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INSPECTION NOTICE j
Baty of Tigard building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of I nsper+ion t/ i� �i�•�.t;�
Date Requested
Time
Address p
Permit #k-
Owner -- _ Lot # —
Builder
The following Building Code deficiencies are required to be eorrect'd:
r
Presented to
❑ Approved
Inspector ,. XDisapproved
Date
CALL FF R la INSPECTION
/L_1 YES ❑ NO
y
BUILDING PERMIT APPLICATION TiGARD DATE _. —1 �11i.*_ _,19. 115._ 5244
THE ('NDERSIGNED HEREBY APPLIES Fr)R A PE,`% IT FOR THE WORK HEREIN INDICATED .IUILDERPHONE 692-.3615_
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 48
OWNERJj1"' ler --JOB ADDRESS 2f93 SW Churchill- 3and v rkc-u—. ----�
P,0* box 23994 ARCHITECT
ENGINEER
BUILDER SAME ADDRESS Tigard. OR —97223 DESIGNER
STRUCTURE_ EiNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR L RENEWAL ❑ FIRE DAMAGE — F.7 D_MOLITION
CB RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GC.'T ❑ RELIGIOUS ❑ PATIC ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY _.f;r3_ LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY .BSc HEAT(osi
—construct single family dwelling w/attached garage
Re–issue cf Pern£t 04952
.1 Itedroo>m3 3 Bathrooms Garage 469 _ _--
SEWER PERMIT# 28349
OCC.LOAD FLOOR LOAD 40 ` HEIGHT ' '10.STORIES 2 AREA 1285 NO.BEDROOMS 3 VALUE 561.2!L
BUILDING DEPARTMENT 1 RIGHT SIDE
._ SET BACKS FRONT 7U REAR 1 j LEFT SIDE g � __
Permit 301000 THIS PERMIT IS ISSUrD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL 1PPI.ICABLE CODES AND ORDIN LACES, AND IT IS HEREBY AGREE) THAT THE
Plan Check 40+00 WORK WILL B-: DONE IN ACCORDANCE WI"h THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1.Op WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR .,ND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4;t: :2.04 lit 0• "`'
- SDC— S UU•(Jh
Total 393.04
PDC# {,I 150.00 APPLICANT OR AQb —
lay
--_ �— Receipt No. O 1� ----- -- -----
Approved ::CFtit�is -ADD fes
8t3 r'H�rIF
DATE lNSP. TYPE INSPECTION REMARKS
PLUMBING D lk*t L
TracT,10 r
I
-0t 4 0,rd-
is
P.ILIUh-in
Final
Hli
Contractor
.,��o —/�-ks
Permit
(int or Oil
Final
IIEWER
Final
OPIVEWA.'
Final
1rj1njg,-
(Rain Drain)Final
Curb&Stieet Final
Approach
--TEMPORARYEF iTIFIEA1EOCCUPANCY
CERTIFICATE OCCUPA 'Final
Landscap�nq
ionimp Final