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iNSr'ECTION NOTICL
pity of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of InsFeclion �J J
Date Requested _ y "-"J ��
Time A.M. P.M.
Address `�� � ( SC�i ,.-^-t:/�L'�.'. P,:mit
Owner_ - _ __ Lot #
Builder
The following Building Code deficiencies are required i, be corrected:
t.) �..r-....z•.�.��i �,�•,. -•cam,_
hMnted to Approved
Inspector .-` —
.._...__.. [-I Disapproved
Date 1
CALF- FORREINSPECTION
C Yc8 Z NO
BUILDING PERM IT APPLICATION TIGARD DATE-2eb=u� � 19 85 5225
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOA THE WORK HEREIN INDICATED BUILDER PHONE _-639--6742
O,TAS SHOWN AND APPROVED IN THE Ar--OMPANYING PLANS AND SPECIFICATIONS. OWNER PHIiNE
LOT NO._.
OWNER DRESS 7930 SW V.urchils. r BMW Park it
4725 SW MtIrdoc ARCHITECT
k
ENGINEER
BUILDER ADDRESS Tigaards OR 97223 a nFSIGNER Piercy s 11erelay
STRUCTURE _ KNEW ❑ REMODEL _ ❑ ADDITION— ❑ REPAIR ❑ RENEWAL [j FIRE DAMAGE ❑ DEMOLITION
CXRESIDENCE ❑ comm_❑_EDUCATIONAL ❑ GOWT ❑ RELIGIOUS C7 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY Irs3 I ANC'1SE ZONE-_.P"7PD BLDG.TYPE-_SN—FIRE ZONE--=—PLAN CHECK BY HEAT
construct single gamily ciAlli1129 W/Attj.Acbbd garage --
3 Bedroom 2 Bathrooms _ Garap 440
SEWER PERMIT# --
OCC.LOAD FLOOR LOAD 46 HEIGHT 116--NO.STORIES I AREA 1349 NO.BEDROOMS 3 VALUE 55rOt1tD
BUILDING DEPARTMENT SET iLACKS FRONT 20 REAR 24 LEFTGIDE S RIGHT SIDE "
Permit 298004) THIS PERMIT IS ISSUED SUBJECT TO THE REf ULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND 11RDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 193.70 WORK WILL bE OOP"E IN ACCORDANCE TH THE PLANS AND SPECIFICATIONS AND IN COMPJAN("-
.70 WITH ALL APPLI,;ABLE CODES ANI' OR,.NANCES. 'THE ISSUANCE OF THIS PERMIT DOES NOT WA,4E
441
Suh-total RESTRICTIVE COVENANTS. CONTRP CTuR AND SUB :.'ONTRArTORS TO HAVE CU9RLNT CITY BUSINESS
4X 11.92 ISI WISE.SEp�RAPERMIT5 REC'I RED FOR SEWER.PLUMBING AND HEATING.
State Tax U
SDC— 500.00
Total 503,62 -
----- PDC# 1I J2 154).UU A0LICANTOR�GENT
By
Receipt No. ADDRESS - ---�- - THON�-
Approved I LIV$bjs
----- �.
DATE INS1. TYPE INSPECTION REMARKS
---- PLUMBING DATE
���. � � ._ __-------------- __•` Contractor
Permit No.
Fixture r
Final —
HEATING
colltrdctor
I _
Permit N�
Gas or Oit
-- _� ---- --- --_ — -- -- Roufh-in —�
Final
SE —
--- I ----- - ------ WER
Final
— — ----- — --- ----- -- - ARIVEWAY _
Fina!
Storm Drainage —
(Rain Drai !Final
Sidewalk
Curb&Street Final
�t'J. t)BFT.s'INAL '— `--- Ah_Nraech --- _--
I TEbIPGRO.RY C.ERTIFICATF OCCIh'hNCY "
"ERTIFICATE DCCI:?-ANCY Final
j �c'na`raPing
Zoning Fine:
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