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INSPECTION NOTICE
City of Tigard Building Department
12420 SY1 I.Main St.
Tigard,Oregon 97223
i Phone: 639-4171
Ty ie of Inspecivon
Date Requested— _ z 7 Time— A.M.-- P.M.
Address_ I _ Z' Permit #
Owner _ _- --- --- Lot #
k Builder --_---The following Building Code deficiencies are required to be corrected:
Presented to _^ _ Approved
Inspector ___ ❑ Disapproved
Date
CALL FOR REINSPECTION
CJ YES 5� ND
BUILDING PERMIT APPLICATION TIGARD DATE cc''"F' I ,s_ 4834
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE LZ!i-7077
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER J. Hedgeon JOB ADDRESS 9530 SW gLOT N0.illan Or.a
— Sherwood ARCHITECT
ENGINEFR
BUILDER Sow ADDRESS Rt.3 Hox 2A6 A DESIGNER
STRUCTURE ❑ NF'JH l__I REMODEL ❑ ADDITION L7 REPAIR 1-1 ❑_ FIRE DAMAGE_ ❑ DEMOLITION
Ll RESIDENCE ❑ COMM ' EDUCATIONAL R- GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R-3 LAND USE ZONE ---:T!4-.)BLDG.TYPE ST; _FIRE ZONE PLAN CHECK BY 11-11 HEAT k-84
�:Onxtruct siiy1.o family dwe; lin�, w/et t.a�ci�ed �araa�e.
J bed r-wtu 3 ua th ra:um
SEWER PERMITM 46(j
OCC.LOAD FLOOR LOAD 4-1 HEIGHT 2t + NO.STORIES 2, AREA _l t•"I NO.BEDROOMS 3 VALUE cp.i,uUU.
BUILDING DEPARTMENT SETBACKS FRONT 3t)�`REAR 7s LEFTSIDE -I RIGHT SIDE
Permit 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
Plan Check 6U4.-1t 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 5.1 1 .30 — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
1�°•� '
-- - y SDC—
Total 544. IC> r
-._-___-- 11 1 5Li.
----
`DCM APPLICANT OP ADEN
Approved Receipt Nn. 4DD Es ',
DATE—INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
Contructor/70 OA- IF
Lelw
Permit No.
720f
t-) A cove. Rough-in
Fixture
Final
HEAT NG
Cont
Permit.N
Gas or Oil
jRough;n
Final
SEWER
Final
OR IVPVIAY
Storm Drakiage
(Rain Drain)Final
Sidevwil K
Curt-&Street Final
Approach
BLDG.—r EP—TYr I ri i—c
TEMPORARY CERTIFICATE OCCUPANCY
CEPT-1 ICATE OCCUPANI`Y Final
L.andscaping
Zoning Final
Building Permit No.
Location y,5 3d
Date L �_
Certification of Registration
1
With the Builders Board
doing businecs as (dba),
,/i-tct, 11, am registered under the provisions
of ORS Chapter 1-1 (Oregon Homebui lders Law).
Ply Builders Board Registration Number is S
Ply registration is in full force and effect and expires on � r
ignature
BUILDING PERMIT APPLICATION TIGARD DATE_._ 19914-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TFiE'NURK HEREIN INb1CATED BUILDER PHONC,Ff �
ASS 'OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PE
LOT
N
LOT O.
OYlNE JOBADDRESS �L/ �`��(� 2 2--j_ ---
ARCHITECT
ENGINEI.R
�n
BUILDERDESIGNER i�.2'�>?3dADORE°S ."�!�).tv'Z�- — - --
STRUCTURE EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIOr
❑ RESIDENCE ❑ COMM ❑ EDUCATir,:.. L❑. GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ G NRAGF G STORAGE ❑ SLAB❑ FENCI
OC,/iur'ANCYNDUSEZONE DG.TYPE .,—FIRE ZONE'+ =-1+tt�NCHECKBY HEAT 1'
SEWER PERMIT NG! _ __�__�.__� (0 V __-
OCC.LOAD FLOOR LOAD NO.STORIES AREA ^N
O.BEQROOhS VP,LU- OOd
BUILDING M::PARTMENT _ SET BACKS FRONT 13 C-) REAR� LEFT SIDE S r RIGHTSIDE —
Pcrm't �2 0 / TW-z °ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWN',
c4 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THI
IPlanCheck / 34.7 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC"
WITH Al-L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
Sub4olal I RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURI?ENT CITY BUS S.
LICENSE SFPARATE PERMITS REEOUIRED FOR SEWER,PLUMBING AND HFATI NG.
j Stale TaxTotal -
SOC--
POS APPUCANTORAGENT
By
Receipt No.
Approv A ADDRESS PHONE
"sss L 5`c rS
i
FEWER CONNECTION
SEWER INSPECTION ,S
SEWER SUFCHARG 5
Cnmmonf C A.
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