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INSPECTION NOTICE
City of Tigard Building C`epartment
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address. ,._, a L. —.,a, _ Permit
Type of Inspection _-- -- ----�.---s:+. .•,,_., ,6 � .�C -- ----
The following Building Code defir:,incies are required to be corrected: .___
Presented to ___—_.____ inspector -
Date
CAI _ FOR REIA45PEC77ON
f_ + "Es ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address-- - —--.- ,� r 1 a�f...r Permit #
Type of Inspection
The following Building Code deficiencies are required to be correctedt
t
Presentad to Inspector
Date
CALL FOR REIWEC710N
n YFS n No
BUILDING PERM IT APPLIGAI I ON TIGARD DATE. � �s �}p 3150
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ —
LOTNO.40-Ye O1�__
OWNER Tum Miller JOBADDRESS 1 .11'?.. Ann Place _ _ _ Windmill
ARCHITECT
ENGINEER
BUILDER ;ti(ilf3 _ _ ADDRESS14800 ,Citi 92nd Avenue--DESIGNER
STRUCTURE ® NEW ❑ REMODEL_ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
URESIDENCE ❑ COMM ❑ EDUCATIONAL El GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY1_ LANDUSEZONE '?-7 BLDG.TYPE :-' FIREZONE P — UL_H Elsc.
LAN CHECK BY__ HEAT
Lonstrurt einulla family dijulling W/s ' .. iod garage. 3 8radrooms — 2 i sths.
SEE CORREf SHti F' !'TT;7LA
SEWER PERMIT#`,1,1 t3(i=X70,;,U U
OCC.LOAD FLOOR LOAD 40 HEIGHT I'_') N0.STORIES 1 AREA _L i 06 N0.BEDROOMS i VALUE_ J";jg F 4;r 1 .
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 'S 'LEFT SIDE IS RIGHT SIDE
Permit �►1`;: .(J0 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 97. : 0 WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A.ti0 IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 792.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax G 7.80 iI, 1� L'. ;. ,UFdCHA4 i,k Ji :A.00
Total
PDC# 100.l= PPLICANT OR AGENT
By p1
Approved DWH Receipt No. ADDRESS-- - - _-— PHONE -- --�-
DATE INtIP. TYPE INSPECTION REMARKS ►LUM�IFlG DATE
'/-a I-�� Oct, �w4 '� Cor:ractnr u-icy A w&: —
,r i-j•� yr• /Or'� CdA polo"saVr�S_ Int �M Permit No. J .i � z'-2_
ors 'D it Rough-in _
s 'i�•� �C Ate►�L_1� ��__ Final
Y i/-t• /fstr AL __ t HEATING
Contractor
Permit No. a'4 8b
Gag or Oil
G44„ d 4t ---- --- —
ell Rough-in
Final
SEWER
V Final- -
� — --- -- — DRlvewwr
__-- —. Final s' /y 5.0 4t t
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb 6 Street Final
A,pprosch _
- SLOG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUR' CY Final
OCCUPANCY
Landscaping
Zoning Final