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INSPECTION N01 ICE I
City of Tigard Building Departr- nt
12420 S.W.Main S+
Tigard,Oregon 97223
P ne: 639-4171
Type of Inspection J
Date Requested �' S Time — A.M. __—P.M.
Adures�.2- ��`� S•`J — _ Permit #----------
Owner Lot #
Builder ------- __The following Building Code deficiencies are required to be corrected:
Presented to — Approve-1
Inspector �, Disappro✓e:1
Date
CALL FOR REINSPECTION
fb YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigard,Oregon 9727.3
Phone: 639.4171
Type of Inspection
Date Requested 71me A.M. P.M.
Address __. "'7c) .SCS " z,r.
- � _ Permit 4k—
Owner -- -- — ---- —_ Lot #
BL rider
The following Building Code deficiencies are required to be corrected:
– —
1
Prestnted tc
-- Y1 Approved
Inspector _ / " z
Disapproved
Date
CALL FOR REINSPECTION
❑ YES [r NO
BUILDING PERMIT APPLICATION TIGARD DATE__.T.i1 22 �s �► _ 481»9
THE UNDERSIGNED HEREBY APPLES FOH A PERMIT FOR THE',,IORK l;EREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA N-*)AND SPECIFICATIONS. OWNF.R PHONE _._.—___
457x. LOT NO.— + .I--
OWNER lelyirua Vaymire JOBADDRESS 7"'U0 S4 ;5ond 94/ F
1 ?
ARCHITECT
BUILDER
Same97251725 SGT thur�+or.,k ENGINEER
DESIGNER
STRUCTURE LY NEW ❑ REMODEL ❑ ADDITION (] REPAIR _ 11 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
A RE91DENCE Li COMM ❑ EDUCATIONAL ❑ GOYT O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE O STORAGE ❑ SLAB❑ FENCE
OCCL,. :CY __!'" __LAND USE ZONE Kms_BLDG,TYPE ty _FIRE ZONE PLAN CHECK BY Y!! HEAT
--- -- Construct Single Faaily Dwelling with attechped •carjv,c
7 Bathrooms 3 Bedroorna
SEWER PERMIT26524 �nra.;,e 420 r`
OCC.LOAD FLOOR LOAD 40 HEIGHT 79 _ NO.STORIES AREA 1 346 NO.BEDROOMS .3` VALUE 85.000
�— BUILDING DEPARTMENT-1 SET BACKS _FRONT 7 ? REAI'i LEFT SIDE ' RIGHT SIDE
Permit _ 2913.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
193.70 REGULATIONS AND ALL APPLICABLE CODES Ar4D ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 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 fig 1•70 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
11.97
1.97 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�
SDC— 50U.00
Total 503.62
PDCM 150.UU APPUGANT 0 ADEN
By _ d�'J -- trww nc 250.00
1.T!I Recelpt No „r
Approved NH—O _E
DATE INSP. TYPE INIOPECTION tMnRKf
PI.UmrIING I DATE
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BLD(,. DEPT.
t;LF4TIfN(;,,%TLrOCCUPANCY
IIAV;OCCUPANCY
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12nn'„q Final