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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6394171
Type of Inspection
Date Requested �'/ Time A.M._�—P.M.
Address _:' "r—�cs�=1 r Permit #
Owner lot #�
Builder
The following Building Code deficiencies are required to be corrected:
-�v c� �����!' —tri,K 7L' � �►r
4A JQ
I
Presented to — _ Approved
Inspector L� Disapproved
Date — -----� '
CALL FOR REINSPECTION
21 YES ❑ NO
.w w
i I
INSPECTION NOTICE 1
City of Tigard Building Department 1
12420 S.W. Main St.
` Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested Time A.M.- P.M.
c � /
Address Permit #
Owner_--- _---_ _ Lot #—
Ruilder I=
! The following Building Code deficiencies are required to be corrected: '
I
- -- �_ Ate,
-- e- - -
I
Presented to Approved
J"
Inspector Disapproved
Date — -- �s'ZT—_—
f1
CALL FOR REINSPECTION
E__7 YES I/NO
r,
BUILDING PERMIT APPLICATION TIGARD DATE___�_>I '- 4633
is - -' ,.
1 -- -._.... .. . , 6 5/A
r 09,3
HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 0746
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ,-----
LOT NO.
—
OWNER lltan U �. JOBAODRESS
ARCHrrECT
T� .4tnh�Ar' x�97oe6ENGINEER
BUILDER sane ADDRESS y ? J. DESIGNER
STRUCTURE 19 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE_DAMAGE ❑ DEMOLITION
SC}RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE D STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _SZJ_LAND USE ZONE ►i-7AILDG.TYPE _ 5N FIRE ZONE__PLAN CHECK DY ___b(:K HEAT 1:
Construct Single Family Owellink w/atuibbecl .gaze.
3 Bedruor:ia 2 1 ii0im ,a j
SEWER PERMIT# 2645? �,rtrac�e �i23
-- -- - —
OCC.LOAD _FLOOR LOAD /iti HEIGHT I 'NO.STORIES 2 - AREA 12o NO.BEDROOMS .3 VALUE 51.500.
- -- —
BUILDING DEPARTMENT SET BACKS FRONT 1. REAR ,g, LEFT SIDE - �� RIGHT SIDE � r,11
Permit_ 2N9.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 187,85 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
Sub-total 476.45 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 111.56 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
-- SDC— $400.00Total 4;i�1.4 I -
-� PDCH APPLICANT OR AGENT
BY `ti lou(W
OK.-I ,
Receipt No. r
Approved IiL K ADDRESS PHONE
r
g
i
DATE INSP. TYPE INSPECTION REMARKS PUAMBINGL0DATE3
I
Contrac*or dL— 1 27/64
JWPermit No.
u- Cry%— a LA.
Rough in
Fixture
1.2t'iy Final
HEATING--H 'IIN I N CG
-5/
r
r
C'7 C
Permit No.
Gas or Oil
Roijgh4n
SEWER
DRIVEWAY
Final
Storm Drainage
(Plain Drain)FJnF1
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Pinel
CERTIFICATE
I -andwaping
lZoning Final