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INSPECTION NOTICE
City of Tigard Building Department
1242("S.W. Main St.
Tigard,'lregon 97;223
Pho .e: 639-4171
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Type of Inspection
Date Requested t�0 _ Time —__ A.M. �P.M.
/xJ �, �
/address -_ /� � . _'S�_t Y��_--- Porn-'t
Owner-— -- -- --_--- Lot #
Builder -- — ---- — ----- -
The following Building Code deficiencies are required 'o be correc.eo:
t.
PrN/ntod to _—_ W—, /Approvnd
r
Inspector _ I Disapproved
Dote
CALL FO t REINSPECTION
ED V E 8 LZN0
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. M yin St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Insrection
P 1VI.
Date Requested____— Time_ - A.M. i
Address Permit
--�ULC1r _ Permit # �
Dwner___ —.-----_—_-- _ Lot # i
{
60der
The following Building Code deficiencies are required to be corrected:
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Presented to __ ❑ Approved
Inspector — — Disapproved
Date — --- 6 PL/ —_--
CALL FOR REDISPECTION
Eb-YES Cl NO
BUILDING PERMIT APPLICATION TIGARD DATE_ AtLIP 25 is �� _ 4889
THE UNDERSIGN E!)HI-RF.BY APPI..IF_S FOR A PERM I FOH THE INORK HEREIN INDICATED BUILDERPHONE 639--oi42
ORAS SHOWN AND APPROVED IN THE ACCOMPAI,,YING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNERLOTNO.___ 22
— .:�1 ti;�y;�li JOD ADDRESS 7850 5i� L�•►Lui ;j�� _� __
bond Park C
ARCHITECT
BUILDER :j�,g ENGINEER
ADDRESS g
TSS SW H�r'cic>,cyh fir;. DESIGNER
I:ICTURE [( NEW ❑ REMODEL ❑ ADDITION Li REPAIR ❑ RENEWAL Cl FIRE DAMAGE _ ❑_DEMOLITION
rn RESIDENCE ❑ COMM ❑ EDUCATIONAL 11 GOVT C] RELIGIOUS ❑ PATIO Ll CAR PORT 0 GARAGE ❑ STORAGE L7 SLAB❑ FENCE
OCCUPANCY _ ti-3 LAND USE ZONE A--12 BLDG.TYPE Sfd FIRE ZONE PLAN CHECK BY ttLH HEAT (iia
�— ----- Cunst
rw .t single fguaily dyg1linu wlattached &at~ajER.
ISathroom 3 Bedroom
Wf'%NERPERMIT# 279UV _ 4iT11j�!4 41��
OCC.LOAD FLOOR LOAD 40 HEIGHT 1,*) NO.STORIES I -_ AREA - I?� NO.BEDROOMS 3 VALUE 59,()
'1111.
BUILDING DEPARTMENT SET BACKS FRONT i; , REAR 23 LEFT SIDE RIGHT SIDE r,
Permit 3 IiJ.Utl 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 201 A.' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SUb•total _ 511.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12.4u LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
— SDC— "`5(►U.uu .
Total — 523.90I 150.01)
PDCMI APPLICANT OR Ad—ENTBy C4 88l1C 250.ulu
Receipt No.
Approved MGk ADORPHONE `�
A.. _ ._-I.. ...ar
DATE INSP. TYPE INSPECTION REMARKS PLUM®INO
I Permit rr ? _—
Ho
ugh.in
so rlxtu of
Final—_— —
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.� �f �L►1nl._Y. r ---— --- — — GOnhocit 'fk
Gat nr UII_
-14 C � r mow//— Rnugh-in
SEWSR -
Fine — ----. _ ——.—-
DRIVEWAY —
Find
15ein Drain, Final
Ridowelk
Curb 6 Strar.t Flnel
_ Approsel
"Do 1) rT. '. 1, �J ---TEMPORNFtY r ER I IF �/.r L�rC1/PANCY —
17TIVICATE VCCUFANC' Final
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