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13225 SW FALCON RISE DRIVE
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INSPECTION NOTICE j
City of Tigard Building Departrne-it 1
12420 S.W. Main St. J
Tigard,Oregon 97223
f Phone: 6394171
Type of Inspection
Date Requested_ c 1 ry,/. '• 115 Time,.:_� A.M. F.M. '
fAddress .�l—5 _ .-J�'permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspector
❑ Disapproved
Date --- - - -- y� 2�"�>�,
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 &4
Date Requesud Time –—K -
A M.---:'.M.
Z-71-
Address -X -n
ermit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
-74
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES NO
BUILDING PERMIT APPLICATION TIGARD DAZE 5 5337
1;111 UNDELiSIGNED HEREBY APPLII S'ORA PERMIT FORTH E WORK HEREIN INDICATED BUILDERPHONE _OR AS SHOWN AND APPROVED IN THL ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _._192-3563_
LOT NO. 45 __ ---
OWNER
kedgewood Home JOBADDRESS 13225 SW Falcon Rise Drive _ Morning hili fl
i 13250 5W Falcon RiseARCHITECT
ENGINEER
E 'ALDER ate" _— ADDRESS Tigard, OR 97223- DESIGNER
STRUCTURE OL NEW ❑ REMODEL ❑ ADDITION_ ❑ REPAIR— _ RENEWAL 1.1 FIRE DAMAGE ❑ DEMOLITION
2(RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAUF ❑ SLAB F-1 FENCE
OCCUPANCY LAND USE ZONE 1 7PU BLDG,TYPE " —.FIRE ZONE � PLAN CHECK BY HTw _ HEAT_—(;A---
Construct single family duelling a/attached garage _
ita-19sue of #4692 Sub j.ct to $150.00 Loren Heights seder surcharge —
2 Ut.hroom 3 Hadrooas ( :age 440
SEWER PERMIT H 2€5396 _ ---
OCC.LOAD FLOOR LOAD 4u.—HEIGHT 20 NO.STORIES 2 _ AREA1� 4 NO.BEDROOMS 3 VALUE 56 SOW
BUILDING DEPARTMENTSET BACKS FRONT 21 REAR 24 LEFT SIDE 7 RIGHT SIDE 8
Permit 301.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ~ONING
REGULATIONS AND ALL APPLICABLE CODES AND ORTYNAIICES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 40.0 _ WORK WILL BE DONE IN ACCORDANCE WITH THI< F :NNS AND SPECIFICATIONS AND IN CC)A"^LIANCF
—' 341.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS3IJANCE OF THIS PERMIT DOES NOT NAIVE.
Subtotal RrSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTrIACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4X 12.04 SoA,L, 25U.0t)
SDC— 5U0,,Ufj
Total 353.04 -_- --
PDCM i. 1SU.00 JCANTOR OQENT
By _ �— --1
BCRtb Receipt No. gDD1iE§S -- PIc•%NE
[Approved j
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DATE INSP.� TY P INSPECTION_ _______ — -_DATE
Contractor /+
Permit No. ,! Y
Rough-in
St-M, OIL
Fixture
-- ---
Final —_ .-- ------
— --- --— -
- HEATING -----
2
Contractor
Permit No.
AG Gee or Oil
— — -- ---------- Rough4n -
- Final
SEWER
Final
---- ___� DRIVEWAY
Final
Storm Drainage
__-_._-- -- IReln Drain)Final Y
_
Sidewalk
—�----- — Curb&Street Final
_ Appr-inch i
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
�CERTIrICATEOCCUPANCY — Final
Landscaping '
Zoning Final
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