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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mai-i St.
Tigard,Oregon 97223
Phc 5e: 639-41','l
Type of Inspection
Date Requested Time A.M. x
Lgl� -'(1 40----A
AddressPermit—D
I
Owner Lot
Bidider
_ -�--5- ~M /J --
The following Building Code deficiencies are required to tie corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR .REIN SPECTION
YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested —_ V__—A.M. P.M. It
Owner_ — --- —_ —
Lot #
i
Builder�_�` -- ----- -----
The foll6viiing Buil0gp rode definiencieg are required to be corrected:
17 or
�Z7 ?_K_5;�
lPresented to ,� _� _y [ Approved
Inspector — — ------ - ��1 Disapproved
Date (ALL FOR FOR RF,INSPFCTION
,� YES C] NO
INSPECT 10N NOTICE
City of Tigard Eluldin;i Department
12420 SM,Ma;n St.
Tigard,Oregcn 97223
ne: 630-4171
Type of Inspe;then —
Date Ractuested _
y %'� Ttm.__-A.M.__ P.M.
Permit #
Address --
Owner .._ _.Y Lot
Builder �—
The following Building Code deficiencies are required to he corrected:
Z
Presented to _. _ Approved
Ej DisEpproved
-
CALL FOR REINSPPCTION
i
El YES /NO
Building Permit No. -
Location , �A
Certification of Registration
With the Builders Board
Lo doing business as (dba) ,
�LDLi,�_ am registered under the provisions
f ORS Chapter 101 Oregon Nomebuilders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
�g� '— �.
BUILDING PERMIT APPLICATION TIGARD DArF -Ejt1I 6 �g84
THE UNCEr49)IGNED hLREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED E'IILDER PHONE __O. Y-,07 1
Ori AS SW)1rJN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
OWNER rF ,)jL j)jc_jiclr, JOB ADDRESS
r.o 'Ar Creek Iii___.
ARCHITECT
FNa;NEER
BUILDER t;a�we ,-- ADDRESS , l ?` �; Ct. raSIGNER
STRUCTURE f NEW _ Cl Rr.MODEL ❑ ADDITION D REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOI.jTION
C RESIDENCE 1] COMM C] EDUCATIONAL F-1 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ UARAGE ❑ STORAGE C] SLAB❑ FENCE
OCCUPANCY _Vit-3 LAND USE ZONEJi-4-,5j{1JDG,TYPE —SCJ_ FIRE ZONE---PLAN CHECK BY --AC _HEAT_�_Se"__
Constrl.3ct eire�le fapd1y 0wejling w ettxched r,arn e. _
3 bearvurn
SEWER PERMIT# 26507 _ ;ace�;e 544
OCC.LOAD FLOOR LOAD 41;HEIGHT 7.3 NO.STORIES 2 AREA I' !,i NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SETBACKS FRONT Zr� REAR �_ LFFT —ts SIDE 4 RIGHT SIDE
_ _- - —_
Permit 3t)4.0o THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, APD IT IS HEREBY AGREED THAT THE
Plan Check 236.6+i 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
Sub-total but ,6U RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERWTS REQUIRED FOR SEWER,PLUMBING AND HEATING.
14.�1S
SDC--
Total 6Ia. I y$0011J1 /. - / . t _
BY Ch
PDC# ( J I i m.00 APPLI-ANGOR AGEN -W—
Receipt No.
[A:pprov.od NCk p E.`ADDR .,:_ -__s1, -----�
- - PANE
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING
�j DATE
brf'—• Contractor ~,
P -[¢ Permit No.
411),_ -
- , Rough-in
/F o Qom_
Fixture
Final
HEATING -- ----
Contractor '/
Permit No. 31 -- -- T�'�l�t�
6 Gas or 011
_
Rough-in
Final
SLWER
Final
DRIVEWAY
Final
Storm Drainage
— (Rain Drain)Final
Sidewalk
Curb&Street Final
-- _ Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE UO-_OCCANCY
(CERTIFICATE OCCUPANCY Final
Lands- ping --
�� zoning Final
Wf- UW)E-IlSI GyrD HCHE8Y AP?LIES fOR APE HNIII {'I)II IFIL rVl)Ilh II::IILIIJ IIvi/I\. 11LU OWNS
DR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Ov^'IEIt'ror1E--•
Lor No._.._L�
C �-
'r .IJ�C ion Ar `� lc�-• / ' cHITfcT
AR
Z ENGINEER
RE:i.L••r.J 3 S *' - �+
DESIGNER
DD
n C�--11 ❑RcP.aR ❑RENESYAL ❑FIRE D,1!APGF ❑0E'dOLII
STRUCTURE _ tJNEW ��---TTLJFlf!�1r1QEL_ ❑ADDITION _ _. �-t•---• �-t"—
RESII�[MCf DCOILh1 L (EDUCATIONAL C�GOV'T ❑RELIGICUS[]PATIO UCAR PORT l...aGARAGE ^DST E OSLA3 L..1FE1
~- PLAN CHECK BY ��r:' HEAT C -
CCCI,P
R---3----ANC)USE ZONEBL4G.TYPE_ _ --- -
CON��xucT SIIVGL�'.�L�M.0 YS?�1�I i.TN , W/A7::Tlj.Gfik:.R_I;At3ALiF:
BEDROOM
SEUER PERMIT u 7
Garage.. `�'`/
n �
^s".�,•1.9�D_ FL.QOR t 040 410' FIEIGHT c NO.STORIES AREA/ }�% NU�IEQRC A15 --a`'> V�(.D��_
I— e? FT SIDE RIGHT SIDE G
IUl)IL(NN DEPARTMENT SET OACK5 FRONT REAR LE_ i'
p^rr.:It
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE NUILDINC. CODE, ZOO
Chh �? " f: RVAULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HIE, AGREED THAT
I r.�n ....rck -S
r---- i WORK WILL 6E DONE IN ACCORDANCE WITH THE PLANS nVp SPECIFICATIONS AND IN CG✓'rIPLIkNC.E M
Sl1 7•LUtJI (��� :- "� ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W<
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUA RENT CITY SUSIP
!7ate Tax I S! LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER, PLUMBING AND HEATING.
SDC
IDDC
Total I / �!' # -
f
APPLICANT Op AGENT
A' :provrrf I -_ter Receipt No. _
L nr�gFSS ~�N
SDC — $
PDC_ - S >T, T#
SEWER CONNECTION $
SEWER INSPECTION S
SEWER SURCHARGE $
Comments: _--
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