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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phon : 639.4171
Type of Inspection
Date Requested / T T" A.M. P.M.
f
Address " -LG � �Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
do Ogle e �'c
- -
Presented�o -'�'t `' �` ❑ Approved
Inspector _ P-nupproved
Date -- -----
CALL FOR I
ES 0 NO
- INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 57223
Phone: 639.4171
Type of Inspection01
�.
Date Requested— T A.M. P.M.
Address s C—)l- Permit #
Owner __ _ Lot #
I
Builder
IThe following Building Code deficiencies are required to be corrected:
I I
n
i
i
Presented to Approved
Inspector ❑ Disapproved
Data ---- — –/ -�
CALL FOR REINSPECTION
❑ YE• L� NO
ELIF-3UXX1
It
BUILDING PERMIT APPLICATION TIGARD DATE _ Au RuS t4 19 Z4- 4979
('
THE UNDERSIGNED HEREBY APPLIES OR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN'1 SPECIFICATIONS. OWNER PHONE
LOT NO.:-fL_..
OWNER _ CentUrjf 11 11Atae& JOB ADDRESS - -�19g4 $il 133rd St. Brittany! Square
— ARCHITECT
ENGINEER
BUILDER some ADDRESS 7160 SW Hazelfern Rd. DESIGNER
STRUCTURE 171 NEW C] REMODEL ❑ ADDITION D REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LE RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO V CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY X-3-_ LAND USE ZONE _AL-7kD BLDG.TYPE —IN—5N FIRE ZONE______PLAN CHECK BY ___�T HEAT
Construct singLe Easily tabbed garage.
Subject to Leron_1►ei9bt8 Sever Surcharge $150.00
2 Bathroom 1 bedroom
SEWER PERMIT N 279411 Garage 241
OCC.LOAD FLOOR LOAD 4_0__HEIGHT 16+ NO.STORIES 2AREA 1285 NO.BEDROOMS 2 VALUE 44000•
---,—,-,--BUILDING DEPARTMENT , A SETBACKS FRONT 22+ REAR 15 LEFT SIDE 7- RIGHT SIDE 70
Permit_ b1i.5 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, .:JNING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 175. IFS 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 444.68 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1V.78 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _
Total 455.46 SDI. $50U.N0
i 15U.uU -APPL
----_ -"- PDCM hGAh�TOR A(3—EI�T--
By CII :-.S;'( M eOU
Receipt No. _
Approved BTW ADDRESS _ PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUP40ING DATE
---- Co
qtractor
`elfi
2� --
rA4.1 ZD--o PomltNo, 7i9,?l
"g
Hough-in
Fixture
-A Final
HEATING
��- - E" =
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Filial
DRIVEWAY—
Final
Storm Drainage
Main Drain)Final
Sidewalk
Curb&Strcat Final
ORA Approach
----
BLDG. DEPT.F-INAL7--7— TI:MPORAPY 4Ef!R-NFi6—ATV-0-6
CERTIFICATE OCCUPANCY OCCUPANCY Final
Landscaping
Zc-np Final
Building Permit No. _V%`��__
Location � --
Da t e
Certification of Registration
With toe Builders Board
doing business as (dba) , -
am registered under the provisions
of----OR�apt r 01 Oregon Homebuilders Law) .
My Builders Board Registration Number is
4�G
M.,, registration is in full force and effect and expires on
Wignature. a
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THE UNC?�[IS I GNED H:HLEIY AP�'LIES F014 APEHNII 11•UN ItIL rvVllrn I I L IIL4-4 Ilvun. Lu u.nL— _.-
rill AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OvrNEFt
LOT NO
T.VNEp OGRESS , f �+� �` az" C _
ARCHITE T
l NGINEER
i
AUIl-Oti'7 .- "l�� ADORES. f' `... cc i. ESIGNER
STnucrk_IFtE _ NEW ❑REkInOEL ClADOITION - C1Rc"PAIR C)RENE':IAL ❑FI{'.EOA)ARric ❑OE:•IOu
°S RESILIENCE C]CO►rM CJEOUCATIONAL C]GOV-T ❑RELIGIOUS[]?Ano UCAR PORT C)GARAGE ❑STORAGE 0SLA3 (-IF,
'ZCCI:PAN,_-y = LAND USE ZOPJE$1- PO pLOG.TYPE--�N Pt.Al%CI1fCK EY_--AP-=&dw-__- HEAT=_
__ _ CONSTRUCT SINGLE.
FAMILY Y DWF.I.T_TUL-W-ALEACI ED GARAGE. _
;2,BA'1'HROOM Z BEDROOM
S—E1-LE R r E R f'1 I T_i,__;2__07?560 G a r�a1>:e
WC-1.94 FLOOR 1040 HEIGH�- 1 O.S70RtE� (i;" Af7EAI NO.@�fEQ$QQA15 ZA VLU Ey �O
SI)II LOIN; DEPARtMENT SET BACKS FRONT .2 TL - REAR I LEFT SIDE / — RIGHT SID
THIS PERMIT IS ISSUED SUBJECT TJ THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7C
!:-:.In C!IrckII REGULATIONS AND ALI. APPLICABt E CODES AND ORDINANCES. AND IT IS HEREBY AGREED THA'
r— WORK WILL BE DONE IN ACCOROANI;E WITH THE PLANS AND SPECIFICATIONS AND IN COMPUt.NCE
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT M,
gESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO.II-RACTORS TO HAVE CURRENT CITY BELS
�';ata Talc l.` LICENSE. SEPARATE PERMITS REOUIRED FCR SEWER, PLUWEi1NG AND HEATING.
TutaI � 5--- SOC -
�--��- PUC
APPLICANT on AGENT
I ,.p 1 — Receipt No.
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E-- n�RF55 �r:gnC
L S C O I'til
SOC_
PDC - / a
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SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE $
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