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INSPECTION NOME
City of Tigard Building Department
12420 S.W. Main St
Tigard,Oregon 97223
Phone: 633-4171
Type of Inspection ---
Date Requ--sted_.-. -__ Time_ - ._- A.M.— -..P.M.
Address —J!7- � Permit
Owner .-Z Lot--__ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
_-/
Prasanted to �-- -- ------�-^—� pproved �—
In,p-(,torLI Disapproved
ste
CALL FOR REINSPECTION
0 YES ❑ NO
N W W ■
— INSPECTION NOTICE
I City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171 �����
Type of Inspection
Date Requester Time �. P.M.
_ �_Address —_ � �. ___._____---_ ,�'� Permit #
I �
Owner Lot #
Buildcr -- t -
k
The following Building Code deficiencies are required to be corrected:
t _
I _ --— ---- ---- --- '— -— {
e-7AA �
Pi esented topproved
Inspector _ ❑ Disapproved
Date _-----
AL'L FOR REINSPECTION
I
0 YES C1 NO
KIM-
INSPECTIt-A NOTICE i
City of Tif 3rd Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639-4171
IL�
it
Type of Inspection
Date Requested Time— JkA,M. _P.M. 1
i
Address Permit #__,__-__
Owner
— —_ _ Lot #
Builder-_ �
I
The following Building Code deficiencies are, required to be corrected:
— - ---- —_T --
f- -
Presented to __ —__ I roved
Inspector
Disapproved
Date
CAU FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. Ii
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ----
Date Requested Time— A.M.--P.M.
Address —,Z 5 46 Y 612 Permit
Owner—c?"', Lot #
i Builder
The following Building Code deficiencies are required to be corrected:
e-
46 e
,P3,-t-fgZ
A
Presented to
Inspp-tor Zroved
i poroved
Date Z13
CALL FOR REINSPECTION
El YEs 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address – I Permit #
Owner Lot
Builder
Th. following Building Code deficiencies are required to be corrected:
99 —------
Presented to
1.J,1. :A Disapproved
Inspector
Dale
CALL FOR TYINSPECTION
YES [I NO
5767
CITY OF TIGARD 639.4171 ltm 1113PEC'1Yi;N LL =,39-4175
BUILDING PERMIT DAT67i1II1i�Y. �a 1�t--.
i�.Israant
TAX MAP _—LOT NO. }.g _SUBDIVISION --
Citadel 1,rnperties _ 15682 5�lgh Ave..
JOB ADDRESS --- - = .-��-�i-
BUILDER � 1100 Sir' t*ver Rd, Allshor0 91123 STATE REG.NO. _ \ � eEXP.DATE
BUILDER'S PHONE _ 244-9152
ARCHITECT Studio 5 PHONE OTHER
STRUCTURE NEW REMODEL ADDITION REPAIR L', MOVE OTHER ❑ DEMOLITION
RESIDENCE I COMM EDUCATION Ll IND RELIGIOUS ' ]ACCESSORY _-GARAGE 1 OTHER FENCE
OCCUPANCY _ LANDUSEZONE\ _BLDG.TYPE 2i FIRE ZONE PLAN CHECK BYt`"' HEAT'"
Construct s>Lngle family residence w/att.aChecf
SEWER PERMIT a 29003 (ldu) �;ara6e 42U 3 bath —
OCC.LOAD FLOOR LOAD 40 HEIGHT 2U+- N0.STORM?% 2 AREA14910 NO REDROOMS3 VALUEa�'4
BUILDING DEPARTMENT J SET BACKS FRONT ),0 REAl`Y49'5" LE'-T SIDE RIGHT SIDE 5
Permit310.00 THIS 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 206.50 _ WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE
'-` WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire "'0'" RESTRICTIVE COVENANTS. CONTRACTOR AND SIIB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-" -- TAX PERMITS.SEPARATE PERMITS REOUIR 7). OR SEWER,PLUMBING AND HEATING.
Str.te Tax 12.40 I S:il3G 25U.Ulr
SUC- 5UU.UU ---- -
Total 523.3p
APPLICAA')OR AGEr,i�
- PDC11 150.00 .
Prepd. 100,00 __ - i
_ (, r - PHO)IE-- �-
Receipt No/ ADDHE98
Bal.Due 423.��i _ � �. ,J
_. _�- _._ -- roved B 3
Issued BY__ _. Approved Y 74
s s
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor U--- �� Zz-S�(
�j Permit No.
-<-� — Rough-in
i
Fixture
Final
` HEATING
_- -- / — Contractordo
/�,� l •b t( I 3U S
Permit No.
GasorOil
in
Final ------
v SEWER
12
Final
DRIVEWAY r �
Final -
Storm Drainage
41-f� — (Rain Drain)Final
Sidewalk
Curb&Street Final
^— Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY �� I
Landscaping
Zoning Final
1
7 J
CITY OF TIOARD 639.1171 PATE
BUILDING PERMIT TAX MAP _ LOT NO. --4.lC_0U901VIlWN = 1zl''-7/
OWN � joa JOB ADDRESS t y' Set-)I ✓
BUILDER STATE REO.NO. 117�-9 EXP.DATE
BUILDER'S PW.)NE
ARCHITECT / PHONE --..–OTHER-
- _ --
STRUCTURE NEW ❑ REMOCEL ' ADDITION O REPAIR Cl MOVE Cl OTHER _O DEMOLITIOn
O RESIDENCE ❑ COMM ❑ EDLICAM O IND O RELIGIOUS O ACCESSORY Q GARAGE O OTHER O FENCE
OCtX)PANCY Rzh-f-Al LAND USE ZONE BLDG.TYPE rte.FIRE ZjONE.--PLAN CHECK BY HEAT CSA
44
SEWER PEPM,'T 0 290r'_ _ CAR 4
OCC.LOAD _ FLOOR LOAD HEIGHT S NO.STORIES ; _AREA 4 0 NO.BEDROOMS a VALUES 8,4 6_U
�BUILW NG DCPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE OUILDINO CODE,ZONING
_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT 13 HEREBY AGREED THAT THE
Pim PiCheck ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
%PITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.CIL F" RESTRW,TIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER,PLUMBING AND HEATING.
Staff Tax
SDC—
TOlal � � APPLICANT UR AGENT
PO" ,
Propd. ) ?t7n.5�V /�•'V c /t d/K�/� /�3. ��iL't yj/, -3 c?��/t�rf/>:2
9 RecNpl No. ADDR
ESS
Bal._Due _...lj_s�:�
laau*d By—_----____.-ApWOvad By
507.
Por
SEWER CONNECTION 8 / -
SEWER INSPECTION S
SEDER SURCHARGE S ,
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