11371 SW LAKEWOOD COURT 1171 SW LAKEWOOD COURT
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INSPEC(InN iV C•. I
City of I! sar' Rui,ding Departr fit
17.420 S.W.Main St.
Tigard,Oi^non 97223
Phone: 639.4171
Type of Inspection
.�'�/ Time A.M.__� P.M.
Date Requested
Permit #---
Address �
-— _ I.ot #_---__---
Owner ------- _ - —
Buildet —
The following Build ng Cod� deficiencies are requires' to be cor! sled:
I
,rpprovv�f, i
Presented to _ `� (�►''`��
Inspector
Date _
Disapproved
_ - i` CALL FOR REINSPF CTIO.v '
YES G NO
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PLUVIE10, Pl ';11T l`;Ui•IIcER
ACTIVE SOLAR SYSTEM INSTALLATION
WINER: ������.��� ADDRESS: r
1 . NUM3ER OF COLLECTGP PANELS:
2. LG' OF PANELS ROOF HOUSE GARAGE OTHER
Ii U tree. — Please Describe
3. METHOD CF PANEL ANCHORING (bolts to rafters, anchors to concrete piers, etc) .
DESCRIPL, INCLUDING FASTENER TYPE, Sur, NUMBER, 14HETHER ATTACHED TO EXISTING
OR NEW STRUCTURE ETC.
.rte
.i. HEA'C Tl.'INSF F UID OR OTHE h1EDIUM (such 7er) nti-freeze, etc. )
5. HUT MATER TANK: NEW EXISTING
ATTACH SKETCH OR DIAGRAM AS NEEDED. '
INSPECTION REQUIRED UPON COMPLETION - PLEASE CALL 655-8690 FOR INSPEC)ION REQUESTS.
INSTALLATION MUST COHPLY WITH "OREGON CODE FOR SOLAR 11EATER, COOLING AND HOT 14ATER
SYSTEI;S."
BUILDING PERMIT APPLICATION "O FY TIC ARD DATE_' 2Pt:• l�
21
THE UNDERSIGNED [-HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN 'N^ICATED Bu1LDERPHON� y`3 'l�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PF'eN'4E— _._._
t LOT NO.
OWNER Mika HinC,ArAtIORESS11371 SLI LakMWUOt:� rtHOMF:ADDRESS
ARCHITECT
TECT
Eh!GINrER
BUILDER _ ADDRESS DE6IGNF_R
STRUCTURE ❑NEW _0 REMODEL ADDITION _ ❑REPAIR_ ❑RENEWAL v ❑FIR(: DAMAG'_ ❑DEMOLITION
❑ RESIDENC_ ❑COMM CIEDUCATIONAL ❑G0V'T ❑RELIGIOUS❑PP_TIO ❑CAR PORT�[:3-,AR-,GE 0S10RAGE❑SLAB ❑FENCE
QBONU ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY .i_� LAND USE ZONE_ t BLDG.TYPE _FIRE.ZONE.rid_ PLAN CHECK klr..__ L —HEAT. —__
COrIat. fi d.ition #f 24 20 - 2nd, stury to ii:x.Lt3tvt juell.in(i -- -- ---
n1l par plan - shvet 1 unly 1 bulls l buthim.
P1ambing Permit Heq.
OCC. LOAD ��QR LQAP 40 HEIGHT c(� NO.STARK__ AR__EA�:_t .NQ�FQHQQM5__�Y�1.lZE ,o LIQ`)
BUILDING DEPARTMENT SETBACKS FRONT .. REAR+ LEFT SIDE — RIGHT SIDE —
Permit
-- THIS PERMIT IS ISSUED SUR.IECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 20,1111 REGULATIONS AND ALL APPLICABLE COMES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WIT14 THE PLANS AND SPECIFICATIONS AND IN COI,PLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. (HF ISSUANCE OF (HIS PERMIT DOLS NOT WAIVE
—�� RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State.Tax `�'j" LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
ByT - - ----
., APD ICAWi OR AC.FN1 -
At'proved T� Receipt N,
-' ADURES. Ptu)NF
DATE TYPE INSPECTION REMARK'.; PLUMBING DAYE
Contractor
Permit No
:11ough-in
7ixture
Fina:
HEATING
Contractor
Permit No.
