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INSPECTION ."JOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigard,Oregon 97223
Phohe: 639-4171
Type of Inspection -44
.1 V
Date Requested M.
Address Permit
Owner Lot
Builder
The following building Code deficiencies are -squired to be rorrected:
A
Presented to /Approved
Inspector U Disapproved
Date
CALI. FOR REINSYECTION
El YES ZI NO
gUIL.DII lffPEnMIT APPLICATION TIGARD DATE``'�'t� '': er �! ,ts__ 460 3
THE.UNDERSIGNED HEREBY APPLIES FOR A PERMI I FOR TH'=1 'ORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAP,S AND SPECIFICATIONS. OVV•JFFI PHONE
LOT NO.
OWNER Century !: Home gJOB ADDRESS r'1 Sw i.c> wou ct. —
ARCHITECT
ENGINEER
BUILDER Sanme ADDRESS 71; 12 SW Stat. Bill. flyy. DESIGNER
STRUCTURE V�1104EW ❑ -RE'MODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
d.RESIDENCE C-1COMM ❑ EDUCATON 4L ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY ---!i--3 LAND USE ZONE , ID BLDG.TYPE _tea FIRE tJNE. _PLAN CHECK BY �`71' HEAT GM_____
_ 1 truct Single Fawi.ly _!iwelli.u';_ w/attacned
--4e-larue of 1'errjit ^4r"2 i 3*dr00-:: 2 batki
SEWER PERMIT# 26434
OCC.LOAD FLOOR LOAD 4o- HEIGHT 7i-4 NO.STORIES s_ AREA 121 ; _NO,BEDROOM , VALUE
,BUILDING DEPARTMENT SETBACKS FRONT r REAR LEFT SIDE RIGHT SIDE _
Permit— THIS PERMIT IS ISSUED S'1BJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANLES, AND 11 IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal I • _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREN7 CITY BUSINESS
LICENSE.SEPARATE PERMIIS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
SDC— S401i.t+(, i
--- �'
By PDC# IO(l.OG APPLICANT OR AGENT -- -
_ +�;tl _
Receipt No. _
Approved _ h_W ADDRESS PHONE
DATE if INSPECTION RSMARKS PLUMBING
DATE
r _— — Contractor
_Tde Pel mit No. 'S� AN
.3
Rough-in
f
xture
nal
=� HEATING
rte_ Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final -
DRIVEWAY
-- Final
Storm Drainage
(Rein Drain)Final
_ Sidewolk
Curb&Street Final
Approach
b:DG. DEr T. FINAL TEMPORARY CE'+TIFICATE OCCUPANCY I�
CERTIFICATE OCCUPANCY -Final
— — ndtcapi
ng
Zoning
2oninp Finalal
i
I
BUILDING PERMIT APPLICATION TIGAPD DATE_.f� 19f3
THE UNDERSIGNED HEREBY APPLIES FOR A PER?AIT FOR THE WORK HEREIN INDICATED BUILDER PHONE2-!1-7—LYf_
OR SHOWN AND AP ROVED IN THE ACCOIIPANYING PLANS AND SPECIFICATIONS. OWNER,PHON-
q / �O / LOT NO.-_�C O
OWNER ./ JOB ADDRESS `aG Sw h�t�i+a el'—,-:_ Imo4
_ � ARCHITECT�
i1 It r/ '�'� ENGINEER
BUILDER ADDRESS U I Z S G. ,1 /fAKAa.Ii ESIGNER
sTRU RE (1)'NEW ❑ REMODEL U ADDITION ❑ REPAIR U RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIUNAL ❑ C=.JV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
Ou,iJPANCY _{j��LAND USE LONE -P-k-ft-BLOT.TYPE -,5!-1!F�L;L ZONE PLAN CHECK BY
i
;EWER PERMIT K
OCC.LOAD dv' FLOOR LOAD V HEIGHT }D+- NO.STORIES AREA /12 yrNO.BEDROOMS Z VP.L'Jp zel _v
BUILDING DEPARTMENT SET BACKS FRONT REAR L,�-_ LEFT SIDE RIGHT SIDE
to
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONIN:;
REGULATIONS AND ALL APPLICABLE.CODES AND ORDINANCES, AND IT IS HEREBY AGREED TVAT THE
Plan Check _ �G WORK WILL BE: DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL1ANC!
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
Sub-total _ G RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
IJCENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
State Tax r
SOC—
Total _ A _ --- -- ----------
PDC# APPLICANT OR AGENT
By
—� Receipt No.
Approved ADDRESS -- --� PHONE
D C - o
PCC -fir
SEWER CONNECTION S
SEWER INSPECTION
SEWER SURCHARGE 5