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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
L
Type of Inspection
Date Requested Time A.M. P.M.
Address Z- Permit #
Owner Lot #
tWilder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector eDisapproved
Date
CALL FOR REINSPECTION
RYES Ci NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171Z' j
Type of Inspection _. ti
Date Requested ? 7 Time_&Y'- A.M. P.M.
� ,
Address __ -, `� `�: � p_/l' __� � _ Permit #` _
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
1
/ 1
i
Presented to Approved
Inspector _ (3'i� Disapprover)
Date
CALL FOR REINSFEC110N
❑ YES It NO
BUILDING PERMIT APPLICATION TIGARD DATE,_'?' 2� _ 44$Q
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN INDICATED BUILDER PF:ONE 6,35-63;3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONE
OWNER t.caiirl J. I'�te�4tlt► r 3
LOT NO. IL
_JOB ADDRESS '13540 14 Asl1 Ave. 1 '2 of 7% 2714 'i 2rD —�`
ARCHITECT
BUILDER '!),Lae `l1,7A J � S Homes X95 Zrad 5t T..i), gii)34 ENGINEER
AR
DDRESS DESIGNER tueiio 5 .?"-s
STRUCTURE Cl NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE Cl COMM O EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Ll GARAGE Ll STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY _3 LAND USE ZONE — - "' FIRE ZONE PLAN CHECK BY '1
— BLDG.TYPE _ __HEAT
-- t'crrc�r.ruct ;aill�yLp F�✓3�s�fly I�,r�L.linQ c+/,�ttirac)YP• � ., —�
___("f-irtsuQ of Permit 4479 ; 13530 -34 A811 St.,
3 Tteaitnom 2 �3rtthF
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 4t) HEIGHT 12 NO,STORIES _ AREA 11"`.'
— N0.BEDROOMS � VALUE 5!��?�JC�
BUILDrDEP�A�RTW_ENT SET BACKS FRONT ?0 I`�
.. t
REAR LEFT SIDE RIGHT SIDE
Permit .:: `- _ _—_--._—�--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
. IANCE
WIDRK TH ALLLL BE DONE IN ACCORDANCE WITH THE APLICABLE CODES AND ORDINANCES. TEN SSUANCES AND EOF TCHISI PERMIONS T DOES NOTD IN LWAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
2 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State TaxSDr:- +'1�1. rJ
Total II I( ?.O0 ByPDCII APPLICANT OR-kGENTApproved t --_�Receipt No. - -- �- — �.
ADURE89 ' —'PHONE, , '�
j1 3 1?i7�
DATE INSP. TYPE INSPEC"AON REMARKS PLUMBING DATE
Contractor •
/r i ? _ Permit No. _5^•�7� v � - 6
Fixture—
Final--------
HEATING
07 zr r — -- --,^- Contractor f44. S �-
'_ Permit
i. Gas or oil
Final
- -- �- __ SEWER -- - -----
Final -
-��! DRIVEWAY
—_ -- - — -- - Final
Storm Drainage
(Rain Drain)Final
Sidewalk _
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARYCEk riFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final -
Lonchceoing
Zoniny l'inal
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