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INSPECTION NOTICE
( ly of Tiyard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
77"
Type of Inspection
Date Re uosted_ 32 _ �/
q _ Time_—_ A.M,�2�- P.M.
Address � - / v U y` P""it
Owner?� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ — —� Approved
Inspector * '
❑ Disapproved
Date „
CALL FOR REINSPECTION
El YEs ❑ NO
CITY OF TIGARD 639.4171 DaTeJtatruary V
BUILDING PERMIT —
TAX MAP __LOT NO. 4 SUBDIVISION
Werner Juarlind 8602 SW vat► t.
OWNERJOB ADDRESS x �p �'
BUILDER "10_SW 66th P1eca._xi gTd 9LW__ STATEREG.NO. tA4aU EXP DA1* 5�86
BUILDER'S PHONE
ARCHITECTPHONE OTHER______��_
STRUCTURE NEW ❑ REMODEL IJ ADDITION i REPAIR MOVE OTHER F! DEMOLITiJN
k] RESIDENCE COMM FI EDUCATION P IND ❑ RELIGIOUS ACCESSORY I 1 GARAGE OTHER FENCE
OCCUPANCY ':3 LAPID USE ZONOS11. BLDG TYPE IY` FIRE ZONE PLAN CHECK BY HEAT Y
cnnnrruet Ai.nglln f roily residetree wr'atLacog"A garage _
I itinf. P-1 OF #5524 ,- --
SEWERPERMIT# 29(IU5 (lclu)
OCC.LOAD FLOOR LOAD 4U HEIGHI b NO STORIES 1 AREA 1312 NO.BEDROOMS 3 VALUE 53,004)
_BUILDING DEPARTMENT _ SET BACKS FPONT 1l,! REAR't34— LEFT SIDE RIGHT SIDE —1'6'11—`
Permit _ 292.0U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN )HE BUILCING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 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
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!- - TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax 11.68 SSX 15U.U0
Totei 343.68 SDC— 500.00 1 " 1��� 11 -t--� —_
_ __ APPI_ICbNTORAOENt
Prepd. ..Q.. -- - PDC#r l 15o.00
-- —.--_- _ Receipt No. ( / ( ADDRESS ---
rii ,rll
Bell.Due 343•x_8 ,,..-".'i��.'.
IasuedBy _ __--__. Approved By
1
1
I
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor /27'
Permit No. b
Rough-in
Future �^
Final
HEATING
///// T✓"• - - - / 2 Contractor
Permit No
3 9
- Gas i n
,AA��7.`.�,� Rough in
Final
SEWER
Final !�
DRIVEWAY
Final
Storm Dre,nage —
`y (Rain Grain)Final
— Sidewalk
Curb&S; eel Final
--� Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY - -- --
Lannscaring
7 (Jj Zon ng Final