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` IN"p----ECTION N—0710E
City of 7�Gard Building Department
17420 S.W. Main St. 111
Tigard,Oregon 97223
Phone: 639.4171
t
i Type of Inspectlon
Date Requestedai' — — }--
i Ci i / Time A.M.--L �
Address ,�
Z
—,. -Rermit #
i Owarr --- - --- -- ,
Lot #
Builder
I The following tbe
Building s' st corr`ectted;
�1 r�• J Code deficiencies are require
�00 �
-�'_•err"'.--� .i ;..
/
t PreSP.!lted to —J
Approved
insPector _ �1,� ❑
Disapproved
Date
CALL FOR REINSP�;CTION
YES ❑ NO
1
� �� r
11
INSPECTION NOTICE
City of Tiy-4rd Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspec.ion
Date Requested 11,42
Tia 2� M. P.M.
T,
-71
,
// 7
Address
vivpr t
Builder
The following Building Code deficiencies are required to be corrected:
ProsLnled to Approved
.I.spector
D Disapproved
nate
CALL F01? REINSPEKTI-01N
YES 0 NO
BLULDING PERMIT APPLICATION T,GARD DATE 1•cjtlt3r 4 ,1984 50-93THE UNDERSIGNED HEREBY APPLIES FOR A PERP'IT FORTH EWORK HEREIN INDICATED BUILDER PHONe � 3lZl`L—
OR AS SHOWIJ AND APPROVED IN THE ACCOMPANYING PLANS A�IFI ATIONS. GWNER PHONE
"110LOT NO,
OWNLH —__Jay ,Miller _ JOB ADDRESS 7977 `sly
ARCHITECT
ENGINEEn
BUILDER Sau,g ADDRESS_�U..) _j�".�LDESIGNER
STRUCTURE _CENEW L) REMODEL _ rl ADDITION E7 FIEFAIR ❑ RENEWAL — L1 FIRE DAMAGE ❑ DEMOLITION
C RESIDENCE E7 COMM L'._EDUCA,'IONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB C' FENCE
•166CCCUPANCY _ . - LAND USE ZONE R-12_BLDG.TYPE AN -FIRE ZONE -LAN CHECK BY !t'Clt HEAT
Lanstrwt single fwily dwelling w 1attached golf kqe.
RE-Issue of Oermit $4: 4740. Sne lot Tinel Ad,Iuntment te-84 —
�
SEWER PERMIT M X7982
OCC.LOAD FLOOR LOAD _ �� ; HEIGHT ? NO.STORIES _ AFaEA 17 j_NO.BEDROOMS 3 _ VALUE Uy}ODU,
_BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
P_irmlt_ " jjiI THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check P1 I WORK WILL BE DUNE ;N ACCOHDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
—1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal (iU.UU _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT09S TO HAVE CUFlRENT CITY BUSUIESS
LICENSE.SEPARATE PLRMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.150) 1 SDC— 4.51Aj..v1)
q r
Total 39 .6() PDCM I I 150.00
By C iyUC 250.00 �.
Receipt No, xD— -- — --PHONE
Approved HCt� �
DATE INSP. T PE INSPEC"ION REMARKS
�- PLUMBING DATE
r
Contracto• v
rmi,No. 9G/� ""/...........
f/
Auupl-in
L l-fir .7 Y
tL��✓-. ?S Filial 1 u—
/�-Z7� ' - - — — --- HEATING r
+ ntractor
Permit No. Q�
e - �A�M/s� �^r /M�, /�. U • Gas or Oil
Final
--�_ _—' - --- SEWER -
-__ Firal
_ U Final
___-- —-• - _—__-- Storm Drainage
V rRjin main)Final - -
Sldew:alk ----- -
--- - -- — Curb A Street Final
- — r
Apwoeuh
BLDG• DEPT. r"!i, i TCMPORARY - CER �''ICATE OGC_UI+ANCY -
^.5RTIF,:AT!CrCCuPANCY Final I
Landscaping
Zonog Final
R