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INSPECTION NOTICE
City of Tigard Building Pepartment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requests Time A..M. N— P.M.
Address Permit
Owncr,-,--- Lot
_—
Builder
The following Building Code deficiencies are required to be corrected:
Presen id to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl YES ?_1 NO
INSPECTItX,j NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of 1, ;pection
Date Requested Time A.M. P.M.
Address v�Q �fiCJ Jr'1'T d( Permit
0
Owner_,.--- /� Lot #
Builder ._
� a
k The ?ollovhng Building Code deficiencies are required to be corrected:
Presented to _ ❑ App:nved
Inspector Disapproved {
Date --- ----- ---- ---� ',X ,
CALL FOR REINSPECTI01V
,Q1 YES ❑ NO
i
BUILDING PERMIT APPLICATION TIGARD DATE2111,.__--_„1985 5487
TH'_:UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T dE WORK HEREIN INDICATED BUILDER rHONE
OR;1S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
LOT N0, 78
OWNER Jahr I1til JOBADDRESS_ 8020 SW Bor,xd St. Pink III _
— ,�, iI ARCHITECT
ENGINEER
BUILDER Sim? ADDRESS 23291 DESIGNER—_ _
STRUCTURE _ al NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
FI RESIDENCE ❑ COMM CJ EDUCATIONAL ❑ GOV'T El RELIGIOUS F3 PATIO C CARPORT ❑ GARAGE_L] STORAGE O SLAB❑ FENCE
OCCUPANCY It-3__—LAND USE ZONEt�12_BLDG.TYPE S _lFIRE ZONE _PLAN CHECK BY _HEAT t,diS
comtrLvt, single faudly raw Iling wj,�atIzdwxij--+xc�yc.. ---
i*�-isste Of pentidt #4740
3 bathrom, 3 Akiruut,
SEWER PERMIT N 28492 — (iiit<aW 449
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 N0.STORIES ? AREA 17413 NO 13F_DR(.,,)MS t VALUEb9rW0-
BUILDING DEPARTMENT _ — SETBACKS FRONT 2C REAR 1(1 LEFTSIDE RIGHT SIDE
Permit 34(1.00 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 40.00 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
Subtotal_ 380.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.60
SDG- ,:500.00
Total 3y3.60
By
C;. PDC4 II$jy;).00 APPLICANT OR AG FN T
_
_— Receipt No, y - - — --
Approved -1t AA—ftp— PRONE
DATE INSP. TYPE INSPECTION REMARKS PLUGING DATE
Contrpctolff.
Permit No,--�'
R....gh,n
Fixture
ot- final
HEATING
Contro,71.or
Permit No.
3691 2
Got or Oil
R-jugh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm 0- linsp
---
(nein Drol,i)Final
Sidewalk
Curb&Street Final
Approich
1EMPORARY CERTIFICATE OCCUPANCY
-VRTIMCATF OCCUPANCY Final
Landscaping
Zoninq Final