etmit _-
1 Owner_--___-- Lot #
BuilderThe follcwing Building Cade deficiencies are required to be corrected:
J
Presented to _ —
N4f'APpt"Vwd ow'
Inspector _ Disapproved
Date --
.001
CALI, FO REIN PECTION
D YE9 EJ NO