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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main;t.
Tigard,Oregon 97223
639-4171 i
Type of Inspection
Date Requested-- els Time r A.M.—_._—.P.M.
Address __�J 9 .C' a� 1„/- r Permit
Owner r ),,a Lot # ___-
Builder -- ------- - - —
lhe following Building Code deficiencies are required to be corrected:
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Presented to _______ _..__ [� Approved
Inspector _. _ _ ❑ Disapproved
Date ----
CALL FOR REINSPECTION
❑ YEs C] NO
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BUILDING PERMIT APPLiCATION 1'IGARD DATE dq, 19 ac,_ 4934
THE UNDERSIGNED HEREBY APPLIES FOR, PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 649-7U26
OR AS SHOWN AND APPROVED IN THE ACCOM°ANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER U-S_ N& ramal Bank JOBADDRESS S1 LOTNO. _Z:i_---.._- —
CZan
ARCHITECT — —
ENGINEER
BUILDER I:elinL�ec C•nr�etr. ADDRESS B2k11) 51 162 DESIGNER
STRUCTURE 1..1 NEW ❑ REMODEL _❑_ADDITION ❑ REPAIR_ —❑ RENEWAL _ U FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM D EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE r] STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ —LAND USE ZONE ____BLDG,TYPE _ FIRE ZONE PLAN CHECK BY — HEAT
�ii�51:L����,iiL�4sj . -- `.
r'or axa5ottla iD121A4t icon 10v'c un Pgr,'t �4UU'J also.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES
AREA NO.BEDROOMS `VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit - -- -- --
:eri 2U 1.511 _ 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 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE.SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEAPING.
Total 5, SDC—
By
PDCk APPLI-CFNt OR AOIcNT "-
� �
IReceipt No.
Approved --�r; tJ--._J AnDRFSS
t
__� ..,,1:'..'i'..�1;y; �,`:;.,III � ;•.� ,.
IPE INSPECTION REMARKS PLUMBING pATu
Contractor
Permit No.
Rough-in
Fixture
Final
HEA NG I -
Contractor
Permit No.
T Gar or Oil
Rough-in
Flnel
SEWER
Final
DRIVEWAY
Final
-._- - - Stor.n Drainage "'
— -- Main Drain)Final I
-- S dawalk
Curb 81 Street Final
— - Approach - -
L TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date 'requested—__J::i� Time AM, P.M.
Address 'zs
Permit
9witer
Lot
Builder
The folloving Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspector Disapproved
Datil
CALL F R REINSPECTION
YES M– NO
fyl nesi: III
-BUILDIN a PERMIT APPLICATION TIGARD DATE �s _ 40014-
THE UNUERSIGNED HEP!:6 T Ar''LIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILQrR PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE .._.lr gy''• �
LOT NO.
nWNER cil I,!ey-y-,I*C'47rrVBADDRESS_11-195 }.)lncC' — --- ---
ARCHITECT
ENGINEER
BUILDER_- .'walls' ADDRESS 61, 40 cis 105bh,T?VtT'l DESIGNER `--
STRUCTURE GC NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE DEMOLITION
1 RESIDENCE 0 COMM D EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO C) CARPORT ❑ GARAGE O STORAGE ❑ SLAB_❑ FENCE
OCCUPANCY LAND USE ZONE !z_rl D BLDG.TYPE ��'' FIRE ZONE=.-"__.PLAN CHECK BY �1 Ttt HEAT
,►r + ,^�t C.4.ngl`faar_i!_y 5 l,l cT R y'ittachE+`d t7a +dt.'..'
r. Fr13L.1 'i A . 11,
SEWER PERMIT k
41
OCC.LOAD FLOOR LOAD_ HEIGHT 4(l, _N_U.3T0_RIES_? AREA ?f '76 NO.BEDROOMS VALUE
_BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE ' RIGHT SIDE _
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULA11ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check - + WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOF WAIVE
Subtotal RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITE BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING;AND HEATING.
State Tax
-- -_.-_. SDC- qA{',li•n{ti
Total 1 .
PDCM ! ADPL ANTOR GENT --
By ..r
Receipt No. i
Approved ADDMESS PHONE
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_.... ..................
,.
DATE INSPP, TYPE INSPECTION REMARKS _r--
_ PLUMBING
DATE
■✓ Contractor �,,,97Zy
Permit No.
—._.___ Rough-in
Future
Final (� �---
G - .e `.--- HEATING >SXQiIry�
Contractor Q+ 363-.23341
Permit No.
Gas or Oil
r
Rough-in
Final
_ SEWER
---- —._—__ Final
DRIVEWAY
-- _ — Final
_ Sto1m Drainepe Itl�
(Rain Drain)Flnal 30 ,n
Sidewalk
Curb di Street Final
IS DG DEPT.FINAL �— Approach —
CERTIPPICATE OCCUPANCY CERTIFICATE OCCUPANCY Final
La,idscaping
Zoning Final
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