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- 1?.t6G SW ANN PLACE � ���
INSPECTION NOTICE
City of Tigard Building Departi-rient
12420,3.W. Main St
Tigard,Oregon 97223
F1 one: 639.4171
Type of inspection
Date RequestedTime
IT A.M. IM.
Address Permit
Owner Lot -0
Builder
7 h following Building Code deficiencies are required to be corrected;
Presented to Approved
Iriuector D Disapproved
gV
Dat;f
CALL FOR REINSPECTION
❑ YES /- NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Addrnss - ----- _ - —.-- _ .A. ---.- --- Permit
Type of Inspection - - -------L- ----
The following Building Code deficiencies are required to be corrected:
....._.,------.._--- J �'�sd �.✓�.r� �ri:wiYlG:�ri'b..-.,. _-^.. s' _^:..'L.r_...w/.'-1-if"'�rt_L.�J �iwSit+ .—.
a .-, t
r
Presented to - ------- ----- - ---- ------ Inspector
Date -- -- -
l.A L L FOR RENWECTI()N
❑ YFS ❑ NO
EL
INSPECTIUN NOTICE
City of Tigard Building Ur;partrnent
12420 S.W. Main St.
Tigard, Oregon 912;3
Phone 639.4171
Address_-__-. --
Permit
Type of Inspection
The following Building Code deficiencies are required to he corrected:
Presented to
Inspector
Date
GILL FOR REIWEf;7 011
❑ YES 0 C4
INSPECTION NOTICE
City of Tigaid Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Addres. J"
Type of inspection
The fallowing Building Code deficiencies are required to be corrected:
Presented to Inspector
Date
C4LL FOR RE-MPEC70N
1,l
YES ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE � ,�y 31.79 j
THE UNDERSIGNED HER L 6Y APPL:'S FOR A PERMIT FUR THE WORK HEREIN INDICATEDCA BUILDER PHONE
onAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. RQS.OWNER PHONE
LOT N0,
OWNERJOBADDRESS l2luU ;ala f6l(1 +j.�r.:Gb
— ARCHITECT L to l V.i 1 I
ENGINEER
BUILDER aamra ADDRESS 9924 SW Conestuga_ DESIGNER '5075 zllt 1.1)
STRUCTURE-- n NFW ❑ REMODEL LJ (DDITION ❑ REPAIR ❑ RENEWAL 11 FIRE DAMAGE EJ DEMOLITION
El RESIDENCE ❑ COMM ❑ EDUCATIONAL Ll OOV'T ❑ RFLIGIOUS ❑ PATIO ❑ CARPORT FJ GARAGE CJ STORAGE ❑ SLAB❑ FENCE
OCCOPANCY i,-3 LAND USE ZONE p'_ 6_OG.TYPF�. `aN -FIRE ZO:4E --PLAN CHECK By it C'I f f-I HEAT_,9
`,unstruct single family tjdyl.linu w/attacturd Qnru1a.
-- F I0HPECTinrd r',rrr��.AzTIiUII:o.
SEWER PERMIT# �: ray.❑❑
OCC.LOAD FLOOR LOAD 41) HEIGHT _NO.STORIES AREA 34,, NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
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 AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THOS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
.�.---•--------- SDG—
Total _
PDC# APPLICANT OR AGENT
By _
Approved
•H Receipt No. ADD
Receipt
-- – PHONE 1 -- -
_ _-----.._.__—
DATEINSP TYPE INSPECTION
REMARKS PLUMBING
DATE
Contractor ( „er
! isle Permit No. 2/100
Rough-in
•"'t� ,�,,� Fixture
_061 ✓f�/� AOI�_N1 tYAr�! rvfr Final —'———
-A 4 A NT i'rT_ HEATING
0 Contractor
_ _jki�,E• Permit No.. Psi
�/P
_ Gas or Oil y �ko Rt
Rough-in '
R�� • 0 Final -
lw j If.y SEWER —
Final
- -
DRIVEWAY
Final
— Storm Drainage
(Rain Drain)Final
Sidewalk —
_ Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORAQY CERTIFICATE O CUPA
CERTIFICATE OCCUPANCY A� .•_p/ Final --�
at O Landscaping
_I Zoning Final
_
d
city )f -r i ford
for ,
i�JSPECTM% rME' 3� PERMIT NO.' _
DATE: DATE
nWNF..RS U&Lc-t
ADDRESS' - IX VP- %V
Co ONTRA CTO R :__ e► -144-36-1 h.AJ41I
.Air C, Water t; , Y�IS4ri ^ , Laboratory C
RCSULT: App o sd M 0+sopproved C , !'ending C
SKETCH-
IN PECTOR DATE
Coif . Attach supplemental test data hetet]