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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ---
Date Hp.quested Time A.M. L'7'P.M.
Address _._ �� �,—/�/��_ a -.- ---- Permit
OwnerLot
Buiider'"�%� — --
The following Building Code deficiencies are required to he corrected:
..............
V
A
V
Presented to
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
0 YES E] NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested �'� r ? — Time , A.M. _ P.M.
Address n U 7(1 5 �✓ ��►'f _ Permit #__-�
I
I Owner_< i C( r ` -- Lot #_—
Bu'Ider _
The following Build:ng Code deficiencies are recd is i to be corrected:
Presented to ._.._— ❑ Approved j
inspecto _ —_— � Disapproved
Date _
CALL. FOR ;! INSPECTION
2"YEs ❑ NO
BUILDING PERMIT APPLICATION TIGA D DATE 19 S` 5538
THE UNDERSIGNED I!EREBY APPLIES FOR A PERMIT FOR TH:WORK HEREIN INDICATED BUILDER PHONE 692-3615 _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AI'D SPECIFICATIONS. OWNEn PRONE _
LOT NO._ tit] _
OWNER JiaHiller JOB ADDRESS 8070 SW Bond St. 11oII,i park _
ARCHITECT
1• ENGINEER
BUILDER Salim _ ADDRESS P.U. AOX 23291 DESIGNER y
r
STRUCTURE EXNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOL!TIOW
`i
M RESIDENCE [=7 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —lt-3 LAND USE ZONE _ K—7FD BLDG.TYPE _"t-t_FIRE ZONE__PLAN CHECK BY _KTW HEAT GsJr _
Construct singiit family dwelling w/attached garage.
Re-lesue of Permit 05511 6 474ug.%" �(, -
_� 3 Bathroap
SEWER PERN'T tt ?620
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES 2 AREA 11413 NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SETBACKS FRONT 2U REAR 4U LEFT SIDE ,, IGHT SIDE
Permit 34U.UU 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 40.GU 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
Subtotal 380,U0 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.6U 4: .+k. . . ,
Total 393.60 SDC-- $500.U0
BY L7, PDCMl l 6 150.0 AP UCA9T OR0 AGE'Iw�— T_
�7 _PHONE
Approved Receipt No.�+'�{� ADDRESS � PHONE
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DATE INBP. TYPE INSPECTION REMARKS — PLUM UNG ( ATE
- -—
�SCir -cf Contractor -
9rS'�'; Permit No. / (� a �L 5►_
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Ruugh in
Fixture
)L .Cl�r _— Final_ —
/f���f
HEATING I`
Contractor
Nn.
Ox+or Oil C
— — Rmigh•in
--- __-, Final
-� SEWER
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DRIVEWAY
Fn
Storm Drainage
(Rain Drain)Fin:.l
Sidewalk
Curb&Street Final_ �_---
_ BLDG, Or PT, NApproach
ETCATE
OCCUPANCY i
CERTIFICATE Of;CUPAf%1L 'find
C2Landfcr,pinq
\ Zoning Final
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