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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phune: 639-4171
Type of Inspeo-tion
Date Requested Time A A.M. P.M.
Address if ermit
Owner Lot #---.
Builder
The following Building Code cief.;ri: icies are required to be corrected:
Presented to Approved
Inspector DIsappro"d
Date
CALI, FOR REINSPECTION
1-6 YVS F-1 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Cregon 97,223
9hone: 639.4 171
Type of Inspection
Date Requested -- _-- 5",— V— ev
26 Time A.M. P.M.
Address Permit
Owner Lot
Builder
'Clio following Building Code deficiencies are required to be cor.-ected:
Presented to Approved
Disapproved
CALL FOR REINSPECTION
YES El NO
-..
EiUitDING PERMIT APPLICATION TIGARD DATE 45,92_ tg
I NE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
(JI AS SHOWN AND APPROVED IN THE ACCOMPAN YING PLANS AND PECIFICATIONS. OV`JNE14 PHONE
OWNE;"I !-i(JOBADDRESS i2buO LUT NO
Il�.rk'R �Ic�arci gat. _ �r;�.e�r.l.a"•.r�
ARCHITECT_
ENGINEER
BUILDER ;a _ ADDRESS 10240 1W `'int ;e+ DESIGNER
CTRUCTURE El-NEW [_7 REMODEL _vEl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑_ DEMOLITION
❑•RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C STORAGE ❑ SLAB f 1 FENCE
OCCUPANCY >`LAND USE ZONE I"' I'lLDG.TYPE FIRE ZONE---PLAN CHECK BY E HEAT
V"txiatnict ''Ingle Familly lhmllitl: li'.,ttacl'-oti •-ir ; *,e. -- —+R—
ttl
SEWERPERMITM u`7,' l'l�ttl,9r.ct to
OCC.LOADFLOOR LOAD HEIGHT _ NO.STORIES I AREA !' NO,BEDROOMS VALUE_
BUILDING DEPARTMENT SET BLACKS FRONT REAR LEFT SIDE_ — R!GHT SIDE 'Wv
Permit THIS PERMIT IS ISSUED SUBJECT TO THE IIEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check �i WORK WI'I BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICArIONS AND 1N COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Svb•total _ `y1 i• ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12.w.
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�
SDC: - v►4iKt• . %%% ' ,�
Total 54li. 1
Bt; !
1. il')u o !
By PbCk APPLICANT OR AOF.NT
' Rpmot No.
yl .
Approved PHONE __.—
DATE INSP.1 TYPE INSPECTION REMARKS
PLUMBING DATE
Contri'!'olk, 01
Pormit No,
Sough-it,
Fixture
Final
HEATING
Contractot
7 • 4 Permit No, If 7111-9-
Gas or Oil
Rrugh-in
Final
Final
Sawa"
DRIVEWAY
Final
Sturm Drainage
Main Drain)Final
Sidev alk
Curb&Street Final
Approach
BL= DEPT. FINAL TEMPORARY CEWTIPH Tt OCCUPANCY
CERTIFICATE OCCUPANCY Final
L.snds,aping
Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4111
Type of Inspection _-,^
i Date Requested -A.M. P.M.
Ti me
Address Per(w*
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to /Approved
Inspector Li Disapproved
Date
CALL FOR RFUNSMXTION
El YES X NO
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