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INSPECTION NOTICE
}-�(� City of Tigard Building Department
` ' P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection _ - ----- -- —
i
Date Requested � � Time A.M. � P.M.
C1
Address 17S90 •�/1j/a�—/1 Permit
r•�
Owner __ Lot #
Builder _ _ -- ---- - ---
The following Bulding Code deficiencies are required to be corrected:
Presented to — �proved
i7 7
Inspector / _ — �_� Disapproved
Oats
c~ALL FOR REINSPECTION
❑ Yti 0 NO
ESIMUNIF W�MAXMWK
INSPECTION NOTICE
' City of 1 igard Building Department
P.O. Box 23397
Tigard, Oregor.07223
3
��)Phone!68(39-9-41Y5
Type of Inspection _ __._-- �-- "- -" C4 _
Date Requested.___ Time A.M.—it P.M.
/
Address % `�Q r 4vL—G��-y'" Permit
Owner ._ `+ Lot __ --
Builder
The following Building Code deficiencies are required to be corrected:
Frig 1�C7 Ate __
K1 �'—_111 S'� ''�'�--� ►'� —
Presented to __ [� Approved
Inspector _ �.Z —�--lr / — /Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
CITY OF TIGAI'P0 639.4171 1 9 9
BUILDING PERMIT DATE �_ 19 —
TAX MAP �_- LOT NO. "D._ SUBDIVISION
OWNER ri(1xMft Ga. _- JOB ADORESS 1' '! 21&ciar Lil�, t ii't:
"det i'.U. tux 68428, UNk Grove (.IR 9i2bb
BUILDER _ STATE REG.NO. _ EXP.DATE
BUILDER'S PHONE __ 654•-7349
ARCHITECT ,arclay s PHONE __- OTHER _.
STRUCTURE {4J NEW REMODEL (-i ADDITION ❑ REPAIR MOVE OTHER DEMOLITION
I-]RESIDENCE COMM EDUCA110N IND RELIGIOUS LJ ACCESSORY GARAGE _01 HER FENCE
OCCUPANCY LANE SE ZONE 'r'` BLDC.TYPE �' I`IRE ZONE PLAN CHECK BY HEAT __
rijer ititIa I jaig 111)1 rositipawtu a au p"r sr.r
U11C-t�c !_may 'iiii -i i1o...trtfupti�wormi f. �'14L_IIiiI.Agrgin Ar .:Ar,A4Q1A ___
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 4C HEIGHT fl f' NO.STOR14 AREA iltlo NO.BEDROOMS v VALUE'
L.
BUILDING DEPARTMENT +` —^ `+ —
_ SETBACKS FRONT ROAR LEFT TIDE ' RIGHT SIDE
'ermit _ Jfj4.UU THIS PERMIT IS ISSUED SUB" r0 THE REGULATIONS CONTAINED RJ THE BUILDING CODE ZONING
2,j�Is6U 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
PI.C_k.Fire " RESTRICTIVE COVENANTS. CONTRACTOR AND SUBCONTRACTOR',TO HAVE CURRENT CITY BUSINESS
i AX PERMIT S.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEAPING.
State Tax :;t" i�U.GU
-
Total APSDC— gU(1•UU
f___NT_.--
PLICA7c+AGE r r-----___-_
PDC#1 15u.UU
Prepd.
Bal.Due Receipt No. losl ADDRESS
,
f Issued By Approved'3y
DATE INSP. TYrEINSPECTION REMARKS PLUMBING DATE
Contractor 7,
t J, Permlt No, 4jS1 v
r Rough-in
Fixture
Final -
HEATING
Contractor
cy�
Permit No. i I "
_ Gas or O �
Hough a
r - Final
SEWER
Final
3i _ a -- --- DRIVEWAY
Inal -- —
8 PPy Storm Drainage
• —ip t j`� �`.J� U/l --- (Rain Drain)Final ---
8—� Sidewalk --
_ Curb 6 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY net
CERTIFICATE OCCUPANCY -- --- -
'�\t'>�'1 Landscaping
Zoning Final
K: