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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection J�`
Date Requested _._ Time A.M. P.M.
Address /L - _ c.J. ,k ..AL
11
(homer �`; I.ot
Builder
The following Building Code d"eficioaefes are required to be corrected.
C
I
Presented to -- -----_--.._-_----_ Approved
Inspector
-._ LfDisapproved
Date
CALL ,F,OOR REINSPECTION
.1C1 YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE _ `►_`" '� ts 4706
THE UNDERSIGNED HEREBY APPLIES FOR A PERM I-FORTH E WORK HEREIN INDICATED BUILDER PHONE 1.5
OR AS SHOWN AND APPROVED P4 THE ACCOMPANYING PLANS AND SPECIFICATIONS. nWNER PHONE
_
OWNER If M1LLI:h JOF ADDRESS I6S2U S.W. COPF R CIS. UR. LOT NO. rjiJ
Creek. l Li _
ARCHITECT
`'I'• ENGINEER
BUILDER GA
ADDRESS P.O. BUX 23291 DESIGNER
STRUCTURE - FS NEW ❑ REMODEL U ADDITION ❑ REPAIR LJ RENEWAL Cl FIRE DAMAGE _❑ DEMOLITION
O''RESIDENCE ❑ COMM (❑ EDUGATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO O CARPORT ❑ GARAGE I STORAGE ❑ SLAB❑ FENCE
OCCUPANCY K--3 LAND USE ZONE BLDG.TYPE S_-d_ _FIRE ZONE = PLAN CHECk BY UWv HEAT L;_
t.ON51'ttUCT SIGGLE FAMILY IUWrLLLN(: W/ATTA(1160 GARAGE - -
RE-I53,U)', 14490 3-had � — -
3-bath
SEWERPERMITM 20446 varage 4XI
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES_ 2 AREA 1')44 NO.BEDROOMS a VALUE
BUILDING DEPARTMENT SET BACKS FRONT I(: GIEAR 43 LEFT SIDE 14 RIGHT SIDE `
Permlt _ u+t1.U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONiNU
P,EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
3601110 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
13.611 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Total 393.60 SD(
PDC# APPLICANT OR AGENT
Byl:k
Receipt NO _ ____ _
Approved ADURESBw PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�e
.L __p / Contractor /
Permit No Gr �'O 20 L-�'a✓
ev Final tg ---- — ----- —_
HEATING
Contractor , /
— �- � �— -- Permit No.
Gas or 01I�
Rough-in 31dr-L_ if
Final
-- -- - ---
SEWER -----
rinel � �
DRIVEWAY
Storm D:atner
(Hain Drain}Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY ^�—CERTIFICATE OCCUnANCY FIl
CERTIFICAI E OCCUPANL: ^a
Y I • l —_
Landscaning
iZoning Final