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INSPECTION NOTICE
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City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
t Type of Inspection — G �f(/� ////ffC /(/�f�-
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ff Date Requested �/ -24Time A.M. P.M.
I Address �l '!.f )�1
Permit #
Owner 70
Lot # 1
Builder _
The following BuildingCode deficiencies noes are required to be correcte.i.
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Presented to
•�— r� Approved
i Inspector Disapproved
jDate
CALL FOR REINSPECTION
.� YES F-1 NO
INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Maln St.
Tigard,Oregon 97223
' Phone: 639-4171 1
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Type of I nsp action
Date Requested_4 - — 'Time �� -A.M.--P.M.
Address _ /�n �_ Permit # Q
Owner V W(/l_e4j Lot # V
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The following Building Code deficier.cies are required to be corrected:
or
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Presented to ❑ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
2/YES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard:Oregon 97223
Phone: 6394171
Type of Inspection /
Date RequestedTime M.k ��P.M.Address '� �' Permit # wJ 2
Owner _ Lot # o
' Builder `—
fE The following Building Code deficiencies are required to be corrected:
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I Presented to ; - Approved
Inspector
(_] Disapproved
Date
CALL FOUR it il,'INSPECTION
U YE$ ONO
– _
BUILDING PERMIT APPLICATION TIGARf3 DATE-. 'x _,19 05 5221
THE UNDERSIGNED HEREBY APPLIES"-OR A PERMIT FOh THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Jay Niller Uldr _JOB ADDRESS 1964 SW Bund Bond nark 11 LOT N0. _
ARCHITECT -
P.0• ikm 23291 ENGINEER
BUILDER ADDRESS ftllQ xd� OK 97223 DESIGNER PArcy &-Barclay
STRUCTURE a NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M iESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT C REiLIGious ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ '"3 LAND USE ZONE 13-12_ BLDG.TYPE 5N__—FIRE ZONE_ —PLAN CHECK BY BCR HEAT Gab
Construct single family dwrtli>ng w/attached garage --- --
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$*-Issue of 474U i'eraiit ---- ---- - --- ------ --
3 bedroome 3 Bathrooms Garage 449 — - --
SEWER PERMIT# "8343
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO.STORIES 2 AREA !748 N_O.BEDROOMS-3 VALUE 591,000
BUILDING DEPARTMENT SET BACKS FRONT 26 — REAR !: LEFT SIDE - RIOHT SIDE j
- -- --
Permit 340•t)U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 4U•UU REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HERC9Y AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
3�C1.OU WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LI NSE.SEPp�AT,E,PEPMITS nEOUMED FOR SEWER,PLUMBING AND HEAT ING.
State Tax 4% 83.6U , . 1,,, :_'t�.u,
SDC- 50U.0
Total 393.6U
Total PDC# j j 150•(X1 APPLICANT O#AGTNT'--
By
Receipt No
Approved ECR96je _ -- ADDRESS PHONE
DATE INSP.
TYPE IIISPECTION REMARKb eLUMWING Z'IYi
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