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INSPECTION NOTICE
C,ty of Tigard Building Depaionent
p.0 Box 23397
Tigard.Oregon 97223
Phone.639-4175
Type of Inspection
.5 Time P.M.
Data Requested ------
Address
Lot
Owner
#
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _—___.
- LJ bhapproved
Date
CALL FOR REINSPECTION
❑ YES -r—.fiNo
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972
�j Phone: 639-4171
Type of Inspection — ——
Date Requesxod Time A.M• L' P.M.
' I ( Permit � "
Address t►: —
Owner _ Lot #
Builder —� --
The following Builo' g Code deficiencies are required to be corrected:
de
if
eX
Pretai.ced to �-
_ ❑ Approvad
Inspector L] Disapproved
Date
CALL FOR REINSPECTION
L-1 Yr.8 ❑ NO
Act INSPECTION NOTICE
A� City of Tigard Building Department
12420 S.W.Main St.
Tigarc',Oregon P7223
nn Phone: 638-4171
Type of Inspection
Date Requested _ _—___- -L:=1CS! Time . A.M.__P.M.
Address __ _��� —�L4 _L22��0� Permit #_may►,_
Owner--,____—_-- -- -------__ /�_ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
tA
Presented to __ F1 Approved
Inspector _- _ Disapproved
Date
fl _
CALL FOR REINSPECTION
❑ YES ❑ NO E
INSPECTION NOTICE '
f 1 City of Tigard Building Department
K 12120 S.W.Main St.
''igard,Oregon 91223
r Phone: 639-4171 1
r -
�
Type of Inspection
Da.a Requested Time A.M. P.M.
Address� ��� �Permit
Owner - __. Lot
I
Builder —
fThe following Building Code deficiencies are required to be corrected: !
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Presented to Appraved
j Inspector X Disapproved
Dat/ r ,
----- -- — i
f CALL FOR REINSPECTION
, ] YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection -----
Date Reel""ted. Time A.M. P.M. ,
Address �_____�.�-� " Permit #.
Owner
Lot # j
___.�-._ �
Builder ----
The following Building Code deficiencies are required to be corrected:
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Presented to _ ❑ Approved
Inspector _ r ❑ Disapproved
Date __ ter- ---
CALI, FOR REINSPECTION
YES 0 NO i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Fhone: 639-4171
Type of Inspection
Date Requested Time --A.M. Z P.M.
it
Address
�e:Im i�tl
*
Owner 'Let-
Builder
The following Building Code deficiencies are required to be corrected:
- I
-xz
z-14
Presented to Approved
Inspector Disapprnved
Date
CALL FOR REINSPECTION
❑ YES ONO
I
BUILDING PERMIT APPLICATION TI(iARD DATE - —
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BBUILDR PHONEPHONE .�-----
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFC,IFICATIONS LOT OWNER
--
�'ia iraa Litr.er JOB ADDRESS rW�en�c,ut►—i.o�y __ --
OWNER ___ "1U_ ARCHITECT
1' (J. box d15, Lake 0--4090 ENGINEER
�eayaCuzre (:unlit. _ ADDRESS_ DESIGNER
BVI LDER —
STRUCTURE ® NEW ❑ REMODEL _ ❑ ADDITION E REPAIR ❑ RENEWAL [I FIRE DAMAGE [I DEMOLITION
r_1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE K25 BLDG.TYPE ` ' FIRE ZONE PLAN CHECK BY iic:k HEAT �—_—
_ k.'Ons,l_ruct sin&le family dwellai;yt w/attached cel rs
t t to $.36U.00 iV'rart/I,iea ewOUd 6 $1.50.011 1Siroll HCa. _—_ --
— — f.aru;,e urea 440
EWERRMITM .- '�"""�y
1 AREA 1.3N4 NO.BEDROOMS ' VALUE
OCC.LOAD FLOOR LOAD 4(,'---_---HEIGHT 13 NO.STORIES --
11 REAR LEFT SIDES RIGHT SIDE
_ BUILDING DEPARTMENT SETBACKS FRONT _
Permit 29bout) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING
REGULATIONS AND ALL APPLICABLE CODES AND URDINANCES, AND Il IS HEREBY AGREED THAT THE
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Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
4�1,lU 1 RESTRICTIVE COVENANTS.
Sub total _
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PAND SUB LUMBING CURRENT CIT,' BUSINESS
UMBING AND HEATING.
State Tax 11.n .
SDC—
11�3 5w'Oki
)A �
Total � pDC$ i 150.0k) A PLICANT OR ADEN'T
By
-_--rj Receipt N0. PHONE
Approved 1 y o,00R€ss
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/7 ��� —Q •�0 Al C/�+�, .r Con tractor
✓_ ` �,� � Permit No, y 3&` (o:
Rough.'
Fixture
Final
HEATING
Contractor
Permit No.
Gat or Oil
Rnugh•in
— _ -- -- _-—_ Final
—� SEWER
Final
DRIVEWAY A
--- -_-- Final
_— Storm Drainage
(Rain Drain)Final
Sidewalk
Curb A Streat Final
----- -- -- --•- �Approach
i8I.M. DEPT. FINAt• TEMPORARY CERTIFICA'.E CCtJPANCY Approach
r-F RTI('ICATE pCCUPANr.Y��} P_/
({ � IoV �'.snckcapjnp
rYU I'Zoning Final
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BUILDING PERMIT APPLICATION 1 IGARD DATE __�� is
THE UNDERSIG' .D HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -
OR,AS SHOW' ID APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
�! yp E e 77A r S 917.-)�, LOf N0
- -
CWNER l.lariS50. L. Ll�r JOBADDR SS � �(' $f,C� '5wmain 4�� __ - —
ARCHITECT
n ENGINEER
BUILDER ADDRESS <O J70.,PgTESIGNER
STRUCTURE NEW_ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE D1kMAGE ❑ DEMOLITION
,RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS LD PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY YS- LAND USE ZONE -%z 5 BLDG.TYPE FIRE ZONE-PLAN CHECK BY _ HEATW
F�tLu1117
gnCy
SEWLR PERMIT#
OCC.LOAD 'FLOOR LOAD -I T1 HEIGHT NO.STORIES AREA/.A ey_^NO.BEDROOMS ��_ VALUE 6.300 o
BUILDING DEPARTMENT _SET BACKS FRONT �. r;- REAR -'
— � / LEFT SIDE �� RIGHT SIDE
PerjTax
`� cy� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pla �u REGULATIONS A14D ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
)WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su / l �� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
// r� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Sta01
SDC—
Total L.� � � .0
PDC# APPLICANT OR AGENT
By
Receipt No.
Approved ..bQV-2- ADDRESS PHONE
S t o
SOC - $ -5
PDG - f r# i _s ire
SEWER CONNECTION S
SEWER INSPECTION S 3 S
SEWER. SURCHARGE
Comments : G� OD
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INSPECTION NOTICE
City of Tiga-d Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested — _ Time A.M.___P.M.
Address ��`) _�fCc�`{eof Permit #.___.
Owner Lot #
Builder
The following Building C efficiencies areej)�quired to be corr d:
Presented to ❑ Approved
Inspector ❑ Disapproved
Late
CALL FOR REINSPECTION
DYES ONO