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I INSPECTION NOTICE
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City of Tigard Building Department
12420':.\A. Main St.
Tigard,Jregon 97223
Phone: 639.4171 ,
4 Type of Inspection —
Date Requested S".2(-r�Z __ Time_,�_A.M. P.M. �
Address _G.:�� -�_ =�' �� Permit
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Owner — ----- ----..�. Lot
Builder
The following Building Code deficiencies are required to be corrected:
I
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I 1
I
Presented to [ Approved
Inspector ,,d,�� Disapproved
DateCALL FOR FOR REINSPECTION
YES C_-1 NO
i i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
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Type of inspection// � ----------
Date Requested /z�s�;2 I ne_'A-- A.M. _P.M. I
Address _ ' 41-5 SlJ �� Permit
Owner _ ,._ Lot #_
Builder
The following Building uildin Code deficiencies are required to be corrected:
r
Presented to _ ❑ Approved
Inspector ` � __ Disapproved
Date S—may`/— •� .-- —
CALL FOR REINSPECTION
(� YES 0 NO
A
IN
t
INSPECTION NOTICE
City of Tigard Boding Department
12420 S.W. Main St.
1 igard,Oregon 97223
�Ohhone: 639-417
Type of Inspection -
Date Requested .- _� `� 1� '7 Time A.M. w _P.M.
Permit #_ rLS o
/s J
Address
Owner _— _. Lot #___
Builder _ — ---.— — —�
ly The following Building Cude deficiencies are required to he corrected: �.
Presented to [kApproved
Inspector Disapproved
Date _
��' 3 rz
CALL FOR REINSPECTION
❑ YES I NO
l
I
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BUILD;.NG PERMIT APPLICATION TIGARD DATE 4/271- 19 11 4075��
THE UNDEaSI;NED HEREBY APPLIES FOP.A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 246-4041
I OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 50 — S haelcl
OWNER;lomillic Revel pT+1CAMAfDOFiEss 1_ _1_,15 SW 1311th Avc.mue _ nprw. rrgtatem
ARCHITECT
ENGINEER
BUILDER_ s:use ADDRESS 10175 SW f7arbur E1Va. DESIGNER I}omini[.;
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION 0 REPAIR CJ RENEWAL FJ FIRE DAMAGE ❑ DEMOLITION
EY-RESIDENCE ❑ COMM U EDUCATIONAL_❑_GVV'T L RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE L STORAGE ❑ SLAEI❑ FENCE
OCCUPANCY LAND USE ZONE k-7 BLDG.TYPE _ Sf'a FIRE ZONE_ -- PLAN CHECK BY— d+�111 HEAT. rias
-- )Ilstrmcttsir(Tle family dwelling w/attached garage. 3 Podroors 2 ElzV
S: L: CoR1trrT104 ST?C;t;T LT`d'NCV17U.
SEWERPERMITM 231.)20 — ,fq().on t4t';ararTe 432 aq.ft.
OCC.LOAD FLOOR LOAD 40 _HEIGH i _12 NO.STORIES 1 AREA 12913 NO.BEiDR00_MS 3_VALUE
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 21 LEFT SIDE '13 RIGHT SIDE
Permit S'?1114 .011 THIS PERMIT IS ISSUED SUBJECT TO THC REGULATIONS CONTA.I'NFD IN THE BUILDING Cr'Cr, ZONING
REGIA ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED Tl-;^T THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH 1HE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI, APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal �'01• 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEAPING.
State Tax 1 u. 1
Total Y a 13• (7 _
y—— -- -- 1 PD(A T x �1 C t)•r A PLICANT OR AGENT-
Vii— Recai�it Mn
Approved — --. �'� 7 !�b9 ---- ------- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor-` 1,�62►� G ���23Z
..S— .1 /i va.C.Q��/ -iIL� W 1�� — ar O. 7�f7✓v 22
F7nugh-ii –
Fixture
Final
�f Contractor l
Parmit Nc. z r,,2 q /6,4<tS-._ 67
Gas or Oil
✓ �.�.� Finugh-in
Final
SEWE
--
Final
_. -- --------- � -- ----- ---- DRI E /1�Y— ---
Final
_ Storm Drainage
I (Rain Drain)Final
Sidewalk
Cu•b&Street Final
Approach -- --
l3LDG- DEPT.r rNt L TEMPORARY CERTIFICATE OCCUPANCY Final
CFRTIFICATE OCCUPANCY
Landscaping
7nning Final
BUILDING PERMIT APPLICATION TIGARD DATE o27 19-gz
THE UNDERSIGNED HEREBY APPLIES FORA PERIhIT FOR TIME WORK HEREIN INDICATED BUILDER PHONEZ-q - O#
OR AS SHOWN AND APPROVE THE ACCOMPANYING PLANS A SPECIFICATIONS. OWNER PHONE
�, ��� ��� �O �iZ �.! As&-_ LOT N Pew i`
UVUNcJ11�� THE
-``-�-��-- II.. ARCHITECT
NGINEER
BUILDER %N C ADDRESSIO .� l�..� �sM' _ESIGNER yobs"
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T_❑ RELIGIOUS ❑ PA TIO ❑ CARPORT C3GARAGE C1 STORAGE C1SLAB❑ FENCE
-_CUPANCY _-.LAND USE ZONE �n�--7-- BLDG.TYPE -A�-FIRE ZONE PLAN CHECK.BY HEAT
-- Se a�- ems. _ _ 3 0_�
S=WER PERMI i# --
OCC.LOAD FLOOR LOAD - _ HES.:`!? '�,.... NO.STORIES AREA/�� NO.BEDROOMS 3 VALUJM
BUILDING DEPARTM5tiT SETBACKS FRONT /20 REAR .2f LEFT S� RIGHT SIDE 1; 9
Permit IV 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
Plan Check �d REG ILATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYAT THE
' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
&o.
d WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISFIJANCE OF THIS PERMIT DOES NOT WAIVE
Su�tetal - __Y— RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
/ , ,b LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Statn Tax
-.- _ SDC-
Total %- IN &461910" Ap,
PUC# APPLICANT OR AGENT
By
Receipt No.
Approved - ADDRE TS— PHONE
SDC -
poc - s M #
SEWER CONNECTIQN $
SEWER INSPECTION $ ��
SEWER SURCHARGE s
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