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( INSPECTION NOTICE
City of Tigard Building Department
12420 S.!V. Main St.
Tigard, Jregc-n 97223
PhQp 39.4171
Type of Inspection
Date Requestedy �/ �T)me A.M.
Address _rte�J��" a `'��• ��� / —_.._ Fermit
Owner --_ -- '..ot #—
Builder_- --_-- --_--
Th,. following Building Code deficienci^s art, required to be currectnd:
---------- - - -
Presented to —_ - Approved
Inspector .� _--� [� Disapproved
Dato
CALL FCR PEI7N'0
ECTION
'7 YE$ j
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INSPECTION NOTICE
City of Tigard Building Depar!mcnt
12420 S.W. Main St.
Tigard,Oregon 87223
Phone: 639-4171
Type of Inspection
Date Requested Time A. P.M.
Addre.s ' �%`� G_ _ Permit
Owner—._ _.—_. �_------ - ---� Lot
Builder-- _-- — r_----- �J
The following Building Code ,'.(Yficiencies are required to hp ,orrected: 11�
1
3
Presented to ❑ Approved
i a
Inspector _'.;�Disapproved
G�
Date
CALL FOR REINSPECTION
VXYEI ❑ NO
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INSPECTION No,ri.%:c
f
City of Tigard Building Department
12420 S.W. Mi w St.
Tigard,Oregon 97223
Phone: 639-/1171
Type of Inspection
Pmr. Requested _ _ 7 SJ TIM A.M. _P iii.
Address Permit #_�� � _
Owner_—_ - Lot #.- 61/
I Builder — � --
The followimi Building Code deficiencies are required to be corrected:
—
t
Presented to ---� [] Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
[] YES O NO 1
BUILDING PERMIT APPLICATION TIGARD DATE -:ige 20 ._ ,,g a5 5436
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FUR THE WORK HEREIN INDICATEP BUILDER PHONE
^R Ab;SHOWN AND APPROVED IN THE.ACCOMPANYING PLANS AN ,,SPECIFICATIONS. OWNER PHONE
LOT NO. 6 1
OWNER .�I$Y_:+iI _JOBADDRES8-=O-�iJ 31 c�UCX7 Cit._.
Tiaru ARCHITECT
ENGINEER
BUILDER sari ADDRESS P.O. Box 23291 DESIGNER _
STRUCTURE _ EX NEW - ❑ REMODEL ❑ A_DDITION ❑ REPAIR ❑ RENEWAL L] FIRE DAMAGE T [],DEMOLITION
RESIDENCE 1:1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS EJPATIO ElCARPORT ElGARAGE ❑ STORAGE 11 SLAB❑ FENCE
--OCCUPANCY _-
-lig LAND USE ZONE "12_B'�DG�TYPE� r� -FIRE ZONE -PLAN CHECK BY ELS' _ HEAT C�$
Wnst.ruct si:,,le faraijy dwllinb, w/attal:c�a�_ raZz+e• - ----
--.- Re-Issue of Permit #520:
--- -- _ 3 Lathr,00m 3 boedroam
SEWER PERMIT 2645% _ GaTage 440
OCC.LOAD _ FLOOR LOAD 40 HEIGHT 2U NO.STORIES 2 AREA 1591' NO.BEDROOMS 3 _VALUE 55,,000.
_ BUILDING DEPARTMENT - SET BACKS FRONT 70 REAR 21) LEFT SIDE c,� RIGHT SIDE 1 1
Permit2y6.W
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILL..NQ CODE, ZONING
Plan Check 40.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AN,D SPECIFICATIONS AND IN COMPLIANCE
Sub•tolal 33$oOD WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENAivTS. CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
:4tatTAx 1 1.92 ALICENSE.SEPARE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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Total .349.92 wSL+t)•ch,
PDC#j j PLICANT OR AGENT —
er c.z a 15U.4+J AP
Approved SCfi Receipt Na ADD
__ ___.. — PHO14E
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DA tf- SP. TyPE INSPECTION REMARKS PLUMBING DATE
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Permit No. �ts
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Fina_
HEATING
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�r � DLaC&Ct I'rc w4tl_4,y�j� •• -- --- — ,aa or Lill
_ SEWER
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_ DRIVEWA'f
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— i'S+;m Diai-.epe
Ira,.)FUaI��
I'Skieaalk
_ C.i-•c s Street Final
Apnroarh
BLDG. 0 FT.rINAL TEMFORAR•' �' CERTIFICATE OCCUPANCY —
CERTIFICATL OC" ',,W.Y i Final — —
...,ntw jp1ny
Zaninj Final _
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