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INSPECTION NOTICE City of Tigi rd Building Department 12410,.W.Main St. Tigard,Oregon 97223 I Phone: 639-4171 Type of Inspection Date Requested /_------ "?`.J 3 _ TimeA.M.— _P.M. Address �',_Le! `� .�4� %. s�s�s - Permit # Owner — Lot # f Builder Tho following Budding Code ieficiencies are required to be corrected: Presented to .___ _ _ _ r] Approved Inspector _— e��s_Z_ Disapproved Date --- -- - ��-- CALL FOR REINSPECTION J YES C] NO BUILDING PI7-'=MIT APPLICATION TIGARD DATE')Ct• 19 �'• 4215 'THE UNDEPSIGl -1, EREDY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1 OR AS SHOWN Ai.r.APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHQt E LOT N0._ OWNER t'i:i.;t' ZTiV03t. JUBADDRESS 415 Iia lZlrlc 1l (.fit. La -ia.ilctia • = 255-1 ARCHITECT - - n0- Portland, orogon 972 tvGINEER Sttid to 5 BUILDER — ADDRESS _— SIGNER_ — STRUCTURE ,1 1 NEW ❑ REMODEL ` ❑ ADDITION U REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION fl- RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO r`1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY ln_ -LAND USE ZONE _ 1 "Vii_BLDG.TYPE _ -_FIRE ZONE--PLAN CHECK B;' _ ,aid?t HEAT 123 9 ,.'unstruct Sinell- PrF?;il.y 01401.1inq w/attncllej Oaracro -- :1.0 -issuo Of 1.�r .tit. 0 4214 (3 20 S.W. t,nX-mchtl rt. ; } 3elroomg 2 l3aths — SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHT 13 N0.STORIES AREA 3 1 ` NO.BEDROOMS z VALUE BUILDING DEPARTMENT SI=T BACKS FRONT 1 " REARLEFT SIDE RIGHT SIDE Permit I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 10 I 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 •;i G WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal �_- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS a State Tax • LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. I Total t•r SDC- 40n.^"1 _ A, PDC# C T $10r). APPLICANT OR AGENT --- --- - _ - er --- ---- --- G Receipt No. d` ++ 2 `` Approved :. I NDDRE$5 -_ -- - -----. _ PHONE-_ -- mmmummAm w w are w w w w lilll DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Cuntractor Permit No. Hough-in �< 4,51 Fixtura [Fin nl ---- HEATIN17 — Contractor Permit No. Ga,or Oil Rough•in i — ------- --------- -_--..—__ -- SEINER -- ____ Final - _-- -- DRIVEWAY — -- ----- .__ ..---- Final — Storm Drainage �— ------- - - _-_--_ -`--_ - — (Rein Drain)Final --`_-_- -�A Sidewalk Curb&Street final Approach —BLLKi.DEPT.FINAI_ TEMPORARY CERTIFICATE OCCUPANCY Final CERT IFICArE OGC'JPAN.:Y -_ -- Landscaping Zoning Final Mau et eR xis +v e.r BUILDING PERMIT APPLICATION TIGAP0 DATE- THE UNDERSIGNED HEREBY ArJPLIES FOR A PERI'AIT FOR Tt;E WORK HEREIN INDICATED BUILDER PHONE 4' OR AS SHOWN AND APPROV J IN THF ACCOMP',NYING PLANS.;ND SPECIFICATIONS. OWNER PHONE G�fB.lt• �/ ��y I LOT NO. O'NNER , G 2P� . ky 0JJ©ADDRESS ,4 I s �w L.0.�w'H ��• -- A{, 4w, Z1� ?1 ARCHITECT �. 1' ENGINEER e BUILDER ✓�'�_� ADDRE DESIGNER -Tr ft mg STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIRi ❑ RENEWAL L3 FIRE CAMAGE ❑ DEMOLITION RESIDENCE E] COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE ()•r,6PAN;,; LAND USE ZONE � . -_BLDG.TYPE S•�_FIRE ZONE PLAN CHECK 8Y _HEAT�9c�_.._ i �' Ph wc.yl iha. — a+ Q SEWER PERMIT N _- __��— Q' #U,9 OCC.LOAD i:LOOR LOAD ' / -HEIGHT NO.STORIES J _AREA f/S,CNO.BEDROOMS `VALUi BUILDING DEPARTMENT SETtiACK5 FRONT /s' REAR �,'�_ LEFTSIUE ,fes RIGHT SIDE Prrmit _ •� •� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULATIONS ANJ ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE IPlanCheck _ �•� WORK WILL BE DONE IN ACCORDANCE. WI1H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 2 WITH ALL APPLI(ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ _ 3%�• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUt.1BING AND HEATING. ;Stata Tax Total ---� �• PDC# AP PLICANT OR AGENT By Receipt NO. ADDRESS PHONE pprovwJ O C Oc 0_0 EWER CONNECTION 5 Sze EWER INSPECTION 7 S- ��'1�• Et�-^�F-�►� � ' � �dL� SEWER SURCHARGE /360 _n rrt m.��}.a.� RP/C.IA•�_�O�i T __ _-�.___—,_ �--. __�._�--..__ 1''a(1 J //fc6EMfe T"toasr^ 'yrs 2 q2 147 Oaf l 4- tie 2 LI6 IQ- 8 X 7Q 17- 9 f- 7 t /r- (p x /-j3 -_L --- �o� S 30 x_