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{I INSPECTION "!O ICET
City of Tigard Building oepartment
1 12420 S.W. Mai i St. {
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection I A/A) e
Date Requested_ ���� ,�_ ��] _-----
Time�_ A.M.— P.M.
Address 3 �> > ) ��(�Sj 5
Owner Permit #
_ — 97 tul
Lot # J��
Build(r --—' � 1 U� �z– ---
rhe following Build'ng Co a deficiencies are required to be co rr cted:
Ile
.r
Presented to
Approved
Inspector
-- �} Disapproved
Date
CALL FOR REINSPECTION
Cl YES 0 NO }
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 9.7223
Phone: 639-4171
Type of Inspection — , `�--�� �✓"� ��
Date Requested—�-� ���,�-��" J _ Time__-- A.M. P.M.
Address � _k���_� _—Z�.-� '"'-� t _ Permit
Owner — - - - ------- - ---- — --— Lot # _
Builder..�� ----------------� _The following Building Code deficieniJes are required to he corrected:
I
Pvesented to -.__ lIJ Approved
Inspector _ — {[] Dimpproved
Date
CALL FOR REIN PECTION
O YES NO
BUILDING PERMIT APPLICATION TIGARD DATE is _ 3978
TIIE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WOHK HEREIN INDICAII=D bLJlLXA PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANSA ND SPtCIFI(-,P.TIONS OWNEH PHI-)ME
LOT NO._..--- ---- _
OWNER i<<: J.r,r-4 �1;'rr trJOB ADDRESS LOo}�
_ ARCHITECT
ENGINEER
BUILDER �;d1'-:�. ADDRESS 1. ! 119th 1'1 .,11-14ESIGNER vinic—tory_ 1 ,c . 0CF61:`
STRUCTURE El"NEW 0 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
U d9ESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ REt.it3I0US ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAS❑ FENCE
OCCUPANCY .--L=3—LAND USE ZONE Ln10 BLDG.TYPE _ `'� FIRE ZONE—n"f°LAN CHECK BY dt�1 HEAT c `
ronst:rl.�ct nincrle fttrdly eellinrT wlattr rhed crarmc,e. 3 Hndrooms 3 rat.ltl •
('lT`rprrTl(rT SVFrT ATTA+riuT,v. ,tilm-It trums dim(mvRFs.
SEWERPERMITN 7 ll').(10 t:�x4lr r; r t. • "} . _ .�
OCC.LOADFLOOR LOAD 4 D HEIGHT _ NO.STORIES AREA 1 a�_ r"
_ NO.BEDROOMS VALUE'
—BUILDING DEPARTMENT SET BACKS FRONT ", I REAR 7 ' LEFT SIDE RIGHT SIDE _
Permit THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z014ING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
Plan CheckWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OPIANANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal -'�( RESTRICTIVE COVENANTS. CONTRACTJR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS FIEQU AED FOR SF%NER,PLUMBING AND HEATING.
State tax 3 ' 12 .
Total 53'x. 11 SDC—
..a
ppCH APPLICANT OR AG NT -�—
By r.:l
: w", Receipt No.
Approved -^--� — ADDRESS _._ _ PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/.✓.�L. - a� Contractor 40.7 --4-,0-3
- -- - Permit No. �t7KJ�ir-•4� 3 '8Z�
Rough-in
Fixture
a _ f .YY'
Final
d HEATING
S�'•�- Z L. - �>✓,-2� _��-¢ Contractor C%"
Permit No. d�
L �.'c•-------- ----- II
Gas or Oil
Rough-in ----
--- ---- -- - Final
... -- SEWER
___,�__—.-�----_— ------- -- Final �/-.2 3- 1r2
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
--- - - — --�-_ Curb A Street Final
- - Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATC OCCUPANCY l,iP �? -
1 Landscapin.j
- _ I ---I �- -_ �- •�I Zoning Final --