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INSPECTION NOTICE
City of Tigard Building Department
124%o S.W. Main St.
Tigard, Oregon 07223
Address
Phone 639-4 171
� .� _
Permit #—
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented to--___.�
Date
CALL. FOR REll1L9°E/'TION
LJ VFS ❑ NQ
CITY OR T'IGARD
Building Do part men t v 1242.0 S.W. Main Street • Tigard, Oregon 97223 • Phone 639.4171
BUILD, INLr'a�i PERMII�r
Pormit No. -� ���_ .� �
Date Issued --__� 'ri` 1� , 1" '8'0
L�_ � Date Expires _.
Issued to oA l , tx Building location ISO
Owner _r.��'. H , N1��•cvf��� Address of
BuilderDnS�t, Address ofi
Permit Iss.jed by
Notify BUIlding Department 24 Hours Prior to the Following Inspections:
El EXCAVATION OR FIL; 1_1 PLUMBING
El FOOTING O HEATING
CJ REINFORCING STEEL ® WALL.BOARC'`''
M FRAMING 9 FINAL
This Card Must Be Conspicuously Posted, Facing the Street Until Completion
I
BUILDING PERMIT APPI_iC4TION TIGAIiD DArE_ .. ���'�.-��-�,is `' _
3136
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHC +E 653-0804
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHOT`E 439-51384 I
LOT NO.
OWNER R, H. Mt3mO_Vich JOBADDRESS IL-130 $W Chel'ry
ARCHITECT
ENGINEER
BUILDER D A L Con®tr# C_o. ADDRESS 9842 SE 48th DESIGNER ''On Keaet,y —_-
STRUCTURE ❑ NEW LAK REMODEL ❑ ADDITION ❑ REPAIR LJ RENEWAL (, FIRE DAMAGE ❑ DEMOLITION
1� RESIDENCE 1.1 COMM ❑ EDUCATIONAL ❑ OOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GAPAGE I OTORAGE ❑ SLAB❑ FENCE
OCCUPANCY -11--3 LAND USE ZONE R-7 BLDG.TYPE 5N FIRE ZONE 3 -PLAN CHt:CK BY - WoHEAT
_— Remodel existing single family coallin kitchen and 1-1n11Way areas
all per plane and code.
SEWER PERMIT k
OCC.LOAD FLOOR LOADS HEIGHT _ — N0.STORIES AREA NO.BEDROOMS _JALUEV 1_00.
BUILDING DEPARTMENT SETBACKS FRONT REAR L'FT SIDE RIGHT SIDE
Permit _ 24.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFO IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF:E
[Plan;;heck 12.00 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 NO" 'WAIVE
Subtotal 36.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTTIAC1ORS TO HAVE CURRk:ll!T $4ITY BUSINESS
i — LICE,:SE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4¢n i6
-
Total S36. 96 30C
--- PDCM APPLICANT OR AGENT
Recelpt No.
Approved UWH ADDRFSS PHONE
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
O -- C.mtractor
(t.vt 1,o .,.� e ,J S, _ Permit No.
Fixture
r anal
HEATING
_ Contractor
Permit No.
Gat or Oil
-- Rough in
Final Yv—�
SEWER
Final
UPIVEWAY
Final
Storm Drainage
(Rein Drain)Final
— ----- ---- - Sidawelk
Curb&Street Final
Approach
BLDG, DEPT. FINAL TEMPORARY C:RTIPICATE OCC)fAI'CY Final I
CERTIFICATE OCCUPANCY p .-- -.1---
Landscaping
Zoning Final
i
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