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CITY OF TIGARD BLDG. DEFT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following itern(s) require correcting:
Date: -c -� l�17Permit No.---
I n s p e c t o
o.—_Inspecto
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREFT
TIGARD, OREGON 97223
PHONE 6394171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting
--�
ade
date: /c�2 17jf� — Permit No. ------ —
n spector--�' = -______
CALL FOR REINSPECTION
J
-i�'..'tF��"".,,.7"a•"y�•n��.:uT"—'rM'^'y,.�+p^'•e.--hTFva'R�'o��..... ..,......._.w
$UILDING PERMIT APPLICATION cOF TIGAR. DATf-
/13r�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEY`E,..�1
OR AS SHOWN AND APPFOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE _
tt�i 1I!
^f ee*e A LOT NO. _
OWNER .IJD Cont :8f tol 4a, JOB ADDRESS- 3506W brtl'd L) .'i Vfr HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER + _ ADDRESS _ DESIGNER _
alRUCTURE KNEW ❑AI'MODE L ❑ADDITION ❑REPAIR1t ❑RENEWAL DFIRE DAMAGE L^^JDEMOLITION
`f RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIC OCAR POR ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE UDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-."'-'S LAND USE ZONE y r BLDG.TYPE_—.____—FIRE ZONE J PLAN CHECK BV ( IJ HEAT__ _•:�
ons trucI, Isir3ulw family tSLloillllu WZAtIL80-ed_ 4 hadtl7c:m - 3 :i.,t.hn_ --
i:p-i mauve or 2 38) -
Sew-ir Iaf>rmit P,17462 - $62b,00
t,�lrce�f�l D 1!q• _
4H � _2�OCNO•STQ�IES AREAR Md /ALI�.LS __ F _-
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 4a LEFT SIDE j j RIGHT SIDE 1�
Permit �.c.Q'._t ---- --.
THIS PERMIT IS ISSUED SUBJECT -To THE REGULATIONS CONTAINED IN 'THE BUILDING CODE, ZONING
Plan Cheek r7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCFS, AND IT IS HEREBY AGREED THAT THE'
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax , LICENSE. SEPARATE PARMITS REOUIRED FOR SEINER, PLUMBING AND HEATING.
Total a
By _—__ - -__—-- ---
Approved ,, -----{ Receipt No APPLICANT OR AGENT
II
p
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-In
v„�_ & Fixture
it _
Final —
HEATING
�— Contractor
Permit No. / �' //mit 7•�!7
Ger or CII L�
— Rough-in
--� �Final
SEWER _-- - -----
Final
DRIVEWAY
Final
.itorrn Drelmge
(Rein Dreln)Final
Sidewalk
Curb&Street Final
Approach
PL.DG. DEPT. FINAL TkMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscaping
Zonlnp Final