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Ore,;ords\microflm\targets\buildirig.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection: ��YYI.U �� m •
Footing Susp. Ceiling Sprmk. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: e
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C�/ 1 Time; AM PM
Address:
Builder: Permit#:�/ �s �D
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date/.Z
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon P7223.8199 (503)83P•4171
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Residential Buildinnnnnci P,ei it implication.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only
Subdivision: Lot #
^� Contact Date I I Initials
Valuation: , — - Result
New Construction Only: (Square Footage) Planck,'Rec
Permit # S _ q
House: T Garage: Reissue of
Ma & TL# _ —
Corner Lot? Y N Flag Lot? Y N Zone _
Plat #
Owner:
Address
Approvals Required
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Planning Setbacks _ Solar
�i7ACTyk-- C` �c�LYw �'�tO37 Engineering
`�l'� Other _
Phone-
Contractor:
hone
r�,• � `_-Y Items Required
Contractor: rn,rt 'tiL tic ��c��.-
Subcontractors
Address. I1 bll S s. �_ Truss Details ^_
— Other
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Notes
Phone:
Contractor's License # _U„u y SC
(attach copy of current Oregon license)
Contact Name
Contact Phone: ( •� ;�. ) 71SJ _
Subcontractors: Arch ite.ctlFngineer:
Plumbing: address __------_- _-. -------- _ _--
Mechanical:
(attach copy of current OR Contractor's License)
JOB DESCRIPTION:
Apolicant Signa re Applicant Phone number
Received by: c
ttQ '� Date Received:
�•e�maevNws
i
Permit 0 Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) z �>
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX) L2
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential 'TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) ---.----____--
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
mt�
Erosion Cntrl Permit (ERPRMT) 2�0
Erosion Planck/USA (ERPLAN) _!
Erosion Planck/COT (EROSN)
TOTALS 1� (�
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