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INSPECTION ►0U
TIC
3 �
�C' v City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone:839-4175
Type of Inspection _ _.__ A-;7 aJ __
Date Requested Time —A.M.--P.M.
Address
C —5 ��_. — Permit S�
_.s _
i
Owner_ �. 2., .---� Lot # _
Builder
The following Building Code deficiencies are required to be m rested:
Presented to l-I Approved
Inspector � _ r\ � _
�'_� Disapproved
Date
CALL FOR REINSPECTION
[]
YES 0 MI
INSPECTION NOTICE
City of Tigard Budding Department
P.O Box 23391
Tigard, Oregon 97223
Phon 39-4175
Type of Inspection -
Date Requested ,L Time__. A.M._� P.M.
Address 0-3
Perneit
Owner Lot
Builder _
Thi tolhwing Building Code deficiencies are sc Iuired to be corrected:
1
Presented to ___t7 Approved
Inspector _!._: — ___ ❑ Disapproved
Date _�..---
CA1LL FOR REINSPECTION
D YES 0 NO
INSPECTION N-05-TICE
City of Tigard Plailding Department
P.O. Ccs 23397
Tigard, Oregon 9725
Phone:639.4175
Type of Inspection -- —
Date Requested ! /A '/ me_ A.M.
Address —.-- ,l�/' l- �/� C' Permit #_
Owner-_ Lot #__
Builder _—_.---_ ---- —_-- -- —
The Wlowing Buiiding Code deficiencies .re required to be corrected:
YT
A.-- --- ^�
A
Preset,ted to _ / Approved
Inspector El Disapproved
Date IL
CALL FOR REINSPECTION
❑ YES ❑ NO
'.r L
INSPECTION NOTICE
City of Tigard :iuilding Department
P.J. Box 23397
Tigard, Oregon 97223
-41 �Pone: 175
Type of Inspection
Date Requested ( Time A.M. P.M.
/
Address . �=�' ✓/ ✓� I — Permit
Owner Lot
Builder
The following Building Code deficiencies are requires to be corrected:
Presented to _ pprovad
Inspector 0* - ElDisapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
::. ion. X857
CITY OF TIGARD 639.4171 DATE rei;ruary__.._-- 19
BUILDING PERMIT 1,4 , bdrr` L11
lll�r TAX MAP LOT NO. SUBDIVISION
Juy t
OWNER--_-__._—_---- JOBADDRESS 3w Ct��ar¢I+i11 Gt.
BUILDER ---Rte+ -.Y-U. iiui_ l','j� }k1;��r STATE REG.NO. _#&WL--- _ _ EXP.DATE
BUILDER'S PHONE
ARCHITECT___ _-------- _-----_ PHONE ---- OTHER
STRUCTURE 1`l NEW L REMODEL_ !_i ADDITION C REPAIR MOVE OTHER DEMOLITION
E-1 RESIDENCE ! COMM F) EDUCATION IND n RELIGIOUS ACCESS09Y GARAGE I ' O f HER FEN(
OCCUPANCY LI L AND USE ZONE �-BLDG.TYPE yiJ FIRE ZONE PLAN CHECK BY l + HFAT
t.uiistrUCL !.i.flijN Lki-1.1y dwellit+,a Iter rapprovt:u plan;;.
SEWER PERMIT %- ++��+ ( luu) ;;ura,gr3 419 2 bati
CCC.I-^AD FLOOR LOAD Ly HEIGHT 1jj,- NO.STORIES I AREA ; NO.BEDROOMS-i VALUE,,Z_
_ __ -
BUILDING DEPARTMENT SETBACKS FRONT LU REAR 22 LEFT SIDE RIGHT SIDE
Permit__ Th11S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
.4ZZ.��Ir RF_GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI, APPLICABLE CODES AND ORDINANCES, THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire y.. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTCHS TO HAVE CURRENT CITY BUSINESS
'TAX PERMITS.SEPARATE PERMITS REOUIRIED FOR SEWER,PLI;MBING AND HEATING.
State Tax 12.ISit a.>wL, i�)41.jk.;
SDC— 5OU.Ul,
Total SI�6�1l6 APPLI6ANTORAGENT
Prepd._ 1LYl.J4 POC11115U.UO — --
RecRipt Nof 0J '17 ADDRESS PHONE
Bal.Due 6L`�'lY
Issued By__---- -_ Approved By----
__
DATE / INSP. TYPE INSPECTION REMARKS PLUMBING
Contractur
Permit No.
` I — – L ---– -- Rough•
aZTt-C�74–i4.
in
'1%lUfe
/ Final
HEATING
Contractor I ey Z •1/ &L-
Permit No.
Gasor011
t A �A JJ>> 9 Rough-in
Final .
_ SEWER
Final
DRIVEWAY
Final
Storm Drainage
_ (Rain Drain)Final
w – Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
CITYOFTIFARD No. 10939
-0 B S.W.ASH 1 I�{ k
P.O-80X 23397
TIGARD,OR 97223 Date.
Name
_—
Lot Block/Map— Subdivision/Address !—
Permit rs Bldg. Plumb Cash Check
Sewer Other Other RRC. By.
i
Acct. No. Description AmountR ,
10.432 Building Permit Fees
10-4314100 Plumbing Permit Fees -- - a
10-431-801 Mechanical Permlt Fees
10-230.501 State Bldg Tax
10.433 Plans Check Fas
30-443 Sewer Connection
30 444 Sewer Inspection _
-' -
51.448 Street Syst. Dev. Charge - -
_52-449.810 Parks I Syst. Dev. Chargee --- 1
52.449820 Parks II Syst. Dev. Charge -
31-450 Storm Draln_age Syst. Dev. Charge - l
10-4.'10 _ eusinass Tax _ -- �
10.4.1 Alarm Permit ---
10-227
10.455 Fines TrafflclMi9d/Parking --_
10-230 CP
TA Traffic/MisdlVic. Aset. —
10.458 Indigent Defense -'
3U 122-401 Sewer ServicelJ3A i
30 122-402 Sewer ServicF�/City 3pg6 '- - - - 1
30-123 Sewer Sevice/City Maint. - — - ---
• -12 _ l-Tn-matched
31.124 - Storm Drainage ---
46-475 antro t Prin. mt.
4 ancrott Int. Pymt.
TOTAL C
DOT. /