9300 SW CENTER STREET 1�
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639-4 171
Type of inspection _
Date Re ussta f J— _ Time. T�
--P.M.
� T
AddressZ �:�.1 C-__ __ _— Permit .-- -
Owner Lot - -.---__-- -,---
Builder __ —r - ---- ---The following Building Code deficiencies are required to be corrected:
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Presented to -_ _- ❑ Approved
Inspector _-_ _ ___- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
BUILDING PERMIT APPLICATION TIGAR E._ October 16 —„ gt34 - 5063 r
l H`UNDE_FiSI(,NED HEREBY APPLIES FOR A P�..FaW4LFE�+r ”0 H PIDICATED BUILDER PHONE '21.53—
OR AS SHOWN AND APPROVED IN TC OM,PANYING PLANS �PE IFICA HONS. OWNER PHONE
LOT NO.—., f'
OWNER Ula Graves JOB A DRESS 9300 Sit Caltex St.
-- —--------- ------- --— ----- ARCHITECT -
ENGINEER
BUILDER Accept f1plfs9A melon DESIGNER
STRUCTURE - _NEW O REMODEL —_i_I ADDITION E REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL C] GOVT ❑ RELIGIOUS C] PATIO D CARPORT ))$GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE —B'"Z BLDG.--TYPE----5" —FIRE ZONE PLAN CHECK BY 8!W HEAT
construct 12 X 20 Garage v/lean –�er_appiroved
SEWER PERMIT#
_OCC.LOAD FLOOR LOAD HEIGHT 109 NO.STORIES 1 AREA 240 NO.BEDROOMS VALUE4 x000
BUILDING DEPARTMENTSETBACKS FRONT SEE I'LOBAR LEFT SIDE _ RIGHT SIDE _
Permit 44.50THIS PERMIT IS ISSUED SUBJECT Tn THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 28.43 WORK WILL BE DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 13.43 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tex 1.78 �
-- SDC—
Total 75.2
—�— -- -- - )PDC# APPLIC!NT GR AGENT
By _ — CG - i Receipt No. 15 3. . Z IC+?S
Approved 1 I ADDRESS PHONr
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DATE INSP, TYPE INSPECTION REMARKS PLUMBING I DATE r
IFWI_ ] 9:2Contra aor
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Flough.f,
Fmal
HEATING
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II P9rrm-t No.
_-•�_� _ _ __—�-.��.--- _ ��G83 Or Oil
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Final
SEWER
q Final
DRIVEWAY
Storm Drainage
I IRdn Grein)find
-- .�.-•-'- - 'Sidewalk
-- —__ - Curb 6 Street Final
Approach
GLOM. DEPT.PAR
INAI. TEMPf�FY � CERTIFICATE OCCUPANCY
------- ---- I final
CFt7TIFICr,TE OCCUPANC"
! I� ndscaping
Zoning Final
Address11 Permit
Name of OccupantPermit,charge
a -----
i2.11'tp /J Gwemection fe
-- Paid
--- —-- -- -- Date connected
Type of Building , Inspection fee_____ —
Service Rate__ Paid by ---__ _Date
Contractor
— ---— — --- Assessment h 4�Paid
Size of connection_ 4
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