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INSPECTION NOTICE
Citv of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection _J I (" _.- ___
Date Requested__� q1-3_(.3 Ti _����A.M. L/P'.M/L�
Address 1 Q 1 D U ' C1 -- —__-- Permit
Owner __.— __ __ _ Lo # :f..
Builder__ �� )M I ✓► r --- -----
The following Buildingode deficiencies are required to be corrected:
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Presented to -- Approved
Inspector _ —__ —__ ❑ Disapproved
Date —
i CALL FOR REINSPECTION
0 YES 1Z NO t
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INSPECTION NUTiCE
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_ ' • a/z
/y Time A.M. P.M.
rAddressSL4) Permit
\ Owner_. Lot
Builder 11 v�
The following Building Code deficiencies are required to be corrected:
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Presented to �— _ Approved
LJInspector �— '' _ LJ Disapproved
Date --
CALL FOR RF,IN,,yySPECTION
[7 YES lel NO
! INSPECTION NO F I_CE
City of Tigarc Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
i Phone: 639-4171
Type ok' Inspection —
Date Requested-..__���? - — Time_ __ A.M. —P.M.
- __ i
Address ------ Permit
�� U ��t.� –� � — Permit #_
fOwner _ _ Lot # �p
Builder ___-- AD awl (VI sc,
— —_—_—.�-- --f
The following Building Code deficiencies are required to be corrected:
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Presented to --- __----_----- LnI ,Approved
Inspector — _,G`1L=�__ isapproved
I
Date
CALL FOR REINSPECTION
[)(YES ❑ NO
i
5�5 000
BUILDING PERMIT APPLICATION TIGARD DATF 'm,ust z 32 4146
THE UNDERSIGNED HEREBY APPLIES FOR A `ERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 7`►r�-4E1''l _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER P ONE
LOT NO. 33 i'C IeC a 'ark'.
OWNER �' t'-n'C IteVel, r0. _JOBADDREoS 1510(1 S.'>1. 39th Vlace FatrateR-- !
ARCHITECT
r ENGINEER Dominic
ADDRESS 10151 .,.la. Barbar ')Iyd. DESIGNER
STRUCTURE ❑ NEW D REMODEL ❑ ADDITION ❑ REPAIR ❑ RENE! ,L ❑ FIRE DAMAGE ❑ DEMOLITION
11 RESIDENCE f7 COMM LlEDUCATIONAL ❑ GO:I'T ❑ RELIGIOUS El PATIO EJ CARPORT 11 GARAGE ID STORAGE IJSLAB❑ FENCE
OCCUPANCY ---------LAND LAND USE ZONE IJ ' BLDG.TYPE - r` FIRE:'ONE—_.—PLAN CHECK B---— — HEAT----
-- -- -- -- -- — --------
t: `in lv !"amily Dwollinp. w/zctached Cara},e.
:nrrectinn sheet attached. ^` 1 yectroomg
2. I!.gthrz
SEWER PERMIT# ___,__
OCC.LOAD FLOOR LOA_ D 4 HEIGHT NO.STORIES I AREA NO.BEDROOMS VALUE 52,800
BUILDING DEPARTMENT SET BACKS FRONT 711 REAR LEFT SIDE RIGHT SIDE
Permit 4`)2.00 THIS PERMIT'IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
lEi9 t;rl REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEIEBY AGREED THAT THE
.
Plan Check . WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
r0111��D WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
H .. LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax � ,
SDC— +00. � % y ,,,,•-
Total r c.
By l PDCN it lou.00 LICANT O A E - I
Receipt No. –-.
Approved dw}I ADDRESS[8S -- — �— PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
— Permit No. ,�►�
'.2019Z r ` :-.-� Rough-in
S ✓-�Z ��Ca�,.:_,,.k Fixture — ---
s Final
--
3 �� —^__� Contractor
Permit No. Z6,/ 6,64 p���8�i
Ga.,or Oil
— -- Ro-.gh-in
.� --- —•-------- — ----- Final � ,_.—
SEWER
Final _
DRIVEWAY
—^ Final
Storm Drainage
(Pain Drain)Final
Sidevral k
Curb&Str"t Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY — --
CERTIFICATE Or'CUPANCY Final
i 1-er1Jacaaing
v` Zoning Final- - - --
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BUILDING PERMIT APPLICATION TIGARD
THE UNDER)IGNED PPHEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 8UILDER PH0Nf���G�
ORA SHOWN AND APPROVED IN THE ACCOMPANYING PLANSI f D SPECIFICATIONS. OWNER P NE
LOT P I • N
Q_SLCIje V OB ADDRESS .ti �Go •�_" i7 /�Il't
ARCHITECT ee
Q t J 0
/6 Mfti
BUILDER •�QM'14 ADDRESS_ G��� ��'�K�" 81Y'�•DESIGNER
STRUCTURE J NEW ❑ REMODEL ❑ ADDITION -❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLI i'ON
lRESIDENCZ C COCOA'..M ❑ EDUCATIONAL ❑ GO:''T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ StAE❑ FENCE
C-CGUPANCY _��__.LAND USE ZONE !�L_ BLDG.TYPE k._.-._FIRE ZONE�=-.,P1 AN( BY HEAT
ALAL
See 0#ft- 0410
SEINER PER AIT Msms 3W
LOAD FLOOR LOAD #4 HEIGHT a NO.STORIES AREA ��{/la NO.BEDROOMS_ VA!Ui���
BUILDING.DEPARTMENT �O t
SET BACKS FRONT REAR EFT SICE /� RIGF,'SIDE
00
Psrmit — • THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CCNTAINED IN THE BUILDING CODE,ZOrj!N'-
r� 1 /� REGULATIONS AND ALL APPLICABLE CODt_S AND ORDINANCES, AND IT IS HE, AGREED THAT THE
Plan Check / • V WORK WILL BE DONE IN ACCORDANCE %ITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC%
r Q WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV!
Subtotal -_ Q_C�-�?•�._ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONRACTOAS TO HAVE CURRENT CITY 191USIN1:S:
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;Statm Tax I
Total I j/ � � SDC -
40
POCK APPLICANT Ori AGENT
BY
Receipt No. ---- ------ - ---
Approved ADDRESS PHONE
SDC .�. T -
PDC �S ��p New T� ✓u ms's'
SEWER CONNECTION S BZ)
SEWER INSPECTION S
_-_EWER SURCHARGE 8
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