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INSPECTION NOTICE
City of Tigard Building Department
Pd, Box 23397
��/ �----
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection 11;iK','1 --..
Date Requested - — Time A.M.
r , 17�
Address lz:�Eef —JM�:!z Permit
Owner Lot
Builder
The following Building Code deficiancie% are required to be corrected:
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Pre"mad to F.1 Approved
Inspector Di-approved
Data
CALL FOR RF.INSPFCT1oN'
t7l
Vis L:1 No
INSPECTION NOTICF
City of Ttgaij Bui;jmy Department
P 0 Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address ce",
Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
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A'.j 0
:2.F 52
Presented to Approved
Disapproved
Date
Loy
CALL. FOR REINSPECTION
YES [-] NO
i
CITY OF TIGARD 639-41715974
BUILDING PERMIT DATE '--
>flsepeactior. Line 039-417a
TAX MAP _ __LOTNO. .—SUBDIVISIaW)tz 4t LU
OWNER lion (loriasette ''h' riorning hill Urine kieaortwe Ll
--&uttiE4� F,�• �� .¢�_F� 9 _ JOBADDRES
BUILDER ------- __ ST.TE REG NO. EXP.DATE -_,.3/0;
BUILDER'S PHONE )3k4t7_-
ARCHITECT r_ y. _.._ PHONE _ OTHER
STRUCTURE ;C_I NEW i_I REMODEL C1 ADDITION REPAIR MOVE OTHER , ! DEMOLITION
RESIDENCE i I COMM EDUCATION 1-1 IND I I RELIGIOUS ACCESSORY i i GARAGE f I OTHER I I FENCE
OCCUPANCY 44---LAND USE ZONE �:�BLDG.TYPE .N r_r IRE ZONE PLAI'CHECK BY J,P_t HEAT
Construct single family dw,.Allng. w►/attached lzas •_a,!-, all per dul2royeu vlausi_
JlFV-'SL;L (jF 5869. Subject to Arnart/ti+edgwood *3(. QO b Leron Ifts. ,15U.0U of-weir rharges.
SEWERPERMITM 29501 (1(ju) .I bath, tra's�a 9 �araie area 444;
OCC.LOAD FLOOR LOAD 40 HEIGHT 15 NO STORIF;"J AREA 121r� NO.BEDROOMS ,l VALUE :?l„UVU
BUILDING DEPARTMENT SET PACKS FRONT HEAR ;: LEFT SIDE j j RIGHT SIDE
__....__
I Permit 206 out) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATION:. AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 WORK Wit L BE C)NE 1N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICAW E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
PI.C_k_.Fire RESTRICTPVE COVENANTS. GGNTRACTOR AJVD SUB CONTRACTORS TO HAVE CURFENT CITY BUSINESS
TAX PERMITS,SEPARATE FF MITS REqt#R6D FOR SEWER,PLUMBING AND HEATING.
State Tax ua�l_ --- -_ c,:'14, L.`iU.dJU
-
SDC-- 5U0.00
Total -?+
`AN lR GENT
Prepd. 4U.UU _ PDC�1 1.5(; (JU
Receipt No. I " I ADDRESS - — -- --`�— PHONE
Bal.Due 29/.44_.-_ Issued By-._--- Approved By _
DA !NSP. TYPE INSPECTION REMARKS PLUMBING p y4 DATE
Contractor
Permit No,
144L Rough in
ZFixture
1
inal
_Z2 - HEATING
Contractor
Permit No.
Gas orOil
Rough-in
Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain)FinalidE
Sidewalk
C urbb&&S Street Final t- CApproach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERT FICA VE OCCUPANCY
Landscaping
1,Zoning Final
for inspections call 639-4175
CITY OF TIGARD 639.4171 ^_ 7
gUId01WO PERMIT DATE _t9._._ c"�;7�c
P.0. Box 23397, Tigard OR 90123 TAX MAP _LOT NO. BUBDIVISION�� l
/N�- JOB ADDRESS
BUILDER STATE REO.NO. EXP,DATE
BUILDER'S PHONE
ARCHITECT PHONE —UTHER
STRUCTURE Ili 4IEW ❑ REM03EL O ADDITION U REPAIR O MOVE ❑ OTHER 0 DEMOLITIO
RESIDENCE ❑ COMM O EDUCATION C IND ORELIGIOUS 1.1 %CCESSORY 17 GARAGE ❑OTHER O FENC:
OC UPANCY LAND USE ZONE L BLDG.TYPE _FIRE ZAN PLAN CHECK I HEAT 6:A9 _
r A S
SEWER PERMIT• �E'7:'► �r^ —_ __
_OCC.LOAD FLOOR LOAD or HEIGHT NO.STORIES ��_ AREA NO.BEDROOMS -3 VALUE� 1 1
r BUILDING DEPARTMENTSET BACKS FRONT Z REAR 2 LEFT SIDE j/ RIGHT SIDE
Parrrwt_ �• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN<
REGULATIONS AND ALL APPLICABLE CUDES AND ORDINANCES„AND IT IB HEREBY AGREED THAT TM
Plan Check <O ' .•+ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A140 IN CUMPLIANC
WITH ALL APPLICABLE CODES AND ORDINAACES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
P1.Ck F" RESTpICTIYE COVENANTS. . TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE5
– TAX PERMIT&SEPARATE PER&klvw RE7 FOR SEWE #� I'MBING AND HEATING.
Slab Tax //I y 161 _ //
1_
Tota 3773� yy � A 7a+r(a/eN`r � ------ --
RaoNpt No. ADDRESS 0 PHONE
ONE —
f Itawd By Approved By— ,6
SSDC
POC
SEWU CONNECTION S 17f
SEWER INSPECTION 4 'J 5—
SEWER SURCHARGE 5 3G V
. R
Comments:
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