10730 SW FAIRHAVEN STREET-1 0
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10730 SW FAIRHAVEN STREET
INSPFCTION NOTICE
City of Tigard Bi:ilding Department
12420 S.W. Main St.
Tigard,Oreflon 97223
Phone: 6339-4171
Type of Inspection — -• �'✓1/1, �"
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I
Date Requested �'`
��--►f— T� a � �dl. P.M.
Address/,,-') r'� Permit
I Owner '
Lot
Builder
The following Building Code deficiencies are .:auired to be corrected:
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— —
Presented to — Approved
Inspector Disapproved
Date
CALL FOR RF.IN.SPECTION +!+
r-1 YES �-� Nb
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time _. A.M. P.m,
Address ZO. !2 -q
-Permit Pf
�'P Z
Owner Lot
Builder
The following Building Code deficiencies are required to be correc+ed:
Presented to Approved
Inspector
Disapproved
Dpte
CALL FOR REINSPECTION
YIES NO
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BUILDING PERMIT APPLICATION TIGARD
OATS_._._-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THC W.'IRK HEREIN INDICATED KGUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
C K LOT NO..4ef_z
JOB AOORESS ARCHITECT
ENGiNEER
-' AOORESS „C. vvLP DESIGNER
�9UILOER �C�--vy�e -
STRUCTURE ❑ NEW ❑ REMOOEL (2 AOOITIO_N ❑ REPAIR Cl RENEWAL Cl FIRE DAMAGE Cl OEtAC
Cl RESIOENCE (3COMM ❑ EOUCATIONAL C3GOVT13RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ClSTORAGE ❑ SUB❑
OCZUPANCY LANDUSEZONE _ BCCG.TYPE = FIREZONE--PLANCHECKBY _`�..• ,HEFT-
-- -
SEWER PERMIT Y –.
OCC:LOAD FLOOR LOAD 'r i' HEIGHT %� NO.STORIES AREA 3 NO.BEOAOOMS
LEFT SIQE
BUILDING DEPARTMENT SET BACKS FRONT l� REAR RIGHT SIDE
Pprrt�fl --~ ” r THIS PERMIT tS ISSUER SUBJECT TO THIS REGULATIONS CONTAINED IN THI!RVILDIHG CODE.J
REGULATIONS AND ALL APPLIOLABLE CODES AND ORDINAtICFA AND IT IS HEREBY AGREED TY.
WORK WILL Be DONE IN ACCORDANCE MATH THE PIANS AND SPECIFICATIONS AND IN COIAP
WITH ALL APPLICAELr CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT
1
Sub-lot if• '�..�� U�-` RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RU
r LICENSE.SEPARATE PERMITS REOUIREO FOR SEWER„PLUfAgIfIG AND HEATING_
Slits Tax •
j SOC
Total ApPt)c^NT OR AGE 4T
POCCrf
Br• _
Approrrd Rta1Pl Na AOOAfSS M —� PHONE
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SOC
PDC
SEWER CONNECTYON I --
SEWER INSPECTION
SEWER SURCHARGE S
Comments:
WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH ��hx
ENVIRONMENTAL HEALTH AND SANITATION
App I i cc t tun Edte: DATE OF
CRN 34-
INSPECT ION
��`���_
AUTHORIZATION NOTICE
Map and Tax Lot Number: Township (S Range 9 _ Section JDD T. L.L
Road and Address /0%30
Property Owner : 'E,'C cd L. C k a 64
1073 o S, to - Y- h a,len
This notice authorizes the use of the on-site sewage isposal system located on the
property identified above to serve a �y�'t
� with a sewage
(77
flow upto w gallon. ectue
CONDITIONS OF APPROVAL. �a40.,, �/aa,I-,s �2 ZZ7l
l 1 /
an- OL<C `/Z�T�r Uri
Sanitarian � � -
!�-� _ Date
GERHARD MATHEIS
SE-17
11/24/81 WCDPH
A
Z RECEIPT
Dole
� Received From � No. 363. 3
Address �Q'�8 5�� --_._�'
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