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INSPECTION NOTICE
City of Tigard Building Department
12420 S.N. Main St.
Tigard,Oregon 97223
Phone: 639-4171
1
Type of Inspection
Date Reques' I—_1 Y LI 'rime_-__ A.M.
Address __—SLr 1�.C� 1`e t t—„ Permit # _
Owner__- -___— — Lot #
Builder -�--
The fc,l!owing Building Code deficiencies are required to be corrected:
Cal-NI LGA c
-
I
Pre!ented to _. - —. _�. [Approved
Inspector ----_�„r„[��-- -- B Disapproved
Date ---- - — ---
CALL FOR REINSPFC TION !
Ld YE$ ❑ NQ
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
.J
Type of Inspection � � -- ---
Date Requested !� ft's' `� Time--A.M. P.M.
Address0q1V 76� i I t ice_ Permit #
Owner_ ___ Lot #. Z 7
n1 '
I Builder_ 1.(;l.i.�1J`; U"i K � C-�P 6L ,—
The following Building Code deficiencies are required to be, corrected:
II �f , • w
691 00 dba
i )
��_�>;� _f -.,rn.__.___-'Y''�'�.'ate!—• '
Presented to Approved
Inspector _ Disapproved ,
Date _ __ ,!Z L L �AM --
CALL FOR REINSPECTION
O Y118 C1 No
BOLDING PERMIT APPLICATION TIGARD DATE- 19—
THE
9 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR I HE WORK HEREIN INDICATE) BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS klD Spl CIFICATIONS. OWNER PHONE _
LOT NO.
OWNER I-tq l'ikc' JOB_ADDRESS fur110 144 r?piiinct 7trce
F3Q321V r:11 "?- ARCHITECT
ENGINEER
BUILDER " t ADDRESSIP!0C ,ryW rlarr^irtr_t l;,n Ftp DESIGNER Ovm e
STRUCTURE NEW ❑ REMODEL Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS F1 PATIO E CARPORT ❑ GARAGE El STORAGE F1 SLAB O FENCE
OCCUPANCY "1__LANDUSEZONE "'_BLDG.TYPE_r`Ia— FIRE ZONE '""' PLAN CHECK BY __ HEAT
Corgt.rurt.'sincalP fir l.lyT,3wPlllnn wiattarhed CfF:tl''I)rw, 3 PpdroUf.q
C(1ppl-,CTI0?' r 4h.FT A`. 'I i rm'I?!'r.
SEWERPERMIT# ryY 5(� ,- 5,510.00 -- rmracie 552
OCC.LOAD FLOOR LOAD 4" _HEIGHT _ 21 NO.STORIES_ 7 AREA 1""' NO.BEDROOMS 3 _VALUE
BUILDING DEPARTMENT_ SET BACKS FRONT ?4 _ REAR n n� !LEFT SIDE _ RIGHT SIDS
Permit 3`ti THIS PERMIT IS ISSUED SUB:ECT TO THE REGULATIONS CONTAINED IN THE RUIL01NG CODE,ZONING
— REGULATIONS AND ALL APPL;CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plvn Check 1 R WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal ' ' •�I{I RESTRICPVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI'Y W SINESS
T LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1.+ .0.
SDC— "'4t?
O.fia
Total � — s S 4 2.r'}
—" - PDC#T I t 1`� APPLICANT OR AGENT ""�^--- ----�-
BY
Receipt No
Approved ADD ^—` PHONE
d+i rFt
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Cnni.acto `773 2--
, Jyd.L
a Rough-in `
�� ; ,� Fixture
Final --
��-.'' .� � 'r _:3=�. � HEATING
..��.�-, _ --' �c'_ L-� �-�-,✓'I Contractor
Permit No.
c: 'a-'3 ' 'c ✓ Gas or Oil
Rough-in
Final
SEWER y
Final
DRIVEWAY
Final
_— Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
(BLDG. DEPT..'fNAL I'ENtPORARY - - � CERTIFICATE OCCUP:.NCY
rERTWICATE 0C1!UPAf4CY i Final
I i —
J Landscaping
Zoning Final
I
a ... _._y_ r_'.. .a.w. Z... «•_...•...a,•......- .Y•.« „...q...y•y.r..war .:r,� ..._..�. .,..
421 31Y6
BUILDING PERMIT APPLICATION TIGF+?� DATE_�..'!��1eW-1
THF.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONElGY7�f
OR AS SHOWN ND APPROVED IN THE ACCOP��PANYING PLANS AND SPECIFICATIONS. OWNER,PHONE
J p I
O IINER Louie Me, JOB ADDRESS IId g�_�41 L -
- ARCHITECT
BUILDER �� � ADDRESS 116700 DESIGNER OWMIRP"
STRUCTURE X NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RF:'NEWAL ❑ FIRE DAMAGE ❑ DEM.OLITIO
RESIDENCE G COMM ❑ EDUCATIONAL C3 GG-OV'T ❑ RELIGIOUS ❑ PATIO C3CARPORT C3 GARAGE C] STORAGE ❑_SLAB❑ FEND
Cri.GUPANCY __ LAND USEZOVE-_ BLDG.TYPE_._.FIREZONE =PLAN CHECK BY HEAT_
e
SEWFA PERMIT M
OCC.LOAD FLOOR LOAD 4/6 HEIGHT 02I NO.GI ORIES AF,[A 9e 5 NO.BEDROOMS 3 VP•LUE zQp
BUILDING DEPARTMENT SET BACKS FRONT REAR Z LEF--T SIDE 02k-P RIGHT SIOt
Pormit .� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS C014TAINED IN THE BUILDING CODE,ZON'N
REGULATIONS AND ALL APPLICABLE CODES AN)ORDINANCES, AND IT IS HEREBY AGREED''HAT TH
Plan Check �'d0 WORK WILL BE DONE IN ACCCROANCE WITH THF'. PLANS AND SPECIFICATIONS AND IN COM.PLIANC
d WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIV
Sub iota! _ T_s'r�0' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSINE
LICENSE SEPARATE PERViTS REQUIRED FOR SEWER,PLUMBING AND HEATING.
i Scare Tex 0
SOC-- f y
Total 5 112 °_ L9fA i e rT o
PDC# APPIJCAN O A T
BY .
Receipt No. ------ --- --- - —
Approlf; ADDRESS PHONE
i0C Lo
1 0 C
SEWER CONNErTION S 7
___
;EWER INSPECTION
;EWER SURCHARGE $ / a
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