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CITY OF TIGARD BLD'-'1',, DEPT.
12420 W. MAIN ST,'iEET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR
Purcuant to Section(s) of the Uniform Building Code, the
following it,3m(s) require correcting:
- i�-+fix � LL-�.t�i � ,•ter
c'
Date: Permit No.
Inspector",
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, ORE13ON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Unifoi m Building Code, the
following item(s) require correcting:
Ar
Date:_. - __ �;_ Permit No
Inspector—
CALL FOR REINSPECTION
068
BUILDING PERMIT APPLI�A1TION TIGARD DATE,. 19_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ;�791
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
OWNER LOT N0, T_'.� L.ii-4e 'rerrace ZT
JOB ADDRESS t2305 >r�' '(nit �.:Oisrt _
ANUMMM
--- lN19MIEE14'' - --
BUILDER�'1h@ _ ADDRESS 11.700 Std 114th Naea DESIGNER ilierc,_}x_'AiLrelay
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL U FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE ❑ COMM ! EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C7 GARAGE ❑ STORAGE ❑ SLABO FENCE
OCCUPANCY LAND USE ZONE -:{-7 BLDG.TYPE FIRE ZONE PLAN CHECK BY a JTI HEAT
CQnat.r(�c.c :. ;rt�•le tFr,.iily elLxsllirt;; wla�trsClte!i :IRra(ne–qec (:orrecti(m ;11("t ktt:uchnd
SEWER PERMITN 21A41 1 ��-, f%arvze 534
OCC.LOAD FLOOR LOAD 40 HEIGHT I ' NO.STORIES 1 AREA 1596 NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR ^°i LEFT SIDE 5 RIGHT SIDE
Permit — 2Z1•oU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Uta.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
316..5,, WITH ALL APPLICABLE CODES AIJD ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1.44 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 32114•-14
SDC—$400. xA L.EdL'ul( Ilu. ghts Stswer L.har.gb � 1 ,U.
---_, PDCM T "100* APpLICA GENT/
By
-- - Receipt No. r oj4
Approved ° aiiDRES3 ON
DATE INSP,� TYPE INSPECTION _— ReMARK3 PLUMBING DATE
�( — --- ` ----- Contractor
Permit No.
Rough-in
Fixture
r / Final —
C�(?AWJZ ,d ]��}Gtt//�f� HEATING
Cnntrector
Gas or Oil
o ____ dfAry irr� 04- 3-.�s= �-a Rrughdn
C,'? 70-POu/- t7� — Final --
..s-1 4- UV W
SEER —
'3'36 COw`! LNSrr.!� ►/ �� — Final
DRIVEWAY —
Y_..�=%'v Final
lid
Storm Drainepe V
(Rain Drain)Final
Sidewalk
—__— Curb&Street Final
Approach
sE5 DEPT.FINAL TEMPORARY CERTInCATr"OCCUPPMCY _
CERTIPICATE OCCUPANCY b lo Final
Landscaping
Zoning Final
y,
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