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I;:JPECTION NOTICE
City of Tigard Buildinr Department
12129 S.W. M in St.
Tigard,Oregon 97223
Phorte: 639.4171
Type of Inspection
Date Requested % _ Time _ A.M. P.M.
Address `��— �, is/, � �----- --� Permit
OwnDr
Lot #
Bu0jer
i ,he follov ing BuiUog Code deficiencies are required to be corrected:
Prevented toApproved
-- -
Inspector `_ � Disapproved
Dab •� — /��r��.T------_._
CALL FOR REINSPECTION
El YES )210"NO
4
INSPECTION NOTICE J
City of Tigard Building Cepartment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4111
Type of Inspection 0-09.----1 «� —
Date Requested Time-- A.M. P.M.
Address _ „�� �-� J _ Permit
Owner. �h i(fC fir'-S _ Lot #
Builder
The following Building Code
deficiencies are required to be corrected:
Presented to _ /Disapproved
Approved
Inspector - __
Date
CALL FqR REINSPECTION
YES C7 NO i
w s s ■ir
s
INSPECTION NOTICE _
City of Tigard Building Department
12420 S.W.Maim St.
Tigard,Oregon 97223
Phone: 639-4171
T, pe of Inspection v
Date Requested _ I ? e A.M. P.M.
Address �_ t=' ` Permit
Owner ---- -- -- --
Lot #
Builder ------
1 he following Building Code deficiencies are required to be corrected:
U
Presented to __ Approved
Inspector LJ Disapproved
Date __-_-
CALL FOR REINSPECTION
0 YES ,L NO
BUILDING PERMIT APPLICATION TIGARD DATE UChuveniner 1 1s ,;3 4648
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-6ii8 1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.__ 9 _
OWNER =`:r- Lewis JOHADDRESS lao.5si;
i
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DATE INSP. TYPE INSPECTION REMARKS 11PLUMBING DATE
Contractor
Permit
Ale — Rough-in -_—
low w
xFixture
Final
�Iv
HEATING
4(1.C. Contrast YL `� Permit No.fake �3
�'�1� 0 s or UII
Final
_ SEWER---- -- ----- -----
- _
-- - -- - Final -- ----
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.rINAL TEMPORARY CERTIFICATE OC17it)(11
TCERT.r:CATF.OCCUPAW.Y Fnal_
Landscaping
11 Zonino Final
w w w w 9DI w tl� tlt w
BUILDING PERMIT APPLICATION TIGARD DATE—//
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED,PHONE
LOT NO.—
O'NNER _ J09 ADDRESS J
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE I T NEW C REMODEL ❑ AODITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLIT!7t
RESIDENCE ❑ CCMVI ❑ EDUCAI-IONAL ❑ GOV'T n RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCI
OCCUPANCY '��-S LAND USE ZONE BL OG.TYPE _---FIRE ZONE__PLAN CHECK BY NEAT
SEWER PERMIT M
OCC_.LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA NO.BEDROOMS
r- BUILDING DEPARTMENT /
SET BACKS FRONT REAR LEFT SIDE _! �/ RIGHT SIDE / j
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOtI!s4;
REGULATIONS AND ALL APPLICABLE CODES ANC ORDINANCES, AND IT IS HERc3Y AGREED THAT THS
IPhnCheck / WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIdPLIANC
` WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
ISu��etal ;-� 0 RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINrS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
alate Tax l
SDC--
Total
POCA APPLICANT OR AGENT
BY .
Reccipt No.
Approver!
y ' ADDRESS PHONE
SDC - U O
PDC -
SEWER CONNECTION S
SEWER INSPECTION S
`EWER SURCHARGE S