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INSPECTION NOTICE
City of Tigard Buildinn Department
12420 S.W. Plain St.
Tiga-d,Oregon 97223
Flione: 639-4171
Type of Inspection
Date Requestpd 53 Time A.M. P.M.
Address V Hermit
Uwner Lot
Builder
The following, Building Cade deficiencies are required to be corrected:
Ile I
41A AL
Presented u Approved
inspector Disapproved
4
Date
CALL FOR REINSPF,,CTION
YES t NO
BUILDING PERMIT APPLICATION TIGARD DATE J01"1• <<' 1f)__-� 4�,�'
THE UNDERSIGNED I-ILHEBY APPLIES FOR A PERMIT FORTH L WORK HERE N INDICATED BUILDER PHGNE 647-5
CR AS SHOWN ANI)APPROVED IN THE ACCCMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 6" -""T _
iouSLnt t+ut:h.Urit, `:) !iia Cu. LOT NO. 13f1►SOrara
_OWNER 1JCBADDRESS p47r3 c;.-i. ''l'cll�t :: 1'+Y+. _ Terrace _
�-ARCHITECT
alillshorc� - 81 IGE iV Korman 646-5.16"
BUILDER Inco 'ik:� nes InC•ADURESS 't. 3 rox 943 OF Ifiltl f�`
STRUCTURE D:NEW 0 REMODEL ❑ Auui"MON ❑ REPAIR ❑ RENEWAL F_7 FIRE DAMAGE ❑ DEMOLITION
Irl RESIDENCE ❑ COMM C❑ EDUCATIM.AL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE F! 9TORA13E ❑ SLAB_❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE---�- FIRE ZONE_. PLAN CHECK BY __i HEAT
,�in,j1e Family D'o-1 li.nq ilnr '_)"'111S Ar ('r)(jew
of --omit (1131)'1 nr} t, i Vs!j ;X()'ti)..1`-_
SEWER PERMIT#
OCC.LOAD FLOO,'i LOAD HEIGHT + T v NO.STORIES AREA ' .'' NO.BEDROOMS_-3_VALUE
���
BUILDING DEPARTMENT SET BACKS FRONT �!} REAR J r LEFT SIDE RIG!""r)E �
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULATION'S AND ALL APPLICABLE LODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
Plan Check ^� WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAVE
Sub-'total %t • RESTRICTIVE COVENANTS. C_NTRAC'rCR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I 0sLICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
7ohil
2,81 . ---- - SDC- j
----.._--
By PDC# T' 1 Old.�; APPLICANT OR AGENT
,j �
- — - Receipt No. -- ---------_--_------
Approved4J)i / ADDRE99 PHONE
VEMRPCS PLUMBING DATE
DATE INSP. TYPE INSPECTION _ - -
O O / tPeroit
�No. -19-03
V4
^-/y < -- -- ---- �----
(Rol' uqh-in
FixtureFinal -
l0
HEATING
r-res ►_t-�u��ar---- - 777'3bt0/
Contactor
Permit No. 2grj G, � 143
- Get(or oil
-- Roughen
Final
--- -- B W E R
- DRIVEWAY
- Final
Storm Drainage
'- (Rain Drain)Final
— --- Sidewalk
- r I Curb&Street Final _
- Approach
BECK.:. DEPT'.FINAL TEMPORARY CERTIPIGAI'E OCCW'ANCY Final
C ERT WI C ATE OCCUPANCY
t_andscaping
2oning'Inal
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