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INSIPtCTION NOTICE 1
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972'3
�) Phone: 639-417'
Type of Inspection �J—
Date Requested—__ Time _ A.M.__ P.M
Address _� u� —*' Permit #_-_��i���
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
71
Presented to _ 0 Approved
Inspector fY�� _ Disapproved
Date --- / " In/
CALL FOR REINSPECTION
,ZYES ❑ NO
INSPEC1'ION NOTjCE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
P ie: 639-4171
Type of Inspection
Date R�:quested Ti ---
A. -_--
M.
Address
Permit
� Owner --
— I� Builder Lot #—
The folloviaig Building Code deficiencies are to b corrected:
Presented to _ _ -- —_- -- -- ----'
Approved
Inspector
Disapproved
Date --_._—______—/.�� tel/
CALL FOR RF,IN PECTIQN
❑ YES NO
BUI—DING PERMIT APPLICATION TIGARD DATE19 4949
_THE UNDEHS "NE_D HER ED APPLIES FOR P PERMil I OH THE WORK HEREIN INDICATED 9UILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE T
LOT NO. 22
OWNER wavury 21 Homen JOB ADDRESS Vrit.tany :Pr. Airittatiy r,5_auro
ARCHITECT
ENGINEER
BUILDER aa:ri ADDRESS 7160 Sol I4aael Fern ltd. DESIGNER
STRUCTURE _ FANEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
14 RESIDENCE ❑ COMM ❑ EDUCATIONAL Q GO_V'T n RELIGIOUS CJ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USEZONE �-71'I1ILDG.TYPE —AIL—FIRE ZONE v _PLAN CHECK BY E:'I'h' HEAT F4khA'
—_ Construct sinple family drellinp�w/attatcbed garaze.
ries—Iauue of Per-nit 4492o
SEWER PERMIT# '79211? Carzr;e 4r}(1
OCC.:OAD FLOOR LOAD HEIGHT NO.STORIES AREA I I/'' NO.BEDROOMS VALUE 469UIJC1.
BUILDING-DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE 1 1)
Py nit 374.Ui1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEr ,N THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40*OV WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COM°LIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 3 14 .UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 1�a.)b _ �5uU.1x+
Total 324.96 SDC—
PDC#I 1511.(A) -1Pp�CANTOR AGENT By Ch 7CJ r UU
Receipt No. _
Approved Fro ADDRESS rHONE
I
DATE INSP. TYl"E INSPECTION REMARKS PLUMB I fi I DATE F—
1 Per lit No.
R0,491 41
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t?E►T 'IK:. , TEMPORARY CERTIFICATE OCCUPI,N•:Y
^CRY rICATt OCCUPANCY
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