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INSPECTION 'NOTICE
City of Tigard Buil ling Depai tmoot
P.O. Box 23.7,97
Tigard, Oregon 97223
Phone:639-4175 dj-
/
Type of Impaction ✓ ......
Time--- A.M.—2t�P.M.
Date Requested--
Address5-92 7
Permit
OwnerLot
Builder
The following Building Code deficiencies are required to be corrected:
Uwe
presented to '1.4 �Approved
Irlopector I' Disapproved
Dot@ 5j� ;
CALL FOR REINSPECTION
1-1 yes 0 NO
I L
P,
i'OR 1 ; l ;:, ;T)-4115 5727
CITY OF TIGA RD 639.4171 DATE Uaretubec�_ it
_
BUILDING PERMIT
TAX MAP _ __LOT N0. _ _. SUBDIVISION d�li►Htt—
�( J01ItIS
OWNER__weVe ttOYaCher JOB ADDRESS
n, ,�1 STATE REG.N0. EXP DATE Li-+ali
BUILDER _ $ r' 0 3_ s _1 v _
I BUILDER'S -HONE - 648-940U ,,o
- --- -
ARCHITECT Partin & !l111 PHONE ' '�1'j l' OTHER
STRUCTURE NEW Il REMODEL ADDITION REPAIR MOVE OTHER n DEMOLino'-'
C4 RESIDENCE COMM EDUCATION INC RELIGIOUS ACCESSORY I_ i GARACF OTHER U FENCE
OCCUPANCY 1` LAND USE ZONE L_BLDG TYPE y"d FIRE ZONE _PLA!,'CHECK BY'" HEAT
_. _____finna ILL s.'n�la [aiuily LLptiLAchau garage
SEWER PERMIT" 28Si72 gatage 440 3 bat118
OCC.LOAD FLOOR LOAD4 _ HEIGHT 21 —NO.STORIES AREA 2170 NO.BEDROOMS 4 VALUE
BUILDING DEPAHTM - SETBACKS FRONT 20 REAR 3:3 LEFT SIDE r�^ RIGHT SIDES z
Permit 352.(lll 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 .> U 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
Pi.Ck.Fire "�'" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS rO HAVE CURRENT CII BUSINFSS
14.08 T/AX.fERMITS.S (�R/T,E PERMIT S REQUIRED FOR SEWER,PLUMBING AND HEATING.
Sate Tax `
-- ---_ —_—_�SDC - SUU.UQ x i
:r
Total S94*110 i t 15U.00 A�PLI^•ANT OR AGENT _..___ _
PDC"
Prepd. 100.w _
' Fi�ceipt N0. Y �" Ab�RESB PHONE
I Bal.Due 494.88 6W
_— Issued By _------Approved By_—___—_--
5
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9
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�yL Contractor7- -
-� c ra. Permit No,
_ {i Rough-in
C •'fel c t-��t� "� Fixture
tt Finat I—
HEATING
t Contractor 44,
1111 . Ld�i .�L: ...�- Permit No. 2-.
A Gae or oil
Rough-In
boom-
! Final
SEWER
DRIVEWAY
Final _
Stone Drainage —
(Raln Drain)Final
Sidewalk Cu-b&Skeet Final
Approach
SLOG.DEPT.FINAL wTEMPORARY CERTIFICATE OCCUPANCY Final
CEPTFICATE OCCUPANCY -- -_
II Landscaping
Zoning Final ----
I
IL