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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mair St.
Tigard,Oregon 9722?
Phone: 639-4171
Type of Inspection
Time A.M. P.M.
Date Requested
Address Permit
Owner
Lot #-11.12/
Builder
Th(j following Building Code deficiencies are required to be corrected:
"A
K.,
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
TJ YEA U NO
INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Main St.
Tigard,Oregon 97223
i Phone: 639 171
Type of Inspection
Date .aquested--.._— _ Time A.M._ P.M.
Address �j_, �� ` ermit
Owner . -- Lot #_ —
Builder
The following Building Code deficiencies are required to be corrected:
.4
Presented to _ __________ Approved
Inspector __ _._._ ( Disapproved
Date --
CALL FOR REINSPECTION
0 YES ,P—I NO
l%
BUILDING PERMIT APPLICATION TIGAPD DATE_ May 13 19 85 537:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT ( (ji, 1!;E V',);4K HEREIN INDICATED BUILDER PHONE 642-3093
OR AS SHOWN AND APPROVE[) IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. NEH PHONE_
rckolany
N0.
OWNER 13 La it �rpp�x-C gs_ JOBADDRESS ly � _�r�' � tQhk II _
E'.lC7i18 97U06ARCHITE
ENGINES
BUILDER Sa3w — ADDRESS 20A5 SW TV Ilwy DESIGNER
Sl.IUCTURE 3 NEW ❑ REMODEL I , ADDITIDN ❑ REPAIR L RENEWAL ❑ FIHEI^.^.Me.r.G ❑ DEMOLITION
X1 RESIDENCE D COMM Cl EDUCATIONAL O GOVT ❑ RELIGIOUS ❑_PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑ CLAB f❑ FENCE
OCCUPANCY _ "`3 LAND USE ZONE '_BLDG.TYPE _Slk —FIRE ZONE_ PLAN CHECK BY __ACR HEAT__._
guns truc t s iWds fa i1 v dwelling w .. t saclAd Man, -- — ---
3 !se a roorn � Tia tbrclrlcn
SEWER PERM114 2$4 122 _---
OCC.LOAD FLOOR LOAD 40 HEIGHT 15-0 NO.STORIES e: AREA 1671 NO.REIRO� iS 3 VALUE k' W
ji=
BUILDING DEPAr.7MENT SETBACKS FRONT REAR 22 LEFT SIDE 6 .6I RIGHT SIDE 10
Permit 319.E THIS PERMIT IS ISSUEn SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND 11 IS HEREBY AGREED THAT THE
Plan Check 4U.UO WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE 0'= THIS PERMIT DOES NOT WAIVE
Sub-total 359.UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 0 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AAD HEATING.
Stale Tax 12.76 b,. ,
Total 371.711 SDC— 5500.UU
—�"
By CZ
PDCj.Z $159.00 APPLIdANT OR AGENT
__
Approved — 1R—i- - Receipt No. , i ADMESS _ -�—�- -^-- PHONE
i
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DATE INSP. TYPE INSPECTION REMARKS PL'IM G DACE
X11 —
Contractor �
Permit No.
Rough-In
.� _ � �- Fixture -
L, • Final
HEATING
if��I�III r • .. Contract
Permit No.
Oat or Oil
Rough-in
- � --- ------ -- Final - ---
-�- _ SEWER
Fine
DRIVEWAY
— --^ � Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Apprnech
SLD--DENT.FINAL TEMPORARY CERTIrICAT6&>CCUPANCY
CERTIFICATE OCCUPANrY Flnel
�and•caping
zoning Final
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