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114SPECTION NOTICE
City of Tigard Building Department
121.20 SYV. Main St.
Tigard,Oregon 97223
Phone: 639.4171
'Type of Inspection - *' --
Date Requested '— ^ Time A.M. _
Address _� ��'T � Permit
Owner
Builder ------.�._— — --
The following Buildiag Cnr+; deficieccies are required to be corre+.ted:
Presented to proved
Inspector -— � � ❑ Dlapproved
Date --- � —
CALI FOR REINSPECTION
0 YEs El NO
.i:' Y. ',.,!rih C1;1j 1 fjs`a.,�j •r, .. ..._ ... ,,{('�!�.
BUILDING PERMIT APPLICATION 'rIGARD DATE_.- (rt312�r i3 19 �6, 7
THE IINDFRr'IGNEP HER�_RY APPLIES FORA PERMIT FOR 1HE WORK HEREIN INDICATED BUILDER PHONE tyL
OH A3 SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
H tv 1.1495 5'•. ;r.Ittan LOT NO.
uWNER �.rit � ,,,, JOB ADDRESS
3�Uj ARCHITECT -- -
BUILDER — — ADDRE,SU3 NE Hale„ Gresham UK ENGINEER
�— DESIGNER
STRUCTURE 12 NEW _❑ REMODEL 0 ADDITION ❑ REPAIR _EJ RENEWAL_.__❑ FIRE DAMAGE LJ DEMOLITION
I RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 1, STORAGE L] SLAB❑ FENCE
OCCUPANCY L4N0 USE 20NE BLDG.TYPE _ 5H FIRE ZONE_.—..-PLAN CHECK BY � _HEAT
_-____Loustruct sinitic--tacui,lY rei,ae�t .e �+ 3t�t�tlt .t;tr;►;;c ----- ---__ —_
SEWER PERMIT# _ 3895x (, garage area 484
OCC.I Dt,D FLO.-)R I OAD 40 HEIGHT 12 1 NO.STORIES 1 AREA 1103 NO.BEDROOMS VALUE
_!r_.dLDING DEPARTMENT SETBACKS FRONT 10 REAR l8 LEFT SIDE RIGHTSIDE'
Permit 2, i6'`i ---- _ - -- -_-- --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
1t55.9U * REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT !S HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISESUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal- 411.9!, RESTRICTIVE COVENANTS. CONTIIACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 6USINESS
11 44 LICENggE. PARA E PERMITS REQUIRED FOR SEWEN,PLUMBING AND HEATING.
State Tax — . (, S- .UT
Total yt': 3H3.3b SDC— �UU.U�
= PDC# I 150• APPLICANT OR AG_g -#-
[Appro��
y
Recelpt No. I
r A D t
PHONE
r
i
04-
DATE INSP. TYPL INSPECTION / REMARKS PLUMBING I DATE ^
—___—.-- _tel, GtL�t PPrmlt No. =1 C4
a4i 1j,
Rough in
Firturx --i J—
��:P_� -r6� �•�u`�7d"/� � �*� �;'�`��+-- Final
HEATING — -
f J1 -i Contractor
/�w• E A� _ 1�_— Permit No. � Oi (i•`,(/ / j rS
Cies or Oil
..-s
Final
1=29"ro SEWER
_.---�Rough-In
Final -. -- --- --._
DRIVEWAY
Final - - -�-
- Storm Drainage
-- __ ----__-- ._.---- (Rain Drain)Final
C.nb&Street Final -z
6LDG. DFrT. FI :0L -T„ _ __----r_.._-- A n.�•h ,__ ._.._._-
TEMPORARY CERTIFICATE OCCIW-i.NCY
ICF.'ZTIFICATE OCCUPAWY I li Final -