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INSPECTION NOTICE
City of Tigard Building Depdrtment
12 320 S.W.Main St.
Tige-d,Oregon 97223
Pho.,e: 639.4171
Tyne of Inspection `� `� �� �✓�� --
Date Requested__.A_.___—C_��^L Time A.M.__ P.M.
Address
Owner.— Lot # Z
Builder.
The following Building Code deficiencies arr igquired to be corrected:
I
Presented to []'Approved
Inspector Disapproved
Date _ _�r� y fL Alf
CALL FOR REINSPECTION
YES 0 NO
_ I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection —
Date Requested Z` 53 Time _ A.M. _P.M.
Address __ �� 5.% �� --•• Permit
Owner — Lot #
Boild+rThe folly.. .ng Building Code deficiencies are required to be corrected:
Presented to --,' Approved
Inspector
Date —
CAL?, FOR REINSPECTION
01 YES kd NO
#f ! wa p-
BUILDING PERMIT A LIGATION TIGARD 0Arf.�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR rrjEV`ORK HEREIN INDICATE,) BUILDER PHONE- 5- 7�V W
OR AS SHOWN AND AF"'ROVCD IN THE ACCOIf PANYIN G PLANS AND SPECIFICATIONS. �OWNIo PHONE
OWNER �.QiY�i! 1.J SNL JOB ADDRESS LOT ARCHITbCT1
ENGINEER T�
DESIGNER
BUILDER �.Q�1?•�./l ADDRESS __
STRUCTURE 1�NEW (_� REMODEL Cl ADDITION
REPAIR ❑ RENEWAL ❑ FIRE DAMAGt Cl DEMOLITION
lS RESIDEN';E ❑ COMM Cl EDUCATIONAL ❑ GOV'T Cl RELIGIOUS Cl PATIO ❑ CAR PORT 0 GARAGE G STORAGE Cl SLAP.0 FENCE
. BLDG.TYPE FIRE ZONE_-'�-PLAT.CHECK BY
.'KCY _l73.—LAND USE ZONE tlt)I,_ — - - "
--- L7
SEWER PERMIT N ----
OCG LOAD W-FLOOR LOAD Wo HEIGHT 7-C, NO.S-ORIES L AREA 117 NO.BEDROOMS VALUE (-V
BU;LDING DEPARTMENT SET BACKS FRONT Z+t>— REAR / S^ LEFT SICE 1 HIGNT SIDE S n
Pcrmil , — NG CODE, ZOWNC
THIS PERMIT IS ISSUED SU'JJECT TO THE REGULATIOIJS CONTAINED IN THE 6U1LLti�
REGULATIONS AND ALL PPPLICABLE CODES AND ORDINANCES, AND IT IS HERci3Y AGREED THAT THE
IPlanCheek -1 WORK WILL BE "ONE 'A ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAUC`_
F WITH ALL APF'IIG:.rll CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT 00ES NOT WAIV:
Sub-total � RESTRICTIVE COVENANTS.CONTRACTOR ANC SU9 CONTAACTOAS TO HAV'_CURRENT CITY EIUSINrSC
I— LICENSE SEPARATE PEROITS REQUIRED FOR SEWER,PI.Ut.181TJG AND. ING.
j Stith Tax
Total ' PDC7t APPUCANT OR AGENT
BY
Receipt No. ADDRESS rrli�rr_
Appr( .ed
SDC - °� o p 1 �.� -7 1,o
PDC - —�—. U— — ' / •yV / b
SEWER CONNECTION
SEW[-.R INSPECTION SG
� _ _ V.. _
SEWER SURCHARGE S ��._ L
i
Ca;tnrarbury C .JoL) 292 463 .
BUILDING PERMIT APPLICATION TICARD DATE._- October I - .19—_ 1--
THE U'NDERSIGsNED HEREBY APPLIES FOR A PERMIT FUN THE WORK HEREIN INDICATED BUILDER PHONE �1 �
OR AS SHOWN ANU APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 3 _—__--
OWNERCentury 2 I_inc. JOB ADDRESS 9765 SMI London (;t.
Port. y72.ARCHITECT
'ENGINEER
BUILDER Same AODRES; 7412 SW Bvtu. 'bills. DESIGNER
STRUCTURE LnEW ❑ REMODEL L7 ADDITION �—❑ REPAIR _- _❑ RENEWAL. _ ❑ FIRE DAMAGE _ ❑ DEMOLITION
q:,RESIDENCE C.1 COMM EJ EDUCATIONAL ❑ GOVT 17 RELIGIOUS Ll PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ _�—LAND USE ZONE --ED-112 BLDG.TYPE FIRE ZONE_-_____PLAN CHECK BY _ )'•t'd HEAT_ A ____.
-- Constrr_c Sinxle Yarni_jy_k)welling w/attached Came.
Etc+ Issuer of Permit #45b2 2 Bathrooms 2 Bedrooms
SEWER PERMIT# 2t+4-40 Gairage 220
OCC.LOAD FLOOR LOAD 4- HEIGHT 7.+, NO.STORIES ' _ AREA 1 178 NO.BEDROOMS : VALUE l•7�Ut)+.,
BUILDING DEPARTMENT SET RACKS FRONT I REAR 1 LEFT SIDE RIGHT SIDE �._.
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODF, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1 HAT THE
Plan Check 40.91.) 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 309.5V RESTRICTIVE COVENANTS. C014TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY B)SINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I Cl.1 a SDC—
$4 UO.00
-
Total J20.2H _
By Ch
PDCN 1 U1).l)Ll APPLICANT OR ADEN I
--
Approved LTW Receipt No. ADDRESS PHONE
ti
i
DATE INSP. _TYPE INSPECTION REMARKS PLUMBING DATE
/},—(� — Contractor'
Permit No, 44W
Rough-in
(Z Fixture v—--�
Final
HEATING
Contractor
Permit No. 1
_ 3
Gas or L'I
u
Rough-in
Final
SEWER
_ Final —
DRIVEWAY —
_�— Final —
Storm Drslnaga
(Rain Drain)Final
Sidewalk `
Curb&Street Final
Approach
—BLDG.DEPT.PINLL�I TEMPORARY CERTIFICATC OCCUPANCY
ICETITIFICATE OCCUPANt Final
1-entlscaping
___ ,2n,,ina Finxl ^