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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 Inspection 7ZV 77
Date Requested Time A.M.—X--P.M.
Address Permit
Owner Lot
Builder
Th$following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector XDisapproved
Date
CALL FOR REINSPECTION
YES 0 NO
INSPECTION IIOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 9722.3
Ph ne: 619-4171
Type of Inspection
Date Requested f~� _— ,_ me A.M. --P.M.
Address C7 Permit
Owner ----- __ Lot #
BuilderThe following Building Code deficiencies are required to be corrected-
-2
10
i
r' �' �. --,�._.�._ •�` -
Presented to Approved
Inspector Disapproved
Date. r�-/a
CALL FOR REINSPFMON
,�
YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATr_ , ebruary 13 is _ 4736 l
i HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK. HEREIN INDICATED BUILDER PHONE 692-361��� ;
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN;AND SPECIFICATIONS. OWNER PHONE
LOTNO._ 16
OWNER ouie ;;xller JOB ADDRESS ilUl.j S1; Uol�u ,c. Bund k"arK I
ARCHITECT
ENGINEER
BUILDER Sac* ADDRESS P.U. Box 23291 DESIGNER
STRUCTURE Li NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q.RESIDENCE ❑ COMM D EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY k.3—LAND USE ZONE -K-12 BLDG.TYPE ���_FIRE ZONE_— PLAN CHECK BY --49-K—HEAT 1 49
r'
Coust.ruct Single twily �iwe!ll inI, w/attached ;dareLe•
-- 24A, 9•+w+ W.A. ' Phi
4 Bedroow 3 1wathrooin
SEWER PERMIT N i7100 (,arnge 431
OCC.LOAD FLOOR LOAD HEIGHT 17 NU.STORIES AREA 171- N0.BEDROOMS It VALUE 74,1"Ju.
BUILDING DEPARTMENT SETBACKS FRONT i- REAR LEFT SIDE 40–f)" RIGHT SIDE
Permit _ 355•UI ;THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 23U.7`a i WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
S.b-total 5'..i5.75 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACI OAS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1/4 .20
SDC--
54(iu.uu
Total %1?.?•9S PDCO Y 11 100.11() , - –
APPLICANT OR AGENT
Receipt No.
Approved ti(;k ADDRESS PHONE
DAT[ INSP. TY?L INSI-ECTION
RKMARKS PLUP-40ING I DAIE
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HEA KING
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