16445 SW MEADOWOOD WAY N ■ i
16,�45 SW MEADOWWOOD WAY
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INSPECTION NOTICE
City of Tigard Building Department ,
12420 S.". Main St.
Tigard,Oregon 97223
Phone: 639.4171
' J I
L L
f Type of Insper,Jon
Date Requested_ �- - ' _ Time— A.M. 'eP.M.
AddressS
t.__ '
�i `✓ .% xx�rnrr_ ermit #
Owner Lot #
Builder._
The following Building Code deficiencies are required to be corrected:
-�• 7S/ - -G-__ ,. r �.� ...�-limos-' ..
Presented to _ A roved
PP �
Inspector ��isr"� �—
I ----�► �� Disapproved
Date _ Co c�• �
CALL FOR .REINSPECTION
C�, YES ❑ NO
BUILDING PERMIT APPLICATION TIGAnD CATE—�ATE--''0"i ,19-_ 1113 4451
THE"UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
.t,,ly '^.il.l��r Bl��f9. lJP1�3'ADDPESS 1644 LOTNO..—�'�� C,.dg�' �te+rk
OWNER ^.'•�. �' a+to bcrsi qday -
ARCHITECT
ENGINEER
`irta►@ ['�? i4ox ?3291 Tigard DESIGNER T. llill.nr
BUILDER ADDRESS _ _ ESIGNE..—�—
STRUCTURE 0 NEW _El REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
L RESIDENCE ❑ COMM O EDUCATIONAL El GOVT ❑ RELIGIOUS n PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _l1-3—_ LAND USE ZONE�fl`_�TPD` BLDG.TYPE----FIRE ZONE---PLAN CHECK BY _� i _HEAT
--- conAt>IruCt sinrle fax,ily dwellinr,. w,'att6ched i—nrage -'
t'e--imette of Permit 9 4114?� ( 16235 ;).`). Woodemst Ave.) �? 3c��Iroors;a�
SEWER PERMIT M 2 r,131 e,rr�rr3 432
` - ----- ------ ? ----- ----- T VALUE hS,fih
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BECROOMS
BUILDING DEPARTMENT SET BACKS FRONT III REAR 30 LEFT SIDE RIGHT SIDE
Permit 331.00 _ 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
1
Plan Check 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
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I'1'.
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
-- 4WJ.ot
I 3Sa�.14a SDC-- /,1
Total II !1?().ct1 --- ------ ---
PDCN APPLICANT OR AGENT ----
Ny Lnj _
Approved + — Receipt No. A .r ADDRESS PHONE ,
_—
I
DATE INSP. TYPEINSPECTIONR6MARKE PLUMBING DATE i
Contractor
Permit No. 07 2
/] Rough-in
Fixture
Final
HEATING
Contractor
7- tG, cc<.0 — Permit No_-2 "Z �/ ,�(�
Gas or Oil
Rough-in
SEWER
Final
DRIVEWAY --
-------- --- ---- ---- Final ---
---- —�_ —'- Storm Drainage --_—
(Rain Orain)Final
Sidewalk
Curb d,Street Final
_ Appmach
—BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
OERTIFICATE OCCUPANCY
Landsreping
— -- - � `-- _— 7onfnp Final _
BUILDING PERMIT APPLICATION TIGA;?J DATE _ 19 3 y°'JT ,
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREININDI ATED BUILDER PHONE(V
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON
1I
�IIQ��I �� LOT NO.
OWNER3aq ka %JOBADORES3 r(o dlTAR� � -
BWLDER _ ADDRESS �Z" �,� A• DESIIGNER .1.IA*
'ba-
STRUCTURE NEW ❑_REMODEL ❑ ADDITION a REPAIR C] RENEWAL Cl FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM Cl EDUCATIONAL I] GOV'1 ❑ RELIGIOUS Cl PATIO 0 CARPORT ❑ GARAGE G STORAGF. ❑ SLAB FENCE
-
BLDG._tt '�LAND USE ZONE BLDG.TYPE �Q—FIRE ZONE._ =-PLAN CHECK BY NEAT
� l --__.
1441t.
pot
SEWFFR PERMIT K _ _ e.•"kS
OAC.LOAD FLOOR LOAD HEIGHT I NO._STORIE_S t AREA r NO.BEDROOMS 3 VALUE4,.
BUILDING DEPARTMENT SET BACKS FRONT w REAR 30 LEIT SICE jr. {• RIGHT SIDE s �-
Permit _ .'®O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREFD THAT 1HE
Plan Check � •�a iORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIrICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISS!IANCE OF THIS PERMIT DOES NOT W,AIV
sub-total � _- p RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAC7uA3 TO HAVE CURRENT CITY BUsn'OESs
/3-2L
LICENSE'_SEk"ORATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
i State Tax
---_._ SDC—
Total
P(J� APPLICANT OR AGENT
By
- - Receipt No.
Approved ADDRESS PHONE
S oC -
POIC -
SEWER CONNECTION_ $ 8Z✓s
SEWER INSPECTION
SEWER SURCHARGE 5
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Cnrrymorl c� RoUt.'—.
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