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INSPECTION NOTICE
/ City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:6,.99-4175
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Type of Inspection _--___-
Date Requested ��
q ..��_ Time--. A.M.__ E' P.M.
Address ._r �a�s CIL k4*4C __- Permit
Owner - -- -— - --- i�����'�^-' Lot #_
Builder -- --- ---- - - -The following Building Code deficiencies are required to be corrected:
Presented to A4
Ippmved
Inspector _
p. ___ -�--- L) Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
� t
t INSPECTION NOTICE
II City;V Tigard Building Department
P O Dox 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
' Date RequestedTzz_ J Time A.M M.
is
Address . / Permit
i Owner Lot # _
Builder -----___--
! The following Buildirg Code deficiencies are required to be corrected:
Presented to proved
Inspector ❑ Disapproved
('
Date
CALL FOR REINSPECTION
❑ YES 0 NO
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CITY OF T90ARQ 635.4171 58b3
� DATE .t;�_�t•I<Y •' .3 .19-+tib----
BUILDING PERMIT C.-apper
TAX MAP _ LOT NO. 126 SUBDIVISION kzuUk TV
OWNER ss. IioclF�eou & 50n JOB ADDRESS 16215 5N (�vpper Creek Drive
BUILDER _ aiaE r i __ 1 .....r', _ STATE REG.NO._ LLga --- EXP.DATE�hLL�tLI�u—
BUILDER'S PHONE �t�;d� l._
PHONE _ 5468 OTHER ---
ARCHITECT ��rGl�Rl18AC._ ------
STRUCTURE KI NEW ❑ REMODEL L ADDITION REPAIR ❑ MOVE OTHER L] DEMOLITION
;C4 RESIDENCE I] COMM [1 EDUCA71ON L'71 IND I RELIGIOUS_ ACCESSORY I I GARAGE OTHER I FENCE
OCCUPANCY �_LAND USE ZONE f—I' BLDG.TYPE "_� FIRE ZONE_ PLAN CHECK BY 'L HEAT-.„=
Conctruct single family remiueancce all Per ulaual a[:u suecs.
ue,Jruomb _
SEWER PERMITK2yU%9
OCC.LOAD FLOOR LOAD 4U6 HEIGHT 2u NO.STORIES 4 AREA1994 NO.BEDROOMS VALUI��?5r�`��`
BUILDING DEPARTMENT SET BACKS FRONT 20 RFAR ! LEFT SIDE_ ?" RIGHT SIDE '
PermitTHIS 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 '221 'JS 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. CONTRACTOR AND SUB CONI RACTORS TO HAVE CURRENT CITY BUSINESS
—�-- - TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 1.i•/ G 259,pw
glye—Total PDCM 5(}U•UU AP 6l ,(N�AOENT,
• --
Pr@pd. luri'OU -- - - 1I1I 15U.UU - -- - --------..__-._
RecefpTNo. r/ -) y ADDRtfi8s PHONE--
Sal.Due ! I9 rb/
_ _-__ ..
Issued BY____..— _ Approved By _� —
DATE INSP. TYPE NS ECT-ION� REM RKS PLUMBING DATE
Al 0 contractor �pp�e� j 1� 3 ,10 &�
I' Permit No. 4
_ S 4'
.7 Rough-in
'�b F lure
Incl
HEATING
Contractor
,►--
S Permit No ZIQ 36
�Y Gas or Oil
Rough-in
S G -
Final
�2� f r •� SEWER
Final
DRIVEWAY
Final
_ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY --
Landscaping
Zoning Final
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