9175 SW CENTER STREET 9175 SW CENTER STRE:;r
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone.639-4175
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Type of Inspection �_—
Date Requested ZS Time___ A.M. P.M.
Address _ �'� �L�'�s�- _�� Permit #.5
Owner __-1c,L Lot 4t --
Builder
The following Building Code deficiencies ern required to be corrected:
Praented to, LAM Noved
Inspector '' '
�] Disapproved
Date
ALL FOR REINSPECTION
C] YESCCD No
I
CITY OF TIGARD 639.4171 9 3
BUILDING PERMIT DATE :.Lri1 2 _160
c kuth fioduw TAX MA P _ -LOT N0. --SUBDIVISION
—
OWNER—, JOB ADDRESS 9175 Sid Gencor 5t•
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BUILDER 11ob 'aw. :eltl• bnc. ----- ---_. _
8735 S+� i.'+litflant-?t Ind . STATE REG.NG. 15271 -_-_-_._EXP.DATE_ 11-18••tlb
BUILDER'S PHONE 246-47;10 -
97223
ARCHITECT
--...-- PHONE
_ . OTHER
STRUCTURE L] NEW 1-1 REMODEL �U ADDITION REPAIR L] MOVE OTHER DEMOLIT ON
RESIDENCE COMM f EDUCATION lVl IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY `1 LAND USE ZONE BLDG TYPE
FIRE ZONE _ PLAN CHECK BY ' '�_ HEA1
t:t� :c� rucC additfar lit,nth c j•xir — —
_ :�V L1!►i:• iCl �dclltiun. __
SEWER PERMIT N
OCC.LOAD FLOUR LOAD yU HEIGHTI NO,STORIES 1 AREA
BUILDING DEPARTMENT --- ---•— YLa NO BEDROOM,, VALUE to
SET BACKS FRONT "Latr, REAR LEFT SIDE RIGHT SIDE
Permit Jb•SU I — _
THIS PERMIT IS ISSUED SUBJECT TO THE RE-GULATIGNS CONTAINED IN THS BUILDING CODE, ZONING
Plan Check REGULA'rIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE.
2 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAW
PLCk.Fire—
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF rHiS PERMIT DOES NOT 'NAIVE'
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE Ct,RRE:!T CITY BUSINESS
State Tax
1.54 TAX PERMITS.SEPARATE?ERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 65.U1 SDC -
aPPi.�dA-W ORAOENT
PDCk — _-
Prepd. _ -all
Receipt No. —
p ADORESB ----
881.Due _ ___ tu•�•e -- PHONE --+.`�_
Issued By _-^Approved By
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DATE INSP. TYPE INSPECTION q MARKS PLUMBING ATE
DATE
Contractor
Permit No.
Rough-in -�
Fixture -
/ --
Final
HEATING
�'7 w
Contractor
Permit No.
_ Gas orOil _
Rough-in
---__. Final
N
SEWER -- — --
__—_— Final
DRIVEWAY
-- - _i Final
-- Storm Drainage
-- - — --— (Rain Drain)Final
--- —_ Sidewalk
- — _ Curb b Street Final
_ _ v Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
--- --_ Zoning Final
Address_ Permit No.
Name of Occupant -_— _ Permit charge -------_
Connection fee--
Paid
ee—Paid by
Date connected
Type of Building_a.Lz'i.G Inspection fee
Service Rater G 1
Z. _ Paid by __--------- --Dete
Contractor_l� *---- Assessment----- Paid-----
Size of connection