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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
TiV,ard, Oreyon 97223
Phone 639-4171
Address_-__— _�._�— _ — —�� a Permit #—
Type of inspection
The following Building Code deficiencies nr: requir9d to he corrected:
_.�._._.__-_ �___..� __-_�_ .d. -1 Y.�.. -....-�..�.._ _ L.. !y►YM'H L _7rf:rq�r._YI+� ur ...-1 _.__-..-.._�
Pre..ented to Inspector
Date
(A' LL FOR Rr-Iw CTIt,N
YES NO
z
BUILDING PERMIT APPLICATION TIGARD DATE__ ` r _,19 3369
THE UNDER IGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED JUILDER PHONE G44-69b
OR AS SHOWN ANC APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNn3b—yI ab' _ __.
OWNER:A_ib (,.imi th,Uldr. JOBADDRESS 12160 SL' , i Place U16dmil _
I
�— ARCHITECT
ENGINEER
BUILDER _,am9 ADDRESS '5050 SU G_i f f i th a fa V tr,.DESIGNER —_ i
STRUCTURE XXNEW ❑ REMODEL ❑ ADDITION 0 REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[341ESIDENCE ❑ COMM [_� EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS L1 PATIO C] CARPORT ❑ GARAGE Cl STORAGE U SLABC_l FENCE
OCCUPANCY P"'3 LAND USE ZONE _P"7 _BLDG TYPE ., �•N FIRE ZONE-_ .._ PLAN CHECK BY dWr' HEAT__-9.00
w., -onstruct single family dWelling w/attached gerage. 5 Bedrooms ? gaths.
` ScT COPREC T ION SHEET ATTrICHED,
SEWERPERMITM 22017 -- 37;i0.00 eraQa 477._su, ft. __
OCC.LOAD _ FLCOR LOAD _4.0 HEIGHT 21 NO.STORIES_ 2 s AREA ;)219 N0.BEDROOMS 5 VALUlf 1391 `?(
BUILDING DEPARTMENT SET BACKS FRONT ? REAR 46 LEFT SIDE' RIGHT SIDE I
Permit ,267.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS 'ONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Ch?ck 14 3.L�0 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
Subtotal 430. 0 RESTRICTIVE COVENANTS. CONTRPCTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 11.46
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�I -
SDC— —�-
Total 641.9e l� c '� •i• �'-�- K..
I PDCML 41100.00 APPLI ANTORAGT�
EN �Y
By P.. .� /
Recelpt No. �✓
Approved duh ADDRESS �� �` ` PHONE`/ �
DATE INSPP, TYPE IINSPr3CTION REMARKS PLUMBING DATE
_21- Ut \1 `J—_ Contractor _ q
S)IL-1 [i M�h� \fan.\�$ — --_^— R ou N o. 1 p �.C t1 �O'7-/ '�t� QQ
Rough-in-in -- V
Fixture
Final •— —
�__ HEATING
Contractor 14C�fll d �h
Permit No.
i —� _-- --__---_�--
Gas or Oil
Rough-%a -
- Flne�—I-- —
SEWER
�— Final /, Ove—f p E
DRIVEWA"
_----- _ Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEFT.FINAL TEMPORP!IY CERTIFICATE OCCUP Y Final —
CERTIriCATE Ot:CUPANCY �.—
/�� Landscaping
Zoning Final
t