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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
-Phone:639-4175
Type of Inspection
Date Requested Time P.M.
Address _ Permit #_
Ov,ner .— Lot #
Builder /
The following Building Code deficiencies are required to be corrected:
- - 41LO-0c,
Presented to —7--7''" pproved
Insprctor _ � -
_ [) Disapproved
Date —
CALL FOR REINSPECTION
D YES 0 140
i
CITY OF TIGARD 639.4171 ti 5881
DATE
BUILDING PERMIT -
tvr ius,,wet iunx Call 639^41.75 TAX MAP ___._____LOT NO. —SUBDIVISION,
OWNEO"y Millar �— t 8�t`T-T= d
— JOB Q,pDRESS
4"1 k•U• ;or N9911,, Tif;ard 9,12� < �..
BUILDER STATE REG.NO.301143___ EXP.DATE_ 1s liw–aG
BUILDER'S PHONE _y;{L�-�:a[►;y.�.___ —_
! ARCHITECT PHONE ____ _.. OTHER
STRUCTURE NEW REMODEL LJ ADDITION REPAIR MOVE OTHER DEMOLITION
i RESIDENCE COMM EDUCATION I_I IND RELIGIOUS ! ! ACCESSORY GARAGE OTHER Ll FENCE
'F OCCUPANCY LAND USE ZONE BLDG.TYPE :_ FIRE ZONE PLAN CHECK BY HFAT s�
r ConS1�=►ici _Q P fACliI)( •lursl Ij N v•ntrArlusci MrfA11INalt It'rw,rcw • ' � ijna
K iEWERPERMIT M iJU)1 Udui i;airy, - 54" 2.. 'aLi
OCC.LOAD_ FLOOR LOAD 40 HEIGHT lr�'. NO.STORIES AREP ") NO.BEDROOM4 VALOI!IOU',
T BUILDING DEPARTMENT�7 SET BACKS FRONT REAR S LEFT SIDE RIGHT SIDE
Permit 349•UU 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 214•�'� 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
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax �.)•y!i slim 60•!}ll
SDC— :pU.UU
Total _ t APPL;CANTARAGE4T v
p Prepd. PDCI r j$U•UU
E + Receipt No ,;'�.:�� ADDRESS PHONE
Bel.Due
Y� --�� Issued By _ Approved By
DATE INSP. TYPE INSPECT'ON REMARKS PLUMBING DATE
Contractor
J Permit No —
Rough In
Y Fixture.
Final —
�,.,_ HEATING
_ l l
= S \ Contractor / L�1L^ 4' J 3 � S
Permit No 6
Gas or OI I
Final
_ SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— Sidewalk � Y
Curb R Street Final
>pproach —
BLDG DEPT.FINAL TEM?ORARY CERTIFICATE OCCUPANCY Final
7--
CEPTFICATF OCCUPANCY
\\ \
f 1�
III And.;,Rubin
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INSPECTION NOTICE
City of Tigard Budditq department
P O Box 23397
` Tigard, Oregon 97223
Phone, 639-4175
1
f Type of Inspection /--" -�_-—
Date Requested TIMV( A.M. P.M.
1 Permit _--_-
Address — - - --
Owner— —_ --_- _-.--- Lot # -----___—�
Builder ------ -
` The following Building Code deficiencies are required to be correc•:ed:
I
— —
P
f
I
I
� ^-_- _------..--�_-._ _� ----
Presented to Approved
_ -- - --
Inspector -- — — ❑ Disapproved
Date --
CALL FOR RF.INSPECTICN
Ci YF8 ❑ NO