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INSPi:CTION NO_ T�CE
City of ,igaro :uildng Department
P.O. Box 2;:397
Tignrd, Oregc )97223
f•hone: 639-4175
'rypa of Inspection
Date Requested , 1 � Time A.M. P.m.
Address _ '��s 5 Permit
,
Owner �
Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ _ t 1
Dianprorad
CALL FOR REINSPECTION
EJ YEI I--] NO
— INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 972.23
Phone: 66339u4171
i Type of Inspection _
Date Requested Z" Time A.M.——___—P.M.
- �
Address —_ � ��J- �y�==—'�-�---- Permit
Lot #
I —
Budder
The follov►. g Buildi•ig Code deficiencies Are required to be corrected:
_ 1
Presented to _ ;-1 Approved ---�
Inspector _ - _ L -_---- Disapproved
Date
CALL FOR REINSPECTION
i ❑ vee 0 NO
CITY OF TIGARD 639.4171 a L RILL I;J-41:� 5774
BUILDING PERMIT DATE January �/ ,19 ur,
TAX MAP -_.LOT NO. lv SUBDIVISION 1ll:;u til'
WNER ►���. �-}�r.1t2�;8 1J�L+�lU"�41611C .
JOB ADDRESS _ ZIL2—iiC_tsg11V&Sg.
BUILDER � ' STATE REG.NO. 9239 _ —T-EXP.DATE 5/11jzsu
BUILDER'S PHONE
ARCHITECT PHONE ___QTHER
—
STRUCTURE [ , NEW ❑ REMODEL r; r
ADDITION REPAIR MOVE _OTHER C i DEMOLITION
,RESIDENCE I I COMM F ' EDUCATION C, IND RELIGIOUS ACCESSORY 11 GARAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE ELDG TYPE + FIRE ZONE,,, —PLAN CHECK BY ,-A.; HEAT
lw:!ily re8l.aeftee 1111JULCaChed Adcage —
SEWER PERMIT 0 IU k lau) narave 440 3 Imth
OCC.LOAD FLOOR LOAD 4u HEIGHT 261- NO STORILS AREAL.x311 NO.BEDROOMS, VALUF",)o
r _
{ _ BUILDING DEPARTMFNT _ SETBACKS FRONT EAR4; LEFT SIDE,`.1; R
� r, BHT SIDE
Permit 3L1.ULTHIS PER IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ j !�.(f� !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 _ -u- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax
_ SDC- S!s[�•U(.?
Total - -�i'�'•!'y - PDCMlau.t,u APPIICANTOfIAGENI
Prepd. - leu 1I
Receipt No.'s AbORE85 ---
Bal.Due --W-Ow.
Issued By_- -____Approved By
rel►
i
DATE INSP. TYPE INSPECTION REMAF(KS PLUMBING DATE
Contractor
Permit No.
Rough-in
r ` _ Fixture
im a%61f Final
HEATING
3 _ Contractor
Pernit No.
Gas or Oil
Rough-In
Final
EWER
Final
DRIVEWAY
Final
Sloan Drainage
(Rain Drain)Final
Sidewalk
Curb 6 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
If
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