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INSPECTION NOTICE
City of Tigard Bu:lding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
12
Type of Inspection (:,Z� -0-
I Date Requested-
Time--A.M._P.M.
Address UW /2~--) Permit
Owner
Lot
Builder
I The following Building Code deficiencies are required 1 he corrected:
7
Presented to Appioved
Inspector 7z��1 - E] Disapproved
Date
CALL FOR REINSPECTION
❑ YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 87223 Wf
Phone: 639-4171
Type of Inspection
Date Requested 1/9 S _ Time_'�_A.M. P.M.
Address _- �-� j ��L/rl n� Permit # 3�
Owner �. _—_ �— Lot #
Builder
The following Building Code deficiencies are required to be corrected:
_ -.._-��'''....�✓ GAG Sys/ ��t .<.,-�s;�+-
� _.-rte -✓_ .t__s. ...0_���....1�./� — —
_�-z-_rpt::l►�f�:.�-' i�r all.. :'.r F'�
Presented to ( � Approved
Inspector �_. _ __ Disapproved
Date _/ut
CALL FOR REIA1.3PFCTION
YES CI NO
BUILDING PERMIT APPLICATION TIGARD DAIE � �_,te?s� 56 A.
THE UNDERSIGNED HERESY APPLIES FOR A. PERMIT I-(In THE VVORK HEREIN INDICATED RDILDER PHONE
OR A5 SHO\NN AND APPROVED IN THE ACCOMPANYING PI AN', (AND!7,PECIFICAI IONS ONrNEH PHONE —
853e LOT NO. _ -_AL
OWNER iftN>x►ttktu JOB ADDRESS ME& ak1 Avian _ _--------- ---__ _._---_r,�sgauwn Downs
Box 3BFI ARCHITECT �
Barron Construction ADDRESS "Llsonville, Uk 9797U ENGINEER
BUILDERESIGNER
_ _ ---_
STRUCTURE LSF NEW ❑ REMOuEL Ll ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
I*RESIDENCE ❑ COMM EDUCATIONAL ❑ GOV'T .] RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 11 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE R'"I BLDG.TYPE 5N _ _FIRE ZONE----.PLAN CHECK BY HEAT `+
__--- -- Cunstruct sin6le family dwelling w/attached garage `—
3 bed. 2 Bt t h
SEWER PERMIT N 28514
OCC.LOAD FLOOR LOAD 4U HEIGHT 12 NO.STORIES _I AREA 1006 _ NO.BEDROOMS 3 VALUE 44,000)
BUIL.,tNG DEPARTMENT _ SET BACKS FRONT 20 _ REAR T 31 LEFT SIDE _ RIGHT SIDE L•
Permit_ 2569U13 THIS PERMIT IS ISSUED SUBJECT 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 106.40 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND ;N COMPLIANCE
422.40 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1U,24 LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
432.64 SDG— .u.
Total --- — pDCM 11 6 I`U•W APPLIp1NTi_�..�- __--
By
Approved — — BCI+-- Recelpt No. �.,J y ADDRESS ^—— --- PHONE
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DATE INSP.' TYPE INSPE�'710N
- REMARKS N FLUML•tNO r� r
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