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INSPECTION NOTICE I
City of Tigard Building Department I
P,O. Box 23397
Tigard, Oregon 97223
Phone: 639 75
Type of Inspection
Date Reques/t/e/dj)�,g_- `) Z Time A.M. _P.M.
Address
— Permit #,__
Owner.__-•-, �.,/•_ J Lot #
Builder
The follo•ving Building Code deficiencies are required to be corrected:
k
------------
I
---- -
Presented to -- --------�
Approved _---
'9spector
— 4 U Disapproved
Date
CALL FOR REINSPECTION
❑ Yes
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Ti(ard, Oregon 972.23
'ho : 639 175
Type of Inspection
Date Requested =f � Tima A.M. P.M.
Address _ _ ��� ��i� � �� Permit #. �'✓ �.—
Owner10, xi t21t #
Builder
The following Building Code deficiencies are required to be corrected:
Ai
i
Presented to
------- Approved t
Inspector _ � _� Disapproved
Date --- _ /-
CALL FOR REINSPECTION
❑ YES Z NO
INSPECTION NOTICE
City of Tigard Building Department
61) P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested- --------- Time—A.M. 4' P.M.
Address —_.__.. --- -
--==....T—L, Pr/11111 �
Owner Lot 111
Builder _-- — ---- "-s` --- ---
The following Building Code deficiencies are requirea to be corrected:
I
Presented to Approved
'Il
Inspector _ r,
_ r u Disapproved
Date
CALL FOR REINSPECTION
❑ YES 11 NO
611000,C 6
for inspections call 639•-4175
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
P.`). Box 23397 Tigard OR 7223 TAXMAP __ LOTNO. SUBDIVISION .
OWNER_ Lir-?- ?L� �� _,� '��1 CL'�Lve. JOB ADDRESS
t
BUILDER STATE REG.NO. _ EX0 ATE_
BUILDER'S PHONE CLI
ARCHITECT________.— _ PHONE. _ OTHER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE U OTHER ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATION n(3 IND ❑ RELIGIOUS U ACCESSORY Q GARAGE C1 OTHER OTHER ❑ FENCE
OCCUPANCY _LAND USE ZONE 2 OOLOG.TYPE /S-N FIRE ZONE_ PLAN CHECK
i
SEWER PERMJT f 4?1
_OCC.LOAD _ FLOOR LOAD V6 10 HEIGHT 3' -NO.STORIES "L. AREA 112 Li NO.BEDROOMS C7/ VALUE t',
Of DEPARTMENTSFT BACKS FRONT 2—0' 11FAR LEFT SIDE RIGHT SIDE
Permit 3?V THIS PERMIT IS ISSUED SUBJECT TO THC REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ILL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
I' an Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND UAGINANC'=S. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pt.CIL Flre RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMtr&SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
Stale Tax ,
— SOC
Total 3 �� 4 - - - -- —
APPLICANTORAGENT
�/ POG
Prepd.
3
Bal,Due �• y` Recelpt No ADDRESS PHONE
_ .7 O /
Issued By---- _Approved By f --
SSUC ---
soc - � 6oh '
Pur_ - 7,
SC;JER CONNECTION S _ At-)��►< </' r r> �ce/r/ .L
EWER INSPECTION S JS—
Ib�a !: / �� �l�✓Zl�
EWER SURCHARGE S 360 AJ�Q,E
1 -'6 LeApe ou AOr'.
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rn m e n t o:
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: G '"/ 2—
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 4-7-"6)
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
/
CONTRACTOR: �� _ ._ 'TELEPHONE: & 5 / � 3 ly
JOB ADDRESS: LOT NO. & MAP:
DESCRIPTION OF WORE:
A rovals Required SPECIAL NOTES
O Planning Dept. �+
P . .Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other O Other
Items Required
0 List of subcontractors
(D Business Tax
0 Calculations
OTruss Details
OParking Plan
OLandscape Plan
O Other
COMMENTS:
City of Tigard Building Department
BY: { ,.
A M
CITY OF TIGARD 639.4171 6100
BUILDING PERMIT DA
TAX MAP _-___LOTNO, 20 SUBDIVISIog• n vn 1?4rk
OWNER---�.eWtiogooa hy jjn3WU - . JOB ADDRESS111011--:,W 3:uWirazirr -- --- - -
BUILDER Owner S'rATE REG.N0. _ EXP.DATE
I BUILDER'S PHONE
ARCHITECT _- PH(- OTHER
STRUCTURE LI NEW LI REMODEL [J ADDITION I , REPAIR L� MOVE OTHER 1 DEMOLITION
RESIDENCE 1 1 COMM CI EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER I FENCE
OCCUPANCY _LAND USE ZONE ,,O, _._,_EILDG TYPE -44„_FIRE ZONE PLAN CHECK BY 4;,,_ HEAT
l:uuaa ruci jinile imuily dvellin>t VL/.+iLE:aLCIlf:Li.arsrL<a. . 111 per a 1 rovc u
tI nt.ISSUL OF �51U7. gubject to turc/klodgyood L,-ruv o1s, su1.-,1U4r _-
6
`
SEWER PERMIT N 29J96 �ldu
OCC.LOAD FLOOR LOAD I,U HEIGHT 23++ N0.STORIES AREA !v.(J NO.BEDROOMS 4 VALUES ;
BUILDING DEPARTMENT SETBACKS FRONT REAR J; LEFT SIDE RIGHT SIDE
Permit 3J4.W _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 41,i.UO 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
Pi.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax L Jt, 's2 ju.UU
SDC— 9it0.UC
Total -- �r a.3t• - — APPL
PDCN ICANT OR AO-ENT"
Prepd. �+
Bal.Due Receipt No.i 4D66tSs A :..t �. —_ a..'s .. 0
—. -- ►�r3a». -- f: l.. ' E L.,. PHONE
Is^.ued By----- Approved.By.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING T—DATE
/o o r, ni -- — Contractor
Permit No
Roughin
_
F� _ --
;g
Fixture
Tom' ! _ L�/� .�✓�( �7/BJP�icJ Fh Final --- —__-.
HEATING A
Contracto a.1—A
T� (�O
Permit No.Jj
Gas or 011
TT
Rough-in
—_ Final
—� --- SEWER
— Final _z 3-
DRIVEWAY
Final
Storrs Drainage
(Rain Drain)Final
— _ Sidewalk i
Curb&Street Final
Approach
BLDG.nEPT.FINAL TEMPORARY CERIIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY q ��
Landscaping
Zoning Final
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