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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972.23
Phone: 639-4171
Type of Inspection 4 _ -_
Date Requested_ 1Z,2 -17 l gin. Li-"�I A.M. P.M.
Address �` '� �s'9 Permit
Owner /_'.� v' �� Lot #
Builder — -- --- ---- e_ -- —
The following Building Code deficiencies are required to be corrected:
- -- ---7
_1 � 14,�__.
Prevented to Z, C1 Approved
Inspector gTZ ~��A _ ❑ Disapproved
Date C,c' — 2
CALL FOR REINSPECTION
❑ YES D NO
INSPECTION NOTICE
Ottity of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Typal of Inspection Z_:+ I:3.a-
Date Requested Time—A.M.—.P.M.
Address iQ Permit
Owner Lot tfk
Builder
,'
The following Building Code deficiencies are required to be corrected:
--- ---—------
Presented to Approved
Inspector proved
Date
CALL FOR REINSPECTION
U?-IEI 0 NO
1f V IW
.�,q ,,t �2 INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
/
r5 ��' Phone: 639-4171
Type of Inspection M el Cel-,rt-Q
Date Requested Time_ A.M._ P.M. ?
Address —�II Z (^ J /[t r w..
Permit
Owner, Lo! #
Buildert-
The following Building Code deficiencies are required to be Corrected:
� ��►��tom.- ,Q -
i
Presented to _ 1 Approved
i Inspector ("
=`�-- _ � bisapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE 7
Citv of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Pnone: 639-4171
Type of Inspection - •�' C �'
Date Requested�_ ��' / Z
rime— A.M.—P.M.
Address �,/�;; __>ctJ 4) q Permit # ,1
Owner_ Lot #
I /
Builder
The following Building Code deficiencies are regr,ired to be corrected:
I4 1
r e�- a✓t y/C.1 t ,.a. r
JtJLILs. L. Jlje4- i� Fes., TiF�
Presented to [l Approved
Inspector W — � Disapproved
Date �� - / 2. -d .ii"
CALL FOR REINSPECTION
YES [1 NO
ftt � I♦f � � 6t
Milli- illl III
INSPECTION NOTICE j
� City of Tigard Building Department
12420 S.W. Main St.
\` Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested ._ -� X Time��A.M. P.M.
Address _ r _ Permit #�' _
Owner _ . -- — - -- — — Lot #
Builder
The following Building Code deficiencies are required to be correc'ed:
r
Presented to _ � Approved
Inspector �,/ __ __- Ll Disapproved
Date
CALL FOR REINSPECTION
YE
L� S ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE_—.Xk 9.4_ __-,15___ 5579
THE UNDERSIGNED HEREBY APPLIES FOR A PERMI) FOR THE WORK HEREIN INDICATED BUILDER PHGNE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNEF.PHONE
LOT NO
OWNER iiCi�rael ,Iptzt� s _ JOB ADDRESS-- — 1 125
10005 SW Silver Place ARCHITECT
ENGINEER
BUILDER # _ADDRESS Beaverton, UK 97005 DESIGNER i,night Designer
Sy UCTURE a NEW LlREMODEL _ ❑ ADDITION _11REPAIR LlRENEWAL LlFIRE DAMAGE ❑ DEMOLITION
L'RESIDENCE r] COMM ❑ EDUCATIONAL F GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE F] STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k . LAND USE ZONE �� BLDG.TYPE -- FIRE ZONE---PLAN CHECK BY _ HEAT Gas
Construct Single '1 aiiy Dwelling with Attached garal.,e all per ai)proved
3 bedroom 2 8.athruujixy
SEWER PERMIT# 2U540 _garage 330
OCC.LOAD FLOOR LO D HEIGHT NO,STORIES 2 AREA 12b6 NO.BEDROOMS 3 VALUE 44.4
_ BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 41 LEFT SIDE 2U RIGHT SIDE 1.3
Permit 25i,.uU -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
166•+ItJ REGULATIONS AND ALL AF PLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WA BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
412.40 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
4 10.24 LICENSE,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC—
Total
DC—Total 43a.64
PDC# 1 150.UU OR AGENT
By
` --- Receipt No.
ET � ADDRESS� PHONt
KIMUNUM
DATE INSP. TYPE INSPECTION REMARKS PLUMBINGCATTE
Contractures- / e /
�S/d� fit
/J ?��'S '/� tit"— -- — —� Y—_ Permit No_7_�a r 9•
Rough-in —
�,,p� '` Fixtura
L � � Final
/� — —
Ag,,� iEATING p l
ontractd(
Permit N
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J Ges or Oill
��w
-� Rough-in
/,2._,J
—..2O.�J � • Final --- -
_-_� _� a�c_ -
SEWER
Final —�--
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DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final —
Approach
_�
—BLDG. DEPT. INAL -� !'EMPORARY CERTIV-CATE OCCUPANCY
�'v,4Tr,,CATE OCCUPANCY final
Landocvong
Znning Final
1<
AUILDING PERMIT APPLICATION TIGARD DAT ^ '27'`2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FON THE WORK HEREIN INDIGATEO BUILDER
7NEE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. I OWNER
aWNER� IP� �U JOB h00RESS ARCHITECT i3• �-�vl ti 1`
/ OD sr SGA.) -So LJEe oq. ENGINEER
' ' 5 �✓�� DESIGNER
BUILDER AOORE5
STRUCTURE NEW Cl REMOOEI. O A(101TION O REPAIR O RENEWAL ❑ FIREOAMAGE ❑ OE�A
)d_RESIOENCE O COMM ❑ EOUCATIONAL ClGOV'T Cl RELIGIOUS Cl PATIO Cl CARPORT ❑ GARAGE G STORAGE C01 SLABO
-ANCY��LAND USE ZONE _ - BI_oc.TYPE FIRE ZONED PLAN CHECK BT HEA
OVER PEAMIr 1 l
OCG.LOAD FLOOR LOAD H� EI�i�T�i / JNO STORIES AREA NO.BEDROOMS VALUF-
BUILDING DEPARTMENT SFT o"'.C:�a FRONT laO REAR y� LEFI SIDE a RIGI4T S10E -
Pem+It ti THIS PERMIT IS ISSUED SUBJECT To THE REGULA'n0N5 CtINTAINED"t THE BUILDING CODE.J
REGULATIONS AND ALL APPUCASLE CODES AND ORDINAACE& AND IT IS HEM3Y AGREED TM
PIartCT�ecfl WORK WILL■£DONE IN ACCORDANCE WITH IFHE PLAN"AND SPECIFICATION3 AND IN COUP
C
WITH ALL APPLICABLE C00E_�: AND OROINANC£S THS ISSUANCE OF THIS CURRENTORS TO"AVE RI DOES NO
�SuSfolal LRESTRICTIV ICENSE SEP'ACTOR AND SUR
RATEE PEAlAITS R VIREO FQR SEWFA,PlU1JqI-JNTRANG AND NEATING CITY BU
t StitA Tax�' • � Z
— SOC--
Tow S APK;UNT ON AGENT
POCI
By - �
Rtco1p1 No. ApUREss PHONE
Ap
soc - f Sy�� si "L$
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SEWER CONNECT_I_0_,
SEWER INSPECTION f ^
SEWER SURNARCE S
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flu iIding fernit No. J �/
Location
Certification of Registration
With the Builders Board
doing business as (dba) ,
�O�Lv1 am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
My Builders Board Registration flumber is
Fly registration is in full force and effect and expires on
E
signature �.