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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
I
Phone: 639-4175
Type of Inspection �tf 1�AJ — -
Date Requested '4 �2 h TimL" A
e .M._ P.M.
Address �� �'� �/ � L C.L Permit
Owner Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented toI IAppmoved
Inspector � 'TlDisap,uroved
Date
CALL FOR REINSPECTION
( E8 [] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested ` Time_ A.M.— —pP.M.
Address .
p'Ji") I S Permit # �
T c-c, -?L"- .' �. • .s:�l ' Lot #
Owner 1
Builder
The following Building Code deficiencies or, required to be corrected:
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7"
Presented to AF proved—f')a 2'L'^r(,
Inspector Disapproved
Date f 1c
CALL PV)R REINSPECTION
0- YES ONO
1
INSPECTION NOTICE
city of Tigard Building Department
P.O. Box 23397
Tigard, Oregnn 97223
Phone:639-4173
Type of Inspection /
Date Requested Time A.M. P.M.
Address -'_/�]z• Permit #
Owner Lot #
Builder 'P'. ':3
The following Building Code deficiencies are required to be corrected. I
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i
Presented to — ---- ❑ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
21 YES ❑ NO
® a as rs Is Wuiwn
CITY OF TIGARD 639.4171 DAT`
BUILDING PERMIT r�� ��
TAX MAP --- LOT NO.l•----i SUBDIVISION
OWNER_ I:V�Ay—�,�_11r��_-- --_--- JOeAc-nRLss 10i'3 _ Sd1/IIrjTNi�✓
BUILDER CJ�✓LAtIb2INU_G____�____— STA'fEREG.NO.�3� ,--F.X-.DATE 10Zl �(D
BUILDER'S PHONE Z 2'J
ARCHITECT S-rU ISI0 "/ PHONE____---OTHER
SIRUCT'JRE. NEW ❑ REMODFL_ ❑ ADDITION C) REPAIR C] WOVE ❑ OTHER D DEMOLITION
6�RESiDENCE ❑ COMM ❑ EDUCATION D IND EJ RELIGIOUS CJ ACCESSORY ❑ GARAGL ❑ OTHER ❑ FENCE
OCCUPANCY I2_1� LAND USE ZONE __BLDG.TYPE FIRE ZONE�PLAN CHECK BY HEAT_ _
5FWER PERMIT I�7 ,0 ,>
OCC.LOAD FLOOP.LOAD HEIGHT 4-% NO.STORIES —AREI � NO.BEDROCIMS VALUZ%7j �
BUIL�IN DEPARTMENT i SET BACKS FRONT Z.1- HEAR q LEFT SIDE w RICHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEII IN THE BUILDING CODI, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HCREBY AGREED THAT THE
Plarr Check Q ,� WORK WILL BE DONE IN ACCORDANCE WITH THE PLAITS AND SPE^.IFFCA-MONS AND IN COIAPLIANCE
WITH ALL APPLICABLE_ CODES AND ORDINANCE`. THE ISSUANCE OF THIS FERMIT DOES NDT WAIVE
Pl.Ck.Fks RESTRICTIVE COVENANTS_CONTRACT09 AND SUB CONTRACTOR4 TO HAVE CURRENT CITY BUSINESS
- TAX PERMITS.SEPARATE PERMITS REOUIRED OR SEWER,PLUMBING AND HEATINM
State TaxZlfi
Total PDCI APPLICANT OR AGENT
�, --
_ '/_
Prepd. -�- --- V.0?161 (1-a6'l ( -7-?-5
2 _ --
Q�Q elpl N ADDRESS PHONE
Rec
Bal.Due
Baued By _.._Approved By
SSDC -_ S A S Q
soc Soo
PDC
y 3
5EWER CONNECTION S
7EWER INSPECTION $
AWE R SURCHAPISE S
:ammente:
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CITY OF TIGARD 639.4171 for it upectiuns cAll f, 15-4115 `-� 8 C U 2
BUILDING PERMIT DATE February _is_i�__
uevland, Lac. TAX MAP --V._LOTNO. _A- .SUBDIVISION &Ia i_y�:.
OWNER �__�...._.. -._ _ JOB ADDRESSIU605 SW 115tft Ave. :.statesA
BUILDE T gaczea 262b SW COZtfett '1�-C�}�¢_y.�l ti f12_OSTATE REG.NO. y _ EXP,DATE ._—
BUILDER'S PHONE _22JA +5 j- -- --
ARCHITECT _ "Ud" PHONE _=44"6629 -T OTHER
STRUCTURE I NEW L1 REMODEL L] ADDITION I REPAIR ' MOVE ' OTHER DEMOLITION
RESIDFNCF COMM I EDUCATION ( 1 INn RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE BL:)G TYPE -FIRE Z4 NE -PLAN CHECK BY _1' HEAT
£i illy Li , ..''r :1. J '++ U ::;-1 i, por ApprOvea }
S WERPERMIT (1du) ..era,e 40G Z 1,3Cl;
OCC.LOAD FLOOR LOAD /ALL HEIGHT l64— NO.STORIES 1 AREA 1�''` NO,BEDROOMS VALLIF
BUILDING DEPARTMENT � SET RACKS :RONT REAR LEFT SIDE 1= RIGHT SIDE
Permit �l�l•��ITHIS PERMIT IS ISSUEL SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN3
REGUI,ATIONS A:ID ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WOR< WILL BE D6NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- - WITh ALL APPLICABi.E CODES AND ORDINANCES. TH5 ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENAN Tv. CONTRACTOR AND SOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- TAX PERMITS.SEPARATE OERMITS REQUIRED FOR SEWER PLUMBING AND HEATING
State Taxli •�l, ;jc 25U.v.)
—._y --
Total 51 i y.l 1 SDC— 50U.i.�
APPL ICa NT OR AGENT --
- PDC#
Prepd. 15U•Ut
1t,Ix.UU
Receipt N0.I i ADDRESS i HONE
Bal.Due 419.11
Issued By--._ Approved By
DATE !NSP. TYPE INSPECTION^ REMARKS PLUMBING 0 TA E
3.� D/3 _ —1 7 -� Contractor
01/' �� ( }L Permfl No.
�y �L�k1 _�� rr C✓ Fixture
017
Final
[ _ _ �l HEATING
11"� '/ I �1t/� T� Contractor �G
— - - ,1"� Permit
Gasor011
S el.f10 _,t..)`x C.x 42.J.r ti <,�� ,./l Rough-in
�=�--�•`^`s1��'1 --- Final _--- — - -------
✓ SEWER
Final // �—
_
DRIVEWAY
L__
I Ina;
SIorm Urair.age
_ fRaln Drain)Final
-- — - Sidewalk —
GurL&Street Final v
Approach
BLDG.DEPT.FINAL TEMPORARY TLERI Ii),:ATE OFCUPANCY Final
CES,FICATE OCCUPANCY
II W Landscaping �—
_ �6 Zoning Final �^ —
v
/ /
r ..
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P/C DEPOSIT PAID:
This is to certify that the attached ets of plans harp been submitted for plan
check pursuant to the Oregon Structural Code and Fire b Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: LOT NO. 6 MAP"
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
Fire District
O O Sewer Availability
OOther O Other
Items Required
OList of subcontractors
0 Business Tax
V Calculations
nTruss Details
O Parking Plan
OLanr -ipe Plan
0 Other
COMMENTS:
City of Tigard Building Department
BY a r
i`