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M'�t��� '���11,. ,• �2uYSii.+...rad�aur,,. �,mudnr�i votiatixrTLwa�4;.t,Ln� - S �Si' c-zT': INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. r 'Tigard,Oregon 97223 Phone: 639-4111 Type of Ins ection p. > . �.-4�� I Date Requested Time_ k A.M._ P.M. Address Permit �F Owner Lot # _ I Build,r --_ --_ — --------— _-----— ---- -- T;ie following Building Code deficiencies are required to he corrected: r Presented to _ _. I},� Approved Inspector _ ,t _1 Diw,oproved Date --- _..----��—=�.a'� CALL FOR REJNSPECTIOI'J LU YES [I Mr .. N i N w wffwxw B11"...DING PERMIT APPLICATION TIGARD DATE ` ''""��""� 4310 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF.WORK.HEREIN INDICATED BUILDER PHONE 5-E-17 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS ')WNER PHONE LOT NO.-I , OWNER T. ' s nh!J�.t Dk-V. JoH490DRESS l rs..45 f-504, 93rd Ayd. :... ACARW —. --- . . nc. X43 W4 179th Or, Bvtst . 1bDEsl�� r,',.:try Petty 646 -i; ! 4:j BUILDER_ )1,1 ;Inv. T _ _ ADDRE58 - STRUCTURE I NFW ❑ REMODEL L-1 ADDITION CI REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION LI RESIDENCE EI COMM EDUCATIONAL C7 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE f.7 STORAGE ❑ SLAB FENCE OCCUPANCY '�_3--LAND USE ZONE n.-7 BLDG.TYPE 5 , FIRE ZONE PLAN CHECK BY _�;�--HEAT---"1a9 construct Si,,igIc! Cagily % -dm-11iry w/attnchr-,4,1 7prage ,eiswt(, cif 1 r-n-4t x 43V) ( 1624"', >.';. `>�3rkj W, 3 (it cizc,ca SEWERPERMITM OCC.LOAD FLOOR LOAD d 0 HEIGHT 12 NO.STORIES 1 AREA ' NO.BEDROOMS I _ VALUE _BUILDING DEPARTMENT SETRAI'KS FRONT ''' REAR ". LEFT SIDE y'! RIGHT SIDE iI -- -- Permit— • THIS PLRMIT 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 _ '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 Subtotal ,7 ' _ RESTRI-3TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 12, 16 1 LICENSIE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State TaxI SDC Total 356. 16 i 100100 — — PDC# APLI�AGENT BY c il.i Approved Xidll Receipt No. ADDRESS �— PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING A }DATE Contractor Y2QS'Ytkctcl�� (070 Permit Na.A-33/SL Rough-in ------- - -- --- y_ Fi•cure Final -- - - -- �/ HEATING Contractor112—.563(, Permit No. 2R-q& Cas or Oil ` Rnugh-in - -------__�.------ Final ------ - SEWER --- - —� _ 1'Inal DRIVEWAY — Final (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCC ANCY [Final CERTIFICATE OCCUPANCY ��^ �� Landscaping C2 1 /1 �� Zoning Final --- - BUILDING PERMIT APPLICATION T(GAHD DF.fE__ 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS/SHOWN �AND AP�PyR�O�-'ED IN THE ACCOM�Jr_PrA�N/YYI�N'`� PLANS AND SPECIFICATIONS,. OWNER.Pt+ 'E _ O'NNEh Lr`��`�'���.Ry�f/ _A(Ln3Ess f 4F''IL"TP 45W 413YA-ke,i. LOT F- �C►1CQ BUILDER L fZeiYJV(S )Q If,JNG'.ADDRESS {E!D_'-5'/ J1.�-- _- Wij. DESIGNER n tt, �it/�►-_Glys- ^�gA,o„v 1� STRUC-URF. Nita ❑ REMODEL J ADDITION! REPAIR ❑ RENEWAL ❑ FIRC DAMAGE — ❑ DEIAOLIT,ON RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIODUSS PATIO ❑ CARPORT ❑ GARAGE ❑ STO AGE ❑ SLAB❑ FENCE dGC,kjPANCY _—73 LAND USE ZONE BLDG.TYPE ,S FIRE ZGNE PLAN CHECK BY` _ HEAT--O2S.— SEWER PERMIT# -`— OCC.LOAD FLOOR LOAI. _!J�d FIEIGHT /Z —NO.STORIES AREA NO.BEDROOMS 3 Va.LU �O BUILDING DEPARTMENT SET BACKS FRONT �.0 REAR �J LEFT SIDE _ ' RIGHT SIDE P"mut �!'T TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATION'S CONTAINED IN THE GUILDING CGDE, Z01"I N a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF;3Y AGREED THAT Tl,-.E !Plan Check �� WGRK WILL ©E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL ALL APPLICABLY CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES WC'T WAIVE Su�tetals -i 44.0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEAI ING. : 3tate Tax , -------. SOC - 6,44 1`��►7�_ Total PDC# APPUCANT OR AGENT By Receipt No. Approved ADDRESS _-- --^ - - PHONE 50C 14ya-- 9v 3 Poc - s # _ 1.00 SEWER CONNECTION 5 SEWER INSPECTION S 33� SEWER SURCHARGE 5 Comments'-7— ' •�I_ �� Pl "�' rli/f� � 'L -6p. leo _ — — --- ------