16465 SW MEADOWOOD WAY 16465 SW MEADOWWOOP WAY
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INSPECTION NOT ICE
City of I i4lard Building Deimitmei,t
12x20 S.W. Main St.
Tigard,Oregon 97223
,hone: 639-11171
TVpe of Inspection --- --- I
Date Requested 3 -,, c- - 6',lI
TIrn.--,Z- - A.M.-P.M.
AddressPermit
la�
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
;eL
Presented t: Approved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
❑ YES V NO
43015
BUILDING PERMIT APPLICATION TIGARD D,°rE-.-� — ----'19
692-3635
THE UNDERSIG14ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN-iCATED OWNE9
PHONELN
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA f�a AND SPECIFICATIONS. LOT NO. 43 f'Onrilttr CYg El, 2
OWNER `Cp!i "+illcer Rlciz. XT4c2BADDRESS 115 + � " ARCHITECT
— SherW00:1, Ote• ENGINEER F'iercy Isar lap
Sam _ ADDRESS 3 55o 1,3,W. Grahams Ferry DESIGNER
BUILDER -
STRUCTURE L(NEW ❑ REMODEL_ ❑ ADDITION �.❑ REPAIR _ El RENEWAL_ ❑_FIRE DAMAGE ❑ DEMOLITION
Ll RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
_ ld NEAT
OCCUPANCY 11-1`LAND USE ZONE —ham BLDG.TYPE 411 —FIRE ZONE��._PLAN CHECK BY _ �—
Cansttrtlet Sjugle Family-' lli.t 8 w/Rttsched rhe — -
�See correctinn niTmet ri<c.tactted. 'irrlrucrrn��
3 3aths
SEWER PERMIT# 2 55 33 ----
40 HEIGHT 7.1 NO.STORIES 7 AREA 1547 NO.BEDROOMS 'Z VALUE 680400
OCC.LOAD FLOOR LOAD_ _ ---_._-- .,
BUILDING DEPARTMENT SET BACK> FRONT 1'3 REAR LEFT SIDE RIGHT SIDE t.•
Hermit 34Ui THIS P[RMIT 13 13SUED SU9JECT TO THE REQULATIONS CONTAINED IN THE BUILDING CODE, 20NING
�*U(
REGLIL ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCheok WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS FPM1T DOES NOT WAIVE
$Ub•tOtel 56 1�f7 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I •f�f)
_ -� SDC- (}i)t i
Total a 74 960
PDC# I 1 i' APPLIC ANl c R AQENT
By _i,a j - -
-`_� Receipt No.
Approved _
DATE INSP. TYPE INSPECTIOIA REMARKS PLUMBING DATA'/'
[
XContractor I tor
Permit No.
Rough-in
Fixture
Final
HEATING
Contracto/40-6.1.
Permit Na. -1
Gas or Oil
Raugh-in
Final
SEVVER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Apuroach
NAM.DEPT.1`114AL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
IIpII Landbcmping
Zoning Final
X30 l
BUILDING PERMIT APPLICATION TIGARD DATEr'`���� • �� 19��
THE UNnERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE � '3Ca3S
OR AS SHOWN AND APPROVED IN THE:,CCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNERt I C)bl ! ( '1�(' LOT N0._ __�_
JI �'jOB ADDRESS /6q" /l� t+(:JA Z..
ENGINEER
BUILDER ->� ylt _ _ ADDRESSz��s� �((/ aM��P DESIGNER f I�IGt� t�I�YT�g4
y -JI
STRUCTURE jX NEW_ ❑ REMODEL _❑_ADDITION _ ❑ REPAIR ❑ RENEWAL _ ❑ F19F_DAMAGE ❑ DEMOLITION
DrRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T_❑ RELIGIOUS G PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENC-
OCCUPANCY _LAND USE ZONE R1 BLDG.TYPE �L_tr..__FIREZONE_ PLAN CHEGK 9Y MEAT: 11
_ �� �o�-+tr►<< wall 0. / A,
scwERPERMITN -
OCC.LOAD FLOOR LOADHEIGHT
NO.STORIES AREA �J _ NO.BEDROOMS VALUEQ
BUILDING DEPARTMENT - SET BACKS FRONT I REAR ,?lam LEFT S1DE 7 RIGHT SIDE r'
Permit _ �•a� fH15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING C( VE,XONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT I IIE
(Plan Gheck 2 � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL.IAP.CE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT C►OES NDT WAIVE
Susfatal' �• t�0. RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU NE
UCENSE.SEPARATE PERMITS R,-OUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
- - PDC# APP LICANTORAGENT
�
Receipt No. PHONE _ --
Approved ri ADDRESS
PDC
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $ __-----�'
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