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9330 SW NORTH DAKOTA STREET I w w CD �Z r+ r+ a rt 1 i 9330 SW North Dakota St. �q� ' . d �`' f"_�1�/ ��: ��,m,, yF >• , aji�—mak�$L� r.�•.4+�+���`Lws..`,..,-• t 001 C yco I 00Cd th peG, +� p to ii ro CU Cj an H o b o ii - 0 i, f, i 1-4 p # 49 > 5, rp ° tip v i �..� c tf,4 Ln to w rn ' rT n 1-4 r �` ✓. ::.Yh_LYYL 'D'D'C^tl'YWC�tYDY'L'YltLYKDG C::G•ttl•GD LMM trn•e'YD'1nL1�QYtD'fl4i't�ltLiY..l:i-. 'Jl -- ' trr�—St �� I�y,' >f LI �7 gym,, �» l f%y'*,� �i��/ < •.a`Vii•` �•"��'M �. -�'�` - ., � �,w�f�p•.. �w�,y,':'�1 r �•i� �'`r."^r "�x� �+ +'f� t.t�,�t�1� 3 � � 7�w�,�F •-• �1 `� eis`�tt svi -; ^tet r ..;•:; INSPECTION NOTICE Cry of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175. Type of Inspection — KE '. Dr:te Requested '\– Time A.M. P.M. Address Ci`��� J``I fIJC;tk-(, Permit #E z C1 6'l.�t. _ Owner Lot Builder_KiA-1 ( '?'`��._ ac'h C' - .k) 5 CC oyl `t &4- zn T e olio np Buil ng ods deficiencies are required to be corrected: R ak' yX I cwv,c C �'t Z,l r-I -- __ Presented to __. AOX;proved Inspector Disapproved Date — CALL FOR REINSPECTION O YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 - 1ivrctx Tyne of Inspectiont- Date Requested �Z7 Time_�-- A.M._ P.M. Address �� � Permit # Owner _�`�� S(�(ON— L LIP- Lot # Builder �J (� t i �J - --` The following 9u11ding Co a deficiencies are required to be corrected: 1 Ole J c Presented to _ � ❑ Approved Inspector Date (-ALL FFOOR_)REINSPEMON I�YES " Cl NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone 639-f4t1775 Type f Irspection ��-� Date Regc:+sled 3 Z 2 Tfine A.M. _. ` P.M. Address r — Permit *_S V ` 1 Owner II _ _-- Lot # x Builder 1 the following Building Code deficiem;ies are r-quired to be corrected, J Presented to ❑ Approved Inspector ❑ Disapproved Date _ �r CALL FOR EINSPBCTION ❑ YES L-] NO 1YC�N INSPECTION NOTICE OV AOA' City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_ 111 -3-I����lt Time_-- A.M. ��zP.M. to 'y� Address to _ _. Permit #�a� cc°z3 q Owner R'r-'W,! 'tWt • &'lF>ErfW �7 � Lot IBuiller rG'7Nt_r�4SI2 t.�.h� 1� �• `J14K V The following Building Code deficiencies are required to be corrected: ii L -T Presented to ❑ Approved r Inspector ze, { isepproved Date _. s.,L� T_ CALL FOR ACTION __ YE3 ❑ NO W��� I INSPECTION IIOTICE City of l IgArd Building Department n � P.O. Box 23397 Tig9rd, Oregon 97223 Phone: 639-4175 - Type of Inspection Date Requested _ �1 - 0 _ Time__A.M.