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INSPEC" ION 4QUEST
for
INSPECTION TIME *— PERMIT NO. :
DATE: -f--11LZL DATE ISSUED:_1--Z
OWNERS NAME " R-
ADDRESS — � -- �- _
CONTRACTOR :----
TEST'. Air ❑ , Water [j , Visual Laboratory ❑
RESULT: Approved ❑ Disapproved , Pending [I
SKETCH:
Z-�
INSPECTOR DATE
NOTE : Attach supplementel test data hereto,
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigard, Oregon 07223
Phone 639-4171
AddresT -"
Permit #
Type of Iniptction
The following Building Cwx a deficioncies are required to be corrected: ) -
- mss+. �_ - -------
Presented to-. Inspector
Rata —
CAL L FOR REMPEG7/(N
❑ YES U NO
CITY OF TIGARD,OREGON
NOTIC►:OF MUNICIPAL CODE VIOLATION
THIS NOTICE IS BEING ISSUED TO BRING TO YOUR ATTENTION THAT A VIOLATION OF
TIGARD ORDINANCES HAS BEEN NOTED.
VIOLATION OF SECTIONS UNDER CHAPTER 14 OF THE TIGARD MUNICIPAL
CODE DEALING WITH )_nal 11 bj: dons
NATURE OF VIOLATION: 'iouse occupied W O final approval
PLEASE CORR$ICT THIS VIQLATION WITHIN DAYS.
cKay om0:ll,
ISSUED TO: -- —
ADDRESS: r'I•E. Shannon, H 1 s b r. TIGARD,OREGON 97223
TELEPHONE �' I "'0 9.6 ' _ DATE OF BIRTH —_—
NOTICE ISSUED BY ( __ DEPAfTMENT Elul rig
J—. �
LOCATION OF VIOLATIONTHIS IS A WARNING, NOT A CITATION. HOWEVER, IF THIS CONDITION IS NOT
CORRECTED WITHIN THE TIME SPECIFIED,THE CITY WILL INITIATE LEGAL ACTION.
CITY OF TIGARD DATE ISSUED
12420 S.W.MAIN NOTICE NUMBER
TIGARD,OREGON 97223
(503)639.4171
CITY OF TIGARD,OREGON
NOTICE OF MUNICIPAL CGDE VIOLATION
THIS NOTICE IS BEING ISSUED TO BRING TO YOUR ATTENTION THAT A VIOLATION OF
TIGARD ORDINANCES HAS BEEN NOTED.
VIOLATION OF SECTIONS UNDER CHAPTER�__ OF THE TIC Pf l MUNICIPAL
Lii,'1 111:,11, Ctions
CODE DEALING WITH — - 9
NATUREOFVIOLATION: IIDUse occupied 1d%,1 riina,. Tnspecti�n
PLEASE CORRECT THIS VIOLATION WITHIN DAYS.
ISSUED TO: ---
ADDRESS: Shannon H l.1 h, —,TIGARD,OREGON 97223
TELEPHONE DATE OF BIRTH
NOTICE ISSUED BY_ DEPARTMENT
LOCATION OF VIOLATION 7 7 i3 S.U. A b1119
THIS IS A WARNING, NOT A CITATION. HOWEVER, IF THIS CONDITION IS NOT
CORRECTED WITHIN THE 1)ME SPECIFIED,THE CITY WILL INITIATE LEGAL ACTION.
CITY OF TIGARD DATE ISSUED —_
12420 S.W.MAIN NOTICE NUMBER
TIGARD,OREGON 97223
(503)639.4171
I
BUILDING PERMIT APPLICATION TIGARD DATE_ - is3046 t
THE uNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS FIND SPECIFICATIONS OWNER PHONIC
LOTNO. 33-- Berea --
OWNER Mrhay HUmeo, Inc. JOBADGRESS 1:3766 SU Ash Strout �
ARCHITECT
FNGINEER
BUILDER :Zati16 ADDRESS 14b PIE Shannon, H1sbaDesIGNER
STRUCTURE NEW ❑ REMODEL 11 ADDITION ❑ REPAIR _ Cl RENEWAL ❑ FIRE DAMAGE L DEMOLITION
CI)RESIDENCE COMM 171 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Ci GARAGE ❑ STORAGE _❑ SLAB❑ FENCE
OCCUPANCY �" _LAND USE ZONE �'7 BLDG.TYPE _ � FIRE ZONE -�' PLAN CHECK BY QMH HEAT +Aa 0
�
Construct s.inyle family_dwelling u/attachad yarege. 3 Fedrelomo 2 Bathe.
SEE" CORPECTION SHE C ATTACHED.
SEWERPERMITM 21127
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1-�b l NO.BEDROOMS 3 VALUE j,S`3 0 200.x.'.
—__BUILDING DEPARTMENT
---- SET BACKS FRONT 20 REAR 19 LEFT SIDE 17 RIGHT SIDE 8
Permit �,207.UO 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 107.'J0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANC'FS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 310.so RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PEr,MITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax wt 13.28
SDC—
Total $318.78
POCK � � �IOQ.O�i P ICANTORAOENT ----__.�_
By —tel
D�,111 Receipt No.
Approved
ADDRESS PHONE
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DATE INSP. TYPE INSPECTION REMARKS i PLUMBING DATE
ori w�N O lS Contractor
Permit No.
Rougii-;n
ovr, O& _ Fixture _-- --
mt - ��47^^,4 #*6Q Final
cc tJ SSR 4/A� O t_ HEATING
�^ A a (, Q t Contractor
Permit No.
_ Got or Oil
Rough-in — ---
Final
SEWER
Final
—DRIVEWAY~
Final
---. __ Storm Drainage
(Rain Drain)Final
—. SlrMwalk
Curb d Street Final
Approach —
BLDG. DEPT. PINA TEMPORARY CR►tTIPICATII OCCUPAY
CERTInCATE OCCUPANCY / �J J Final
Landscaping
Zoning Final
I
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