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12140 SW ANN PLACE
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Orcgon 91223
Phone: 6394171
Type of Inspection
Date Requested._.-__-,Z 0
Address ZeR ed dZZ- Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to Approved
Inspector El Disapproved
Dots
CALL FOR REINSPECTION
El YES V NO
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INSPECTION NOTICE
City of Tig;,rd Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 630-4171
Type of Inspection _�_ �_-4C
Date Requested-_is-_1U 1'J Time A.M. —P.M.
Address i '~
��—�/�� � Permit #
Owner _ — Lot
Builder
The following Buildinq Code deficiencies are required to be corrected:
_:��SZ�t��-•<_-ms's-/Y...--
Presented to Approved
Inspector l!Jl_
-- �- I Disapproved
Date _ 2 — /�'0Z
CALL FOR REINSPECTION
❑ YES QVNO
��.
BUILDING PERMITAPPLIGATION TIGARD DATE Ms -�� 19 �I_ 3831)
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. OWNED.PHONE
LOT NO.._'-
OWNER JOBADDRES_S ` ."140 Si-- Firm elptc!E
— ARCHITECT
BUILDER -:�' - ADDRESS 1242b SV; 1:24t;; DESIGNER 1;c1wanla lrC
STRUCTURE L1 NEW ❑ REMODEL ❑ ADDITION ,_❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
E7 RE31DENCE 11 COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �LAND USE ZONE Vit"1hLDG.TYPE FIRE ZONE — PLAN CHECK SY wh HEAT_.�`L.3
Construct �?itict113 faanlily dwellinq w/�actuched garage, 4 !-,edroo-r -- -=.
JET; CORR '11W SHEET A'i"1'ACITID. ---
SEWERPERMITN 3F'.PP- - c7n age 639 s
at 1t , -
� . . --
OCC.LOAD FLOOR LOAD HEIGHT ! _!10 STORIES -� AREA NO_ .BEDROOMS VALUI 6
BUILDING DEPARTMENT -_ _SET BACKS FRONT _ REAR LEFT S1 DE RIGHT SIDE I _
Permit �,� 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 Ar-REED THAT THE
Plan Checks WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES 1HE ISSUANCE OF THIS PERMIT DOES 140T WAIVE
Subtotal RrSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
��
- --- SDC - $40400n
Total i
— -- —
By PDCM 1 • APPLICANT Oji AGENT'_—
Receipt No.
Approved __�__ ADDRES PHONE
DATE INSP. TYPE INSPECTION _ REMARKS i PLUMBING DATk
------- — ------------ Contractor
✓ �� -._ - — Permit No.
Rougn.t:, _
/. Fixture _—
+ r Final
HEATING
^ Contractor
Permit No. a 77 ap 4
Gas or Oil
Final —
SEWER
-- — — Final /l Q•it0.
-- --
DRIVEWAY
finai
Stour,Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
-- ------ -------- Approach
BLDG. [SEPT. FINAL TEMPORARY CERTIFICATE OCCUP Final
CERTIFICATE OCCUPANCY
Landscaping
[Zoning Final
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