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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
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Type of Inspectic., ___-- __ / b4f, ---
Date Requested - -_--------__ i +. _—_- A.M. , —P.M.
/.ddress _ � ---- Permit #
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Owner _ -- -- l.ot
Builder --
rhe following Building ;ode deficiencies are required to be corrected:
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Presented to L] Approved
Inspector _ Disapproved
Date _ - ---- —
CALL FOR REINSPF,CTION
f�J YES L__] NO
BUILDING PERMIT APPLICATION TIGARD DATE— JULY 2() -4 4952
.THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICA TED _ BUILDER PHONE 692-3615
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Jai !filler _y JOB ADDRESS 7660 14W Botti(I Sty LOT NO. 14
gond
ARCHITECT —
BUILDER ENGINEER
-- ADDRESSj�J_ 1loY 2'YlSl4 _ _ DESIGNER
STRUCTURE (�} NEW ❑ REMODEL _ ❑ ADD[TION_ _ F] REPAIR` ❑ RENEWAL _❑_F_IRE DAMAGE ❑_DEMOLITION
RESIDENCE L' COMM 13 EDUCATIONAL ElGOV'T El RELIGIOUS ❑ PATIO ❑ CARPORT I-1 GARAGE 1_1 STORAGE ❑ SLAB 13 FENCE
OCCUPANCY _ K-3 LAND USE ZONE _ �"12bLDG.TYPE FIRE ZONE —PLAN CHECK BY —ACK HEAT. (+-`IS
_ Construct ei,ti,yle ta:,ilv sPwellfci w attaches!
—� 3 Nedrour,�
SEWERPERMITM 27931
OCC,LOAD FLOOR LOAD 4(,) HEIGHT_- 16 —N0.STORIES 7. _ AREA_1285 NO.BEDROOMS 3 VALUE 56,0()(U.
BUILDING DEPAI SETBACKS FRONT —__
Permitf
— `I REAR c LEFT SIDE 4 RIGHT SIDETHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
plan ChREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub-totWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTR.CTIVE COVENANTS. CONTRACTOR AND SUB CON TRACTORS TO HAVE CURRENT CITY BUSINESS
State TLICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
TotalSDC–DC15�•� APPLICANT OR AGENTBy5SI) ' 250.uoApprovReceipt No.
_— _- ADDRE99 PHONE - ----- ---
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_
"ATC INS11.1 TYPE lNbPVCTION
I'LUME,ING DATE
HrATING
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