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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit 7�
Type of Inspection
The following Building Code deficiencies are required to be evrected:
Presented to lnst,actor
Date
CALL FOR REIASPEC77CW
0 Yrts 0 NO
BUILDING f- ERMITAPPLICATION TIGARD DATE.— Sept. 5 -,19do _ 3336
THE:UNDFRSIGNE0 HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ 6363 ---_
OR AS SHOWN ANu APPROVED IN THE ACCOMPANYING PLANE'AND SPECIFICATIONS. OWNER PHONE -__-_--.-_
LOT NO.
OWNER J.L. possler JOBADDRESS IOP-50 SIT G"rda St.
ARCHITECT
LP deck & Son 5955 SP 122nd ENGINEER
BUILDER ADDRESS DESIGNER_
STRUCTJRE ❑ NEW ❑ REMODEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE` Ll DEMOLITION
L%AEAENCE ❑ COMM 0 EDUCATIONAL U GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE-❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE -BLDG.TYPEFIRE ZONE PLAN CHECK BY JIT_
I)atwlish foundation miler house bi ..Ln; mored. fh.rnp b fill existing_
septic tank. (ger state code. _
SEWER PSRMIT q _ -
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES__ AREA NO.BEDROOMS - VALUE
BUILDING DEPARTMENT SETBACKS FlIONT REAR LEFT SIDE RIGHT SIDE
Permit two") _ 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
�— 1(�.t}U 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
•�0 T LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
0.40 SDC-
--
-- PDC# APPLICANT OR AGENT
By I•,r
—�— — — Receipt NoL.4 r' ADDRESS PHONE
Approved T1N
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _-- - -
_ Permit No, ------ -
-._ - ------- -- _-- -- ----- Rough-in-------
.—.-.._ --- --- Fixture.01
— -- --
Final
--_.__ ---- -- - HEATINO^-
�2. Contractor
Permit No.
_ --- ---- Gas or 011-- --
--- ------------ Rough-in
--- - ---.._..------_..�--- Final ---
_ -SEWER - -
— -i---- - Final - --
--- --`- - DRIVEWAY
— -- - --- Final _—
Storm Drainage
(Rain Drain)Final
—` — Sidewalk
Curb d Street Final
Approach
BLDG- UEPT.FINAL —TEMPORARY CERTIFICATE OCCUPANCY Final
CER'T'IFICATE OCCUPANCY -
Landscaping
Zoning Final
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