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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
I Type of Inspection
Date Requested "7- Time A.M._k_P.m.
Address ex
�D -31�_S Permit #--.,
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Z77
_
Presented to Approved
Inspector Disapproved
Dati,
CALL FOR REINSPECTION
El YEs El No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ov C,
r j �vt X ,
Date Requested �_171 3 TimeA.M.� P.M.P.M.
Address Qvv_. Permit U/
Owner Lot
Builder —Ti 6f-L4
The following Building Code deficiencies are required to be corr,obted:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
BUILWNG PERMIT APPLICATION TIGARD DATE_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HFREIN INDICATED BUILDER PHONEE__.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT No
ark llru i,-,s JOBADDRESS 12935 �;4"i CjAcior Lake CircIr
OWNER ^_ _, ------ ARCHITECT
ENGINEER
BUILDER � 1"F" ADDRESS 71 SW 7��dk1urc! St. _DESIGNER _ �Y'YYlldf:'z,,a.rk
STRUCTURE _ [2 NEW ❑ REMODEL ❑ ADDITION-0 REPAIR ❑ RENEWAL L'_FIREDAMAGE ❑ DEMOLITION
0-RESIDENCE ❑ COMM ❑ EDUCATiTIONAL 7 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
5'i FIRE ZONE PLAN CHECK BY ClWh HEAT __ ,`•'
OCCUPANCY i -3 LAND USE ZONE f, 0, BLDG.TYPE _— �`
Construct Tin(-le family w attacl16l0 CilCl d Pedroo
SEWER PERMIT N 2 7,q 1 - s;" 1(7 L00 (iartr ge A 9 s.g.f t
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES _� AREA 16.5n NO.BEDROOMS VALUE
BUILDING DEPARTMENT yF_T BACKS FRONT REAR LEFT SIDE } n RIGHT SIDE
Petmlt _ _ THIV PERMIT IS ISSUED SUBJECT TO THE REQULATIONS CONTAINED IN THE BUILDING CODE, AT ING
THE
— i n REGJLATIONS AND All APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
• ;y0 WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal =. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIiY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
3
State Tax ---
SDC-
Total _ PDCq A"�I_IdA_NTOR AGENT
By
ejt 1� Receipt No. AUOgE8t3
Approved __J
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r �y Contractor Crjd 4e
Permit No. �13 L�
Rough-in
Fixture
-2 _ Final Y --
HEATING
u Contractor �11.g� n
;lo• �i., -� V Permit No. r�/ - .G�d /'6 �✓
Ilk
Gas or Oil
/-�83 nil �� � -��„ . .r � Ro�ugh4n —
/_ Final
-- SEWER --
-., Final 7- -'-,{-Z- 5CY<
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANrY
Landscaping
Zoning Final
u