Qz:rir (jil
Rough-iri_____
Final
SEWER
Firal
DRIVEWAY
Final
Storm Draina
(Rain Drain) Final
SSidewalk
Curb&Street Final
C
AppLqach_
--UP A]NC Y
BLDG DEPT, FINAL 'EMPORARY CERTIFICATE OCCUPANCY
CERTIF ICATE OCCUPAN Final
CY] i-andscaprigi
Zoning I'mal
D'UILDING PERMIT APPLICA-110N E"uFY nATF� 7_- NQ TICARr✓ _ -- -��_
q
4F UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEU
�,R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIC)NS owNERPHONE
/ t LOT NO.--_.----
JOB ADDRESS 1�1 �j_r �_ 7 _-ME ADDRESS --
ARCHITECT
ENGINEER
R_ _ ADURESS DESIGNER
'L,9E- Cl'J
O%EIN REMODEL ADDITION - HEPA.IR__ DRENEWAL []FIRE DAMAGF ❑DEMOLITION
IN(,[ OUIMM DEDUCATIONAL DGOV'T DRUIGIOUSDPATIO ❑CARPORT 0GARAGE DSTORAGEDSLAS []FENCE
14"ND ED MOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED DSIGNS
r'F +NCV L AND USE LONE._._ ^BLDG TYPE ._- FIRE 70NE- P1.<.,v CHECK BY-.-f„_/K!_ HEAT-__.__�-
--�►�° -1-�- --`� ---- - _ -Vii'^___._ . - ---
QA®__ FLQQR_EQAD__ _V_ HE`1Q+H.T- 1.er�) FLtiz 5JQF1IES.._ BRkAZA-0 NO, IEDROOMS� __YL15L!<� e.)_ta
__HUILDING DEPARTMENT CET BACKS FRONT -J3J_AR LF FT SIDE
�
vimit 45'2 -
" - - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
"!an Check 2/p OP RF'7UI ATIONS AND ALL APPLICABLE CODES AND OP.DIN,'NCES, AND IT IS HEREBY AGREED THAT THE
--� WORK WILL BE DONE IN ACCORDANCE WITH TME PLANS ANL SPECIFICATIONS AN' IN COMPLIANCE WITH
`uh lotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- ---- - RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
I ' iml Tax_— Q— �1� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PiUMBING AND HEATING,
iT G1aI--•-.---- ----�--i1-1
Hy
----- - - -- APDL ICANT OR AGENT
.Iq,,nved ecelpl No
ADDRESS .- - --- -- -------
PHONE
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City of I
I NS P F- C-f 10 N ;R E
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lNtPj-'('T',:)N TIM PERMIT NO. __-.--- -.—` P
DATE 1 D AT E tS S U F Ci
OWNERS NAME "
A D D R F VS '
CONTRAr'TOR
�
")T ' A i `-I, Water 0 , visuniL o f,
OKI
f-'ESULT' Approved Disapproved I., Jr ;
SKETCH.
INSP-CTOP tATE
ity of Tigard
CTION REQUESI"
f o r
IN:►PECTION TIME: PERMIT
DATE: 2,LJJ7DATE IS,,-jl.)F—D
OWNERS NAME :
ADDRESS:
CONTRACTOR :
rF Air U , Wnter El , Visucl 1-uboratory C-j
RESULT ', Approved Oiscpprov-A Oj Pending cj
SKETCH'
INS E 0 DATE
5VTF ittlarh 0(ito berill.
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CITY OF March g Na 0701
BUILDING PERMIT APPLICATION TIGARD DATE_ 19
THE UN )ERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE. ACCOMPANYING PLANS AND SPECIFICATIONS.. OWNER PHONE
OWN —_-
Bob L. SMith ADDRE11371 S.W. Lakew"nd BUILDER PHONE
SS
ENGINEER
BUIL LB
Owner ARCHIIEGT DESIGNER
STRUCTURE_ ONEW _❑_NCMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
r BOND ❑MOVIP!G ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED _ ❑SIGNS
QC UPANCY__--_LAND USE ZONE —BLDG. TYPE FIRE ZONE— PLAN CHECK BV _- HEAT___
Construct 1455 sq. ft. frame dWgl.l.il'ry with 6tLG ,i C'd ga.ra9h—
No imse:mente According tui approved planes —
3 nedroums
lbe. —I;9r3'ftot*! 31r2110
OCC. LOAD FLOOR LOAD HEIGI4T NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACK:, FRONT 2U,- REAR 33 LEFT SIDE 11 RIGHT SIDE
Permit
i� �� THIS PERSIOT IS ISSUE J SUBJECT TO THE REGULATIONS CONTAINED IN T4E BUILDING CODE, ZONING
Plan Check • REGULATIUNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH'f HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODFS AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
li6 State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BV APPLICANT OR AGENT
Approved Receipt No.
Aw"ESSSPt�oNI --
�DA,TE / INSP. TYPE INSPECTION REMARKS PLUMBING DATE
J �-�S_71r, �..0'I'
3_2.�`/-7b Permit No. b j7/ r j/fl-7
Rou h-in 9 1- 4-7�a
au- __ Fixture r —_
Final — _-
HEATING
- � Contractor JA
�.Abv Gas or Oil _ ML
4 Rah-in
?lL-- - ------ Final - - — -_
SEWER
- - - ---------_ _ - -_ Final -7-36V76
— --_-----------
DRIVEWAY
J Final
Storm Drainage
- -- (Rain Drain) Final
idewalk
I /-
urb&Street Final
--------- --------._-
Approach
---- ,� /%•d� .C,�
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _ _ �-.—
„�
7 ��} landscaping
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ADDRESS
lffPERMIT NO.
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR ')AID By DATE
SIZE OF CONNF*CTION ASSESSMENT PAID
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