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K- - INSPECTION NOTICE
v City of Tigard Building Department jol %L/ I-
P O Box 23397 l
Tigard, Oregon 97223 `---
�v Phone.639-4175
Type of Insuection —
Date Requested � r( 3 Time A.M.—. P.M.
Address �i �_�� �.�(� _.� Permit # ��
Owner.-.. 1- ,((r�U-►�.�L� Lot #
Builder
The following Building Code deficiencies are required to be col rec+ed:
#Y- 4
Prs.:nted to
yam— .--- Proved
Ins afar
� - - -- �__� bisapproved
Date
CALL FOR REINSPECTION
C] YES 0 NO
CITY OF TIGARD 609.4171 �^!DAT! 5841
BUILDING PEWIT
'� __ r.1si
ct/N,, Ltt&9a41L"l+r TAX MAP LOT NO. _1 SUBDIVISION , X 1 9 k :
OWNER.__'5:Z. ..,_ _ OB ADDRESS ts0J 5t.
-._.
BIJILDER _' STATE REG.NO. a ` ' _ EXP DATE.
BUILDER'S PHONE
r PHONE (365"2.60 OTHER
ARCHITECT-----T-f'a�e-1�--&-tic�++���a�tt ----�_- -------
STRUCTURE NEW C' REMODEL ADDITION REP41R ❑ MOVF L-! OTHER DEMOLITION
;.RESIDENCE ❑ COMM EDUCATION ] IND L I RELIGIOUS 1 ACCESSORY [] GARAGE OTHER FENCE.
OCCUPANCY ;_LAND USE ZONE l(� BLDG.TYPE FIRE ZONE PLAN OHECK BY r'J.ro HEAT t1a
kinii lm Eun ilg ri;lillfAr"MiZ- all Iiher iny �1 +�luiis_
SEWER PERMIT 0 29061 (ldu) para c 400
OCC.LOAD FLOOR L OAD 4U HEIGHT `0"_N0.STORIES AREA 1130 NO,BEDROOMS 4 _ VALUE' 1 ,
_BUILUING DEPARI MEN' 7 SET BACKS FRONT 4t.i REAR "''' LEFT SIDE RIGHT,'DE
Permit 242.51) THI5 F-KNIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING "ODE, ZONING
( _ _ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
63
' Plan Check 151* I WORK WILL BE DONE IN ACCORDANCE. WITH 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 COVENANTS. CONTRACTOR AND SUB CONTRACTORS Tn HAVE CURRENT CITY BUSINESS
- j TAX PERMITS.SEPAR',TE PERMITS REQUIRE)FOR SEWER,PLUMBING AND HEATING.
State Tax b:(' 25U.UU
(.Iv
Total sDC— 5U00
$U �3 PUCM AP�CICANt uri 4O�N7
Pre d. 11 150auti __09,
0
P U r(1U ��,�,.� `r - - - _
- - Receipt No. I I rel• DA DREBS -- PHONE
Bal,Due _�.>i l
Issued By - - -.. _Approved
I--# 6—.f L-1 LJ I—f V Imo. t/ .r
DATE P. TYPE INSPECTION REMARKS PLUMBING DATE
Contract C) VD
�- IRougivin
_
Fixture
IAIIYA? Final
HEATIContraclorat
U.r I �
. •
Gas or•
!IFinal
,I � � .� /• . .i�it/� �/' lFinsf
Final�Storm Drainage
(1`131n Dra4n)
SidewalkCurb&Street Finalw
ApproachI
BLDG.DEPT.FIN 41 TEMPORARY