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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
JP one: 639-4171
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I Type of Inspection
Date Requested.._ m A.M._ P.M.
Address L C� GLi Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
1
y�-L.•. - 5.s L_
Presented to — ❑ Approved
Inspector --- kapproved
ate
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i —S
CALL FOR REINSPECTION
21"YE! C> NO 1
INSPECTION" NOTICE
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City of Tigard Building Departm^nt
! 12420 S.W. Main St.
Tigard,Oreqon 97223
Pho : 639-4171
t ��\ r 1
t Type of Inspections
Date Requested-- f Time—_ A.M.
Address /_! V"" '�� ��— — Permit
Owner ('� {yl.� Lot #
T--e�Builder
The fallowing Building Code deficiencies aie required to be corrected:
I �
10,
S
Presented tc--`_ ----"--i �lAPprovrad
i
Inspector _ C� 611arpproved
Date ���
CALL, FOR REINSPECTION
0 YES 0 NO
Or w W
BUILDING PERMIT APPLICA,riON TIGARD DAC 19_ _ 5 300
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE V,,-)RK HEREIN INDICATED BUILDER PHONE `20-)4
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
i_OT NO. _' - —------.T
OVVNFR 'tom 1.i110Y JOBADDRESS SW 9701 !►� F'_ _- .--_ -_--
ARCHITECT
18274 StJ Rs3ones Ferry ENGINEER
_A4 1% ADDRErs Tigard.. OR 97224 DESIGNER
STRUk'.TURE E3 NEW ❑ REMODEL .J ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGF. O DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE_ ❑ SLAB❑ _FENCE
OCCUPANCY ,i-3 LAND USE ZONE x `+A BLDG.TYPE SN _FIRE ZONE PLAN CHECK BY __- HEAT
COTV:iLruct ta.r, ---.__ i n!, w/atLAC1,! -arage —�---
Ra-lsauc of Penn,
2 Ua t hrooLn 1,11t a r . 6 35 _
SEWERPERMITM 28.379
OCC.LOAD FLOOR LOAD 46 HEIGHT tit+- NO.STORIES AREA � NO.BEDROOMS ,;Z VALUE
BUILDING DEPARTMENT _SET BACKS FRONT 2U' _REAR {° 'G" LEFT SIOE 14 RIGHT SIDE 16'
Permit 32*uu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4tl.UU REGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE_ IN ACCORDANCE WITH THE �-LANS ANG SPECIFICATIONS AND IN COMPLIANCE
39l tiU WITH ALL APPLICABLE CODES AND ORDINANC.E`.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal ' RESTRICTIVE COVENANT; CONTRACTOR NO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
14�� LICENSE.SEPARATE IJ._RMiTS REOLIIRED I )R SEWER,PLUMBING AND HEATING.
Total
446.08 SDC-
- PDC'a 1 1 1 i ASF WLIC Nf DRAG T By _
Receipt No
Approved— f1CNiL ju -- . ADDF1E88 ------- r fuiN�
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Di'TEE INSP. TYPE INSPECTION REMARKS PL RING DATE /
Contractor / -
Permit No. JJJ
nough.in ,-
4aa Fixture ----
Af '''—� i/ — — Final -- —
OL-
+/� ��1� —(�/�_� HEATING — ---- ..
Contractor.
Permit No7
fiat or Oil
rJ Rough in —
r ` Final
SEWER -
-— ——_ ----- — Final --
- DRIVEWAY-- ----- .--
------- -------• Final v _—
--- ------ -------.------. — __.—.—_. Storm Dreinagr —
Main Drain)Final
_— — Sidewalk -
- ----{�Cli urb&Street Final
—
BLDG.DEPT. FINAL TEMPORARY —TCERTIFICATE OfCUPAr,cY
tc-FRTIF!LATE OCCUPANCY Fine, —
L andltcaping
I
Zoning Find
■f NEW lw In
r
BUILDING PERMIT APPLICATION T(GARD DATE--'- 19--
THE UNDERSIGNED HEREBY APPLIES FOR A PEW,11T FOR ThiE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER.PHONE
G LOT NO. it
UNNER JOB ADDRESS I U iZ ? .Sk) 7 �• __ _ -
-- ---- - ARCI11 I ECT
ENGINEER
BUILDER—rAq a ADDRESS DESIGNER
STRUCTURE T NEW ❑_ REMODEL ClADO_I_TION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE El DEFAOLITIUi
(� RESIDENCE Cl COMM Cl EDUCATIONAL t_7 GOV'T ❑ RELIGIOUS n PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAP.❑ FENCI
OCCOPANCY _ LANG USEZONE Y'Y _BLD'i.TYPE sic _ _= PLAN CHECK UY _ HEAT
SEWER PERMIT 0 �- L rA 'f( �! .l - A �- �-Gr-
GCC.LOAD FLOOR LOAD y a HEIGHT /a' � NO.STORIES REA !'t�NO.DE MS Vh.LU +O
_ LOING DEPA SET BACKS FRONT R[ T SIC RIGfiT
PnIt THIS PERMIT IS ISSUE CT TO THE 4mowR J1T10NS CONTAI N HE fiUILD1 1G Lv E. ZOIC!'.
4,a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRE'U 'i(AT TP
�? nChal WORK WILL 13F DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN Ct-MPLIAN,
WITH ALL APPLICABLE COOED AND ORDINANCES_ THE ISSUANCE OF THIS PERMIT DOES NOT WAV.
S rtetl ' -•-�`~� RESTRICTIVE COVENANTS. C'JNT;ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINr.0
.;;p a&- ` LICENSE.SEPARATE PERIMITS REQUIRED FOR SEWER,PLUMBING AND HEATING_
a. a Tax u ti
Tota Ci _-- - -- _.
POGO APPLICANT OR AGENT
Y
No.
ApproveADDRESS
Approved
SQC -
PUC - #
SEWER CONNECTION
SEWER INSPECTION S
SEWER SURCHARGE Ott /( '�"' �1 t• y:
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