11920 SW LYNN STREET 11920 SW LYNN STREET
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INSPECTION NOTICE
ty of Tigard building Department
1242.0 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
i
Type of Inspection
Date Requested1v Time— A.M.— _._ Q.M.
Address �0 7 ( �� 7 � Permit # rl (�
- ---._..�. L--- _ _
Lot
Builder
The following Building Code deficiencies are required to lie corrected:
l
Presented to —
— [] Approved
Inspector �� � Disapproved
Date '7"'°��'z
CALL !'OR REINSPECTION
SCI YES ❑ NO
BUILDING PERMIT APPLICATICN TIGARD DATE__ 7`L-_. ,Is_�7
THE UNDERSIGNED HEREBY APPLIES FOrt A PERMIT FOR THE WORK HEREIN INDICATED r,UILDEP,PHONE?45 -f,fatly
()HAS SHOWN AND APPROVED IN THE 1,CCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 639-6892-
LUT NO, r ' Leron 14t".42
OWNER T. 11t �� _ JOB ADDRES: 11920 SW Lyt7n t:l"�?a i.
ARCHITECT
ENGINEER
BUILPFR (,etty CUn&trtiCtiOl. ADDRESS 11302- Sy; ?'7rhur t91yrl. DESIGNER 'rom Snider 774-4642
STRUCTURE FJ NEW ❑ REMODFL ID-ADDITION ❑ REPAIR ❑ RENEWAL-0 FIRE DAMAGE ❑ DEMOLITION
[i RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T (-� REL I-mv,:^ ❑ PATIO ❑ CARPORT L7 GARAGE ❑ STORAGE ❑ SLAB El FENCE
OCCUPANCY 1;�3 LAND USE ZONE � BLDG.TYPE _5_..__FIRE ZONE;_PLAN CHECK BYHEAT + __.
ror- `rust family room a0ditior to ginrale fnT-ily dwellin4, -
_ - -:P. Q'Ai is-CTIQN F-`VY'l-7 A.'TACU11). "ICI FT,fJKAlT-'( .
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 113 NO.BEDROOMS "� VALUE r
- - --- ---
BUILDING DEPaRTMENT SET BACKS FRONT -- REAR 4( LEFT SIDE RIGHT SIDE I
Permit 0 0THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGJLATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 30 WORK WILL BE DONE IN ACCORDANCE WITH 'HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
l 14.n(1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ REST iCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 3 Q'1
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
� � •
SDC— i ~
T 117.n 4
Total
`, `4 r ✓ ` ' _f_�_ _vel {.
A � PDCq APPLICANT OR AdEN
By
--- No.
Receipt
Approved rivih LR R%
ADDRESS r PHONE
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DACE
A. Contractor
.
D
19*—,, Permit No.
'0v
7 Rough-in
Fixture
Va Final
14CATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
SEWER
Final
ina(
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
ApproachBLDG. OEPT, FINAL TEMPORARY CtRTiriCATE OCCUP NCY
CERTIFICATr OCCUPANCY
Fc�? Final
Landscaping
7on i r,n F i nai
� r
GUILDING PERMIT APPLICA;ION TIGA~D DATE-� -,19-W
1 NE UNDERSIGNED HEREBY APPI iES FOR A PFRPAIT FOR TIME .4ORK HEREIN INDICATED BUILDER PHONA-9s.46*3
OR AS SHOWN AND APPHO:ED It THF ACCOMPANYING PLANS AND SPECIFICATIONS, OVINER PHONE
LOT NO.
T
Ft 1 . %u-Fyk JOB ADDRLSS_L���f7 S ku LYv N ST
BUILOES L 6IVSTRUC-TIOIV ADDRESS_ I '302,� �R����l�� Ly
DESIGNER wt T�-V19V.Z
!TRUCTURE ❑ NEW ❑ REMODEL J r ADDITIJN ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ UE►JOLTTION
lh,RESIDENCE IJ COMM ❑ EDUCATIONAL _J GOVT. C aELIGiOUS l7 FATIO ❑ CAR r"GRT Cl GARAGE _C STORAGE ❑ SLAE❑ FENCE
-- - A. T_---- -_-- -_
LAND USE ZONE`AZI—BLDG.TYPE -_FIRE ZONE��_Y-PLAN CHECK 8'1� _ _ HEAT-Woa�
t2v2,0vw%
_ _ - _ ��-• -- --
SEWS;'PER1"T M _
OCC.LOAD FLOOR LOAD 40 HEIGHT- %2 _ 11!0.STORIES /_
AREA-/ O.BEDROOMS .�' VAL Ur/s ',, b0
�BLJILDING DEPARTMENT REAR �C�- LEFT SICF RIGHT SIDE
P�rmlt Y __/_�•dD THIS PERMIT IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN TPE BUILDING CODE,7Ol,,,qG
- Q REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED TPA,-, IXE
Ptan Ch?ck -�_ �g'00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO3,MPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEPPAIT DOES NCT WAIVE
�U�t
tal II •do RESTRICTIVE COVENAN rS. CONTRACTOR AND SUB CONTRACTORS TO HAVE=,PENT Cl-,-f BUSINESS
- LICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Taz I J.
Soo- O
Total _ ---�= -- -- _p m_ N 1 �1'�---- - --- ------ - - --
PDCH APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
D C
DC - S It
EWER CONNECTION S
EWER - INSPECTION S _
EWER SJRCHARGE S