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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
�SDate Requ�elsted_—. Time A.M.X-_--P.M.
Address}!f y� _ !f��� -- Permit
Owner --- - ------- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to - ❑ Approved
Inspector _--_ -__. _ ❑ Di approved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
RNA AIWA W In !a 4LULMULNv
I
/ INSPECTION NOTICE j
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
39-417711
7 �T� ~
Type of Inspection -
-�..
Date Requested,—__
�" S Time . P.M.
Permit
Address
Owner Lot #----- --
Builder
The following Building Code deficiencies are required to be corrected: --
L— – –
— '
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i
Presented to J _ __ Approved {
Disapproved
Inspector Inspector {
Date
-- l
CA.LL FOR REINSPECTION !
�I YES ❑ NO 1
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Ti _
P.M.
IAddress !
I
Permit
Owner -- —
• — Lot #
! Builder � —z--d-
fTho following Building Code deficiencies are required to be corrected:
22-� -- +
ItZ
Presented to
/Approved
Inspector _. " �..
-- u Disapproved
Date
CALL FOR REINSPECT]&
1�I YES 0 NO
INSPECTION NOTICE
City Of I lgard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4 171
Type cf Inspection
Date Requested
Time A.M..—P.M.
Address
Permit
Owner
Lot #
Builder -----------
The folloyililins)Building Code deficiencies are required to be corrected:
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hill'' LA
rreiprited to
Approved
Inspector —, f
Disapproved
Date
CALL FOR REINSPECTION
❑ YES �No
AMR
BUILDING PERMIT APPLIGA TION
TIGAilDKHEREIN OATS— .9
OWNER P ONE +----
BUIIDcR PMOPtES�---
THE UNOERSIGNEO HERE®Y APPLIES FOR A tAPANY NG PLANS AND SPECIFICATMIT FOR THE WOR IONS.INDICATED
LOT NO
OR AS SHOWN AND APPROVED IN THE ACCO '. _
c� JOB AOORESS cC
ARCHITT
(WINER _�. ENGINEER
DESIGNER A
AODRESS � ! -
8UILDFR / IRE OHMAGE Q OE�AOL
ClADDITION ❑ RHIAIR ClO RENEWAL ❑ --
STRUCTURE NEW O REMODEL —
EpUCAT10NAl ❑ GOV'T ❑ RELIGIOUS O PAi10 O CAR PORT ❑ GARAGE STORAGE Cl T B❑ F
!7 RESIDENCE 0 COMU O FIRE ZONF _PIAN CHECK
LAND USE ZONE' ---BLDG•TYPE
SEWER PEIMIT/ -- ---- AREA NO.BEDROOMS Vfa-UE
HEIGHT NO.STORIES RIGHT SIDE
OCC.LOAD FLOOR LOAD REAR LEFT SIOE
BUIIDINT DEPARTMENT SET BACKS FRONT ■.
TIONS AND R OS HE1lElIY AGREED 7
THIS PERMIT K ISSU U.SUBJFCT TC
APPLICABLE GOOFS AND OROIHAN HES. P D IT HEREIO"S ANOGREOOFAP
/rrtnit REGULATIONS ANn A
�� THE ISSUANCE OF THIS PERMIT DOCS NOT
WORK ylftlL ■E OONt IN A,CCOROANCE WITH THE PLANS
la WITH ALL APPLICABLE CODES AND DROINANC£SHAVE-
RESTRICT1Yw COYENA TS.CONTRACTOR ETRACED FOR SEWER,PLUMQIt G AND p EATING_CURRENT dTY EU,
!Su�tot>tl LIOEHSF-SEPARATE PE 1
f
StitA T1ut
SOC—
APOa
Tood
P'OCA
BT • -- — P."Pl:40. q /-
Approval
a0C
POC - --�
SEWER CONNECTION
SEWER INSPECTION 8
SEW` E!R SURCHARGE S
1 1
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(tui Idi Ig Permit tla. �1�J
L o c a t i n —�Zf�� -
Cert if icat ion of Recd istrat inn
With the Builders hoard
doing hus i ness as (dba) ,
am registered under- the provisions
__ 71
of URS Chapter 701 Oregon Nunebuilders Law) .
Registration Number is �my Builders v uu i lders Qoard Reg —
My registration is in
full force and effect and expires on -
irr, ture --
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BUILDING RECEIPT
L
NAME: " DATE:
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees s
10-431-600 Plumbing Permit Fees s _
10-431-601 Mechmnical Permit Fees
10--230-501 State Building Tax
10-433 Plans Check Fee
30-443 Sewer Connection (20X)
30-202 Sewer Connection (80x) �--
30-44A Sower Inspection $
51-448 Street System Dew. Charge (SOC)
52--449-610 Parks I System Dew. Charge (PDC)
52-449-620 Parks II System Dew. Charge (PDC) -
31-450 Storm Drainage System Day. Chrg (SSDC) : �?
10-230-505 TRFD (95x) s --
1
10-478 TRFD (5%) s
10-?30-506 Washington County Fire N1 (95x) f
10-478 Washington County Fire 01. (5x) �
10-220 Amart/Wedgewood 10
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