(` P.M. Address Permit ZZ, 6 Owner _ Lot #Builder The following Budding Code deficiencies are required to be corrected: Presented 'n •_ Approved i a InspectorC'-- _ f% Disapproved Date _- CALL FOR WFUNSPECTION NO INSPECTION NOTICE City of Tigard Bt,iidinq Department P O. Box 23397 Tigard, Oreg•-n 97223 Phone: 639-i'75 Type of Inspection Date Requested _>'��/� - 'E /cl l;;ne_ `/ A.M. P.M. �� Address�L / V /y . !C !7�G� Permit # z LLN Owner _ Lot # Builder A-t[J �kj The following Building Code deficiencies are required to be corrected: �i Presented toD-A'P�proved Inspector ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 ( , Tigard, Oregon 97223 'hone: 639-4175 Type of Inspection Date Requested r�(�7' _/ Time _._ A.M. _P.M. Address Z_ ✓ i/ Z�CI )'J��- _ Permit #�c Z•Z,�C Owner_ Lot # Buildrr The following Building Code deficiencies are required to be corrected: Presented to -_ ❑ Approved Inspector p --. El Disapproved Date CA LL FOR REINSPECTION [� YES Ci NO i 6 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 YI Tigard, Oregon 97223 Phone: 639-4175 Ira Type of ispectiun __ _ C,, Date P,quested - -- / c1 / Tlme A.M.__ P.M. Address r� Permit * c � �- j Owner_ t _ Lot #t Builder The following Building Code deficiencies are required to be corrected: Presented to _ -- Approvedts� Inspectnr ,' _ [-r-Disapproved Date _ _tee` — CALL FOR REINSPECTION YES L._7 NO INSP�!,'N NOTICE City of Tigard Building Department P.O. Box 23397 ��4 Tigard, Oregon 97223 Phlox-nye 639-4175 Type of Inspect on � l _ Date Requested__ ( r �/��� - ? 9 / / Time�_A.M. q P.M. Address �.�,` � y i� LD LCi�_Q T1-, Permit #_(L 3 Owner. _ Lot # Builder .[ .� 1L��C_ l 1`C_�U/,��L 7�t., The following Building Coue deficiencies are required fto he corrected: in AA too ✓✓jj'• �9 _ p 7�`� J / / ' _A _-�xmss-- Present to _ U Approved Ri�provet Date / - z 0 CALL FOR REINSPECTION j Et-VES ❑ NO INSPECTION NOT, ,E City of Ticard Building Department fiJ, P.C. Box 23397 Tigard, Oregon 97223 one: 639-4175 Type of Inspection _ / 6; Date Requested 1 Tlme A.M._��P.M. Address r Permit #t �z own" Lot 11► Builder P)a- The following Building Code deficiencies are required to be corrected: Presented to -_-- -- y --- Approved Inspertor ��_ ❑ Disapproved CALL FOR REINSPECTION L1 Y E 9 ❑ NO INSPECTION NOTICE City of Tigard Building Department U r P.O. Box 23397 v 1 Tigard, Oregon 97223 P ne: 639-4175 Type of Inspection x � 0't'�_ Date Requested � ^ l �� ��, �� Time _____-._ A.M. P.M. �i Address _`1�.1� —_— L_1,1��� Permit # :3 Owner _ y Lot #---- r.._.... Builder=-L1.1� --- The following Building Code deficiencies arc required to be corrected: !'resented to _ _-_ Approved r Inspector _ disapproved Date _ S - CALL FOK EIMPECTION YES f_1 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection _ Gasline Mechanical Data Requested 12/29/88 _ Time A.M._P.M. Address 9330 SW North Dako; a St. Permit #B-92238 Owner lot # _ Builder Bennett Construction The following Building Code deficiencies are required to be corrected: Presented to El Approved Inspector ��--� _ Sepproved Date CALL FOR REINSPECTION ❑ YES ❑ NO az INSPECTION NOTICE n City of Tigard Building Department P.O Box 23397 � Tigard, Oregon 97223 Phone. 66339-4+75 Type of Inspection1SJ ! Date Requested _ /!�0' _ �_ ( Tlme --_ A.M. P.M. Address r/,,33o y Y �����r' �- —_. Permit # �� Owner Lot #_ jl� Builder — The following Building Code deficiencies are required to be corrected: U Presented to Pr'Approved Inspector Disapproved Date CALL, FOR REINSPECTION ❑ YES ❑ NO B11111-11YING Plit-AMI'll CITY OF TIFA RD 4-c 1-:,I;;:PM'.r*T' NO . : A)MIRP34 CITY01FTIM111111) COMMUNITY DEVELOPMENT DEPARTMENT 011190N 13125 S.W Hall Blvd-P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 (CI t�ARD 1.1 Cie ADUVA. Ya : 9330 t'-)W NUkTI.-I I)AK0,11A ST fAX MAP/I-ol' 1ST 31-51J8 ONE11- A('RI;-i:15 L*I : '16 8K : I AND U511:7 11,e.1 r t.j 1:Z -13 S E:'T'F)A C,K i 41 e,1. 9, F*I.'4()N'Y* : V.0 PEYNA . WORK L."I ASF-5 . NEW DWLA-11. L)N7:T*!5 : I IAEF T . 1.0 LISLi: 'TIPE : FAMTLY NO . 3 r-.:X'I' .WALI LMNSI : VN N01 . E.WTHS : 3 N S E V,P01' . OPF.-MINGti : OU'llip .L.OAD N 5 : V*: : W AI:4L-*.*(-) 1.31.50 NO. I.55 F: 616 I-'I00F UMS'V : C F I PIZ- PFA 7 1-II::::(GI4T 0 aNI): '7:3 Al APE-6 !SE PAP 7 PATEA). RAt-iEMEN T"? MA13-1. SEPAP'? PA11.M: M Iii:Z Z A N.T.N E? ' 'T F LOOP I (:)A D '(110A A A G 11". /4(.10 45PnI(LA7 AL.AlIM7 F I OW PM Yl *l"Iii ! NAri NO . I..A!51' GTE lS51111F 0 W IMST it;319. 00 N 5 !:;W I It It-ff:'J-4 ST 11. AN REVI:V-::W 14,1P07 . 35 E P AND (31:4 TAX 41 1A5 . ('11THF-Al C 0 N J 101--M) $Ei5o . 00 T 1)r:vI:::i..nPmi:;'N'T' cumt, $600 . 00 R A 5W 11-1011:14.34 51' *P.!130 . 00 CPOP't L AND OP 6.160 PPEPAI 0 < $1.00 . 00 T 0 (50:5) R 111:114 NO 1*59,15 TOTAL. 1 1 511P . 30 This Permit is issued subject to the regulations contained In Title 14 RECETP'T' NO. of the TMC, State of Oregon Specially Codes,zoning regulations and all other applicable codes and ordinances, and It 18 hereby agreed that the work will be done In accordance with the plans and F 001 1.14C.: S F:W E P specifications and in compliance with all applicable codes and 11".13UNI)AI 10N W61-1. 1:'.IAI:N DIIATNG ordinances. The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city POS1 & business tax permits. This permit will expire and become null and PL-8 . UNDET',!.-A.AD CITY APPI1(.11-105114 void It work Is not started within 180 days.or if work is suspended or Si L.AS F: I NAL. abandoned for a period of 180 days any time after work has 1 11 9 . TOPLIL)T' commenced It shall be the responsibility of the permittee to Mum i 14()M:I'.NG all required Inspections are requested and approved 1"'1:1711 F.:P I AUE C.A!5 1. ME7. I.NSULA TJON Y P 1:30AWD ermitt Signature Issued r3y GAI I.. F.UP' 'TN!:iI*1'-.:(,T'll(IN 0 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE �iVWEP PERM11 CITY OFTIGrARD r,,,,-,:\tA PF PKII F N11 , SEAM?239 COMMUNITY DEVELOPMENT DEPARTMENT 1-1./1.7/E)FJ 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)67141175 \�77) ..ICM ADDP1::'5S : 9330 sw 1,10P,11-1 fj I W:,() 0.3710,41 I(',X MAP/L0,11 151. 351:)1*.1 7600 rAJIUA : 0M.'.11. AGPE�'. ui< LAM:. R-4.5 L ur s i 7,rE..: SEG 1'1:ON: 35 TWP: 1.1n PNG : 1.w WORK CLASS : NEW USE 'TYPE: : SINGI-E FAM11-Y I I I hi) at la 1a I ic.ntrl t Ill.V.)I"ole fit t(:) C--o trip I y war t'h 1a 3. r-1.tJrtqj iiLl-l(:l r.)+ t 1,10 1 J 1-1:1.f;k (J 1!110- war'iltq4oN Ag"11cy T'he poi-init oxpir,em 11*20 dayin the clatL*R immi.io(fl . 'r h(.D t 1.1 t M.A. ailriol'11,11, pnicl W1.11 he JAI I'[1*1 prol'111:1A, Thcn-1 Ageric..'y (:I(:Ieq; licit. aLlItee t'hvil (-) F 1.13c.�Rt.iar1 of the m4owt Ia-upr,alui . If the? 1aRwrer :Liss lint Ilki, ttua± Ine'T'iPtill t.t I-vowc..)1-1 t' Ejivwn , i-hlt• a.nnit.ma..l.r•1 whak1:1. pl•clfi;pelct' 3 T*rc-1-1, irl a1.3. dir,vc,tiurifi; +i-mm thtv- (J:I.uitatrir.-,o (J:Lvr!iii . :1'-F ric) t, wa Inc�aLf.*cl , the 1.1'1%-t.a0Av.r pcirc-,hmuiiw K "Tatj:) atricl Gia.ca est 11F PV,?J"In i. onci tl-,*? W.I.A. :1.ri w 1,at 1,:1 at 1.at t e r-at.1 INS'll-AlL.A.. . TYPE : KITI-DINGo SEW[J4 1Ml:)ri:PV1(:)'J5 APEA. : FAXTUPE UNITS : TE.NAN*T IMPROVEMEN'T DWELA ING UNITS 1. NO . (:)I:-- F.M.-OGS . J. 0 1 1 1:-.-E 5 W PENMI'l 00 N F A122E � 5 F!W HURA 0• CECCPGE * ONNTUIN HA *1 1.00 . 00 L 'rAr, INSTALL . R 1-IONTLAND OR LIN r.. O'T'HEP 0 N T ni-tc.wrri.- DEVEL.OPMENI' GORt-', P A APP5 SW 11-011FIVIA S C POP-TI-AtA.) OR 972:11.9 6:1.60 T O 1 1 IONC". 11503) 255 3-469 IW:(*.,:M1*PA1'j.ON NO . -159A15 I'D T 01 *1 00 1 This permit is issued subject to the regulations contained in Title 14 AFAX-Ef"'T NO . -0 of the TMC, State of Oregon Specialty Codes, zoning regulations and all other applicable codes and ordinances. and it is hereby • X.NSPECTIONG agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and ordinances. rhe Issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work is not started within 180 days.or if work is Suspended or abandoned 'or a period of 180 days any time after work has commenced. It shall oe the responsibility of the permittee to assure all required inspections are requested and approved. r mit t 4 Signature Issued By (:,'AL1 FOP INSPEC'TION 639-41115 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE VIEP141 I' NO ME88223(3 CIT C17YOFTIFARD (Y OF TIGARD MOON COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 SW NOP11-4 DAKOTA iil' A(34:'., LI : 16 F-K : 'I Ax MAP I I C)IT 1EA 331)83 '1600 ONET.L. L AND IIAIE.:: f1A. 5 1 (71 SIZE" .. J:'T'L.M: NG: NO WOM Cl..AE)S : NEW F111114NAL.E.: (1001( FIANDLP <1 USE.: Iyl:,I;:. . 151M.,;1. F f FAM:I:L..Y FlMNACA" 11-0010- Alf-'-1 HANDI.J4 1.01( GOWi*1 VN 00P F LMNAGE E.VAP .ClOOLA-34 P3 FIEWTE".11 VF.-.NT FAN 41 VENT VENT .SYSITEM BI-11/('1011,11P ('3VIP HOOD 1. NO . 2 HLIVG.Omp 1 NL*J NI%:WAT D 1:4(0014 ! 1 NC 3:NPT1 'OM DWITI.A. LIN11"5 : 1. IFI P/C1(.)MP 1.5-301-1F1 L41 P/C011,11.) 30-15014) PFPAXV1 UNVT!5 TYPE C.-;A 5 IDLVAICICIMP (]'T 1-11:.11 R rIAX , XNPITT GAt-, 6?1PING OUTLETS 1. I NrK DMPR i i I I I 11!1 '1:0.1 ? L-4- AARIV< . $1.0 00 cl W 101.0 .0"1 N 5W f-1 AN PEV-1JEW E 3 3 11 PIF.44*1 I oND P r.,T X T i I P ES 1111121. 1.0 I:i 101'G;: TAX C 0 N T R A C T 0 TO VAL. : $56 IV) PV-:f.T-TPT NO. This permit is issued subject to the regulations contained in Title 14 ............. of the TMC. state of Oregon Specialty Codes,zonirri regulations and all other applicable codes and ordinancos, ana it Is hereby agreed that the work will be done in accordance with the plans and GASs I-T,NIF, specifications and in compliance with all applicable codes and POST & F*'.Am ordinances The issuance of this permit does not waive restrictive 1:1011GI-4—IN covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and i NAL. void it work Is not started within 180 days.or if work is suspended or abandoned for a period of 180 days any time after work has cnmmenced. It shall be the responsibility of the permittee to assure all required inspections are requested And approved ermi e Signature Issued By (IN 631? 41t PIS SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T'6A D . PIEPMIT CTY�rTWAVPI- MI'T NO1-ILAW22 37 COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISGUED : 1.1./1.7 188 13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 C31:1 Rai A JOE� ('DE)PESS : 9330 !;iW NOk'FF1 DAMYTA ST TAX MAP/t-(:),T* :1.15:1. 3.508 7600 GOB: UNE'.JL. A(: PES L.T : 16 SK : LAND LEIF : PA. n 01, S:1::C E' 1. NO : WOPK C'A.W.i$ : NE-*W WAI'EA (JAJISEK-T 3 'T*PA1::1 E. F,AMT1 y UPINAL. 1.3KF*1 OW PAWM GOWT . I Yl:-*'J:!— UN I AVOW),11.11PY 3 TPAVI (X]GU11"' . (Alp . : F13 P GPEAGE T*PAVIC.; DT�&IWAGHEA I Willail'AH: UISPIOSAL. :1. NC) . SIX)PTEA : F2 W(M-A-IING mcn--rrw. I DWEL.I... . UNI'VS : 1. I-AUNUPY 114AY 81 Pt.,. DP ATN MIA FLOOP D11WIN SINK W01 EA-4 1ARATEA J. I'EE S 111 3R .5 N CM 1-111BEA-4 S1 I- ti P0141 L 6ND 011 FA:X*7 UPIES S1,A- 11, 'TAX 11116 , 63 C 0 N T R A C T 0 R 'TOTAI 16:1.:3'11 . 1.;3 Flt7r This permit is issued subject to the regulations contained In Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinanceq, and it is hereby l'1[7Qk11:P1F1:) IONG Agreed that the work will be done in accordance with the plans and P1 U.UNDEI*Vfl..At:fi specifications and In compliance with all applicable codes and P015 T' & PF(AM ordinances The Issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city W01 Erl I I NE. business tax permits. This permit will expire and become null and FIL.8 . '11:11"I(JUT void if work Is not started within 180 days.or if work is suspended or PAIN DPA INS abandoned for a period of 180 days any time after work has 1:' T N 6 L, commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved JerNmitte eSignature 7 Issued By (",)I I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C11YOFTIFARD PLAN CHECK APPLICATION C CQMMUNRY DEMOPUM%PARTME Pff' PIAN CHECK M /( h :.,�t ` �� -iFiRMYY..