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INSPECTION NOTICE
City of Tigard Building Department
'12420 SAV Main St.
Tigard, Oregon 97223
Phone 639-4171
Addresi Permit
Type of Inspection
The following Building Code doficiencias :re required to be corrected:
Presented to Inspectur
Date
CALL FC ? REIAGPECT101V
❑ YF,
BUILDING PERMIT APPLICATION TIGARD Df TE_ t'luv._ 19 60 3484
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEHEIN INDICATED BUILDER PHONE 636-9529
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA I IONS. OWNER PHONE __
OWNER katy J81-by JOBADDRESS 1212b SW Ann Place LOTNO.41-Ye �d�l ' ' �dm.
West Linn ARCHITECT�� _
BUILDER .gun Pine C)EU. Do. NGINEER
ADDRESS 3715 SW Parkwood Lay DESIGNER _-Jerry Dotter Assoc,
STRUCTURE LAWEW ❑ REMODEL ❑ ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑_DEMOLITION
114 RESIDENCE ❑ COMM ❑ EDUCATIONAL C GOV'T ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY H- —LAND USE ZONE __R--7 BLDG TYPE aN -_FIRE ZONE_ PLAN CHECK BY -H HEAT�s s
Construct single family duelling with attached garage. —
See correction sheet attache(I. 3 bedrooms
-- - - 2 Unths
SEt'.IER PERMITM ; Qq
OCC.LOAD FLOOR LOAD 40-HEIGHT 13 NO.STORIES I. _ AREA 16"-)() N0.BEDROOMS 3 VALUE .4QCJ
_ -�--
BUILDING DEPARTMENT fj SETBACKS FRONT r'U.tt-���
_ REAR_ :�_LEFT SIDE :30 RIGHT SIDE
Permit 11 a.QU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 107,;je REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub-total322. 5Q
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUfiRENT CITY BUSINESS
State Tex ti„�,Q
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
4,
SDC- "i00,01.)
total 331910 -
By DI�lH -�i_
PDGt 1 10C)4 0r! APPLICANT OR AGENT - ——
_
Approved - Receipt No. -__
ADDREBB PHO
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING I DATE
/-1G Contractor
Permit No.
�1p-f/ loll• �I "- riLa r/ - rixture -
dA[- — Final
eI HEATING
Contractor
Permit No.
Gas or Oil _ -
- -- - --- - Rough-in -
Flnnl
_ r. ------------ �! S EWER
—
Final /A-eel
DRIVEWAY
— --- Final - ---�
- - --- -- �_ Storm Drainage
(Rairl Drain)Final
Sidewalk
Curb&Streut Final
Approach
BLDG.COPT.PINAL TEMPORARY CERTIFICATE OCCUPA
CERTIFICATE OCCUPANCY _ Final
I andsc.ping
2cning Final
}