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INSPECTION NOTICE
City o1'Tigard Buildinq Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type ;rspection __ _____ ✓"�'t.._
Date Requested.`. -'2__S - � Time A.M. P.M.
Address _�3, -, ./�� T���� - .-..:,"Perrrdt #
Owner _-_ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to -- It l Appr ived
Inspector �l _ ---__-------__-- Disa
� pprt,ved
Date
CALL FOR REINSPECTION
❑ YES I1 NO
BUILDING PERMIT APPLICATION TIGARD DATE_ 71"Cl, 4 19. 4338
THE UNDERSIGNED HFREBY APPLIES FOP A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEt �_
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ —
OWNER ';81 '1rflY t"•. A•/'Ore . JOB ADSL tdjrT'B 9800 S. .. '!iyer oM 1.ano-
�- ARCHITECT
ENGINEER
BUILDER ADDRESS 097.6 ,• . +mll ,alert. ENGINEER
_DESIGNER 1"
STRUCTURE 7KNEW — El REMODEL 11 ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[71L RESIDENCE CI COMM ❑ EDUCATIONAL ❑ GOV'T CJ RELIGIOUS 1-7 PATIO EI CARPORT ❑ GARAGE Irl STORAGE ❑_SLAB❑ FENCE
OCCUPANCY 1-3 -LAND USE ZONE _;�_^BLDG.TYPE _ ____FIRE ZONE---__PLAN CHECK BY — HEAT
"t7 st'rUCr ':L:i.'.lf' Finai.li' farc.i:4 = Lt,�L1t:1;iCitC:=� lLa-ri
`aC£ t-orrection :a1`4,.yt j :'l :I:Ot) to 2 1;atliz _
SEWERPERMITM i;e �_ W 440 ):4ra,-e ___--
OCC.LOAD FLOOR LOAD 4, HEIGHT 13 NO.STORIES AREA 1550 N0.BEDROOMS 1 VALUE 12,;
BUILDING DEPARTMENT SETBACKS FRONT REAR ? ? LEFT SIDE RIGHT SIDE
Permit _ •CIO _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
0 ., REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 2 WORM, WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANU IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE V:FYUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total "in(,+'`d� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I4+tt
SDC— }f.11). It'
Total
PDC# 11 100 APPLICANT UR AGENT
By
Receipt No.
Approved ADDR S�_ PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. , a
Rough-in Pe) AP,— ��" -` Fixture
Final -
HEATIN'3
y / — Contractor Ak
1 _ Oe-1723
Permit No.
Gas of Oil
- — --------- Rough in
Final --_-------
_ SEWER- ----
Final 'R zr 7
- - DRIVEWAY
Final
Sv)rm Drainage
(Rain Drain)Final
�,idevralk
Curb&Street Final
llpproach i
SLOG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPAW.Y
Landv:aping
i,Tonin,F incl
i;.
I.
,� �
BUILDING PERMIT APPLICATION TiGARO DAT � ls9-_ 4133 L�
THE UNDERSIGNED HEREBY APPLIES FCR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE�fa-l�+131
OR AS SHOWN AND APPR O/VEr)IN 7X-'rGOffPANYINLG� PLANS AND SPECIFICATIONS. OWNER PHUtiE
OVINER( Okh OA C ,f'Job ADOORESS �
J , �.J l� e" LOT NO.
Se
p /� ARCHITECT
BUILDER ?; hft ADDRESSi� Va
� 7 � U Rid DESIGN(R I4 • .%J�t.4�y0
STROICTURE NEW CI REMODEL ❑ ADDITION ❑ RLPAIFI ❑ RENEWAL ❑ FIRE DAMAGE_L ❑ DEMOLITION
RESIDENCE E7 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO C.] CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
OCICUPANCY :;�.LAND USE ZONE K•7 BL.DG.TYP- 1R1E ZONE PLAN CHECK _HEAT
SEWMPERMITM.-_._ - - y�`M *44t? !-- - ----
OCC.LOAD FLOOR LOAD � HEIGHT I4 NO.STORIES �—AREA I fl� NO.BEDP-OMS _ VALUe��(YOO
BUILDING 7EF'ARTMENT SETBACKS FRONT REAR Z Q` LEFT SIDE RIGHT SIDE
Permit _ _ _ 03 S"'2'a THIS PERMIT IS ISSUEC SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE,THAT THE
,Alan Check X7- 8ANORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total ��d•ap RESTRICTIVE COVEN'.NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE,CURRENT CITY RUSCr'i:SS
LICENSE SEPARATE PFRMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
1- -.SDC
'T•d�
�� --- � SDC- RA644Total /�l
PDC# APF'UGANTQkAGE
BY Recelpt No.
Approvedh
- -•-� ADDRESS PHONE
��•I �'Ci''�S
SDC
PDQ S _ •_.___ �'� �}�d( v- -! � �M�rw'S
SEWER CONNECTIOr,
SEWER I�JSPECI_ 01P1
SEWER SURCHARGE � 5 �� �.•-r
I -S&O
comments: \`aVN� . ✓'� Pr1 Tum t _ ��,ll ___ -_
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