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INSPECTION NOTICE
City of Tigard Building Depa,tment �/�Q - US 3c;?-
12420 S.W. Mai,
Ti(lam,Oregon 97223
Phone: 639 4171
Type of Inspection ---
r� —,y(u
Date Requested_ —�` Time_�_- A.M. _"_"-IP,M.
�`
Address �o)0 r CJ ✓ Permit # 40 SSS
Ownor �"� Lot #
Builder _
The following Building Code deficiencie.• are required t( )e corrected:
j�
r
Presented to � ,�I'Approved;C-.,-G .-t.
G
Inspector _ --- - _ �-� — '"' [, Disapproved
Date
CALL FOR RFINSP87MON
Cl YES Z(NO
AF
INSPEf'TION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972.23
,P#one:4639- 171
Type of Inspection �GC.! '" Y a •.�_
Daae Requested
Address
Permit # �l
Owner--- — Lot #�_
Builder _ _ -- ---
The following Solilding Code deficiencies are required tv )e corrected:
�;01
i.
lie
Presented to
��� F1 Approved
Inspector 4z — — ,- -J_, Disapproved 11
CALL FOR RI_+,INSPECTION
�YE3 ❑ NO
� ata aaa aa�l s aw +o.
i
INSPECTION
City of l;Qard ;,wilding Department
12420 S.N Main St.
Tigard,Oregon 97223
Phone: 639.4171
J r
Type of Inspection
Date Requested Time r--< A.M.---P.M.
Address �1 �-- Gt✓ l�1 --- — ���
#:_:��?. A
Permit -
Ownar - -- — ------ _ —---- Lot #
Builder
The following Building Code deficiencies a•e required to ne corrected:
�.
Presented to LJ Approved
Inspector � � . Disapproved
Date
CALL FOR REINSPECTION i
i
E;�4E8 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. /
Tigard,Oregon 97223
Phon^ 639-4171
Type of Inspection Sl .�t- "� �- -�.?'--� -
Date RequestedL ,1�.�% Time—_—__ A.M. —P.M.
Address _ j Li/ Z) " ) __— Permit
Owner Lot
Builder — �—
The following Building Code deficiencies are required to be corrected:
-1 1
.. +C'-� �� �G_ � _.erg. -G/`o--c::.;.~i rc�►�d
=� king e&'
Presented to _ ❑ Approved
Inspector _ —r,�'Dlapproved
Data ----- — d'��
CALL FQR REINSPECTION
( ] YES ❑ NO
E INSPECTION NOTICE 1
!� City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4 171
Type of Inspection
Date Requested Ti A P.M.
Address -- Permit
Owner Lot # �_
�._— �— —�-
Builder
The following Building C;�de.. eficl ies are required to be corrected:
00,
Presented to _ Approved
Inspector _ _' ❑ Ditiepproved
Dare
CALL FOR REINSPECTION
0 YE4 ,LTJ NO
BUILDING PERMIT APPLICATION TIGARD DATE _ 1s "i 544?
-----
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Jay "'illev JOB ADDRESS 5010 SW Wer 2/me, /�� �T LOT NO.
_ (�
_ 1 —
ARW?tTECT —
BUILDER 5;,.,,- ADDRESS �'•0• 3o.x „ ENGINLER
-- � 32y! DESIGNER
STRUCTURE_- ® NEW_ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL - El FIRE DAMAGE ❑ DEMOLITION
[� RESIDENCE ❑ COMM ❑ EDUCATIONAL 11GOV'T ❑ RELIGIOUS L1 PATIO D CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUP, 4CY '"L LAND USE ZONE R-12 BLDG,TYPE 5N FIRE ZONE—PLAN CHECK BY HEAT
— - _ tdr n
-- Cgnatrulct sinLie fa:nil ddel.1inA w/ettapShed &. ra_e.
to—Issue of Permit v535 !
--- —_ 3 Bathroom 3 liaulroom
SEWER PERMIT# LStit C .arage 414U
OCC.LOAD FLOOR LOAD 40 HEIGHT _Z?j NO.STORIES 1 AREA 1573 N0.BEDROOMS ' 3 VALUE54 UUU.
BUILDING DEPARTMENT_ SET BACKS FRONT
'— iuREAR LEFT SIDE 1 RIGHT SIDE 10
Permit 295.U() THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �eU.UO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub•toteI 335.U0 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1 I.13U
Total _146*&j SDC— $500.U1,
By PDC# 1 I $150.UU APPO ANT OR AGENT
(:Z
Approved bCR Receipt No PHONE
DATEINSP. TYPE INSPECTION REMARKS PLUMBING tit T F-
41
9-� ` ----_.--------- I- HEATING
71
-L'C7•� ;���..v_,.(.__ - -_.._. —�_�-------- --- r any
SEWER
----.—' -----"— �----- Finny
DRIVEWAY
i F:nal
St--r" )•a:noge
(New G•Am)Final
� Si7evaK
Curb&Street Final
BLDG, DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final iY
CEItTlrlCATE O.•CUPA^JCY ��^^ 11 ---- —
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