#- : 2'F _'J1 � w�uswtta�wa�.��Esb.aeR.'twt►a•o�>>vu�pal \. DATE ISSUED JOP ADDRESS- _ 1:5j"3.�.�) � �/ d_.._ ._ TAX MAP/LOT Skill " _ LOT: _ LAND USE:: VA1.UAt ION:_ OWNLR l SPECIAL NOTES NAME: _ �l /C��1�I tr�P� ,:.vn�� REISSUE OF ArtDRE SS: Ct'--_.�------ L.AS"I REISSUE: _..___....._...... 7 FLOOD PLAIN/ _ SENSI1 J.VE LAND: PHONE : -_........__`���� ' ..__...__--•=��;9 cJ `� -- APPROVALS REQUIRED CONTRACTOR PLANNING: NAME - tnl_- ENGINEERING: 1)D1)RLISS _ FIRE DEPT — _— _._.._ OTHER- PHONE : THER:PHONE :: _ _ ITEMS REQUIRED LIST/SUBCONTRACTORS: _ ARCH/ENGINEER BUS TAX: NAM[ : G � CALCULATIONS: — _— F DDRESS: -- 3 2���th TRUSS DETAILS: _-- _---_ PARKING PLAN: LANDSCAPE PLAN: —_-- - - -------- — - --- OTHER PHONE --- �c�i_�-- �- _ - -- -- -- t;OMMENTS: _ _!�_ _�wi S_ �_• _� --_— PLRMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE !Lz10--432 00 Building Permit Fees _ ,� _ 3/ 10-431 00 Plumbing Permit Fees L,Z 10--431 01 Mechanical Permit Fees Si,' ,-_ _"'1'3'3 10- 230 01 state Building Tax (5%) ,a qft Ir BuiIdirig Plumbing Moch -- 10--433 00 Plans Check Fee I Y_23 1Qc_•(L�_. —_ L_ b• ` Building �� �� Plumbing Mech 30-202 00 Sewer Connoction //uv _ �U U 30--444 00 Sewer Inspection 51--448 00 Street System Dov Charge (SDC) v 52.449 00 Parks System Dov Charge (PDC) � u 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) .._> S U =� 10-230 09 TRFD 10 230 06 Washington County Fire N1 (9:1'X) _ 10-220 00 Amar•t/Wedgewood _�_��•� 1 UT At _ �(.X� - R►-c N Liu. APPI I;ANT SIGNA1l1RE 1"o( oivod BY -__�� iZ_ Date Received: �w.N`R�•khM!Mi4w cVWiw.•n...y-�:awn.r....�.. S".'+M' ^!A".I ,, � �r::F��,� 9330 SW NORTH ,DAKOTA STREET rd u O n1 Q 1+ U 7, O M M W �r �► au INSPECTION NOTICE City of Tigard Building Department (1 P.O. Box 23397 \N Tigard. Oregon 9/223 Phone: 639-4175 QQ r�l.y(..L✓V� •rYPe of Inspection _— Date Requested Time..— /V A.M. .P.M. Address 9 '32aG Ar a kn+C*— Permit #i�L�J ZZ 3� Owner _ Lot Builder The following Building Code deficiencies are required to be corrected: Presented to _ _ — -- -- Approved Inspector _ ❑ Disapproved Date CALL FOR REINSPFCT ION 0 YES 11 NO W W ® It INSPECTION NOTICE 1 City of Tigard Building Department F.O. Box 23397 Tigard, Oregon 97223 Phone: 639-417 Type of Inspection _ —I—I _ —�1`-"— L7 --- Date Requested —_�_7 Time _ A.M. P.M. Address _i._ _—__.— I\1 nh (Tft4— Permit *7? 1 � 34 Owner Lot #.,— Builder �.— -- ---- — The following Building Code deficiencies are required to be corrected: PrPsented to _—_— �' Approved inspwAor // _—___ Disapproved Date -- CALL FOR REINSPECTION ❑ YES 0 NO