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INSPECTION NOTICE i
City of Tigard Bu Iding Department
P.O. Eox 23397
Tigard, Oregon 97223
Phone.639-4175 /ter
Type of Inspection —
Date Requested — nmie—_--_ A.M.—___ P.M.
Address —4,f%._ — Permit +_—.__,
Owner _ . . ----- lot -tt_------
Builder — — - ---—_ -- _— -- —1
The follovOng Building Code deficiencies site required to be corrected:
OL
1
Presented to----- — � pr,5ved
,nsaecto" — — _ ❑ Disapproved
Date
CALI FJR REINSPECTION
❑ YES 0- NCI
INSPECTION NOTICE 1
dity of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone.639-4175
9 1
Tvr- of Insf+ection cv,,_
- -
Date Requested— ___ Time__— A.M.—�u P.M.
Address — �� .76, _ Y —_ Permit #� U--�
I
Owner--- - ----- — Lot t'._.___,—
I
Builder -----._...__--- - ----- —.—____
The following Buildinq Code deficiencies are required to be crnrectnd:
- , - -
Presented to 4�Lpproved
Inspector — ' }' ��— L-1_I Disapproved
�.=.
Dste --_-._--
CALL FOR REINSPECTION
O YES El NO
WIN
5903
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
TAXMAP LOTNO. _57.SUk3DIVISION-�
,3a,� 11.411or
OWNER_ f3AimOATEREG. O. aP. } _ —
� } i4'�.U• box i:�i l __.. U
DRESS
BUILDER S
- �_ 30109 DATE !d.
BUILDER'S PHONE fi&A .15A3 —
ARCHITECT— -- --- --_ —_ PHONE —.—__.—_ OTHER _--
STRUCTURE 1 NEW ❑ REMODEL - — C: ADDITION C" REPAIR Li MOVE OTHER _ ❑ DEMOLITION
"LI RESIDENCE COMM I ' EDUCATION 1 IND RELIGIOUS Li ACCESGORv GARAGE 1 1 O1 HER 1 1 FENCE
OCCUPANCY LA LAND USE ZONE OSI BLDG. TYPE !-" FIRE ZONE PLAN CHECK BY .—,..HEAT
LfinitrLrL ainhle fAillilyr_::i']] ng wilirr"hed k&r iGg.. all i2tr agUruyed
SEWER PERMIT 291UG 11qu I� mGraze 400 ; batik _
OCC.LOAD FLOOR LOAD l,U HEIGHT 20 '10.STORIES Z AREA 1 ieSii NO.BEDROOMS 3 VALUE jjq,kuU
iL?UILDING DEPARTMENT _ SET BA',KS FRONT REAR 7Q -EFT SIDE RIGHT SIDE i 4
Permit .140.00_--_ THIS HERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAI"_:: ii.' 'HE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Ir IS HEREBY AGREED THAT THE
P!ar,Check 4G.UtJ 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
PI.Ck.Fire _ --___ _�RESTRICTIVE COVENANTS. CONTRACTOP AND SUB CONTRACTCRE TO HAVE CURRENT CITY BUSINESS
-- TAX PERMITS.SEFARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •tiU sfim 250.U1i
SDC—
Total 393.60 '50"M - -
__- _ �1t- APPLICANT OR AGENT
Prepd. 404100 PDCf alU•0U __
Receipt No. ADDRESS PHONE
Bal.Due -_353.6A _- _--
issued By_---- Approved _.�_--
q DATE INSP. `TYPEINGPF;;TION EMORKS PLUMBING DATE
-pope Contractor -2 S7 J 6
Permit IN 4
Rough-in _ 131
)
Fixture
Final
HEATING
Z ----- Contractor :!�'Il St
00,
Permit No.
� Ges or OII
Rough-in
Final -_-
-- — SEWER ----- ----
Final
DRIVEWAY
Final
Storm Drainage I
(Rain Drain)Final
Sidewalk —
�` Curb&Street Final
Approach
SLUG.DEPT.FINAL TEMPORARY CERTIcICATE OCCUPANCY Final
CERTFICATE OCCUPANCY ---
Landscaping
Zon--.g Final