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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Reques+.ed l0 —1Z 4. Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be carrected:
Presented to
Ll Inspector Ll Ding-proved
Date
CALL FOR REINSPECTION
M YES [-1 NO
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INSPECTION NOTICE
City of-Tigard Building Department
P.O. Rox 23397
Tigard, Oregon 97223
,p Phone:639-4175
Type of Inspection - �/r" C 7
Date Requested p ��/_ Time _A.' _P.M.
Address —Z-3 d It l_
F Owner
Builder
The following Building Code deficiencies are required to be corrected:
I
i
Presented tor� Appn�ed
Inspector Disappru,ed
Date
J
CALL FOR RFUNSI'ECTION
I I YES NO
INSPECTION NOTICE
City of Tigard Puilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone-639-4175
Type of inspection
Date Requestec:— Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code d4icier-;3es are required to be cerrectod:
/7
_A
Presented to ?7"Approvpd
Inspector Disapproved
riate
CALL FOR PEINSPECTION
0 YES 1:1 NO
CITY OF TIGARD 639.4171 5984
BUILDING PERMIT DATe`.Y___—
Inspection Line n39-4175 1 ONutak is��ci
elel oda TAX MAP —.LOT NO. SUBDIVISIa�_
C OWNEFA ymire -
_.`_ JOB ADDRESS 11589
BUILDEH .- 0?-U—? jL-9125 $W rwrdock. Ti ,ard STATE REG.NO. .354�6 EXP.DATE
r BUILDER'S PHONE 039-6742 --- —
ARCHITECT
J ----- PHONE -----OTHER
STRUCTURE NEW ❑ REMODEL AJDITION I REPAIR MOVE LJ OTHER 1-1 DEMOLITION
RESIDENCE COMM f i EDUCATION I I IND RELIGIOUS ( i ACCESSORY f-1 GARAGE UTHFR 1-1 FENCE
OCCUPANCY I'- LAND USE ZONE 1.12 BLDG TYPE5T' FIRE ZONE— PLAN CHECK BY ' ' _ HEAT
...(..►u. it i t ;•_.-1� t =u01X dree11i1, wlaitg,�l.ni --
- --_--+• it���._§'--11
i'l:1f.51�L ilk' 9'-i151 -- --
SEWER PERMIT N 1��C;t{ iuu 1
Yarake area 4u�
OCC.LOAD FLOOR LOAD all HEIGHT
2b NO.STORIES 2 AREA .�
FPlanCheck
LDING DEPARtMENT _1553 NO.BEDROOMS] VALUE b/.Lljij
- SET BACKS FRONT SFJ REAR r LEFTSIDE RIGHT SIDE I��'U ;THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONItIG
4u.U(t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRrED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE "LANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODF_S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DrES NOT WAIVE
RESTRICTIVE COVENANTS. OONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.3bTAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMDING AND HEATING.
State Tax
Total iE31.JE� _— -- SDC-- rUU.UU '
-- P'LICArJT OR AGENT
Prepd.- 40.UG_— PDCM l L l 5o wu
Receipt No. ADDRESS
Bal.Due 341.3h _---- -- -- --- — — PHONE
Issued By______.----Approved By_
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DATE'
Contractor IJa.
� PermH No.
Rough-in
Fixture _
i Final
— HEATING
Contractor
, Z - do Permit No. t-{ 0
Gas or Oil
- Rough•m_
-- Final
SEWER
Final
DRIVEWAY
-- Flnal
_�—�--- Storm Drainage
— (Rain Drain)Final
Sidewalk
_. --- Curb&Street Final _
-- Approach
TEMPORARY CERTIFICATE OCCUPANCY 'Final
BLDG.DEPT.FINAL CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
INSPIECTION NOTICE
City of Tigard 'iu Wing Deparment
P.O. SL- 23397
Tijiard Oregon 97223
Phone: C30 4175
Type of Inspection
Date Requested Time A.M. P.M.
Address / -S
Permit
Owtier Lot
Builder
The following Building Co%;,- defid(encies are required to be corrected:
(01 CLAP,`-
Pi 9sented to ['Approved
1—vector F] Disapproved
V
CALL FOR REINSPECTION
M YES D NO