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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-417.5
Type of Inspection
Date Requested Time----- A.M. P.M.
Address Permit
Owner Lot
Builder
-
The following Building Code/deficiencies are required to be corrected:
Presented to JAYApproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl YIE8 fro
!—NsPr---CT10N NOTIEF
(.,ity of Tigard Building Deportment
;1 O. Box ',',.3397
Tlgcird, Oregon 97223
Poone: 639-4175
Type of Inspection Vft A
Date Requested lie, Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code defit:iencies are required to be corrected:
Presented to P-41pp_ roved
Inspector Zd U Dinipproved
Date 6K
CALL FOR REINSPECTION
[A YEs El No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 9 —Y(44-1 Time—.. A.M. P.M.
Address –&� Permit
Owner–cjL)s i& Lot
Builde;
rhe following Building Code deficiencies are required to be corrected:
iL'S 7 J
7/
k4r
Presented to ❑ Approved
Inspector --proved
Date
CALL FOR REIMSPICTION
INSPECTION NOTICE
City of Tigard Building Department
P.O. 23397
Tigard, Oregon
o_
Phone: 639-4175175
Type of Inspection
dow
Date Requested J_�—`r T-ifine A.M. P.M.
Address � '�p U _Q tllwvl L. Permit #_�P..__U __.
Owner-----�� �.� i Lotk --- ----
Builder
The following Building Code deficier Ies are required to he corrected:
Presented to — --�- -------
lnape::tnr _ ' (� Disapproved
CALL FOR REINSPECTION
El YEI; 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ -1�G�,• �,�_----- _... - —----
Date Requested_ —_ _ Time _--- A.M.
Addressr72.1�' Permit
Owner _ _ Lot
Builder
The following Bu Code deficiencies are required to corrected:
le
41 ex
Presented to _ [��AppodInspector ed
Date
CALL PFO*41EINSPECTION
yet
E) NO
A t M
INSPECTIUN NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection i I — 4'�?e"c_ � ls�
Date Requested ��// (TIP // Time _ p M
Address � /rY�N `��_ Permit
Owner _-_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
r
presented to .__ /Appr-ved
Inspector ..._ _ _ Disapproved
Date
CALL FO REINSeECTIOV
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Departmer'
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6D39/-4,175
Type of InspectionLf --
Date Requested _. Ti to A.M. P.M.
Address , __+� Permit �k U
Owner�—�_ _ _ rte L2. Lot #�_
Builder_ '� —•The following Building Code deficiencies are required to be corrected.
IL
Preset ted to _4_ ------ 0A0Pp1,)v
nspect u - -_ __ 1 approved
Date /
GALL FOR REINSPECTION
O YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
type of Inspection -----
Date Req•aested _ — Time
Address
Permit #
Owner - —_ — -- Lot #
Builder .
The following Ruilding Code defiriencies are required to be corrected
r
6.
Presented to _ AWoved
Inspector _ [,1 Disapproved
Date t'� '� ���
CALL FOR REINSPECTION
Cl VES 1J NO
CITY OF TIGARD 639-417'i 6056
BUILDING PERMIT DATE -JUnl21#41
Ins p. Line 639-4165
OWNERCI.Yde h. 4ayutire TAX MAP - -LOT NO, SUBDIVISION flillAwla.
BUILDER JOB ADDRESS __8620 54 liamlet
VEXKPATE
BUILDER'SPHONEk\
ARCHII'O� -lascurd PHONE,-,--_
STRUCTURE NEW Ej REMODEL Ll ADDITION REPAIR OTHER
I❑J MOVE OTHER DEMOLITION
RESIDENCE F: COMM L7 EDUCATION IND 17.1 RELIGIOUS ' ACCESSORY
Cl GARAGE OTHER F E N CE
OCCUPANCY L'3-LAND USE ZONE - i :,, --
KIRF ZONE_PLAN CHECK RY HEAT
";g1l2ftruct; sija�:ie li6.11Y dwe 1 26 kvi�- d arjae,_-all ver *vdruvqd
SEWER PERMIT# 295/1 (Idu; 3 bath, - traps kPrfige area 360
OCC.LOAD FLOOR LOAD 40 HEIGHT 2U7 NO STORIES 2 AREA 1395 NO BEDROOMS j VALUE
IT
BUILDING DEPART
SETBACKS FRONT HE.-
2L LEFT SIDE
RIGHT SIDE 1
P 3131(ju
T In I I , - I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 114 THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALi APPLICABLE CODES AND ORDINANCES. rHE' ISSUANCE OF THIS PERB41T DOES NOT WAIVE
re
K Ck.F-IT- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWEP,
z
State Tax 12.52 251! UTotal PLUMBING AND HEATING.
528.91 SDC-- 500.UU APPLICANT OA.Ad-ENj
Flrq��, PDM
11 `5'
eceRi
Bal.Llue 42t3.9i pt No.
------
Issued By .--Approved By
L'
?�
DATE TYPE INSPECTION REMARKS
41 AL-Z
Fixture
HEATING
r � J/�i��■ LTJ •/,lr IContractor��./ ,
9-1 Gasor011
�Ye
jFiral
SEWER
Final
DRIVEWAY
+ •.
Final
Storm Dminage
Sidewalk
Curb&Street Final
. .
BLDG. CERTIFICATE OC CY Final
Zoning Final
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\ CITYOF TIG."RD N4. 13492
12755 S.W. ASH
P.O.BOX 23397
v , TIGARD,OR 97223 t7ate_
{
Name --
Address- —- - - --
t.ot—_ BI cI;IMap SubJlVlsfon�A, ddress��
Permit N's Idg, Plumb Cash y Check v
Sewer Other Other Rec. By j
Acct. N(0'. Description -- Amount
I 10-432 Buildin Permit Fees_
10.431.55 Plumbing Permit Fees -
10.431-1301 Mechanical Permit Fees +—
10.230.501 State Bldg. Tax
10-433 Plans Check Feo
30-443 Sewer Connection — v
30.444__— Sever Inspection
_51.448 Street Syst. Dev. Charge
52.449.810 Parks I Syst. Dev. Charge i
52.449.8_20 Parks II Syst. Dev. Charge _
31.450 Storm Drainage Syst. Dev. Charge
10-430 Business_—Tp-
-i-0--434
r-10 434 Alvm Permit -
10.227 Bail
10.455- Fines •TrafflclMisdlParkli�g
10.230. CPTA TrafficlMladlVic. Asst,
10.456 Indigent Defense
30.122-101 Sewer ServicelJSA -
30122 402 Sewer ServicelCity 30% i
�0 12 Sewer SevicelCity Maint. —
30.125 Unmatched - —
31• ..4 Storm Drainage --
4 ancr ,grin. Pymt.
4'6-4-7_1 Int. Pymt. --
__—. _ ---- TOTAL c1
DGPT.