16640 SW QUEEN MARY AVENUE L
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16640 SW
Queen Mary Ave .._.
KING Cl,ry
INSPECTION NOTICE
City of I igard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phore: 639-A', '5
Type of Inspection _ -------- —
Date Requested—// 7 L, Time A.M. P.M. A
Address Permit
Owner __41
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Builder _— ------_—— — ---
The following B"ildinv Code deficiencies arr requored to be corrected: '
Alr' 7��XT-"�` L,o� /CtJ 7/� S[
tijEEID
Presented to — r ❑ Approved
Inspector nisapproved
Date
CALL, FOR REINSPECTION
❑ YES ❑ NO
11'.)ING PKAMI-1-
CITY OF TI6A RD PEAM11' NO. HU11390989
C17YOFT
COMMUNITY DEVELOPMENT DEPARTMENT 70WARD 5/ 2/09
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175
-- -- R X M - P M'T' NO 090989
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This permit is Issued subject to the regulations contained in Title 14 TP1 NO .
of the TMC. State of Oregon Specialty Codes,zoning regulations ............
and all other applicable codes and ordinances and it Is hereby 1,6 W 1.1 T 1:4 EiA) 'T N!i P ki.C, I T.f N!;i
agreed that the work will be done in accordance w1b,the plans and I I H T NG
specifications and In compliance with all applicable codes and 6,11.ON
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will oxplre and become null and
void if work Is not started within 180 0ays,or if work is suspended or r I"' ROAPI",
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all requ'red inspections ate requested and approved.
Permittee Signature
ss-.wd By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C'TYOFTIFARD " PL1'UT'MB1SG: FIEWM9t".0, 1'l-PMNO . PLA90
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CITY OF
TWA V
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 12131 M. 2W NO. F190989
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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 ordinances, and it is hereby
agreed that the work will be dune in accordance with the plans and
specifications and in compliance with all anplicable codes and
ordinances. The issuance of this permit do-s not waive restrictive
covenants Contractor and SLIK-ontractom shall have current city R 'TOPOLI V
business tax permits This permit will expire and become null and
void It work Is not started within 180 days.or If work Is suspended or I H A 1:4 1.)
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permiltee to a8sutf,
all required inspections are requested and approved
Permittee Signature
Issued By r*)--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
CITY Of M: tNu CITY
15300 S.W. 116th AVENUE
KING C11Y , ORE(70:4 47724
( 503) 639-4082
APPLICAIION FOR
CUMPLIANCE REVIEW BOARD PERMIT
1 . NAME OF APPLICANT :_(-[>I+)IN
ADORE _ I�(�yv s- ,k&) J rel c> cL 1 7Y f�f•;,
ADDRESS OF PROPOSED IMPROVEMENT ��1 F-
2. TYPE OF CHANGE , IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT
1S REQUESTED. (DESCRIBE BRIEFLY/ATTACH TWO COPIES OF PLANS
OR UPAWINGS OF WHAT IS PROPOSED) : ( i <,lic•�•, �' ___
.—__H A t— Rte T H I Z 0 0,t-A
3. NAME AND ADDRESSES OF CONI RAC TOR : 1'.,I C I! P,/j I-.I..A
��•�.'3 `7,C: _ ��L l�%liG 1� !— I I�l 1��. 1� „rhr;t! 1 , �/4 I I r,_,1 1 r �- "/ a � i
4 . NAMES AND ADORESSES OF HEVGHBORS WHO MAY BE AFFECTED BY THIS
CHANGE , 1 MPROV( MFN I Oil CON;i RUCTION . ( it IS TIIE APPL.1 CANT ' S
RESPONSIBIL. 11Y 10 NOTIFY EACH NEIGHBOR) :
SIGNATURE OF APPLICANQX-C
DAIS OF APPLICATION J I /�
w w w w R R R R N N N M M M N N N N M N N N N M N N M N N N N N N N M N N N N
man*"" " RRRRR R w w R R w N R N N N N N R
FUR O F F I�C E USE ONLY —v�_----- - - -------�--'
APPLICATION RECEIVED BY
DATE
�'APPLICABLE FEE RECEIVED 110. 0ORi TOTAL PAID
PLANNING COMtt 1 SS I ON - DL-C I S I ON: UATE
APPR 0VED r _ DEN 1 EUCOND I T I ONS
Application approved lou are urged to hire con480012-1110
tot sit months; only u4-1 lcen9ed by lhe.Aullder�8o�td
N N N N M N N N N N N M N N N N N N N N N N N N N N N N N_N N N N N
CITY OF TIGARD BUILDING INSPECTION REPORT
The above listed project has been Inspected and Approved
Disapproved, Date- _ Comments_ _
(Building lnspector please return or(e ell copy to Alny City:
I NSTRIICT 1 OHS ON REVERSE G,39- yoga_
+ l:,ity of King City • 15300 S.W. 1 161h Aventw, King City, Oregon 97224 • (503) 620-6144-+