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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
P 639-4171
Type of Inspection
Date Hequested Time— _A.M. P.M.
Address Q___ Permit
Owner Loi
Builder
The following Building Code deficiencies an; re4:;.,et! tj be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR RZINSPECTION
D YES $ NO
mr
INSPECTION NOTICE
City of Yigard Building Department
112420 S . Pain St.
iebregon 97223
t e: 639.4171
TYp' of Inspection --_- I
Date Requested _ ^�
rime me .M. � .P.M.
ermit
Address - ?i r7� t` y
Owner
---------- --- - — Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented tc -
1 Approved
Intnertor — - - --
Disapproved
Date _-
CALL FOR REINSPECTION
NO
E3YES [�7
_.;TION NOTICE
City of Tigard building Department
12420 S.W. Main St.
T' d,Oregon 97223
I PP one: 639-4171
r�
Type of Inspection
Date Requested
rme A.M. P.M.
Addre:a -__Z �(� =Lot
OwnerBuilder r
The following Building Code deficiencies are required to be corrected:
I
.s
Presented to _--_--
I ❑ Approved
Inspector
- / >v --- Divapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
BUILDING PERMIT APPLICATION TIGARD 4904
THE Ul`OERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTN0.,:�_
OWNER Century 21 ;iomes JOBADDRESS 13370 SW
C. 97u62 ARCHITECT
ENG114EER
BUILDER I;,.umv ADDRESS 7160 SW Hazel ern, DESIGNER
STRUCTURE EY NEW ❑ REMODEL ❑ ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
El RESIDENCE ❑ COMM Ci EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE
0 SSLAB❑ FENCE
OCCUPANCY 1 LAND USE ZONE l{—IZ BLDG.TYPE _ 5t( FIRE ZONE _PLAN CHECK BY ._ 'TiEAT_1;.__
_-------------. __-- C:onatr��C Vituil family (lwelliDr-_N/attached garaim. .
SiJf, LCT TO URON BRIGlt1'S SLWI;r( SJRCIIAKC.aL
— -�- $360.0+.), _ 2 ilathrutr.i 3 BeOrourp
SEWER PERMIT# 27414 t;Rxage 416
OCC.LOAD FLOOR LOAD 4o HEIGHT _ NO.STORIES 2 AREA I6U) NO.BEDROOMS 3 VALUE ,,.,y ,.,,�•
_ BUIL NNG DEPARTMENT SET BACKS FRONT 2(j REAR t FFT SIDE RIGHT SIDE )
Permit 3.t5.(!U THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check y 1 !.25 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAN(.l OF THIS PERMIT DOES NOT WAIVE
Subtotal_ 53G.�5 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13•Lg,) LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— 1
Total 544925 _ ;1�.____,_��i ____'�.._L✓
-- PDCM i J S(l.Ui' APPLICANT OR AGENT --By 01 `iSIX'. 250.(X)
— — 1 Receipt No. ADDRESS PHONE
Approved !#�1 J
DA%E INSN TYPE INSPECTION REMARKS PLUMBING i DATE
— — _
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SUN-.. uFPT. r4- AL —T-- TEMPORARY CERTIRICATE OCCUPANT"
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ICF.RTIFICATr OCCUPANCY
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