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INSPECTION NOTICE
City of'Tigard Huilding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Picone: 639-4171
i
Type nf Inspection
Cate Requested... O S Time --- `A.M.—'l— —
_•--- -- /- / –' P.M.
Address ��> �� , !�
Permit #
Owner-- _
— Lot #
Builder.__ r 1
The follov0Mg Building Code deficiencies are required to he corrected: ?
I
ff�
-__-_.-.�__. -'---�_• it
Presented to
Approved
InspectorL-
/ I I Disapproved
Date
. �
(:ALL FOR RF,INS,PrECTION
E-1YE3 I,c'1 NO
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BUILDING PERMIT APPLICATION "rIGARD DATE � � � ' _ ,9 5448
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE bW-:)b 1: _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONEI.2 J
OWNER J,iy Miller JOB ADDRESS 1b2j. ;iW Co,*Ver Cr,.ek ,,r � LOT Cop _
--- -- — �� - _ Copier Craalx XD
ARCHITECT —"
BUIl ADDRESS Y.O. Boa 23291 ENG(NEER
—DESIGNER__
STRUCTURE C$NEW ❑ RE?aODEL _-❑ ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIREDA.M_AG_E ❑ DEMOLITION
19 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ ST DRAGS ❑ SLAB❑ FENCE
OCCUPANCY R-3 LAND USE ZONE I—Ml BLDG.TYPE FIRE ZONE-- PLAN CHECK BY HEAT
_. `_t;onstruct sia8ls faetily d llic► w/attached garage.'-` -�
---_ ate-lseue of Pumni►- #46349
SEWERPERMITN 284L,4 Garaga 440
OCC.LOAD FLOOR LOAD of U _ HEIGHT 20+ NO.STORIES 2AREA 1162 NO.BEDROOMS 3 VALUE 63 pUOU.
-- --BUILDING DEPARTMENT SETBACKS FRONT 25 REAR 28 LEFT SIDE 18 RIGHT SIDE 15
Permit J22.PU THIS PERMIT IS ISSUED SI. ,JEC•r TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TNF
Plan Check - 4U.UU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANr) SP'_CIFICATIONE AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANLE OF rH!S PERMIT DOES NOT WAIVE
Subtotal 362.Ou RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LLICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12.88 S��uc z:, ut1
—� SDC—
Total—
DC—Total 374.86
By
Cx PDCM 11,S 15O.OU APPLICANT OR AGENt
Approved BCR Receipt No. _
— �' ADDRESS 14RONE
DATE INSP. TY E INSPECTION REMARKS PL 61NG DATE
-- ------- - -- -- Contract:) - — --
l_6- Permit Nr..
Fixture`— ---_.-
8 Final
HEATING
%(,'• I s; ' -- �� Zs C71k, V t�r�it r•— SC,.5 W �� 9
V'-23 i-
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not
I SEWER CrC —
;i DRIVEWAY
Final _--
Storm Me-lop
!titin^•e nl Final
Sideway.
Curb&S:rMt Final
-!7
— BLDG. OtPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
�CEPTIFICATEOCCU.-A'tC'I
itLondsmins
i !toning F.�al
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