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7 " INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397 \
Z V 31ligard. Oregon 97223
Phone 639-4175
r / r
Type bf Inspection ------- — --
/� 7
Dion Requested_ J r Time _ A.M..- ,�^ P.M.
Address --�Z,--�,2 l-7 /—T 1-!'�0_ Permit
Owner------._ _ lLL� _-- Lot #
Builder
The following Building Code deficiencies are required to be corrected: i
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Presented to _ Approved
Inspector Ll Disapproved
DAs•
CALL FOR REINSPF.CHON
❑ YES C7 NO
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CITY OF TIGARD 639.4171
5705
BUILDING PERMIT for inSPeCL iOnD cu11 ta340— DAINAI
OWNER_ TAX MAP ..-LOT NO.44 .__SUBDIVISIRra'" hull
JOB ADDRES�
edbw00d Homes, Inc. 3211 SW FaIC011 Rise Drive
BUILDER _Sam 13= SW 1;1QQn Rise Drive- _ STATE REG.N0. .._— __—.-_F.XP.DATE
BUILDER'S PHONE __ 292--3561
ARCHITECT PHONE OTHER
STRUCTURE ) NEW REMODEL I_] AD' (TION 1 REPAIR MOVE OTHER DEMOLITION
RESIDENCE [ ! COMM EDUCATION r' [NO i_] RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY L3 LAND USE ZONE R 4 BLDG.TYPE 5N FIRE ZONE PLAN CHECK RY• HEATi.t►t`
gonstruct si►ugle family residence w/attar_e,eU l;acage
--- N slette or 13333–
ALubiai_-t
$Irlij. sower rhirrgrg
SEWERPERMITM 28956 gnra&e 442 2 bath
OCC.LOAD FLOOR LOA U HEI( HT 4f•+�_ NO STORIES 2 AREA 'R'.ti2 NO.REDROOMS3 VALUj2,U0Q
BUILDING DEPARTMENT__ SET BACP S FRONT ` 1 HEAR "1 LEFT SIDE b _RIGH1 SIDE
Permit349.00 THIS PER BAIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1"HE BUILDING CODE, ZONING
40.00 REGULA'IONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGIIEED THAI THE
Plan Check_ WORK '.JILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
'�— WITF. ALL APPLICABLE CODES AND ORDINANCES, 1HE ISSLJA14CF OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _U_ _ RESTVICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
TAX PER S.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 13.% 35K M."
----- SDC– 500.00 _
Total 402.96 '�— ----- - -—__ _` � .., •_...
—�- PDCNI 150.00 APPLICAN r OR AGEN r
Prepd. 40.00 _ ./�
Receipt No. AOl)RESB PHONE
Bal.Due362.96 ETV- — -
Issued By�� _____Approved By
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DATE. INSP. YYPE INSPECTION REMARKS PLUMBING DATE
Cbntractor
1- t1nq
�_'S�._ CL►y4�,d >�,v–i — Permit No. L(�
_ D —� _i Rough-in
Fixture
�1y Final
HEATING
Permit NoGasor011�
0
Rough-In
Final i —
�� SEWC A
Final
DRIVEWAY
Fina!
Storm DwInage
T T— (Rain Drain)rinal
Sidewalk
Curb 6 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY c�
Ch{ . (h• C) Landscrping
V�
Zoning Final
WINI
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