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UFRUM
INSPECTION NOTICE
City of Tigard Building Department
P.O Sox 23397
Tigard,Oregon 97223
Phone:630-4
Type of Inspection
Date Rew ested --' Timr _ A.M. y�P.M.
Addre:a
__ 7' ! �`- Permit
Ownt 4V�_6_ Lot —
Builow
The feilowing Building Cod efieieneie are required to be corrected:
Presented topprovad _« -
Inspector �- 1- —
`� Disapproved
Date �—
CALL FOR REINSPECTION
0 Yet a NO
wim
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date ,;:!nuested Time— A.M. P.M.
Addrt �r —`1 PermitwrierIF - ;7 1 1
O ............. Lot #
Builder
The followin rri in Code deficiencies areTu�uirgd-4Qbe corrected.
AJ
Presented to Approved
lnspe,.-toi U Disapproved
Date
CALL FOR REINSPECTICN
❑ YES I--) NO
len r➢I s !IFaff W-10
CITY OF TIGARD 619.4171 5805
BUILDING PERMIT Jr insperLi as c, iJ. DA-•= .January 2!e 19ct�
TAX MAP — LOT N0. SUBDIVISION
OWNER oavc-_oolechet JOB ADDRESS r
- - - � }� Silt= 4 j t jl -AVl`.
BUILDER ; 33� f;t; lytta, illboro r-. ��,}_ STATE REG.NO, EXP.DAT i-2_
BUILDER'S PHONE ___._. _---mak►~;t l:u _
ARCHITECT- ,j,- PHONE _ OTHER
STRUCTURE NEW [I REMODEL ❑ ADDITION REPAIR MOVE y U OTHER DEMOLITION
•(.! RESIDENCE U COMM I. ; EDUCATION IND IGIOUS I ) AC_ CF.�SORY GA AGE TPIf1F? E
OCG(IPANCY LAND USE ZON- BLDG.TYPE FIRE!'ONE PLAN CHECK BY HEATu 6
i m 1Aa i�nli 17 ratri.�anr r. �' ttwr+i,r.:: n.ifr�su����l�+�= xFi v..af1L1
-- IA attire } i !'. t►N 512"1
SEWER PERMIT a r� a{t, l Iu 6araq a 44U 3 h�,tui
OCC.LOAD FLOOR LOAD 49 HEIGHT 21_NO.STORIES AREA NO.BEDROOMS" VALUE
I _ BUILDING DEPARTMENT SET BACKS FRONT ), REAR t y _ LEFT SIDE RIGHT SIDE i ,
Permit THIS PERMIT IS ISSUEDSUBJECTTO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
Plan Check rU.Ulr I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND W COMPLiANUE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRIC FIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
--- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.t�tc Z)OLA, iV.u�; "
SDC-
Total 4Ub.I)' .1VUltw ��_ �/,)�•«.�,_/�Z
— PDC# APPLI 6T OR ADEN --
Prepd. 4u.Ut1 iI lSta.Ul!
—-- — ---- Receipt No.
Bat.Due (E �. Aim-`--- --- - -- PHONE
-3uG•tits .
Issued By -� Appm"d ry
d
DATE rNSN. 11 )E INSPECTION REMARKS PLUMBING
DATE
o _ r -_
Permit No.
__ yc 1 Fixture
Final
t
HEATING
Contractor
—— Z
Permit No. y tom_
Oil --
Final a __
SEWER
Final
/ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb g Stmet Final
Appro jch
BLDG.DEPT.FINALTEMPORARY CERTIFICATE OCCUPANCY Fival
TCEP.Tr1CATE OCCUPANCY _.
andscaping
I'_oning Final
rr
CITY OF TIGARD 639.4171 DATE. 9-f-
BUILDING PERMIT LI
//l TAX MAP LOT NO. 2 S SUBDIVISION ��
OWNED_ !/cl ll;d kc JOB AOORLSS .S
9UILDER _I?GCy cl S/ r STATE AEG.NO. 4 Z ; EXF.DAT E
BUILDER'SPNGNE ' y D 7/y //
ARCHITECT a� '�- ' l�; _ PHONE�(( �J- 2 (y OTHER
STRUCTUHE ❑ NEW ❑ REMODEL Cl ADDITION Cl REPAIR U MOVE O OTHER 0 DEMOLITIC
Cl RESIC►£NCE ❑ COMM Cl EDUCATION ❑ IND ❑ REVGI(K* C'ACCESSORY 0 GARAGE ❑ OTHER 0 FENC
OCCUPANCY R -M LAND USE ZONE R 7 _BIA G. _,TYPE -hL—FIRE ZONA f y PLAN C;HEC P,BY I�" ;HEAT
/yam u1 -pj/ /'_ Agg -.fi�11}1"� .1[�rl -
1'22-
SEWER PERMIT 0
2SEWERPERMITI 29034- _,/1Gp,s•,�. —�--_- •..3-flnXL-- � 26"
OCC.LOAD FLOOR LOAD 40 HCIGH•i 2i NO.STORIES _,��AP.EA 2110 NO,fiEDROOMS 4 VALUE J
BU.LCMNG DEPARTMENT SET BACKS FRONT z(� REAR ? LC-FT S DE Z RIGHT SIDE 4
�^�1 THIS PERMIT IS ISSUED SUBJECT TO THF. AE.OULATIONS CONTAINED IN THE BUiLD1,MG CODE, ZnNIN.
REGULATIONS AND ALL APPUCABLE CODES AND ORDINANCES,ANO IT IS HEREBY AGREED THAT TK
Ptantick WORK WILL BE DONE IN ArZORDANCE WITH THE PLANS A`1D SPECIFICATIONS AND IN OOMPLIANC�
WIT" ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PCRMIT DOES NOT IVA1Y�,
PI.Ck Fki _._ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRAGTOR3 TO HAVE CURREI:T rITY JIISJNE:i
TAX PERMITS SEPARATE PERMITS AEOUIRED FOR SEWiER�,PLUM DING AND HEATING.
P Me
Stab Tex
TOM PPLK:AIV f DR AGENT�0 h
all.Due
.081 Recelpl NO. ADDRFSS v1t )Ni
Issued By ____.a.PWowd!Iy_—
SSDC
Poc
SEWER CONNECTION S 975
SEWER INSPECTION 8 31
SEWER SURCHARGE S
Commenter
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