11935 SW BURLCREST DRIVE '1 '
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INSPECTION NOTICE
City of Tigard Building Department
12420 S W.Main St,
Tigard,Oregon 97225
1 np: 6391111 11
Type of Inspection
Date Requested Tima—
Address Permit
Owner— Lot
lBuilder --
The following Building Code deficiancies are romuired to be corrected:
Presented to Approved
Disapproved
Inspector
Date
CALL FOR REINSPECTION
Ej- YES NO
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BUILDING PERMIT APPLICATION 10 Y TIC ARD DATE. - ._ 19 Vit'
THE UNDERSIGNED HERBY APPLIES FOR APERMIT FOR THE WOPK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.
OWNER }„ i JOB ADDRESS 'ILS !U,_, ( HOME-ADr)RESS
SAME ARCHITECT -' -
ENCINEER
BUILDERS - --*+_--""+fIFDORESS S! DESIGNER
STRUCTURE C3 NEW _-❑RFIJODEL [-]ADDITION ❑REPAIR ❑RENEWAL [3FIRE DAMAGEY_❑DEMOLITION
RLSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE— » i BLDG.TYPE —FIRE ZONE--- PLAN CHECK BY_ HEAT
.Qf18
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I. L .Pat ::C1ds .'And plan _ - With ---
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O�G.LOAD F149Tt-l.n_A-D___rO ;Tp %HT �,)� _N2,�I .W. ",1 I AREA �IJ�Nv'm ° ' -
BUILDING DEPARTMENT SET BACKS FRONT REAR a+ LEFT SIDE RIGHT SIDE
PermitTHIS PERMIT iS ISSUED SUBJECT TO THE PEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i'.. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT �S HEREB`.' AGREED THAT THE
--� WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb•tota! ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--"— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State T;.X s . LICENSE. SEPARATE PERMITS REOUTAED FOR SEWER, PLUMBING AND HEATING.
Total
By �. a
AVAV LOA AGENT - ---
Approved T - ' ' Receipt No.
--------
-- --- _.-
DATE INSP. TYPIC INSPECTION _- REMARKS- PLUMBING DATE
n —� Contractor /�/"
1G�2T ! • `. ♦ K �5 � Permit No.
Rough-In
Fixture —
G"1 -2 5lG ICwfr_ — ^! Final --
L2,Z0-7� G _ HEATING —
Contractor
Permit No.
Gee or Oil
`v Rough-in
Final
$EWER
Final .
DRIVEWAY s
V Final
Storrh Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG, DEPT. FINAL TLMPORARY CERTIFICATE OCCUPA Y
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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PEF MIT TO CONNECT
City of Tigard
Permit No S35 DATE d ___--
FERMI' IS GIVEN TO
TO CONNECT A
1'O THE SYSTEM OF CI''T--Y`` ^:' T,IIGARD
THIS PERMIT MUST BE. POSTED ON THE DESCRIBED PREMISES UNTIL COW
NEC_TION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMPLETED.
PERMIT FEE PAID $ ^� _CITY OF TIGARD
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CONNECTION INSPECTED AND APPROVED
Date $vp*rinhnd#M