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{ INSPECTION NOTICE.
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-44171
Type of Inspection —Gn-�alLh-
Date Requested7�.�' Time A.M. P.M.
AddressS �!_-amu C �2� cf-- Permit # _
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
2. ----
i
!I
I
Presented to _ ❑ Arproved l
Inspector �__G;l, 'Disapproved
Date
CALL FOR REINSPECTION
YEAS D NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection LL V00� I ko
- /:2 a "
Date Requested -��T- Time A.M. P.M.
11
Address Permit #--
Owner Lot #-- /7--
a)( "
Builder 432di 0)v
The following Building Code deficiencies are required to be corrected:
------------
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
[J- YES 4140
0 7
BUILDING PERMIT APPLICArm TIGARD DATE------ ���� 19 � � �
TI!. I.INDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OWNER PHONLDER E `-
0R AS 8HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT ER PHO
>, t � r•. � C=t. �]! �'�yrtr s t�atcr8
OWNER_— . itnri ; .:;:�: '`r�: r• OB ADDRESS ? `•t nlr.r` �- ARCHITECT
ENGINEER
BUILDER ADDRESS
'� +I' c' ,�rlit 11.,rl'.1:;brtDESIGNER L,atrl�_''l�
:. .'1 r. --- - -------
STRUCTURE _. 3 EVV EJ REMODEL ❑ ADDITION Fj_REPAIR _El'_RENEW_ AL_ ❑ FIRE DAMAGE -❑ DEMOLITION
ID RESIDENCE G COMM f_1 EDUCATIONAL ❑ GOV_'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GADAaE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �_L_LAND USE ZONE_—F`.ZLL�_BLDG.TYPE -_-FIRE ZONE--�PLAN CHECK BY S�Y./�L__HEAT__
P^or.strlic*. sjjIr.Tin, far+il � c1�, 11i►,<� J �.tfr�c:�r*�� crarr>rc,� ^ .i '±�c.a< r., H ►*
SEVJE_RPERMITM r'f '" �F'�r•�>7 __ `_ �Z1r•']tlF` " �"f� Sri.ft:•
—
HEIGHT NO.STORIES 7 AREA—.0'J)NO.BEDROOMS VALUE
0";0.LOAD FLOOR LOAD _ — -- ---- ..----
BUILDING DEPARTMENT SETBACKS RACKS FRONT _ REAR _-1 LEFT SIDE_ RIGHT SIDE
7{c1•I'll THIS PERMIT IS ISSUED SUB;ECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Permit_
15 oil REGULATIONS 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
n I ^ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal •" RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
t Pl•
State Tax -- SDC: -
Total — — • -- PDC# APPLICANT OR AOENT
By
Receipt No ADDRE98 ----- ---- — PHONE
Approved
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DATE INSP. TYPE INSPECTION r.Et1ARKS PLUMBING DATE_
Contractor VAzi ,
Permit No.
Rough-in
Fixture
Final
HEATINt
' -- - - - - -- Contractor
Permit No. 2637 J-,/
Gas or Oil
Rough-In
Final
- - SEWER
Final .--
-- �U•I�'�'_ ro+l,IC E y�l .4� �.,,._ Y e DRIVEWAY
-- � Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. ..."-:a r.1 TEMPORARY �CERT�IFICATE OCCUp• NCY Final
CERTIFICATE OCCUPANCY I —
Landscaping
Zoning Final
4
NO.
Replaix, Itelocatiull DAT
HCATING Toll (AIM,I I .jm-t-,
Al. DRUS
PHOM
Heat Input Batiliq Flue Size
FULL OIL.[_
EIVI NO. FEF
ii, I�,iwflwq Unit 7.60
Fnr IfS11,111c(I 01 Permit SIA: or Duct S
LJ L.ty 1!11 to ('A incl 100,000 BT U 7.60
'
New 100,0(if) IIII
------ '1 Other i 'rn lit Iach 4.50
WoodburnT 4.50i 9
1; 11 Air Cmirfilion Comonssr UW Pt ind3 H.P.uP .Wall-Floor. ! 6.00
11.00
SystemW/ran j i I,)I I'm opi us,;or- I o 15. incl.
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CITY DUSINLSS I.IC--.14 RE01,11 -D 13 \I-.L_ CONTRAL,row; OR SUD-CONTRACTORS
PI.JIMIT Is"IJANC..- '16 0(1
14 1-�) LCICD
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