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INSPECTION NOTICE
City of Tigard L 'ilding Department
12µ[u ,.W. Main St.
Tigard,Oregon 97223
Phona�639-4�1
Type of Inspection
Date Requested_ Time A.M. P.M.
Address ,� .__K:� �r` Permit
Owner- —_--__- _---._ `�--___-- Lot # —�
Builder
The following-Bu1lding Code deficiencies are required to be corrected:
or
Presented to Approved
r
Inspector _f 1-1 Disapproved
Date _--�—�
CALL FOR REINSPECTION
C� YES F�AO
INSPECTION NOTICE
C ty c,f Tigard Building Depon,ient
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
� Type of Inspection
i
f L
Date Requested �"' Time_ A.M._ P.M.
Address Permit
Owner ' Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
.i
.I
Presented to Approved
Inspector _. r/ —_, Disapproved
Date -
CALL FOR REINSPECTION
YES ❑ NO ;
i
INSPECTION NOTICE
City of Tigard Building Depritment
1242.0 S.W. plain St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested —__� me A.M. P•M•
Address --- —�—�' Permit #
Owner..___—=l='� - Lot #
BuilderThe following Building Code deficiencies are required to be c0C'0f`d0:
Presentedto A,iproved
Inspector— — Disapproved
Date
CALL FOR REINSPECTION
[] YES Ca'NO
J
l
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
I Type of Inspection i_ff
Date Requested_. _ _ T' e A.M. P.M.
PermitAddress 1�
! Owner_ — _ _ Lot #
Builder /
i
The following 13uildin� C9de f- ienc+es are required to be corrected:
�_`�•_�,_--'->:JL_� ��.�"�'-+.�, -r--.�`'��°cfr 'tel" 1
Presented to Approied
Inspector �_� Disapprove,,
Date
CALL FOR REINSPECTION
d YES &NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
lJ
Type of Inspection
Date Requested_
_ —7 - im _ — A.M.,.G� P.M.
Addresses
Permit # �
Owner-----— --- ----- Lot #
t Builder—_
The following Building Code deficiencies are required to be corrected:
s
r -
Presented to Approved
Inspector Disapproved
� Date _ _ �-- �/..� �f
FALL FOR REL'NSPECTION
❑ YES A!1 NO
BUILDING PERMIT APPLICATION TIGARD DATE_ 1�___—.,re§5_. 5399
'�!-:E UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T HE WORK HEREIN INDICATED BUILDER PHONE 692-3615
OR AS SI10WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHCNE
LOT NO._ S
OWNER Jay 11iller JOB ADDRESS 7785 Su Bond_ Street �I!l/�LPark
Tigard ARCHITECT
ENGINEER
BUILDER Satae ADDRESS 1'.U• Box 23391 DESIGNER
STRUCTURE ® NEW O REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
1XRESIDENCE ❑ COMM I-] EDUCATIONAL C GOVT ❑ RELIGIOUS Ci PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —LAND USE ZONE =12 -BLDG.TYPE SN _FIRE ZONE__PLAN CHECK BY _HEAT Gag
Construct single family dwelliq w/attached garage.
3 4edruoo 2 Eethtoom
SEWER PERMIT N 28437 Garage 524
OCC.LOAD FLOOR LOAD 4U HEIGHT 12' NO.STORIES i AREA 1 125 NO.BEDROOMS 3 VALUE49.UOU.
BUILDING DEPARTMENT BACKS FRONT 20 REAR_ 24 LEFT SIDE 7"-b" RIGHT SIDE 10-6"
Permit 2J8.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
?Ian Check 181.U3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECII-(CATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 459.53 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
410ENSE.SEPAR 7 RMITS REQUIr1ED FOR SEWER,PLUMBING AND HEATING.
State Tax 11o114 I )�. i
Total 4 70067 SDC-- 0500.00
By (:z
PDC#11. 4150.00 APPLICANT OR AGENT
_
Receipt No.
Approved � ADDRESS rF+oNF
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