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INSPECTION NOTICE
City of Tigard BUi1d;ng Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of lnspn,tion
Date Requested Time A.M. P.M.
Address =45 54. An,-;,%/a -7^ Permit #_..._._
Owner Lot
Builder
The following Building Code def7ciencies are required to be corrected:
Od2 1092X-L-
"e
-lead--
Z:7
low
Presented to
Approved
Inspector Disapproved
Date
CALL FOR REINSPECTIM'
YES 0 NO ti
I
BUILDING PERMIT APPLICATION TIGARD DATr_-_-_ 19 2 4352
THE I;NDERSIGNED HEREBY APPLIES FORA PI RMH FOR 11-IF WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN(; PI ANS,AND SPECIFICATIONS. OWNER PHONE
LOT NO.AMMUL --
JWNFFa lZ i:iv_1I i�3l OBADDREo i Ir�3 5 + • PIV]OF Wd °,"!X----__--- __ _ --- ---- -
-_ "• ARCHITECT
ENGINEER
BUILDER w ' s _ _ ADDRESS p(! 1jux 232.91 TJ51,arrlt DESIGNER
STRUCTURE I NEW ❑ REMODEL� ❑ ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRF DAMAGE ❑ DEMOLITION
[7: RESICENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T Ll RELIGIOUS ❑ PATIO El CARPORT ❑ GARAGE C1 STORAGE ❑ SLABCI FENCE
OCCUPANCY 1{'"3 �.LAND USE ZONE Fes,'pl� BLDG.TYPE ' FIRE ZONE-.--PLAN CHECK BY ��� HEAT gas
Construct gin3le fami'.y dwilim, WattaChf- i R8r896
';ase coTrectirle-t sheet 1ttnCh8d.
SEWER PERMITN °' I -—
.mrcn 434
OCC.LOAD FLOOR LOAD 41) HEIGHT � 14 NO.STORIES I AREA NO.BEDROOMS 3 VALUE 07 x400
BUILDINd DEPARTMENT
SETBACKS FRONT W REAR "' LEFT SIDE RIGHT SIDE
Permit $3;.(k THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND Al.I_ APPLICABLE- CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 7HF
Plan Check 219*05 WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Ov THIS PERMIT DOES NOT WAIVE
Subtotal 556*0 RESTRICTIVE COVENANTS. CONTRACTOR AND SU9 CONTRA TO HAVE CURRENI CITY BUSINESS
LiVENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax t 3*4�1
— S)C--
Totel 569453 FDCM LT �'`"i "I
APPLICANT OR hQENT
By — Elt^tj
-- dAI] - AeceiptNO.
Approved ADDR#88 ------------- ----PHONE
;
' DATE INSP. TYPE INSPECTION RrMdARKS — ( PLUMBING DATE
Contractor ClrJ�'�1 yq�royBS�
_�,�_�fi i �� ' t�•. -- — — Permit No. ''I.•i%g3 J�
Rough-in — --
Fixture —
Final
HEATING
— --- ---------— --- Permit No.
Gas or Oil
Rough-m
Final
ITWER
—� --- i — -- -- Final
[DRIVEWAY
Final y_..._
Storm Dralnr•ge _
(Rain Drain)Final
Sidevialk
Curb to Street Final
Approach �~
BLDG.DEPT.FINAL — TEMPORARY CERTIFICATE OCCUr'ANCY Final
C.ERTIrICATEOCCUPANCY
I.ndacaping --
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATEJ&Jk- 19-21
THE UNDERSIGNED HEREBY APPLIES FOR A PERI`AIT FOR THE WORK HEREIN INDICATED BUILDER PHONEv T�"�C►��__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
O'/'1NER �/f�(Gr'�I�'. A 10 ftlft AA
LOTNQ..S_.I
dd''.. TMC.JOQADDRESS tfl_'��X7�.>r4> I�
'—'- AFlCHi
4 ENGINEER
BUILDER ���?— ADDRESS _ DESIGNER T 1 h
STRUCTURE NEW _❑_REMODEL ❑ AUDITION —- 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT Cl RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE Cl SI ASO FENCE
oc;c;uPI.NCY LAND USE ZONE. R- ( U BLDG.TYPE -,"-_FIRE ZONE-— PLAN CHECK RY
P13
SEWER PERMIT M
DCO.LOAD FLOOR LOADHEIGHT NO.STORIES _AWEA 3O NO.BEDROOMS VALUi Yo
r BUILDING DEPARTMENT SET BACKS FRONT J$ REAR LEFT SIDE RIGHT SIDE -
Parmit 3_3 7,asTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE GUILEiNG CODE,ZONING
z�4•�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF!E
PIS an Check T WORK WILL BE DONE iN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANh IN COIAPUA14CE
WITI, ALL, APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SU`Jtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tux _
— ---- SDC_
PD,'4 APPLICANT ON AGENT
BY .
-_ — Recelpt No. --- "---- PHONE --
Approved ADDRESS
D C
POC
SEWER CONNECTION S 13.2If_ —
SEWER INSPc CTION
SEWER SUNCHARGE
�_.r.
w C. it ties
�40�- ����►., : I l x �-G 8 3
I � x 3�� Cott
IZ-4 x 3G, qq4
2Z x ' 44
(4 x 14 I c&
!!'S is
fit' �- Iok 4- 4
(143o cp- 4�-'�'
?u x C. 12o
Ia�'8x Iv es