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INSPECTION NOTICE
City of Tigard Buifding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested
me A.M.
P.M.
Address
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Ora
-go 4.
i-22::17 06- d- Aftra
CIA
W4
Presented to
Approved
Inspector
Disapproved
Date
CA U FOR REINSPECTION
EX YES 0 140
-M AIIIIIIIIiiiiIIIII
i
BUILDING PERMIT APPLICATION TIGARD DATE- � 1e=,.� 4430
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 642-2990
OR AS bHOWN AND APPROVED IN THE ACCOMPANYING PL-ANS AND SPECIFICATIONS. OWNER PHONE 2 • _
OWNER I?ortLOTNO.-� C,epper Creek
.ir',Ct.C't JOB ADDRESS lt�lt�fi yy.,,
Al,ohn, Or. 94'006 ARCHITECT Sta-g--2
BUILDER wa .v� ADDRESS 19505 '��J Alderwood Ct. E
N
G
I
N
EEER R oddevy D*4LAn
DESIG
STRUCTURE LL] NEW _❑ REMOOEL ❑ ADDITION ❑ REPAIR _❑_RENEWAL ❑ FIRE DAMAGE ❑_DEMOLITION
C�RESIDENCE El COMM ❑ EDUCATIONAL 1-1GOV'T ❑ RELIGIOUS_❑ FATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE EJSLAB❑ FENCE
OCCUPANCY �''' � - I.` _-------___ ._ -----�
LAND USE ZONE v)'}BLbG.TYPE --5"7
FIRE ZONEr_PLAN CHECK BY HEAT 'R<
__ r:c,ct9trt�ct SirrJe f#Mily (1W0jlit.,-. V/attaellect
----- --_ see correction ah".t 4ttncjje<3• tse3rnsc:tn 3 1laths
SEWER PERMIT# 2 J j
OCC.LOAD FLOOR LOAD HEIGHT I , NO.STORIES NO BEDROOMS ; VALUE
h t•�"
__ 1 i5►f'
BUILDING DEPARTMENT SETBACKS FRONT "� REAR *y°'`
LEFT SIDE RIGHT SIDE 11
Permit 3'3.}.rill
HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check � 13.05 REGULATIONS AND ALI_ 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
Sub-total '°'�� ' WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR. AND SUB CONTRACTORS TO HAVE CURREdT CITY BUSINESS
State Tax 1 1.48 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:yla9.S3 ` SDC—
Total � ,�......
PDC# rf 1U(3,k1t) y
By �tB� APPLICANT OR AGENT c� -
Approved — lxl� i- Receipt No.
- ADDRESS Ham- " ---
Mw
1 INN
_'------ PLUMBING DATE
DATE INSP. TYPE INSPECTION REMARKS —
Contractor
Permit No. �?
S z=:L 193 `/'' - - - Fixture'
Final -
�� •3 - HEATING
Contractor
Permit No
•=� C _� Gat or Oil --�-�--
a
L�1 _� �.,c -�� - mil /S 7 -03
3 fi'� '.. Final -
'�'tf SEWER
- - - -�- Final ...
- ---_- - ----- - DRIVEWAY --
- -._ -__- --- - - Final
Storm Drainage
--- ���- - IRaln Drain)Fin-1
- - Sidewalk
Curb&Street Final -
- Approach
CERTIFICATE OCCUPANCY Final
BLDG.DEPT.FINAL -T MRT FIC ATE OCCUPANCY
Landscaping I
Zoning Final
W w wm f
BUILDING PERMIT APPLICATION TIGARD DATE/ 19@-3
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -_"ft
OR
OR AS SHOWN AND APPROVED IN YHF_ACCOMPANYING FLANS AND SPECIF!CATIONS.Aob ddWht A P 0 E Z40111-16011506
OWNER � B
OVL Y� JOADDRESS &17e X50,ReAA_�
LOT N, —
-- `— -- 0 a4. 'To(s ARG I ECT
S1 _ /ENGINEER 00
et a�1�eADDRESS Q !�� ���� OA V7•DESIGNER , le$4 4
STRUCTURE NEW Cl REMODEL Cl ADDITION Cl REPAIR Cl RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
RESIOENCE ❑ COMM ❑ EVUCATIONAL Cl GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR?ORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONES BLDG.TYPE -1—A) -FIRE ZONE,—PLAN CHECK BY HEAT
-DweAlliq -*Rod G1 It.
__-!�
SEWER PERMIT M a �a fL 3 Ap
OCC.LOAD FLOOR LOAD A44C HEIGHT NO.STORIES X _AREA 1(0 D NO.BEDROOMS 3 VALUr j fV.
BUILDING DEPAR ENT .�Q D
- 1317.
SETBACKS FRONT .��' REAR 7 LEFT SIDE 7 RIGHT SIDE � i '
Permit TEIS PF_RMIT IS ISSUED SUBJECT TO THE RECIJLATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS IIEREBY AGREED THAT THE
Plan Check � • p WORK WILL BE DONE IN ACCORDANCE WITI4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total �3 .PEI RESTRICTIVE COVENANTS.CONTR;,!TOR AND SUB CONTRA,:T'ORS TO HAVE CURRENT CITY BUSINESS
` LICENSE.SEPARATE PEIIMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;Stata Tax
Total SDC
- �, -- — - - -- - ------- ----
PDCx APPLICANT OR AGENT
By
Recoipt No.
Approved _ ADDRESS PIIONE�
SGC r } 00
t
Poc - s -. to c We4) : T&%
SEWER CONNECTION
SE W_' R INSPECTION $ _
SEWER SURCHARGE
13400
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