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INSPECTION NOTICE
City of -Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested — =–�� `Y�gTime A.M.__ P.M.
Address _ 1_�_L -- `-�"-`! Permit #
Owner _L -1l�C�--- - - Lot #
Builder___ _-- -----.------ -—The following Building Code deficiencics are required to be corrected:
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Presented to _ __ _. ❑ Approved
Inspector _j Disepproved
Date �.
CALL FOR REINSPECTION
�'f YES I .7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 e'
Tigard, Oregon 97223
Phone:639-4175
Type of lnspectinn _—
Date RequestedTime A.M. P.M.
Address - 1 2-3Permit # D US
Owner—� .N n2 1=.-_. Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
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Presented to _...___ _ — ❑ Approved
Inspector _._ Oisepproved
Date
CALL FOR REINSPECTION
el YES LI No
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection k ��
Date Requested___ '-'o Time A.M. P.M.
Address . I Q �-� (/ Permit #_
Owner . J "h? Lot #
Builder
The tollowing Building Code deficiencies are required to be corrected:
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Presented to �•,� [� Approved
Inspector — Disapproved
Date
CALL FOR REINSPEMON
-L'01 YE8 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 25397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
P.M.
Addresi _
Date Requested ___ A�. ,.
331/ • Permit
_ Loi #
Owner
Builder — -
The following Building Code deficiencies are required to be corrected:
Presented to _-----�- Approved
�
Inspector
r� � ❑ Disappi rived
Data _---- ��
CALL POR REINSPECTION
❑ YES / NO NO
CITY OF TIGARD E39.4171 6005
BUILDING PERMIT DATE __ 19
.Ir J i 213 TAX MAP _LOT NO. 59 SUBDIVISIO41"All I"Aixt.
OWNER '� --_ st _ *-u�l -- _ JOB ADDREbSII15U SW 123rQ PI,,--
BUILDER ��,;; ;:U'rT,•_u_ _-Z7�o__•-�w STATE REG.NO. __40__—___—EXP.DATE I�}1 /_.__.___—__
BUILDER'S PHONE
ARCHITEc-r PHONE
.OTHER
STRUCTURE 1 NEW L] REMODEL ADDITION REPAIR MOVE OTHER DEMOLITION
RESIDENCE I I COMM U EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY i LAND USE ZONE —11'J BLDG TYP .. FIRE ZONE PLAN CHECK BY `HEAT :-,_..i
I..Lw.sCrucC Sk'U w/attdr:iw-u ural,e.
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l,.yi6aue S62b i•ot 31 etntun Ysr1.
U traps 1 112.) !,W 125th I-lace, Tl,,ar.t
SEWER PERMIT N 1•V-'qtr ; a r:c;". .59U
OCC.LOAD FLOOR LOAD 40 HEIGHT lt: N0.STORIES 2 AREAI556 NO.BEDROOMS S VALU1~.i. .
EPARTMENTG
BUILDIND ! SET 13ACKS FRONT ;'(? REAR
---_ I j � LEFT SIDE �� RIGHTSIDE
Permit _ jyy•Ut THIS PERMIT 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 --4».iL• 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
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stat@Tax 1 1•fit` i;,;,,,1,
Total 34[1•aU
PDCN1 I )U.IIU APPLICANT OR AGENT
Prepd.
3UG.F:U Receipt No. /� ADDRE89 PHONE
Bal._Due_
Issued By Approved By
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DATE INSP. TYPEINSPECTION REMARKS PLUMBING DATE
Contractor j/�„ p IZZ 20 S/S•�s(,
S `� ?i f t ,E ,o.�giP.r3�✓vF.� Permit No. G'aj
Rough-in
- 'rEsWf�lE ,o�sf/r�i�.FrI!/Fi� - GYG Fixture
Z Final
HEATING
Contractor �_ 7
C < Permit No
r
(07, � Gas orOil
Rough-in
SEWER
Final f
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUOANCY Final
CERTIFICATE OCCUPANCY --
Landscaping
Zoning Final
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for inspections call 639-4175
CITY OF TIGARD 639.4111 DATE. 19_
BUILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAXMAP LOTNO. 51 SUBDIVISION p4Rr
OWNER_ n1 / 1-S25.
JOBAODRESS 11ID .y 1.7 ?RD & --
BUILDER �✓h C��LC/C COW Ti?/Jc ny� STATE REG.NO. 3 y 0 d S EXP.DATE //LI 18 —
BUILDER'S PHONE (,03 9-4 8 6c+ —
�"
ARCHITECT S'fyl�ID i _ _ ,� PHONE __. OTHER
STRUCTURE NEW - ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE L] OTHER ❑ DEMOLITIO
LQ RESIDENCE Cl Comm ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑ OTHER ❑ FENC
OCCUPANCY L I ANG USE ZONE ' BLDG.TYPE FIRE ZANE_._PLAN CHECK BY---' ' HEAT=
_ 1y1= 1 S S L oT 3 A ry'i Div 4A"( K 1,
�� �>..ti_ ✓��s %�i rar�l
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SEWERPERMITrc.C-_ 39d _
_ -
OCC.LOAD FLOOR LOAD HEIGHT I-' NO.STORIES AREA 1,!!r-` NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BECKS FRONT �' r REAR 1_171FT SIDE RIGHT SIDE
�� r
Permit---- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINi
REGU_AT10N5 AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT TH
Plan Cheek I ! WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN(
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI\
Pl.CIL FIs '"f HFSTRK:TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE' .
- O TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWE ,P UMSING AND HEATING.
State Tex j
Total AP ANTORAGEN
Prepd. V `"� I�Cr 7� / 5u✓ �11J 7��-,� G�fJ�05 O/1 �j q
Recelnt No. ADDRESS PHONE
8a1.Due 3 �' �t_ �
Issued By �_______--Approved By—
i
SSDC ---
SOC
PDC
SEWER CONNECTION
SEWER INSPECTION 8 '
SEWER SURCHARGE S '.� �� iJ_�is'.� /��'':-'.i"tvonr�
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