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INSPECTI,?n' W)TICE '
CRy of Tigard Building DeparUmoW
i 12429"3.'N. Main St.
Tigard, Otegun 9722.3
Pho;(�;,39-4111
Type of Inspection
i Date Requested_--_ ._L:�__��--L�--• Time---- A.M. P.M.
Address
I
Owner _------�-- — — of #
Builder _ -- -- — ----The following Building Code deficiencies are required to be corrected:
Presented to Afpproved
Inspector ❑ Disapproved
G
Date — �—
CALL FOR REINSP�CTION
❑ YES EAO
INSPECTION NOTICE
City of Tigard Building DEpartrnent
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_ tea''/ �Time iLJ1-T P.M.
Address �, Com•(.� (? �ilr' y Permit—#--,
iOwner - Lot
guilder
The folloINing Building Code deficiencies are required to be corrected:
G
•-•-:rte-� _ ----
Presented to
—� � � Approved
Inspector —_ Disapproved
Date ----- — ` = �
CALL FOR REINSPECTION
YES El NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard.Oregon 97223
- Phone: 639-4171
Type of Inspection _------
Date Requested ' Time A.M. P.M.
Address Z- / �y s��� _ Permit #
Owner �,— lot
Builder _ ---- — --
I
The following Building Code deficiencies are required to be corrected:
Presented in ' r��( Approved
`yLti — /C I
Inspector Disapproved
Date - — CALL FOR FOR REINSPECTION
YF8 ❑ No
ww
BJILrVNG PERMIT APPLICATION TIGARD DATE_ "arch air _ _ --,19 y 4780
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE '297-7922
_
O?,AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATICNS. OWNER PHONE
LOTNO.____ 82 _
OWNER '3ranriyrine 'Ims JOBADDRESS 129-SO .91 rinCir.r Lilly Cr. 1W11 A-unrc 3,.awnerlak.e _
Portland ARCHITECT~ r
Same, 7710 a» Canyon Drive ENGINFcR
BUILDER ADDRESS DESIGNER
STRUCTURE _11 NEW U REMODEL ❑ ADDITION — ❑ REPAIR _ L RENEWAL 171 FIRE DAMAGE _❑ DEMOLITION_
nRESIDENCE ElCOMM ❑ EDUCATIONAL ❑ GOV'T ElRELIGIOUS ElPATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1"1—LAND USE ZONE-�4"272-BLDG.TYPE ._Z` FIRE ZONE—_PLAN CHECK BY SC HEAT
CoTmtrtict ninxle family dwPMn;• w/atttached viretie.— - ---
- .— 4 i1�!d. 3 !lath
Subjects to $160.UO Amort/Wed,!«oa,.l Pewter a,arRharP��a —
SEWER PERMIT# 2 r 198 & $150.010 Leror 00;. .Stirchar*r
OCC.LOAD FLOOR LOAD HEIGHT vo.S FORIES 2 AREA 1 T^1 NO.BEDROOMS VALUE 103,00f)
----_ —
_ — BUILDING DEPARTMENT SET BACKS FRONT REAR b 3 LEFT SIDE RIGHT SIDE
Permit 46t�.,�C► `
—_� THIS PERMIT IS ISSUED ,UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 2716.34 REGULATIONS AND ALL nPPI_ICABLE CODES AN.) ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS ANG SPECIFICATIONS AND IN COMPLIANCE
WITH Al L APPLICABLE ! IDES AND ORDINANCES. THE ISRUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ 1211,.84 RESTRICTIVE COVENANT c�. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPRENT CITY BUSINESS
State lex 17,t)2 LICENSF SEPARATE PEF Mr3 hEOUIRED FOR SEWER,PLUMBING AND HEATING.
Total
4 Q0.Uk,
By 1071.00
PDC# APPLICANT OR AGENT —
Approved TWO,
Receipt _
rj —
ADDRESS PHONE
"�77 I
NUIL W-L111111111111
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING
9L
Agri Ink.
Contras or Permi,N
R ugh-in
Fixture
Final
HEATING
Late" Con tra-ndczz
Permit No.
f Gas cvr Oil
Final
3EWE R
D
RIVEWAY
Final
Storm Drainage
tFsain Drain)Final
Sidevv:lk
..Curb&Street Final
�Approach
BLDG. DEPT. FINAL TEMPORARY TEWfIF`1`CA:'E OCCUPANCY
CERTIFICATE OCCUPANCY :nal
LamdscaplNg
Inning Fins!
�-
... !-,cartM su-t rer. L^ .4063
BUILDING PERMIT APPLICATION TIGARD DATE-- - -� 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERM r f OH 1 HL. "' HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING NS AND ECIFICATIONS, OWNER PHONE
LOT NO. t�; I!.,T1A r
OWNER :F`r:t7tk I C�':'t"f JOBADDRE88 i iro2 { ��LlFY1141er
W-_- -- —_, ------
-' -- -� ARCHITECT
ENGINEER Irra er�ark
BUILDER same ADDRFcS 71 an.ci rcr St* DESIGNER------_
STRUCTURE _�_ NEW El REMODEL [J _ Fl REPAIR [I RENEWAL [] FIRE DAMAGE D DEMOLITION_ _i
Ck,RESIDENCE ❑ COMM U EDUCATIONAL ❑ GJV'T ❑ RELIGIOU _] PATIO ❑ CAR PORT _❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _I1-3 LAND USE ZONE ?� ''I —BLDG.TYPE 5!ti FIRE ZONE PLAN CHECK BY dVI HEAT_._ ila�L--
`cr: tz- pct s�n�:�:le f it dwe-Ilinq w/a.t Dched garam,, 4 vedrocynts 3 3_,ath., .
k AP
�y � A �
SEWER PERMIT M 1:" 17 p 4. i St1 w f• _,��
OCC.LOAD FLOOR LO 41?, -HEIGHT--7.? NO.STORIES l AREA a 2 4 4 NO.BEDROOMS 4 VALU4 17,r!)
BUILDGJG DEPARTMENT \ SET AC_KS FRONT ?c, REAR ' LEFT SIDE 9 _ RIGHT SIDE 1
-- -
364 or,
Permit 1rIJ RMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
RE b TIONG AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE W:TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su0•t0t8lRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- � LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
state Tax 1��t _ SDC $400.66" ' ., i A.1:l
Total �1 :'>•1�+ r X1011)101? - —
—'— PDCq APPLICANT OR AGENT
By
Receipt No -- PHONE
Approved �l1nF�' AD-D�1E9S - - ____—