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INSPECTION NOTICE
ity of Tigard Building Department
lb - P.O. Box 23397
Tigard, Oregon 972.23 \\ )
Phone: 639-4175
Type of Inspection _lp,L_� �-V�.�—____ _-_._�
Date Requested �� — ` Time .M._ .P,M.
Address Z�U 5 . •-- ( t�1�,c_.�ry QQ` Permit #_
Owner Lot #
Builder
The following Building Code deficiencies are required to bu corrected.
Presented to Approvud
Inspector U Disapproved
Date
CALL FOR RF,INSPEC7 i:;N
❑ YES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- - --
,te Regi e.1 2 Time ---- A.M. P.M.
Address __.._C1_LL "— _. Permit —
Owner ___— -.— Lot #
The followir,; "luilding Coda deficiencies are required t r be co•rected:
Presented to .— _— ---
InspectorL-1 Disapproved
Date _�O 9 z —
CALL FOR REINSPECTION
YEI 0 NO
wi h..r
�IIIRF�A+;
INSPECTO'JN NOTICE
City of TiS,,rd Builuing Department
Vu-. Box 233117
Tigara, Oregon 9 X223
n
Phone:639-4'75
Type of Inspection
12
Date Requested __ Time A.M. P.M.
j c r F
Address _ !!rc i I�-�/ _ Permit #
Owe gr 't— Lot #_
Guilder
1 he following Building Code deficiencies are required to be corrected: I
Presented to _ __ _, Approved
Inspector A _ _ u Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
tit
lot
M
INS?ECTION NOTICE
City of l igard Bu�'.1ing Department
P O Fox 23397
Tigard, Oregon 9722:,
Phone:639-4175
LType of Inspeion 61"j�j U
Date Requested g y Time�_ A.M. P.M.
Add ess Permit #
Owner, Lot #
Builder -------
Thi following Building Code deficiencies are required to be corrected:
II
6- � -
I
Presented to ❑ Arproved
Inspector -- — ❑ Diwpproved
Date
G'A L FOR REINSPECTION
YES ❑ NO
A
CITY OF TIGARD 639.4171 5971
BUILDING PERMIT DATE —4ril -V
rjty Ni'ller TAX MAP --__ _.-_--__LOT NObz--_—•SUBDIVISION)n-(;— AXJL-.3
OWNER JOB ADDRESS 134 5
BUILDE% _j- }}per 232Sri- TiYa A_ STATE REG.N00209 - _ EXP,DATE 12—(,—t3b_
BUILDER'S PHONE GU4-7543
ARCHITECT-.----_____ PHONE _ OTHER
STRUCTURE NEW ❑ REMODEL Ll ADDITION _f I REPAIR MOVE_ OTHER DEMOI ITION
I RESIDENCE r=1 COMM C I EDUCATION F-1 IND RELIGIOUS I ACCESSORY GARAGE OTHER FENCE
OCCUPANCY dJ ,LAND USE ZONE BLDG.TYPE}" FIRE ZONE PLAN CHECK BY HEAT '
unstruct Hinple tamily dwelling w/attachett 6aragc, till 1'er approvest plana.
SEWER PERMIT# 29149 (ldit) 3 bath, 13 trajis t;aruj;v area 44Q
OCC.LOAD FLOOR LOAD 40 HEIGHT 19 _ NO STORIES 2 AREA 2031u NO.BEDROOM VALCOV '!J00
BUILDING[IEPAHTMENT
SETBACKS FRONT (i RFAR LEFT SIDE 5 RIGHT SIDE
Permit394.U(1
_-_]THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
nEGULATICNS AND ALL APPLICABLE CODES AND CRDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 256.11 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 WAIVF.
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
15.'!b ZI�XPERMITjSj fr,�RATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING,
Total 60.86 SDC._
-- PDCNl i 150.UQ APPLICANT ORA N?
Prepd. 1ElU.()0
(, _ Recr.pt Nod
Bal.Due " I ADDRE8S
5.y"i PHONE
a
-- —�— — lesued By---_-----.__Approved By�_•---__-
DATE INSP. TYPE INVECTION REMARKS Y` PLUMBING DATE
L / Ccntractor /j> ft7 �I�1.3•kb
�Permit
—No. y6 3
` _L!
Rough-on
gh•on
F iOure
3 _ Final
Grs/� •—�
HEATING
+
- - -- = �`
Contractor f- �t-C 7l
G f Permit No.
,6641AGasorOil
Nil, ..Q Rough-in —
1
Final
/ SEWER
1_51.4 r,2 '1'2.�J�i Final
DRIVEWAY
Final
Storm Drainage
—_ (Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL AE OCERTIFICATE OCCUPANCY Final
CERTFCTEMPORARY
Landscaping
Zoning Final