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7
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
/�'
Type of Inspection -- - � /
�' -
Date Requested--_ Time � A.M.L__P.M.,�
Address Permit #
1107
'~e U
Owner Lot #
Builder .m
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector — L Disapproved
Date -_ ---- �
CALL FOR REINSPECTION
YES 0 NO
AUMLM
CITY OF TIGARD 639.4171 for ins x r iort.n Calf 05900
BUILDING PERMIT DATE198b
Titxa rr"erties TAX MAP LOTNO. SUBDIVISION n�Lrr•
OWNER - JOB ADDRESS 16330 Sh Fatwo Creuk Lou,, 3
BUILDER _e � 20 A1011a 9 J 211:1
STATE REG.NO. -_ _______-.__ _EXP.DATE_
BUILDER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE e''; NEW REMODEL ❑ ADDITION REPAIR MOVF OTHER DEMOLITION
RESIDENCE. COMM ED'UCA)'ICN ❑ IND C] RELIGIOUS AC;CESSONY GARAGE OTHER ❑ FENCE
OCCUPANCY —LAND USE i3NE' BLDG.TYPE N FIRE ZONE_ PLAN CHECK BY HEAT
Lunstruct Ain6ln Llaraj,Ly ,wai,inji ►li4Lta6ieg QBra 'r�l Uel' goyrov—, Plane.
SEWER PERMIT# j JU4 Li%jui gard;,s: f.ib 3 hdkl'
OCC.LOAD _FLOOR LOAD 4G HEIGHT -:0 - NO.STORIES � AREA l � NO.BEDROOMS ` VAI Ur'
BUILDING DEPAFTMENT �j SE BACKS FRONT�I' REAR �` LEFT SIDE ( RIGHT SIDE
Permit 292.00 11 THIS PERMIT IS ISSUED SUBJECT TO THE PEGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 189.80 WORK WILL BE DONE IN ACCORDANCE WI1H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANT S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS RPUIRED FOR SEWER,PLUMBING AND EATING.
State Tax _ 11-x_ lSU.tMI �j� r I��J
SDC-- .5..U,(g)
Total Ai
__. IPLICA F AdEN?
---- PUC#�1 iJ11•Ij(i ^
Prepd. _
4Nw�/b? Receipt No. �_ _,� _
�, ADbRESS - -
Bel.DUe __J�J.�•4b PHONE
Issued By _ _ Approved By-------.
DATE INSP. TYPE INSPECTION — REMARKS PLUMBING L`TE
------ '/ —
Contractor /"� ��378v S
-- -
Parrnil No_—Vb D
i/
Ixtwe
ell Final --
_L?I�' ` — _ --- --- - HEATING
Contractor
try Permit No.4� — — 3-po-,v6-
Gas or 011
Rough-in
Final ---- - -
- ----—
SEWER
----..V—._ Final
- -- --- - DRIVEWAY ----_
V ---T Final --
Storm Drainaqe -- -
(Rain Drain)Final
` — Sidewalk -
Curb 6 Street Final
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY ;.trial
CERTFICATF OCCUPANCY ---
�c�J� Landscaping
Zoning Final
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