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INSPECTION NOTICE
City of Tigard Building Department ,/�
t4-4P.O. Box 23397 �/
Tigard, Oregon 97223 !
Phone:639-4178
Type of Inspection _ .1 All)
[date Requestad
Address ��E n � �-�-L.�`' � '"�: _ Permit *S
U vner._._� - ---- Lot # ----
BuilderThe following Building Code deficiencies are required to be corrected.
tr
Presented to
Inspector — - -- - LJ Disapproved
Date
CALL FOR RF'INSPECTION
F I YES 0 NO
INSPECTION NOTICE
City of Tigard Bdilding Department
12420 S.W. Main St.
Ti.,,-rd,Oregon 97223
i Phone: 639-4171
Type of Inspec*cion --- � ���' I )
Date Heyueste(I a Time_ A.M.
fAdoi ess U i_ GU ~'`' Permit
Owner —� Lot #
I B, ;Ider_
j T'he following Building Cole jeficiencies are required to be corrected:
-- -
Presented to
J Ll Apdroved
Inspector _ -__ Disapproved
Date �1� t7•J
CALL. FOR REINSPECTION j
YES C❑ NO j
9
BUILDINGA PERMIT APPLIC:ATRIN TIGARD DATE _ - Is , 544
THE UNDERSiGNEU HEREBY APPLIES FOR A PERMI i FOR THE WOR.: HEREIN IINDICATED BLI LDEP PHONE
OF,AS SHOWN ANC APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONL
NO.__�.� '•-+ � _
OWNER ii. JOB BA_DDRESS lb 04U Sid WLOT
pp:r Crack Or. _ NO. _CXggk IV
^' Tuslati ARCHITECT
BUILDER Seau:
BqX 414y7�ZEfDESIGNER
STRUCTURE [I NEW ❑ REMODEL Cj ADDITION ❑ REPAIR —❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
12 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY A-3_LAND USE ZONE k"'7I'U BLDG.TYPE 5t FIRE ZONE_.__PLAN CHECK BY _ �'� HEAT
_Construct Aiaglq f+ouuily d>we1Z_in _w/attecheddgara ----
_ 3 Bethn.)m 3bearoom
SEWER PERMIT N 2F 6 1 l) Q Gelrrge 45 7
OCC,LOAD FLOOR LOAD 40 _HEIGHT^ 216 NO.STOAIES 2 AREA 11.99 NO.BEDROOMS _3_VALUE �9jpU01.
BUILDING DEPARTMENT SETBACKS FRONT REAR 1 1 LEFT SIDE 17 RIGHT SIDE 1 z
Permit 10.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONrAIMEO IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU IT IS HEREBY AGREED THAT THE
Plan Check 201.50 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORVINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 5 11.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12.40 '•yI(_ 4--)J.UU
SDC— $500.uu
Total 51J.90
By Cz
PUC#11 "-"5U.00 APPLICANT OR ADEN—_--
Approved HCH flecelpt No. r(i,7 ADOREss
PHONE
nr ar ►s �■► �w iw
DATE INSP. TYPE INSPECTION — REMARKS -- —^ 4 —ter -
—_ PLUMBING DATE
F1�ugh-in
Fixture
HCATING i
QL - _ ----- Contractor
P
----- - — Il ermit No of'10O
_ .� Gas or Oil
SEWER EWER
----- � � — ---t---nal .— — — ---- -- j
DRIVEWAY
Chainsge
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1-- Crain!Final
'e—'k--'�Ct rb&Stre,.t Final
Approach
131.0(3. bEPT.I'1NA1 TEMPORARY i C R7 FICATL OCCUFhhCY — - --
IC"RT"lCATL OCCUPANt"r c„el
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