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4 INSPECTION NOTICE
fh City of Tigard Building Department I
12420 S.W. Main St.
I Bard,Oregon 97223
Phone. 636.4171
Type of Inspection
Late Requested q --- '�TI .�_— A.M. P.M.
Address �L ,/6, 61 Permit
Owner- _ Lot #
Budder �--�1 _ _
The follot.ing Building Code deficient, are required to be corrected:
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I �+
Presented to -- /[J Approved
Inspector _ _ /_-�i�� / Disapproved
Date /~ �
CALL FOR REINSPECTION
C1 YES C 1,d0
INSPECTION-NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspectiot, 4 A VA
Date Requested 1749 Time A.M. P.M.
L
Address t 0A J 6W_ Permit
'QUUk4
Owner / Lot
Builder k 1_
The following Building Code deficiencies are required to be corrsaed-
y.
Pr-qented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
E-1 YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE._.At1F'U9� 5544
THE UNDFRSIGNI.:D HEREBY APPLiEL1 FOR A PERMIT FOR THE:WORK HEFtfa;
OR AS SHOWN AND A^PROVED IN 1 HE ACGOI IPANYING PLANS AND SPEGIFICADIONSED OWNER?ONES
OWNER Jai .,,,alLr — JOBADDFIE;>S /iL / LOT NO. SU
LU U iW , L /IcIC iL
ar ---
ARCHITECT
BUILDERSte! �, ENGINEER
ADDRES.., P.U. .;ox 23291 _ DESIGNER
STRUCTURE U NEW _❑ REMODEL 11ADDITION 11REPAIR IJ RENEWAL ❑ FIRE DAMAGE—_❑ DEMOLITION
C� RESIDENCE ❑ COMM ❑ EDUCATIONAL LJ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GAF AGE_❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE )"7 BLDG.TYPE —SN FIRE ZONE _PLAN CHECK BY r�(_
— _ HEAT G,AS
anntruct sindl,e f.s nil twcllink wfattuEtaNd +~rage. —
2 bal:Mroog
SEWERPERMITM
OCC.LOAD FLOOR LOAD 4f HEIGHT 2U+ NO.STORIES 2
BUILDING DEPARTMENT -- AREA +b l 1 NO.BEDROCMS -i VALU,04-, t'UU•U
-' SET BACKS FRONT REAR 11 LEFT SIDE RIGHT SIDE 6--r:
Permit 3U 1.GU THIS PERMIT IS ISSUED SUBJErT T ----� - -- =
O THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
Plan Check 1:�9.b5 REGULATIONS AND ALL APPLI,,ABLE CODES AND ORDINANCES, AND IT IS PEREBY AGREED THAT THE
WORK WILL BE DriNE IN ACCORDANCE WI1H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
5ub•tatel 456.65 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANO SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex 12.04 LICENSE..Sr_i-pAATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
T
51)8 69 SDC— $SUU.G4�
ey �,�^ PDCMj1L k)�Q.UU APPLICAN—To r-A-0-EN
Approved Receipt No .
t.'k' . ADDfiF.89_
PHONE
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DA TC INSR TYPE INSPECTION RE(hgRK9
_ -- -- — PLUMBING DATE
__ _ C mtrnrtor
4 -3
Fixture
Permit No.
_ 1
Gas or Oil � I
I/1. - _ q- „ -- --._-_-f-
.__ Final I
— _--- bGWER —
Fwal
_ DRIVEWAY
f nal
(Hain Drain)Final I
`Sidwalk
!i Curb&Street Final
I Approach
ELDG. dEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY —
KATE OCCUPANCY
1 'C I "Land�t�inp
tonin{ final
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