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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
Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
L
F-A
1j\1
tv
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
,i?r YES [--] No
INSPECTION NOTICE �)
City of Tigard Building Department A�
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspec.ion __ � � _no
Date Requested) --____ ` me A.M._4 '�P.M.
Address _ r�.7(/ —�L�S �l _�� Pei mit #�G 0 2 _
OwnerLot #_
Builder_
The following Building Code deficiencies are required to be corrected:
—
vA A
_
Pr9sented to _ tfApproved
Inspector s 1 Divipproved
Date
CALL FOR r"EINSPECTION
Iii VEs C_7 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. P.M.
Address 1jV --S /.J ��� „rr�„y Permit #
Owner . Lot #
Builder
The following Building Code deficiencies are requhad to I 2roreated:
Prevented to [Approved
Inspeator ,1L/ 7 *:-,�z d�.4' Disapproved
f`--�
Date
i
CALL FOR REIMPECTION
F] YES ❑ NO
i
I
I
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CITY OF TIGARD 639-41715707
39.41715707
''JILF PERMIT ;or inslections call 6390DATEN t
LL Cu
TAXMAP1J5 LOTNO.'kW SUBDIVISION
• ti � /',��!} I� ,
OWNER_ - - JOB ADDRESS 1
i f�`�' JJ�`
c1�1w.{r � -
BUILDER Cuatfbm Hc+ s-by Uave,— Inc.
- -0�.�_ _W L) _—__ STATE REG,NO. 43466 —C-XP.DATE__1
BUILDER'S PHONE 639-6310, , New i_.zrg OR 91132
ARCHITECT_--.-___
PHONE _--- ---_OTHER__-_ -----_.-_---�
STRUCTURE NEW ❑ REMODEL ADDITION REPAIR MOVE OTHER DEMOLITION
k RESIDENCE COMM EDUCATION IND RELIGIOUS _ ACCESSORY L1 GARAGE _ OMER FENCE
OCCUPANCY a - LAND USE ZONE -4—,', BLDG-TYPE 5�" FIRE ZONE PLAN CHECK BY HEAT,,-'
Construct single >tamily residence v/attached garage
suhifiet to 43b0 UO &AartiWedywQ•"-I x 5150 UU LAron ::kk:. gyatr Qklrg._ -,
SEWER PERMIT# 28958 garage 420 II..
OCC.LOAD FLOOR LOAD 40 HEIGHTL�•i'' NO.STOPIES2 AREA 1826 NO.BEDROOMS 4 ♦ALUE U lgilt>6
i
BUILDING DEPARTMENT5FT SACKS FRONT2� -u REAR " +5C'* LEFT SIDE 5 RIGHT SIDE -1'.r71].
Permit 334.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
21110 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
.
Plan Check WORK WILL BE DOME 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 -0- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
.36 TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
13
State Tax UC 1.5U.1►U
—-- SDC— .yUU.UU r��
Total `_66 APPLICWNT&AGENT j---
PDCr_ 150.00 r
Prepd. 10o.U0 �Z r. I F s�
- -- - -- -- ---4Re:eipt No./( r - '—
BaI.ok►e 64•�+� � ADDRESS PHONE
Issued By ___ Approved By.----
sr Ise +wr � es' gar I� Iwr sor
DATE �INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor AA, (3 7 so Z
Permit No. Lf c
Rough in
Fixture - ---
r��Q Final
3 Z.4 --DO / �- c/�� / per HEATING
— — " _ _
Contractor �j�
Permit No
Gas roil
-/- •'7-.5y'!y - _H Ai.e� - [�r�.>.�'_f' jFL) c
Roughin
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb 6 Stroe!Final
Approach
BLDG.DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CER I'FICATE OCCUPANCY
Landscaping
Zoning Final
--woomm wimp
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CITY OF TIGARD 6:39.4171 INSPECTIONS 639-4175
BUILDING PERMIT DATE _ i• 7-
--_ / TAX MAP _LOTN - SUBDIVISION
ocOWN�R [1ZZ7 _ JOB ADDPESS Z or _T
BUILD"'
_G_ .. - S1 ATE REG.NO. EXP.GATES�yQ—�'
— ` -----
BUILDER'S PHONE
tt
_ - -_-_ (�/=> (� Z
ARCHITECT _ ��.yfZ�-__— _ _ —_ PHONE.7_2 '1/j 1_—__- .__OTHER _-
STRUCTURE NEW ❑ REMODEL L1 ADDITION U REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLIT '
RESIDENCE ❑ COMM 11 EDUCATION [] IND Cl RELIGIOUS 1-7 ACCESSORY f_1 GARAGE ❑ OTHER U FEN
OCCUPANCY ` h"i LAND USE ZONEh.?r�PLUG TYPE _ `� l:'_FWE ZONE PLAN CHECK BYr3.YS'. NEAT
c
_ l tet}-ii,C�_ �'►_.<.i� �.1 f' �': rL�.� �Tl �i-.Q.iXn«�� e -
SEWERPERMITM 2 ;Q� dil0ACC 41 —
OCC.LOAD FLOOR LOAD HEIGr1T �' ,; ! NO.STORIES ,) AREA NO.BEDROOMS 4 VALUE
BUILDING DEPARTMENT SETBACKS FRONT,?
.:3 REAR 3 l LEFT SIDE 5~ RIGHT SIDEr"
Permit -, THIS PERMIT ►S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD;NG CODE, ZONA'
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT I t
Plan Check WORK WILL BE DONE IN ACCORDANCE W TH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN I
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
PL Ck.Firet- __ --- RESTRICTIVE COVENANTS. CONTRACTOR AND SUBCONTRACTORS TO HAVE CURRENT CITY BUSINt
�_ TAX PERMITS,SEPARATE PERMITS REQUIRED F0lRjT;-E%yER,PLUMBINn AND HEATING.
Stale Tax SS DG
Total - ---- SDC-
4PC ORAGEPrepd. Rf,r CPDC:N
P1 6
0.7 ��ci •Z S �F t./(�j/�'_ t'1
Receipt No ADDRESSPHOH NE NE 31Q
Issued By _ - Approved By
- ..._.
SIX (Sto
SDC — CI C,O
POC - f . ,- X50,JO
SWER CONNECTION S -9'75.0 L)
SEWER INSPECTION S 35. 00
_
SEUER SURCNARCE ; �
Lomments:
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested Time f ..___ A.M.------P.M.
Address �! �G7 _ �ftJ_ r Permit It
Owner -. _.._ __ Lot
Builder
The following,Buildiqg Code deficiencies are required to be corrected:
,
F
Presented to Approved
Inspector __. Disapproved
Date _
CALL FOR REINSPECTION 1
❑ YES 0 NO