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INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397
Tipard, Oregon 97223
Phone 639-4175
Type of Inspection E-El(,,j L__ __ I__
fr —,e,_7d5r Time AM P.M.
Date Requested_%
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector '7 0_7 Disapproved
Date
CALL FOR REINSPECTION
0 YES 0 NO
G
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of inspection —�1I N&L,
Date Requested
z p_ �-��-11115- Tim, _ A.M77==7 P.M.
Address _��a.2�`r' = _S�/ �' --�__ys C T Permit tt
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspnotor Disapproved
Date
CALL FOR REINSPECTION
NO
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9722
Phone: 639-4171
Type of Inspection I r _
Date Requested –__.�'� Time A.M.�"' P.
Address 3J �� �._._--_— Permit
Owner�-. �_ —� Lot
Builder
The following Building Code deficiencies are required to be corrected:
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P1200%pf£ 4th IAC. - NAll.U_M CMIUVlam_
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Presented t [ Approved
Inspector �' ( _ XDisapproved
Date
CALL FOR REINSPF;C770N
YES U NO
i
INSPECTION NOTICE
1
f City of Tigard Building Department
If 12420 S.W. Maim St.
I igFird,Oregon 97223
` Phone: 639.4171
I ,I
Type of Inspection
Date Requested -' Time A.M. P.M. j
Address —__ C c r' ; .fir Permit
Owner .____- _ Lot
Builder
The following Buildiny Code deficiencies are required to be corrected:
C
i
Presented to ._ n Approved
Inspector Z' — I� Disapproved
Date
CALL FOR REINSPECTION
Le YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE June 24 V 19 r�., 544C
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 620-8860_
OR AS SHOWN AND APPROVED IN THt_ACCOMPANYING PLANS AND SFECIFIGAT IONS. OWNER PHONE
LOT N0. --
OWNER ���,:. -1'g_WrtiortOBADDRESS 112380 SW CorylusCri.. hiss Orchard
#, ._./ ARCHITECT
WILDER SAM — ADDRESS / ENGINEER
i� .�' 1 .y�DESIGNER
STRUCTURE ® NEW ❑ REMODEL L_' ADDITION ❑ REPAIR - ❑JRENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE f COMM F 1 EDUCATIONAL L7 GOV7 ❑ RELIGIOUS ❑ PATIO r_] CARPORT ❑ GARAGE 11 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY t".� LAND USE ZONEIz-7 BLDG.TYPE FIRE ZONE`PLAN CHECK BY 9�WEAT_ G
Construct side family dwelling w/attached_garages
-----------__--- __ S bedroom 4 bathroom
SEWER PERMIT 0 21546u^�
OCC,LOAD FLOOR LOAD iU HEIGHT 2U♦ NO.STORIES 2 AREA 35U0 NO.BEDROOMS 5 VALUE 128,000.
BUILDING DEPARTMENT
---
SETBACKS FRONT 'f S" REAR //Q LEFT SIDE RIGHT SIDE :)r>
Permit 503000 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 326.95 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
Sub-total 829.95 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
YCENSE.PEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 20*12 v �L
Total SDC— $5UU.Ut,
PDCM 13Y LZ $150.W APPLIGANTORAGENT
Approved Receipt No.
I+TW A I ADDRESS PHONE
r
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�f/G r�� -- I �/1 _!+►t` l �----- ___�I
PermitNo,
05
d Fixture —
/' !'F i al
-- -----
- HEATING
V —ii Contractor -- `- 9-M i
Perm+t e i/
�- Ga;:or Oil
': `"V
s/�`,� Pnugh•in I
Final 1
SEWER
-Final
DRIVEWAY
-_.—.- �}• - ----- nal - --- - ---.�
Strjrm Uremage — � --
I,,Ham Drain)Final
-- -- - - i Sidev.e!k ---
j Curb&Street Final
-- —._ ---- APProech
NI-OG. DEPT.FINAL--7- TEMPORARY CERTIFICATE OCCUPANCY ,Final
JERrmCjr*rV Of.
Lantlscapu:g
IIZoning Final
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Devi Requested Time A.M. P.M.
Address / Z.'3 n' 's Lj .n c7k, Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
on
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Presented to �Approved
Inspector Disapproved
Date _- --
CA REINSPECTION
El YES 0 NO
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