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INSPECT!UN NV BICE
City of Tigard Ruilding Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
1
Type if Ir+spection
Date Requested ,—_ -- - Time�� A.M. `!f P.M.
Address
Permit
Owner Lot #—
Builder
The following Building Code deficiencies are requn.:,] to be corrected:
Presented to i—~----`~--�-T—.---
---- — loved
Inspector
-^ L� Disapproved
Date _
CALL FUR REINSPECTION
[� YES ❑ NO
.�■ sss,
INSPE _OT(' I N NOTICE
City of Tigard BuildingDepartment
partment
12420 S.W. Main Sr.
Tigard,Oregon 97223
Phone: 639-4171
t
ki Type of insPection _ �m 7/�u-
Date Requestel�
Address Time --� —"—_�
Q(� A.M. _ _P.M.
-- 5 �PU�;2C H / !l C 7- -
I( Permit #__
Lot #—^
� Builder
The following Building Code deficiencies are required to be corrPcted:
Presents,! to
pector UY"� Approved j
---- �_� ed
date Disapprov
_----- � �!� _
CALL FOR RF,INSPECTION
C7 YES 0 Ao
CITY OF TIGARD 639.4171 A`'r 5719
BUILDING PERMIT DATE %�'CI+mbAr ,m' �Ee�S
TAX MAP — _LOT N0,52 SUBD VI IOk!'0II1d -'art,.
-- J0:7:,r)DRESS Si $W ,('ltur it 1 — f i 1
OWNER- >`LB1 Wa�+Csdra� .7rr . %P
BUR.DER _ __QlMVT _ 9775 SW Murdock _--__ STATE REG.NO. 359/6 EXP,DATE 3i 11/66
BUILDER'S PHONE _(139-6142
ARCHITECT flltln MailCOrd PHONE __OTHER
STRUCTURE NEW _ I ' REMODEL _ ADDITION _ _FL-P41R MOVE 0 OTHER DEMOLITION
I ESIDENGE COMM EDUCATION IND RELIG OUS I ACCEfiSORY 1 GARAGE I ; OTHER FENCE
OCCUPANCY 'A 111_I_AND L'SE Z(,NE :'.1. BLDG.TYPE ��� -FIRE ZONE_._._.PLAN CHECK BY HEAT f,,
GonstruLE sin&le family resifles= wiattaaChOd g%Vak;C
SEWER PERMIT ti 2b96/f —
garage .%rera 4U/ 3 hexlt
OCC.LOAD FLOOR LOAD 4U HEIGHT 2U+- NO.STORIES 'l _AREAW3 NO.BEDROOMS .3 VALUE
BUILDING DEPARTMENT-
SETBACKS FRONT 21j REAR LEFT SIDE Y RIGHT SINE (, _
Permit _— 295'00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORn!;4ANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
F,.C'k.Fire_ RESTRICTIVE COVr-NAI'ITS. CONTRAnTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
_
State Tax 11.60 SSU(: 25(j,01i f
SDC-- 50U.00 r 41r. -
Total 498.55 _ kPALI6ANTGR*4GEI,r ?
Prepd#9063 100.00 PDCI�I l tp �'
Bel.Due
.396055 Receipt No, f'; abnREuS PHONE
!��sued By _ .Approved By_�_
.... ......... .. ...w.1..,,. nw wPM.W. a.1....... ......�...raL�iu,...n.,weav+nw.a.�....._...,_.
Pub
DATE INSP. TYPE INSPECTION - —
_ REMARKS PLUMBING --� DATE
Ice—
Contractor
Permit No. C/4/'
Fixture
rp --�
( ��-- Final
- HEATING
�, —ft2 1iQ /►�l. Contractor
�- •�/ Z LO.v gf T���vi7 i1e;mll No.
Q fp"'
Gas oroll
Rough-in
Final -
---- _— ZEWER —
___ Final
-- —� DRIVEWAY
—.—.--..— Final
Storm Drainage
(Fain Drain)Fw*i
—, Sidewalk
Curb R Street Final
Ap,roach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final