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7913 SW CHURCHILL WAY
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigaru,Oregon 97223
Phone: 639 4171
Type of Inspection
Date Requested 41) J
Time..,�.A.M. P.M.
Address —' -� /r / , 1 P S �
ermit
Owner, Lot # 7
Builder
The following Building Code deficir ncies are required to be corrected:
I
Presented to Approved
Inspector j
Ll Disapproved
Date — --f E r-• _
CALL FOR REINSPECTION
❑ YES XNO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ✓
Date Requested M. P.M.
Address :2 �Ilrrni
Owner Lot
Builder
The following ButTeing C/de de'ficie'ncies are requirid to br corrected:
--4
Presented to Approved
Inspidmor
F1 Disapproved
Date
CALL FOR REINSPECTION
El YES API No
� ea
INSPECTION NOTICE j
i
City of Tigard Building Departmen,
12420 S.W. Main St.
Tigard,Oregon 97223
phone: 639-4171
Type of InspectionZI
Date Requested Til me
Address
L ermit
Owner
-- •^.e Lot #
Br Ider
The following Building Code deficiencies are required to be ,iorrected:
Presented to
r.: Approved
Inspector _ 1
"�� ?� r r ❑ Disrpproved
Date
CALL FOR REINSPF.CTI()N
❑ VES L'J'No
r I
INSPECTION NOTICE f
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Ph9pe: 639-4171
Type of Inspection
f �Date Requested �y'/ Timed AAM. P.M.
I Address -rmit #
` ow,,er
-- Lot #
1
Builder
The following Building Code deficiencies are required to be corrected:
r
Presented to —_ Approved
Inspector --
--- Disapproved
Date
CALL FOR REINSPECTION
YES I NO 1
INSPECTION NOTICE �
I City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phore: 639.4171
type of Inspection
Date Requested—!L_='"2 `c- TIn*_ A.M. P.M.
Address �! G _fw'_� /� '���
Permit
Owner_—--- Lot
Builder
The following Building Code deficiencies are required to he corrected:
Presented to ]/'Approved --�
Inspector
Disapproved
Da to
I( CALL FOR REINSPECTION
❑ YES �z NO
BUILDING PERMITAPPLICATION TIGARD DATE_.'• "' ,19 _ 5. 4 Ir 9
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN A'%Ir)APPROVED IN THE ACCOMPANYING PLANS AN[)SPECIFICATIONS. OWNER PHONE
LOT NO. _. 4,3
OWNER Ja,y .:111er JOBADDRESS 79IJ SW QMjf,iii1 W —
ARCH,TEC f
ENr1NEE�
BUILDER `�tSi ADDRESS 1'•V. i3ctx t32�!1 DES'GNER
STRUCTURE U NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _❑_RENEWAL ❑ FIRE DAMAGE ❑ DItM0Li'.'ON
U RESIDENCE ❑ COMM ❑ EDUCATIONAL O GOVT f_1 RELIGIOUS ❑ PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ""3 _LAND USE ZONE .—E`7` BLDG.TYPE 1N FIRE ZONE.._PLAN CHECK BY _11—W HEAT
coasi.ruct single tacsily tjwe.11,in v attached asrai'e.
_ 3 Bathroom 3 bedroom
SEWER PERMIT# 2L�41K� ��n Garage 410 _
OCC.LOAD FLOOR LOAD 4 u HEIGHT ::U+ NO.STORIES x AREA 1444 NO.BEDROOMS :1 VALUE 5OvOU"
BUILDING DEPARTMENT �� SETBACKS FRONT PEAR LEFT SIDE RIGHT SIDE
Permit18 -U(/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIO14S CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE COCIES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
Plan Check 1U3.95 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIVANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-totalE 4Gh.?5 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
``IIrENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11..<<' SSOC
-�
Total soc—15uo.(xj
4 7 6.a
PDCM APPLICANT OR AGF n t
By Ci IZ$150.0U
Approved E Receipt No.
VDDR _ PHONE -
AL
DATEjkNsp. TYPE INSPECTION 1411:1`�'ARKS PLUMBING
MATIC
lico"t
f'NX
Hough-or.
45.7
Final
HEATING
contfat;tor
Permit N.,
(.as or Oil
11-ugh-in
Final
SEWER
Final
DRIVEW.1ky
Final
V1
S -.Jn1q0-
.4s,c;.-,,
6�airi Drain)Final
'Sidevwlk
Ctorb:&Street rinul_
DEP TEMPORARY
7IF F ICY
(CERTIFICATE OCCUPANCY
F;nal
7ontng Final