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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
ZPho :639-41
Tv pe of Inspection -
p..•p Requested Time—._ A.M. P.M.
�i �/ S 10`- � ' Permit
Address -
Owner - L of
Builder -----
The following Building Code deficiencies are required to hp corrected.
- - -- -� _
Presented to oved
Inspector __— Ll Disapproved
Date
CALL FOR REINSPECTION
EJ YES Cl NO
Kw-LOU WMM�Wjl
i —
I INSPECTION NOTICE
I City of Tigard Building Department
12420 S.W. Main St,
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection `� ���' y /I '✓
Date Requested Time A.M/ P.M.
Address 0 Permit
Owner -- — — — Lot #—
Builder _ �_. ----_---- — —'
The following Building Code deficiencies are required to be corrected:
7-0
IT
1
AV
Presented to —_ _ _ j� Approved ---
_—_ t
Inspector �_1���"�L'._..- �_� Disapproved
I Date
I CALL FOR REINSPECTION
[ I YES (-] NO
fur ir.sl�ectiovs call 639-4115 5713
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT 12 'enu Lawn
TAX MAP LOT NO. _-_SUBDIVISION _—�-
Levland, Inc. - 1 U3 Sw 11th
OWNER_ � ,_ 6 ___._. JOB�DDIRE — ---- -
BUILDER _____ STATE REG.NO. _4ah3I-_----- EXP.DATE 10-2L�- --
—_ �� --
BUILDERS PHONE - 273-5269
ARCHITECT____-_ _ _ _ _ -- PHONE _.._OTHER
STRUCTURE l NEW HeiyIODEL �I 1 ADDITION f REPAIR MOVE !--1 OTHER D
Af EMOLITION
RESIDENCE F 1 COMM EDUCATION IND ,RELIGIOUS ACCESSn'?_ GARAGE f OTHER I FENCE
OCCUPANCY �`J LAND USE ZONE �BLDG.TYPE __.tli_._FIRE ZONE PLAN Gh_CK BYt:' HEAT
ConstrAut sinpl- family residence w/a.ttached garage -_
SEWER PERMIT K ,;arage 4"24 2 1)►atll
OCC.LOAD FLOOR LOAD 4U HEIGHT lb+- NO.STORIES 1 AREA 1522 NO.BEDROOMS VALUE 61$(;Uu
;1
BUILDING DEPARTMENT — SET BACKS FRONT 14 REAR 4E; LEFT SIDE RIGHT SIDE
Permit 316.UU y THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
- —._.a.
jU5.411 REGULATIONS AND ALL APPLICABLE CODES AND ;RDINANCES, AND IT IS HEREBY AGREED tHAt THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- - l2 V4 {LTAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax t.',�.U!a
SDC-511U.11U +
Total y34.01A APPLICANT 0:'QG041
- POOP 15U.QU
Prepd. 10U.0U
ir- PHONE
--.--._— -- ----_ Receipt No 1�'.. � �DRES$
Bal.Due 434.(14 jdo ETw
___... _.
Issued By_ Approved By
.. ,.,.
DATE IV P. TYPEINSPECTION '— REMARKS -` PLUMBING !kj- /761 DATE
Contractor /S3 yr)
� e
/ p�p{ - - - Permit No. 11Y/25
;q —T
!q- ��fli vL -�— Rough-in - --�-
Fixture
Final
BEATING
/�• _ M'�dG`!L c � _—_ _ Contractor _�
ParmitNo. K7
I-- � s/! X75 . ---- -- --- -
� '(s 4 � ,�A�kl;nryL- �r,�iv/..����c� .�( � ,�i�....n_sc.•L2�_a,_ °final
-�2_- ^, SEWER
Final
DRIVEWAY
Final —
------. -_—_ —� Storm Drainage--- ------ ---
(Rain Drain)Final
- - Sidewalk _-----_- ---
- Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORAV CERTIFICAT•€ CCJPANCY Final
CEHTFICATE OCCUPANCY !— --
(1,,;/I v ��" s6Landscaping
-- — --- � _- —.-� Zoning Final . � -
' CITY OF TIGARD 639.4171 DATE 1951 —/
BUILDING ffRMIT
TAX MAP —'__LOT NO. 12— SUBDIVISION —
OWNER ADDRESS -
BUILDER � �v4' <�'�L—� STATE NEG.NO. --,�L� EXP.DATE 1
BUILDER'S PHONE
ARCHITECT____ PHONE_ __. —,--OTHER
STRUCTURE PVNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE `'-7 OTHER FJ DEMOLITIOr
RESIDENCE (iCOMM '❑ EDUCATION ElIND [I RELIGIOUS EJ ACCESSORY ❑ GARAGE ❑ OTHER El FENC
OCPANCY _ NOUS£PONE BLDG.TYPE _rn,, FIRE zpNE3 !"�PIAN CHECK BY L;" HEAT
i f SLC
SEWER PERMIT N �..Cl _ i � /
OCC.LOAD FLOOR LOAD HEIGHT A 7 — NO.STORIES AREA/�Z? NO.BEDROOMS j VALU bQ(,
BUILDING DEPARTMENT SETBACKS FRONT -y I REAR 4 ` LEFT SIDS "� RIGHT SIDE
Permit _ THIS PERM.?IS ISSUED SUBJECT TO T HE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULA(IONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANG SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Firs RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE C:IRRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATINfj.
Stale Tax CF
_ SDC— _
Total ---- - -
d APPLICANT UH AGENT
PDCI
Receipt No. ADDRESS PIIONE
Bal.Due
saued By. APProved By
SSnc $ -2 S J,
sac -
PDG -
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE_ S
C o mm a n t e s fijee -----�-