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ESPE.CTION NOTICE o�
City of Tigard Building Department I
12420 S.\N. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Typo of Inspection _ --
q� Time A.M. P.M. �
Date Requested I
Address I -G
Owner -- ---
Builder
The following Building Corte defick-rcies are required to be corrected: _- I
--- --------
Presented to gpprowd
- ---- ----�-�. � —'
❑%Iwpproved
Inspector
Date
CALL FOR REINSPECTION
❑�kE3 ❑ NO
` INSPECTION NOTICE
City of Tigard Building Departlnert
12420 S.W. Main St.
fj Tigard,Oregon 9722.3
4 Phone: 639-4171
Type of Inspection ---UIJCQ �r/�i�
Date Requested /V —T2 _ Time 1_ A,M .—P.M.
Address /,r� LJ A0k1 .J�GC-e- Per nit
Owner _ Lut #
Builder
Thq following Building Code deficiencies are required to be co-rested:
� 7
t
zr
G '
Presented to
J ❑ Approved
Inspector Cg� 50Disapproved
Date
CALL FOR REINSPECTION
C YES ❑ NO
.i
BUILDING PERMIT APPI...tC'ATIGN TIGARD DATE--__'
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
ORAS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. . __ ;C YS-'_?1d_.
OWNER i. F>0 I I()H ADDRESS }? IEt4 `ilio' 11113= i'lace
iilalatin, or. ();062 ARCHITECT
ENGINEER
'1
BUILDER ay ".11'00g) ( 1 100') ADDRESS S r'd Sevinni0 T!Za.il_DESIGNER -__—
STRUCTURE _ CI NEW ❑ REMODEL ❑ ADDITION _ ❑ REPAIR _CI RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
b RESIDENCE 1-1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE C_' STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USE ZONE __I`'"!BLDG.TYPE -------FIRE ZONE--_PLAN CHECK BYE _HEAT__
i:unr.trt>'ct ujigie faijily dwl.l in!ry -.7/attiche,1 �riac e
SEWER PERMIT# 2`1. 92 _ c:a+ pC—r►°'4
OCC.LOAD FLOOR LOAD + _ HEIGHT NO.STORIES AREA '. NO.BEDROOMS A VALUE t'.•
BUILDING DEPARTMENT SETBACKS FRONT I r HEAR LEFT SIDE �j'`~ RIGHT SIDE '
Permit '+1 '•dI THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODEC AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICi,TIONS AND IN COMPLIANCE
e �,e- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRM17 u0ES NOT WAIVE
Sub total RESTRICTWE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax I Y �J+�
--
Total � '�'.1 SDC
!- PDC# ( APPLICANT OR AQENT
By i. ,i
_--_- Receipt No. — -- -
Approved AODPE86 PHONE
DATE INSP. TYPE INSPECTION REMARKS I' PLUMB—ING_ DATE
Contractor
Permit No.
2_z,c•-1�3 Rough-in
---- Fixture__ — -----
Fine'
(fQVG _. HEATI4GL—*q
Con actor
t Permit No.2 l.Q J r �. Get a Oil
Rough-in
Final --
SEWER ---- ---
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb A Street Final
Approach
ULDQ. DEPT. r'NAL TEMPORARY CERTIFICATE OCCL'ANCY
C7RTIrICATE OCCUPANCY Final
Landscaping
Zoning Final
y-