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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address
Permit
Type of Inspection
,r
The fc iiuwing Building Code deficiencies are required to be corrected:
Presented to _ Inspector
Date
CALL FOR RF;AV7°E•CT10IV
C] vIEs O No
pws" � �... ,.,ter "r t + w"+T`R�:T "•r n.✓rt M�Mr s•nom.. wN
BUILDING PERMIT APPLICATION coy TIGARD DATE
(HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO._
OWNER JOB ADDRESS ' I' " �+<i10kil..G1kt HOME ADDRESS _
ARCHITECT
flux :d.'SYll ENGINEER
BUILDER _ f.DDRF.SS — — DESIGNER
STRL,C_TURE []NEW_ ❑RI'MODEL ❑ADDITION ❑FEPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑_EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO CUCAR PORT CGARAGF ❑STORAGE CUSLAB [:]FENCE
❑BOND ❑MOVING _❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
f Ito
OCCUPANCY_ LAND USE ZONE_ BLDG.TYPE1r, FIRE ZONE! PLAN CHECK BY_� HEAT--__ --.
_:, Llct oi,l..,jj+ f,iamily duallInt:, w/u 48rfgGo A UwOruu+a ��—
____— ;,ii per approved plans.
r. P wit 0609
d[i tf) ' 1i7 +1
oc4 lQAO__.---�J.4QE�L4A_[�_� AREA
L1Stkil.___—�1'IQIQRi�$.— ---
BUILDING
_ DEPARTMENT SET BACKS FRONT ' ! REAR " LEFT SIDE !RIGHT SIDEPermit _,
THIS rERM1T IS ISSUEO SUBJECT TO THE FIFGUI.AT'ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 681 Vo RE'G'JLATIONC AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AtREED THAT THE
W'JRK WILL BE DONE IN ACCORDANCE WITH THE PLANS PND SPECIFICATIONS AND IN COMPLIANCE,,,ITH
Sub-total k A +' t%LL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA:VF.
-- ---- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax~ • LICENSE. SEPARATPEAMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
E
Total PUL04 51000OU
By
f� pPPI_ICANt 00 A(:EN1
7
Approved 1' fiscal tt No��
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
`S—?d Permit No.
i � ,,,.•
Rough-in
—
ALIT--7-TIS" sL/,s77 � — C'u✓ 2_ iiL�✓1 '- Flxturo
Final
HEATING^
IIContractor
yt«rG� / �p ✓J.c� , �— Permit No.
Gas or Oil
Rough-in -
- — ------ Final -�—�— — ------
-. —_— — SEWER
Final /Q
CRIV6VAY
Final
Storon Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
)Approach
BLDG. DEPT. FINAL T9:MPORARY CE TIFICATm OCCUP Y
CERTIFICATE OCCUPANCY '�yFinal _�—
"`TTT 6 Landscaping
Zoning Final