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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Reque ted A.M. -P.M.
C2.'r— 3;? "
4je& /1.4
Addroqss 0 !�' LWd - — Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 00
4;_1Kpproved
Inspector F1 Disapproved
'_7
Date
CALL FOR REINSPECTION
0 YES L] NO
INSPECTION NOTICE'
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone:839-4175
Type of Inspection _L_-�n�1 —
11041 Tim_��! A.M. _P.M.
Date Requested__ I
Address
Owner - _
� Lot
BuilderThe following Building Code deficiencies are required to be corrected: I
_J
Presented to -y411p"r'nved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Depaitmeti' {
P.O. Box 23397 1
Tigard,Oregon 97223
Phone:639-4175
�''
Type of Inspection _
-n fw A.M. _P.M.
Date Requested
Permit
Address
Lot
Owner
Builder
The following Building Code deficiencies are required to he corrected:
— I
i
i
i
i
f _ -
I
i -
I
I -
------------
Approved
Presented to
C Disapproved
Inspector —
, e �
Date
CALLFOR REINSPECTIOP
❑ YES 0 NO
IWRfIr
CITY OF TIGARD 639-4171 6 5901
BUILDING PERMIT DATE 19
TAX MAP LOT NO. -3— SUBDIVISION
OWNER______ JOBADDRESS __8632 SW hillOCEp-
BUILDER _,d0rA.eV _JLQMXjj23t STATE REG.NO. ___4.�r.50 EXP.DATE
BUILDER'S PHONE City UR M45 %\7
ARCHITECT PHONE _ .OTHER
STRUCTURE Fl NEW Cl REMODEL f❑I ADDITION REPAIR MOVE !_1 OTHER DEMOLITION
RESIDENCE Gomm I EDUCATION IND RELIGIOUS ACCESSORY GARAGE 01HER 1-1 FENCE
OCCUPANCY 1:3 —LAND USE ZONE BLDG TYPE FIRE ZONE_PLAN CHECK RY HEAT
L;onstruet nin,iv IWALY dwelli'll_ w/atttj& d tall jjer apj roAlc-,
k,LlSSUI: 01- kbbU9
SEWER PERMIT N 2y1"5 L lau 425 2 bath__
OCC.LOAD FLOOR LOAD 4u HEIGHT 16+ NO STOGIES I AREA 1434 NO.BEDROOMS VALUE
BUILDING DEPARTMENT
--------- SETBACKS FRONT REAR 2L, LEFT SIDE
RIGHT SIDE
..'u I.uu
Permit THIS PERMIT IS ISSUED SUBJECI 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
7 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CA sHRIENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWEq,PLUMBING AND HEATING.
State Tax 12.2-
SDC 5uo.00
Total .359*28 APPLICANT OR AGENTT
PDC#
Preps, 4(joOU &L 15U*UO
Receipt No. ADDRESS PHONE
Issued By Approved By
DATE INSP. TYPE INSPECTION REMARKS PLUMBING —� DA`,TE
Contractor _,
Permit No.
Rough in
Final _
• HEATING I
P4ZContractor60 S1 2,Permit No. (2_1
as or Oil
Rough-in
Final
-- -- - - --
SEWER
— Final
DRIVEWAY
Final
Sto•m Drainage
—'r�— (Rain Drain)Final
Sidewalk
Curb b Street Final
Approach
BLDG.DEPT.FINAL GERTFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
n
CITY OF TIGARD 639.4171
DATE
BUILDING PERMIT �
TAX MAP ._.._--_�—/ IDT NO. �._SUBGIVISION�t_Ao�
I + �� / -- JOBADDRESS J(e_ 2_ G1L � 4[�tL
OWNER_-.._-- _'_isf—,(—' � —�' �-- _EXP.DATE
BUILDER -' _. eLb.�CY'�h1R�/ � STATE REG.NO. �—
BUILDER'S P,iONE ''/ � �'
ARCHITECT ._ _-- --- -
PHONE_____---OTHER
STRUCTURE NEW O REMODEL ❑ ADDITION U REPAIR _ LJ MOVE LJ OTHER LJ DEMOLITION
, t ":ATION (jIND O RELIGIOUS ❑ACCESSORY LJ GARAGE IJ OTHER Ll FENCE
ARESIDENCE 0 Comm
OCCUPANCY LAND USE. IS_L-BLDG.TYPE FIRE ZONE_ -PLAN CHECK BY 5.. lNEAT
st wEFl PENMIT A
RE' AREA " NO.BEDROOMS %'st UE _
OCC.LOAD FLOOR LOAD ,C�-(� NO.STO
HEIGHT ��— ----
r�BUILDING DEPARTMENT SET BACKS FRONT .Z �� REAR I.FFT SIDE RIGH', SIDE
F'ermlt _ U� THIS PERMIT IS ISSUED SUBJF,;T TO THE REGULATIONS CONTAINED IN THE !BUILDING CODE,ZONING
REGULATIONS AND ALL APPIXABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
F'Ian Ct% k U Ci WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANn SPECIFICATIONS AND IN COMPLIANCE
— - WiT4 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.Ck F'�d RIESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
(AX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stzte Tax^ I L yr
.T --- _._
Total AFPLK:ANTORAGENT
Prepd. -- / PDCM
L' Receipt No. ADDRESS
Bal.Due
Issued By —.—/Approved By
i U C -
$
�.'
oc
Oc _
E"WER CONNECTION 5
I'WER INSPECTION $
.EWER SURCHARGE 5 1
ommente:
i
f
`,CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P/C DEPOSIT PAID:�C)
This is to certify that the attached se.s of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, `S,Z edition.
O
PROPERTY OWNER: OWNER'S ADDRESS: --
CONTRACTOR: r��� TELEPHONE:
jOB ADDRESS: �`�✓`�oy'L(J //( LOT NO. & MAP: C! cJ E'lJZ
DESCRIPTION OF WORK: 7�'�(t(,J� � litJ�� • cf �
Approvals Required SPECIAL NOTES
OPlanning Dept. �Reissue (/
OEngineering Dept. O Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
O Other O Other
Items Required
OList of subcontractors
OBusiness Tax
0 Calculations
OTruss Details
OParking Plan
i
O Landscape Plan
O Other
COMMENTS:
City of Tigard uildiOng Department
BY: