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INSFECTION NOTICE
-;ity of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
_ Phone: 639-4171
Type of Inspection
Date Requested- = TI _A.M. ,� P.M.
,r'>
Address _. _. pn,n,
Owner _. _ :c:�7 �,>L r' Lot
Builder
The following Building Code deficiencies are required to� be corrected:
Presantf�d to _ rJ Approved
c
Inspector "' '
- — --__..r__ ❑ Disapproved
Date
CALL FOA REINS�►RCTION
0 YES it_ NO
INSPECTICN NdTICE
Uty Of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97123
Phone: 639-4171
jType of Inspection
Date Requested >•�v Em ' A.M. P.M.
/ r
y
Address _ L .. Permit #
` Owner -. Lot #
Builder __ -.------ -
The following Building i;Qde deficienciEz 4te required to be corrected:
'0001-
ef:Z de
P rented to __ ❑ Approve I¢
Inspector bisepproved
Date t_ _ — —
CALL FOR REINSPECTION
YES 13 NO
BUILDING PERMIT APPLICATION TIGARD DA1j-__Apri1 24 _ ,g� 5334
TI.E UNDERSIGNED HEREBY APPLIES FOR,' PERMIT FOR THE VJORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN'-)SPECIFICATIONS, OWNER PHONE
LOT NO. 42
OWNER ALX i:iZ L T------ --JOB ADDRESS 7994 OW Cljurc1.j31.L t�av _isc►mci P.O. Boa 23291 ARCHITECT -- -
ENGINEER
BUILDER SAME ADDRESS Tigard, Oil 97223 DESIGNER
STRUCTURE U, NEW ❑ REMODEL ❑ ADDITION ❑ FHEPAIR ❑ REN►_WAL ❑ FIRE DAMAGE ❑ DEMOLITION
kkRESIDENCE ❑ COMM ❑ EDUCATIONAL C' GOWT_Cl RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE ❑ VTORAGE_❑ SLAB❑ FENCE_
OCCUPANCY _X�_LAND USE ZONE Y►� BLDG.TYPE -A�FIRE ZONE =_PLAN CHECK SY 1-N HEAT- a
Construct. ain le f`mily dwelling w/attached yzerel,�
Releawe of Permits 14740 6 10277
3 Bathrooms 3 Bedre>K as Carage 449 -- —
SEWERPERMITN 2F1395
OCC.LOADi_ FLOOR LOAD 40 HEIGHT 204_ NO.STORIES_ 2 ARTA ,")i(j N0,BEDROOMS 3 VALUE 59BUO0
BUILDING DEPARTMENT - - SET BACKS FRONT 2U REAR L EFT SIDE 5 RIGHT SIDE
Permit 0•c.'U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TINE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check O•UO WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
—7 WITH ALL APPLICABLE CODES AND OHDINANCES. Thi'= ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total_ 3t10•UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 LICENSE.SgFARATE PERMITS REOUIREC F,011 SEWER PLUMBING AND HEATING.
State Tax 4 x 13.60 G .a U.U,_+
Total _ 393.1sDC— 500.Uk.'"393.111 SDC
PDCM 15U,00 APrLICANf
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y
Receipt No.
!:rW s b js ADDRESS
_ ___
Approved
- PHONE
i
DATE INSP. 7Y E iNSPE:TION REMARKS PLUMBING _ DATE
--
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HEATING f
Contractor J
7 9- I Permit No. �a
�� - _-- -- -- ------ _A OR?or Oil --
- - -- ----- --- -- �l RRrntgh•in '
Final
SEWER
-- -- -- `_ -.- - --- -- F!nal -�
-- �� DRIVEWAY - --
Final
- - - -- - Storm Drainage — -
------- -- _- �, - -- (Rain Drain)Final 1
- - -- ----- --- - I Sidewalk -aet Y -- ��---
Curb 11 StrFinol
- __ app each
8L X3. DITAT.17I11AL TEMPORARY - CERTIFICATE OCCUPANCY --------'
C_ TIFICA"E OCCIJ"ANCY 'i'nal --_-
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