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INSPECTION NOTICE
City of Tigard B-iilding Department
12420 S.W. Main St.
Tigard,Oregon 97223
,Phone: 639-11171 In
Typeof Ins e.+i-:i
p �-
Date Requested -7 ' I ` _ Time / A.M._ _ —P.M.
Address 72� 'S 4/ r Permit #� _
Owner-----.__-_—_-..._ Lot #-
Builder
The fullowinq Building Code deficiencies are required to be corrected:
f 'f J �'• 1� ..«._
Presented to - A;.proved
Inspector Cl�i __ _ _._____ LJ Disapproved
� .
Date
CALL FOF: REINSPECTION '
❑ Yu$ Lb NO
BUILDING PERMIT APPLICATION TIGARD DATE, April 8 _191,111 4376
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BL ILDER PHONE 'jl9- 6144 7
OR AS SHOWN AND,APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE-_,-____
_. :
OWNER Jot;n L ewer Const. JOBA_DDRESS 1b725 SW 83rd Ave. '.OT NO.__l.4 3A:11Uch i'ark
ARCHITECT
ENGINEER
Puil_DER saric - __ ADDRESS 12020 S.14. 122nd C.L. DESIGNER Piercy ?;,Archy
STRUCTURE 13 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL O FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ '';)MM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Ci GARAGE_❑ STORAGE ❑ SLAB FENCE_
OCCUPANCY Tt-).-_LAND USE ZONE !M:'--BLDG.TYPE ! FIRE ZONE - __PLAN CHECK BY _ HEAT ^rtts
("onsttuct £sir.,,le Favdly Pwellin-.i w!attached ;ara��fr
';cal? Correction Ialtiept attached. 3 Nedvocrr!c
"laths
SEWER PERMIT0
OCC.LOAD FLOOR LOAD 1 J HEIGHT 14 NO.STORIES AREA 1624 NO,BEDROOMS = VALUE 740-G0
BUILDING DEPARTMENT SETBACKS FRONT ?'' REAR LEFT SIDE RIGHT SIDE
Permit 36 1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Plan Check 234.6) 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
Sub-total 595.F ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
14.44 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
` SDC �
Total 6if)001) �:i� L� �`�`e✓ __ _
By ;i:u.
PDC# l In0•�'� LICANTORAGENT
ilprelpt No. __/, L) •Z ti✓ �/ /.t Gam'.
Approved Jwh AGCIR PHONE
ffAwww�j:
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATe
=c�3 A"' -- Contractor
Permit No. -
Roug
-,23-G83 b Lk Fixture
final 2n^
THECA' ING
7'I —--_ — Con tract(.•
Pe,mit No. r
Gas or Oil
Rough-in
F,nal
SEWER 'jam
_ ---- --— _ Final
DRIVEWAY
--_ _-_- Final
Storm Drainage
— (Rain Drain)Final
Sidewalk J
Curb&Street Fina:
_ Approach — --
BLDG. DEI`T.FINAL TEMPORARY CF"TIFICATE OCCUPANCY final
CERTIFICATE OCCUPANCv
Landscaping
;coning Final
BUILDING PcRMIT APPLICATION TIGA�i:) DATE 19
/
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE401-14 �t7-
.�T
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SOECIF'ICATIONS. OWNER PHO _ - e
-_
1 �^ �_ LOTNO. NOWN`R J / oedm&- OB ADDnESSl�p�j/I�ri� _ii*�� _
C� Q tM48H11"�AT D
Bill-DER /dMy� — ADDRESS 1124? 0 4 In tAc w
_ OF-SIGNER P_ V-A
_STRI'TURE NEW ❑ REMODEL ClADDIl ION ❑ REPA r CJREAEWAL ❑ FIRE DAMAGE Cl DEMOLITION
RESIDENCE 0 COMM ClEDUCATIONAL (:3GOWT ❑ RELIGIONS ❑ PATIO ClCARPORT Ci GARAGE ClSTORAC;F ❑ SLAB❑ FENCE
GCGUPANCY LAND USE Z,)NE _ BLDGG..TYPE .y u FIRE ZONE- P'-AN CHEaCK BY - HEAT—
__ Cox • w�t�tl 1 �.li th toy•' 44 44a
SEWEr;PERMIT K -- --^---f _ � — ---
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA I�► i NO.BEDROOMS VALU E2�r �
BUILDING 6FPARTMENT— 8ET BACKS FRONT REAR d LEFT SIDE RIGHT SIDE /
Permit coo
THIS PERMIT IS ISSPED SIIBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'.N„
REGULATIONS AI`ij ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TPE
Plan Check (0 1-
WORK WILL SE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
,N!T'z;'-L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ .�• G RE 3TRICI.VF-COVENANTS. CONTRACTOR AND SUEZ CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,P_UNIBING AND HEATING..
-itatfi Tax • T
--. _�,...._ SOC— .�� Leewer
1 PDC,# APPLICANT OR AGEN r
By _
---7] Receipt No. ADDRESS - ----PHONE - -
Approved __LIL1
PDC - a _ Mr.
SEWER CONNECTION
SEWER INSPECTION
_SEWER SURCHARGE
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