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INSPECTION NOTICE
City of Tigard Building Department STM.
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested S� n -rune__ A.M. �'� P.M.
Address
Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
le�11
I
Presented to _
Approved
Inspector __.
Disapproved
Date
CALL FOR RE13S CTION
C YES / — NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time �- A.M. P.M.
Address ; �I �r ��w.Sc�' c' —fit # ----
Owner_. _-- -- — Lot #----
Builder
The followiBui!dilg Code deficiencies are required to be corrected:
100,
i
.�Z„�.t .._�!--�./'���•-�-'�- ?'",c2�x_�.._- --'mac i'dy'-
Presented to ( Approved
Inspectnr Disapproved
Date
CALL FOR REINSPF,CTION
YES 0 NO
I
BUILDING PERMIT APPLICATION TIGARD DATE-_ rch :I ' tg_4 4755
?HE UNDERSIGNED I IEREPY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 619—IL-w, _
ur!`-S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE(;IFICATIONS. OWNER PHONE.
LOT N0. �O
OWNER Jiob Nelsau JOB ADDRESS, 1634 5 St-1 hopper Creek urive Cu,2per Creek I TZ
ARCHITECT
_ � -- � --- _. _...
BUILDER __ 8aNawIE FQ SENGINEER
ADDRESS 159W
;;e �� ,� DESIGNER
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Cl RENEWAL. n FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE COMM EDUC 10 I-7 GOVT D RELIGIOUS ❑_PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE D SLAB❑ FENCE
OCCUPANCY �_LAND USE ZONE ____$�_PUDG.TYPE 314_FIRE ZONE--..._PLAN CHECK BY _I C_ HEAT,_
Construct sin&1R _ m i.ly dkellir► w/atteched garage. T
(Re-lssiA' of Hermit #4713 -- 3 bedroom 3 Bsthrookn
SEWERPERMITN 2718U (,arage 46E
JCC.LOAD FLOOR LOAD 4U HEIGHT 21) NO.STORIES 2 AREA 1724 NO.BEDROOMS_'} VALUE bg,(GUU.
BUILDING DEPARTMENT S REAR LEFT SIDE RIGHT SIDE
SETBACKS FRONT � r
Permit :34U.UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGUL-ATIt)NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 1�3NU w RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13•b0 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
—
Total :393.60 AUC P1
By — (:F{ F'DCk T S 100 00 APLICANTORAGENT
---- — Receipt No. 1 . M it )
Approved BGIi —� ADDRESS PHONE
DATE INSP. Typic INSPECTION _ REMARKS PLUMBING_ DAT[
' Y
Contractor
Permit No. , w
-�7/ �s 7/ - •/- ------ 1 ,ugh.in
- — Fixture
Final
HEATING
s ✓�' s - ' - Contractor
-- y4 -�-_
Permit No.
��. Gas or Oil
Rough.in
r -
Final - -
(L _ SEWER V
Final
DRIVEWAY
Final
-- - ------ - -- ----- I Storm Creinage
_ -— (Rein Grain)Final
SideWai A
Curb&Street Final
_ Apprtwh
LDIi. DEPT. rINAL TEMPORARY CERTIFICA7G OCCUPANCY IFlrel _
C'RTIFICATL OCCUPANCY
FLandscaoing
-_ Zoning Final
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