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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ''p
Date Requested -- Time — A.M. P.M.
Address
i r/1 — Permit # {'
Owner_ — Lot # —
Builder -- __ --- -�
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The following Building Code deficiencies are required to be corrected:
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Presented to Approved `
Inspeator ___ ---- ❑ Disapproved
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CALL FOR REINSPECTION
D YES NO
INSPECTION NOTICE I
City of Tigaid Building Department
1242('S.W. Main St.
I , Tigarr,,Oregon 972.23
iPhone: 639-4171
Type of Inspection — 4 -----
f Date (Requested __ —L—f1 Time _ A.M. —P.M.
Address (�'•�� —� —�r/ ------- Permit # I
Lot #— l
BUildel ---__--_ —
The following Building Code d-ficiencies are required to corrected:
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Presented to _ L—_# proved
Inspector _ —_ -- I I Disapproved
Date
CALL FOR P INSPEC77ON '
` i_1 YES Cl NO
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CITYOFTIGARD 639.4171 Iva '"'k'` ' ` ' " '" " 5860
BUILDING PERMIT DATE
Lee !vast TAX MAP LOTNO. 16$ _SUBDIVISION
OWNER - JOB ADDRESS _ ;�� —
BUILDER owner, 1419) SE 142nd, Cleckelues Usti 9ibo --
--•-- - STATE REG.NO.__. _ EXP.DATE
BUILDER'S PHONE _-
ARCHITECT
PHONE OTHER
STRUCTURE , ' NEW ❑ REMODEL C] ADDITION r.., REPAIR MOVE U OTHER DEMOLITION
1 RESIDENCE COMM rl EDUGATION IND RELIGIOUS ACCESSORY 11 GARAGE OTHER FENCE
OCCUPANCY - LAND USE ZONE BLDG.TYPE :-- FIRE ZONE "LAN CHECK BY I HEAT _
-- ntr..nt al l.i.,1 i �roi l s ci.rr llin� / c t arAlma w rzi,.e, ail oer Wit',)ru`JQ V Iili2S
t'eiy1 s aewEr sUI'C��slrs
SEWER PERMIT# 1'4iij
OCC LOAD FLOOR LOAD 4U HEIGHT 2"- NO.STORIL'S AREA It A 1 NO.BEDROOMS VALUE-'l'• UO
BUILDING DEPARTMENT SET BACKS FRONT� REARLEFT SIDE r RIGHT SIDE >i
Permit S1U.()U (THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1„ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, 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 `NAIVE
Pl.Ck.Fire -0- _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex 12•41i TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATI'JG.
a4+L 2�'jOW,
Total -9tt IDD -- 50O.W., APFI_ICANTO�iAQENI
Prepd. IUU.UU PDCI� 15U.uu
Bal.Due 412.9U Receipt No. II J ADDRtSS NIONL
Issued By __ __. Approved By_-___
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DATE INSP. TYPEINSFEi;TION REMARKS _ PLUMBING DATE
f pl Contractor
{ -31) �6f n �?1�lJ�i—L An '__ PermitNo •,�q\
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Fixture
Final
tr,' ✓' ell -- HEATING '-
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ermit No 4 0�Z
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as or QII
-' Rough in
Final _ —
{ _ SEWER
Final
DRIVEWAY
Final
Stone Drainage
(Rain Drain)Final
Sidewalk —
Curb 3 Street Final
-- v Approach
BLDG.DEPT.FINAL TEMPORARY CERTIr ' ATE OCCUPANCY Fial
CERTFICATE OCCUPANCY —
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Landscaping
7oninq Final
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 2- -3 U - ��-
PLAN CHECK APPLICATION DATE RECEIVED: Z' < 0—&
P/C DEPOSIT PAID:c�
This is to certify that the a'_tached Z� sets of plans have been submitted for Flan
check pursuant to the Oregon Structural Code and FiT, 6 Life Safety Code, edition.
C��a•n aQ 9��/S
PROPERTY OWNER:/'? OWNER'S ADDRESS: �C/'7�D — ,�£ /y2.na,
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CONTP.ACTOR: r G cC.00+ TELEPHONE::
JOB ADDRESS: 1068-2 �/7—7' LOT 110. a MAP:
DESCRIPTION OF WCaK:
i
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District 0 Sewer Availability
0 Other O Other
Items Required
OList of subcontractors
CW-rRusiness Tax 0�/► '
® Calculations
V
uss Details
rking Plan
0 Landscape Plan
0 Other
COMMENTS: _—
City of Tigard -Building Department
BY: { _
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CITY OF TIGARD 639.4171
BUILDING PERMIT DATE
TAX MAP _ / LOT NO. „ /SUBDIVISION ”
OWNE �-e _ JOB ADDRESS _.1 �L Z /Z 7 n L' 4sCa._3
BUILDER STArE REG.NO. , EXP.DATE
BUILDER'S PHONEARCHITECT PHONE PHONE OTHER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER C] DEMOLITION
CkirESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY !7 GARAGE OTHER /❑ FENCE
OCCUPANCY/ �1ANO USE ZONE BLDG.TYPE __
' r FIRE ZONE _PLAN CHECK BY HEA. ?L7
SEWER PERMIT 1 2qd 77 TNS 3
OCC.LOAD FLOOR LOAD YLQ 4' HEIGHT,,:2rj ' NO.STORIES AREA NO.BEDROOMS VALUE'-J e
_BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE !� RIGHT SIDE r
Flat mil &/0 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
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIrICAT10NS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pt.CIL Flrl' - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SFPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax _ /p(.
TotalSDC__
�� J APPLICANT OR AGENT
PfePd. POGO
_
Bal.Due �� Roc,lot No. ADDRESS
Issued By _Approved By
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SEWER CONNEC'rION S
SEWER INSPECTION $ ��J %��• ' ' .-��' G
ELIER SURCHARGE S ,�bO
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