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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223 N
Phone: 639.4171
Type of Inspection �=
Date Requested.___—_ L" -- Time - A.M. P.M.
DC7 7
Address6
Owner --- - --- — - -- Lot #-
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Builder .__-- — --- -- —_-The following Building Cody: deficiencies are required to be corrected:
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Presented to_ — _ ❑ Approved
Inspector __ - -- - '� /r Disppproved
Date ---- - - -
F-2 "- fir
CALL FOR REINSPECTION
R<yEs Cl Na
BUILDING PERMIT APPLICATION TIGARD DATE Jat1u+sr'i?- ,g 4707
THE UNDERS;GNED HEREBY APPLIES FOR A PEHMI F FOR THE WORK HEREIN ;NDIrATEr) BUILDER PHONE .664-'2762
CSR AS SHOWN AND APPRO.-_DIN THE ACCOMPANYING PLANS AND SPF%,'IFICA PIONS. OWNER PHONE — _
LOT NO. .4
OWNER C-wnutry 21 i....l_DBADDRESS 13310 SSI Brittra,.y ur:ive €.irittanny Square—�
Tualatin 97062 ARCHITECT
ENGINEER
BUILDER Sallie ADDRESS 7160 Haselfern Nd. DESIGNER
STRUCTURE-11 NEW ❑ REMODEL ❑ ADDITION 0 REPAIR d RENEWAL 12 FIRE DAMAGE 0 DEMOLITION
ChrRESIDENCE LI COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 11 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY K LAND USE ZONE ___X— P16LDG.TYPE _5h__FIRE ZONE_ PLAN CHECK BY _�• _HEAT .___
—.--
-� Re—issue y_4560
SEWER PERMIT M 2649; l;a_A p 22u
OCC.
-------------
OCC.LOAD FLOOR LOAD lit) HEIGHT 2U+ NO STORIES ?. AREA 124`: NO.BEDROOMS ? VALUE 4'};UUU.
BUILDING DEPARTMENT SET BACKS FRONT ? REAH Itt LEFT SIDE RIGHT SIDE y
Permit 27e1.5O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CnNTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.00 {WORK WILL BE DONE IN ACCORDANCE WITH TNF PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 31x.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
Stale Tax ! 1• I 4 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total _324.64SDC— AUU,,(�
PDCMAPPLICANT6RAGENT -
By CII L 10(J.UU
Receipt No.
Approved beg ADDRESS-- ---- - �— -- PHONE --
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DATE INSP. TYPE INSPECTION - REMARKS 9 PLUMBING I DATE
.:onlrea,r'fff �
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Final
HEATING .._—.
Contractor
Gat or 011
Rough in ......._—_,._ ._ ...� .__..._ _
Final
_inal SEWER
.1
Final
- -- --�__. ---_ - - - DRIVEWAY
roan Drdn..pt•
t,'ain Drain)Final
Sidewalk I
Curh&Street Final _
APPI each
BLit�. DEPT. F'1•IAI_ TEMPORARY CERTIPICA'CE OCCUP:.VC'/ _ - � -
1':Uk,WICA. COC.:U^ANCY Flnal
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