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INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of l:rspection ------
:.)atP Requested _ - .—__��_�d—_ Time
Address — _____ / ___ �-�• _ Permit #= —
!l'Y-...�_\ .Slit/ {,1�G► /
Owner -- _._ Lot #--
Builder �-----
The following Building Code deficiencies are requiritl to be corrected:
14
1
i
Presented to Approved
Inspector �� _ vDisapproved
Date ----L.!—' -
CALI_ FOR REINSPECTION
Ll YEs ❑ NO
BUILDINr PEWMT APPLICATION TIGARD DAT' _-1►.- ,s.__ : 4849
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FUH 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN D,;'ECIFICAT;UNS. OWNER PHONE _—
LOT NO.-- _-- --
OWNER — Jay Miller JOB ADDRESS� 7645 SW Hoar( St. _ Sond Park
ARCHITECT
ENGINEER
BUILDEP Same ADDRESS Y.U. Aox 23291 DESIGNER
STRUCTURE _ 13 N:W ❑ REMODEL_ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cil RESIDENCE n COMI.4 I`' EDUCATIONAL ❑ GOWT ❑ RELIGIOUS _❑ PATIO ❑ CARPORT 17 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _� ..LAND USE ZC NE _ K-7PU BLDG.TYPE 5N FIRE ZONE — PLAN CHECK,BY `xs1'll HEAT GaeK�
_ GaNstruct mingle taviily dwelling w/attached iarage. —_— _ ---
---- _ ---� 3 i3edruma 3 hathr)m!
SEWER PERMIT# 26541 (;arai,p h4l,
OCC.LOAD _FLOOR LOAD 4': HEIGHT 2"+-- NO.STORIES _AREA 1762 NO.BEDROOMS 3 VALUE 63.1;Uf1.
BUILDING DEPARTMENT SETBACKS FRONT 20 `REAR LEFT SIDE RIGHT SIDE
Permit — 322.(1) — THIS PERMIT t3 ISSIIED SUBJECT TO THE REGULATIONS CONTAINED IN THE RIIILDING CODE, ZONING
REGULA'I" !i AND ALL APPLICABLE CODES AND ORDINANCES. AND it IS HEREBY AGREED THAT THE
Plan Check 1t1`1.31J WORK W!I L 13E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI.!AN',;.
WITH ALL A!JPLICAeLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 531.30 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
I2.8(( LICENSE.SEPARATFL PEriMITS REQUIRED FOR SEWER,PLUMBIF ,;AND HEATING.
SDC— aSUll.t:,,
Total a44. lti I1 15U.(tt) ---
' PDCN AI+Pi_ICANT OR AGENT
By —_ -- 011 'Nsu(; 250,i)o
i Receipt No.
Approved 1?T1d 1914 q
L
•):i��y� y 1� f �, 7 �?t��1. 3 y
DATE IN4P. TYPE INSPECTION REMARKS PLUMBING DATE
' I.-�-- Contractor
--
Pcrmit No.
/ Rough-in
Fixture _
Final
r HEATING
rContractor
1 -dam ---� /
Permit No.
Gas or Oil
q -- J-
Hough-in
Final
SEWER
---- — �--__—_- Final
DRIVEWAY
-_---•- --_-- ---�__,.---- ____r.�__....—_ Final ---
i' Storm Drainer
----- � -�_--_-- ---- — (Rein Drain)Final _
- --- — _ Sidewalk
Curb&Street Final
Approach
BL0�3 DEPT.MY+lAL TEMPORARY GRR'CIFICATk OCCl-.NCY Final
fl:ERTIMC ATE OCCUPANCY —
Landscaping
Zoning Final
;i