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INSPUMON NOTICE
City of Tigard Building uttpartment
P 0 Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection
Date Requested—
Q) Time A.M. P.M.
Addi _ZZ4 aV Porn;t
ooss �2- <kZ-
Owner Lot
Builder
one following Building Code deficiencies are required to be corrected:
-4
^.l0 7- C- C2 It LPL 7-4-7A
A-
Pmented to Apo-roved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard,Oregon 97223
Phone:639-4175
r
Type of Inspection —
Date Requested g Tame A.M. P.M.
Address 16 9U'�''�y/)) .,C� L 1�Y( _ _ Permit o6—7"U
Owner Lot #
Builder ._ _-__.-- — ------— —
,The TTLollloo�wing Building Code deficiencies are required to be corrected:
2N i s ._ 'l`►e - A��1:1�y 13 �� N V riot L�.1i1�-Ci_ _
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F'p�Ai�� J1 ENT
�nly;� Uv r �i 1.h✓c' AGE ---
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IV ltd �5 ) ��F G�•4�Si� --
Presented to �. /y [] Approved
Inspector —'1;eD+%approved
Date
CALL FOR REINSPECTION
YES ❑ NO
CITY OF TIC,ARJ 639.4171 �� 5780
r Ui: t..., Lr:1 L; <..+�i.�. DATE � —19..;;x..
BUILDING PERMIT U3y—tele ����- rJ____SUBDIVISION 't��u Ltiwli
1 AX MAP ___LOT NO. _
.�sepi.ieu �uielss i 5u trec>r<... Ls tate�s
OWNER --_—�_ JOB ADDRESSWLf ii Cnuit �•—
eUILDEH „i,ortfiwest Custom Hanes, 625 Uxintry _ STATE REG.NO. _ �_.. EXP.DATE
BUILDER'S PHONE 6t_35~7UJ5 Club rud. Lakes Uaialt:l U —
ARCHITECT �,� l �� f .l r: p1 y,,r,� . �R _ (r, y (� " �_'7 a - OTHER-
�,� Lam - - -- -- PHONE --
STRUCTURE .17 NEW L-I REMODEL I i ADDITION I REPAIR MOVE I OTHER i ! DEMOLITION
RESIDENCE COMM C I EDUCATION IND 1 RELIGIOU'S ACCESSOHY I ' GARAGE I OTHER FENCE
OCCUPANCY _LA VD USE ZONE BLDG.
_FIRE ZONE PLAN CHECK BY HEAT
�'----- --r--
t.inatruct slit—le wt.1t'CiC1 ett ,arrrt,u
SEWER PERMIT# 2SUlf) tlelu) r;tlt8�,@ 4210 3 both —
OCC.LOAD FLOOR LOAD 4t1 HEIGHT 2y— NO.STORIES 2 Arlt 4ubd NO.BEDROOMS j VALUE_
BUILDING DEPARTMENT SE I RACKS FRONT 22 REAR_L LEFT SIDE 11 i RIGHT SIDE 1,
Permit 3U1.ULI r NIS 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 1y15.f,5 J 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 CONTRAC•rORS TO HAVE CURRENT CITY BUSINESS
— TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12.U4 25,+. �,
- -------
Total .
SDC-- 500 at)()
_
�Ur'16� APPLICANIOR AGENT
— PDC# I 15s1.Ui!
Prepd. LUO*ou -
LBt�Due 4U1309Rece;pt No. ADDRESSPHONE -
Issued By.._..- -_Approvsd
.. ..u.....,:..... .w+......+....w.rL:.a.a..Ir............r.a...a...ww.i....e...•...-a...rwr:,.. ..... a -.�.... .. ..,. .......... a..r.:......,...:w..,n�....r.+.r.r.i.u........r�..w.•:.....•..............- .....r.............
DATE 1"P. TYPE INSPECTION REMARKS PLUMBING DATE
contractor
Permit No. a Sa
Rough-in
Fixture
Oil, nal
-�
HEATING
--Kv -- — -- Contractor
Permit No.
A ziNr Gas or Oil
Rough-in -- ---
_, Final
� kEt SEWER —
72 Final
DRIVEWAY
Final
Storm Drainage
_T (Rain Drain)Final
Sidewalk
Curb A Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTI�Q CCdPANCY Final
CERTFICA_TE QCCUPANCY --- —�
�— Landscaping
( ' � / Zoning final
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CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
TAX MAP .-_._-__ LOT NO. SUBDIVISIO` ;� nom
- --
OWNERFI c��,ICLcJOBAODHE5S
BUILDER _LT STATEliEG.NO. r. L EXP.DATE
/�2S�8L
BIJILDER'S PHONE 2 — r t
ARCHITECT_ __. _ - PHONE _OTHER
STRUCTURE k'NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Cl MOVE U OTHER ❑ DEMOL;TIO1
RESIDENCE ❑ COMM ❑ EDUCATION (3 ONO ❑ RELIGIOUS ❑ACCESSORI U GARAGE L] OTHER ❑ FENW
OCCUPANCY / LAND UrE ZONE OL )G TYPE FIRE ZONE PLAN CHECK BY _HEAT
SEWER PERMIT 41 40/4V �j
OCC.LOAD FLOOR I-OAD HEIGHT-Mo— NU.STOFIIES 2- AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT 23C REAR 1j :jg LEFT SIDE I RIGHT SIDE /Q
Permit -_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE DES AND ORDINANCES,AND IT IS HEREBY AGlIEED THAT THi
Plan Check G.� WORK WILL BE DONE IN ACCOR C ITH..THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI
WITH ALL APPLICABLE. CODEStAROJ9 CEs. THE ISSUANCE. OF THIS PERMIT DOES NCT WAIVi
PI.Gk.F" RESTRICTIVE COVENANTS NA DS CONTRACTOR •TO NAVE CURRENT CITY BIISINFS'
TAX PERMITS.SEPARATE P MIE Fog
EWER,PL',IM1JING I\ND HEATINUl.
Slate TauSDC IL
Total `l Pte« APPLICANT ORAGEN ` _ -- 635. 7ols
PrepA. Receipt No. ADDRESS r Rq CSA R , I0 — _ - 3
PHO
J N
Bal.Due !"
Issued By_.___--J►pproved By
SCf1C
PDC ...-
SEWER CONNECTION 8 97
5EWER INSOECTION 8__
SEWER SURCHARGE 5 ��
Comments: -- -- ...:......=--
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