11608 SW PACIFIC HIGHWAY 11608 SW PACIFIC HIGHWAY
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v Lt s�.I bM C INSPZCTION NO-1 iCF
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Cit of Tigard Building Department Sr ,rY P.O. Box 23357
Tigard, Oregon 97223
A �, • Phone: 639-4175
Tvpr of InspectioK'— LA-
Date Requested — Time P.M.
C�
Address � �— Permit
Owner _ ® -� —� --_-— Lot #
Builder -- -------- �I
The tuilow jrlp_Buiiding Code deficiencies arA r quired to 5li come
.44 too
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Presented to7ZC1-_. �Ld�(c _ ❑ Approved
Inspector —____..__ - ❑ Disapproved
Date - - ----- ---
CALL FOR REINSPECTION
❑ YES ❑ NO
A
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....".._s....w..r.rru udwiY yYMlp{p.►rF'+r�7r•y M4M'w.�T'rn.w.nl1��i
.. . DATE _____—._------ , f9--_—Nc 0346
BUILDING PERMIT APPLICATION T".GARD
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE --
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
dl' IiV6dl.„' .--.-----ADDRESS
11606 J.W. PSC1fiC HWY-BLIILDEFiPHONE„
QWNEFi __ -- --.-
ENVINEER DESIGNER
' mn The men SLngae __gnru,rcrT
RI!ILDER __ — _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION IRE _1�-RENEWAL ❑FIrR-1E DAMAGE L�DEMOLITION
NAL ❑GOV'T ❑RELIGIOUSOPATIO OCAR PORT [jGARAGE L_J STORAGE OSLAJ ❑FENCk
M ❑E DUC AT 1 O �-------�----'—
❑ PESIDENCE IJ COMCI
DESIGN
__ QMOVING L.kCONDITIONP.L USE C IDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
___-- � —�---
BLDG.TYPE FIRE ZONE__PLAN CHECK BY -
CCP
_—LAND
_USE ZONE Slgr�
.rt 64 sq, tt. mr1r4s
AREA VALUC
FLOORLOAD ---”
�— HEIGHT
NO.STOR�IES --------
QCC•LQAD _ `—'—'----�
_ LEFT SIDE RIGHT SIDE
BUILDING DEPARTMENT REAR f ---'
Lk SET RACKS FRONT OPermitTHIS GERen1TIS ISSUED SUBJECT TO THE REGULATION5 CONTAINED !N TNF: BUILDING CODE. ZONING
Plan ChREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TIrfe
WORT(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
RecordALL APPLICABLE CODES AND ORDINANCES. THE 1NTRACE OF RS O HAVE PERMIT DOES N01 WAIVE
ED
OR
196$tanESTRI TSEPARATENPERMI f OITRAI TORFAND UR PLIUMB NG AND NEATING`IR7ENT CITU' BUSINESS
LICENS
TotalBy
rfs APPLICANI OH AGE1.4ApproReceipt No. ADDRESS