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INSPECTION N_O_TIL
C;tti-of Tigard Buildhig Department
12420 S.W. Main St.
Tigard,Orego i 97223
Phone: 639-4171
Type of Inspection ( �l
Date Reyuestad JTime
A.M. P.M.
i Address ��_�_
Permit
Owner - __- _
Lot #
fl Builder
The following Building Code deficiencies are required to be corrected:
00,
,/
Presented to
lnspcctor
P Approved
/? Aa-
Disapproved
Date �'i9� �
CALL ,FSO tR� REINSPECTION
•E8 f.] No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Phone 639-41
or,
7 0
Date Requested Tom A.M. P.M.
Addressmit '11,76)
Owner Lot
Builder
The following Building Code deficiencies are reqjired to be corrected:
Presented to /Approved
Inspector
I I Disapproved
Date
CALL FOR REINSPECTION
❑ YES fd No
BUILDING PERMIT APPLICATION TIGARD DATE--'--,21i11 12 4805
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN!NDICATED BUILDER PHONE 62: --i,,j77
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._.__)5. —
OWNER Jia Ho<ihsou JOB ADDRESS 16475 Sid (:vomer C. 4 ek
Sherwood 97140 ARCHITECT
ENGINEER
BUILDER S*rae ADDRESS Kt.. 3 HUx 286A DESIGNER
STRUCTURE ❑XNEW ❑ HEMODEL ❑ ADDITION L7 REPAIR C❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IIRESIDENCE Cj! COMM `1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY K-3_ LAND USE ZONE —A_ALDG.TYPE _ St( _FIRE ZONE-PLAN CHECK BY -AL1+ —HEATy-my _
Constrict mingle fa:aii—y_ dwellitjIL
abed roaw .i fsa th�,.)ora
SEWERPERMITM 2651b :;arage 458
OCC.LOAD FLOOR LOAD 4'1 —HEIGHT_11-h_ NO.STORIES 2. AREA NO.BEDRO_OMS�_VALUE
BUILDING DEPARTMENT SET BACKS _FRONT �I f REAR 20 , LEFT SIDE 11 — FIGHT SIDE —13_
Permit 382.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2`t{ 3t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WI-L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N'.'T WAIVE
Subtotal `j30.3u RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
15.2+ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ,
SDC—
66 .5M
Total _ —__ PDCM 11 IU�I.UIf / P LI AN1OgAGENT
By
Receipt No.
Approved IK:k ADDDRI S PHONE
DATE IN8P. TYPE ;NSPECTION REMARKS II PLUMBING
�'/ i •---�It--__ —_ DATE
Contractor
I A •
Permit No. I
Rough-in - Y
Fixture
--
E' Final
��• "E�`"��• HEATING _ --
or � Contractor �• i
aw e-f _ Permit No.
Gas or Oil
Rough-in
- ------- Final -
-
F,nel
DRIVEWAY
i- -------- `_�_ ----- Final —
_ Storm Drainage
(Rein Drainl Final
Sidewalk -
Curb 8 Str_, Final
- -. Apmoeuh
BI Dr3. DEPT• FIN, TEMPORARY CERTIFICATE OCCUPANCY
CrPTIFICATE OCCUrIANCY�—� Final I
Lndscrping —1 -
Zoning F+nal
I