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INRPEC , ION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigerd,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time AA1. P.M.
Address all-
Permit
Owner
Lot
Builder
The following Building Code deficiencies are required to be corrected:
------------
Preiented to
ni Approved
Inspect
7-S XDisapproved
Date A—<
CALL FOR REINSPECTION
12'YES El NO
INSPECTION NOTICE
City of Tigard Building Deparimint
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
' I
Type of Inspection t&
-
Date Requasted— —r7, — 1-1 —�s Tim A.M. P.M.
Address e L
Permit
Owner Lot
Builder
The following Building Code deficien:ies are required to be corrected:
5,
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
YES 'Vj No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection �"'�`
Date Requeste '�~
d Time A.M. P.M.
'Address � �_S`✓ �` n'� rJ �'�'� 0OO'— Permit #—
Owner--- — --- ---_-.--- Lot #-- ----
Builder
The following Building Code deficiencies er& required to be corrected:
_—`'"cG-=--�----
Presented to _ — Approved
Inspector -'�. �J Disapproved
Data .. L5
CALL EOR REINSPECTION
,Z---YE8 ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE _��+_ri1�8L� 19 85 5296
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 642-3093
OR AS SHOWN AND APPROVED IN THE•ACCOMPANYING PLANS AND SPECIFICATION. OWNCR PHONE
LOT NO.
OWNER _T taBl 1'rOtfllrt140 JOB ADDRESS d320 Sw Panno Crook Drive —_(��lon �Greek 11
2094.5 SW TV Hi.gbway ARCHITECT
BUILDER SMENGINEER
ADDRESS Aloha OR 97U06 DESIGNER
STRUCTURE XV NEW ❑ REMODEL ❑ ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 1:1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k: =LAND USE ZONE BLDG.TYPEFIRE ZONE=-PLAN CHECK BY k1.T HEAT
" CocwtrUCt single family dw Iting w,,4ttached garage -- _—
![e-Issue at Per>lait I4843 -----
2 Hathrootas 3 Bedroome Garage 315 --- - ------ —
SEWERPERMIT# 2837b
OCC.LOAD FLOOR LOAD 4U Y HEIGHT 16+— NO.STOPIES I AREA I01b1 NO.BEDROOMS 3 VALUE 4 7 000
BUILDING DEPARTMENT SETBACKS FRONT REAR J LFFT SinE 3' RIGHT SIDE 11 '
Permit 269:5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4Q.OU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE.
Plan Check WORK WILL BE DONE IN P.;CORDANI;E WITH THE PLANS ANJ SPECIFICATIONS AND IN COMPLI INCE
3t19. 0 WITH At! APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT V AIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LIC.F�,IrSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4% !11.7U ;ti;,.1 . .00
Total _—32U.w Ef SDC— 5U.t.UU
PDC#It 13U.0U
By APP ICANTORA6ENT
1'/T;I,R t b'e Receipt No.
Approved _ ADDRESS
PHONE
D��AA//TEC tNSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor 1 �`—
Permit Nc I�J--- � "}
FTcugh-in
-001
Fixture
Q- -- Final -- O
lt
-__ - --- -- .HE
Contractor —
Permit
Gat or Oil
Rmigh-in
Final
_
SEWER
---- -
Final --
URIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG,DEPT.FINAL I TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OC CU PA Nr'Y
Landecriping
Zoning Final
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