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INSPECTION NOTICE
City of Tigard Building Department
PA Box
Tigard,Oregon
on 97 97223
Phone 639-4175
0000,
Type of Inspection
Date Requested -/_/ a7_�l n Time --- A.M. _P.M.
Address -_[' 71/Z 4 U Com _—_ Permit # _
Owner 0—ol .� lot # -- ----
BuilderThe following Building Code deficiencies are •squired to he corrected
-- ----t*—
Presented to ,��— _..__—_— proved
Inspector L _— _ Disapproved
Date ----
CALL FOR REINSPECTION
C] YES C-; 140
�� Dep. �' � INSPECTION NOTICE
City of Tigard Building
artment
P 0 Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection A42<0
Date Requested Time A.M. P.M.
Address Permit
Uw"er Lot #.
Builder
The following BuildinfOo&-didimeneivi an roq to be corrected;
.01
Z
A
�2)
Presented to P-Approved
e
Inspector Disspprov4d
NO
CALL FOR REINSPECTION
D YSS 1:1 NO
5688
1 BUILDING PERMIT APPLICATION TIGARD DATE ""�''�'*"�- 1e
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTHE WORK HEREIN INDICATED BUILDER PHONE.4Z.., U3
OR AS SHOWN AND APPROVED IN THF.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
z.t.;�n Yrc�1>. _.' "reek Plate LOTNu-LtSTip
OWNER JOB ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS Lti9t'� yY• Aloha DESIGNER
STRUCTURE 24 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
II RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 11 PATIO_❑ CAR PORT I] GARAGE . I STORAGE ❑ SLAB❑'FENCE
OCCUPAN—Y -
C — LAND USE ZONE BLDG.TYPE FIRE ZONE Pl AN CHECK BY HEAT
-- Construct sinx.je fantly resit".ence w/attacl.reff garage -- —�—
!tcishue ui y4844. x 541U --- ----- ------
11ir. rated wall less than aft. from property lin<
SEWERPERMIT# 2fitiU4 g!gmge area 36$j
OCC.LOAD FLOOR LOAD
40l0lU�_~ NO.STORIES 2 AREA 11 NO.BEDROOMS 3 VALUE43,500
BUILDING DEPARTMENTSETBACKS FRONT to REAR ani LEFTSIDE 11 RIGHTSIDE
Permit l` • THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pian Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
296.UO WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTHACTORS TO HAVE CURRENT CITY BUSINESS
10.24 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,I LUMBING AND HEATING.
State Tax aU.Ut:
SDC— St1U.U(j
Total :iU6.14
-- -- PDC# it 13U.UU APrC NTOQENT
By -jog
li`LM Receipt No,
Approved ADDRESS PHONE
DATE INSP, TYPE INSPECTION REMARKS PLUM91NG I DATE
--� ✓ --- ----- Contractor
Permit No.
M., Rough-In
—�" Fixture
Final
HEATING ------
// ContractorPermit
`'
,t -4—__ Gas or Oil —
r _ Rough-in
} � /! Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
--- --- .. - --- --- Sidewalk
Curb 6 Street Firlel
Approach
ISLOG- DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY p,,,al
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final