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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639--4`175
Type of InspectionData Requested `� - Time J r. A.M. P.M.
Address n �� C'l _�_ Permit
Ownei l -ten A- Lot #_—
Builder ---
The following Buildinq Code deficiencies are required to be corrected:
'y
Presented to u Approved
Inspector _ __ —__ ❑ Disapproved
Date --.
CALL FOR REINSPECTION
D YES NO
-4AAL F-.PM:E
C'1Y OF T'GA RDMI:::(::I:'TN1:Cw. : F)
MEOW2/483'Y
CITYOF TNRIW
COMMUNITY DEVELOPMENT DEPARTMENT Oaf GON 1.117/99
13125 S.W.Hall Blvd..P.O.Box 23391.Tigard,Oregon 97223.(.503)639-4175 P141:I'l- PMT.NO ,
0(N.'2,(4 68
1: ()rMM'" 5 : 815-1 SW BOND Si V
I Ax MAP/L.01* 2S I. TPKIIC 2-1600 SLID: DOND HAWK /I I K
I.-AND USE : P1 2
1 01, SYZE!
T,TIEM: NO: N(J
WORK GI A S!'.-i : N W F1.)PISIAUE <100K 1. A11:4 HANDLP <1.0
USE. TyF"E . r)INGI F:.' F'Afll I Y 1::'IIPNA(:,F:: 1.001<+ AIP HANDL A 101(
CONS'Y' . *1 YPE : VN F=1...(:0P LVAP.(UJULAEP
GPP . 1.13 VEN T FAN
VI N'T VE N'1' SYSTEM
E31 P/("10MV, <131.1p Ht 01.)
NO . S111:443A.KS . 2' UL.1"MAMP 315HP 1:N(:.:E NF—'14A'Y()P(DOM
DWI:::I- I_ - UNITS : 1, h)I
T*y 1-:1 L tv*A 5 Ul P/C.01,1P -.io*0FII::s WEPAT P UNTTLS
AX . :C W-11 T. I3L.P/(.10MP '150+111P t:)T"1--I I:_::P
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TPE L)IMP14157 GAS P:I',PI:NC:
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N S14 DOVE C-11' PL.AN PEV1EU $11 6;3
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FA:X'T U PE G 01;56. ;50
S'T'A'T'E*.. 'T'AX A1r. :3:3
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L R I 1.41 E'G'1:!:; Fl-,Wi FJON NO .18 31 3 J 1,01 Al se..,(:,
This permil,is issued subject to the regulations contained in Title 14 NO e 0
of the I ivIC, State of Oregon Specialty Codes,zoning regulations ...........................
and all other applicablL codes and ordinances, and it is hereby WLMIMEM 11SISPEJ."T 3:11:11NS
agreed that the work will be done In accordance with the plans and GAS
specifications and in compliance with all applicable codes and 1: ('3ST R DEAM
ordinances The issuance of this permit does not waive restrictive 111011(;III-4 :11:N
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will exp,re and tecome null and V'1'NAL.
void If work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the r6sponsibility of the permittee to assure
all required inspections are eque led and approved.
Signature, i tte /
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
IL
-cc DA*TI:.' :I.'55l.IE.'l) :
SEWE-P PERMIT
CITY CSF TIGARCS Cfr4j�L RD PE:PMX.I* NO.
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(5031639-41>5
JOB ADE)PESS : C313AI U14 DOND S Y' USA NUMBER: -7
MAP/L.OT 2S1. :I.P(:,C "Je
LAND VIE� 1:11.21 0 0 SUD: HOND F"APK /I LJ :84 SK :
LO*T 51ZE :
SECTION: 210 PING 1w
WORK I'LAGS : NEW
USEK TYPE ; STNGLE FAMICLY
The Agt,V#r4Vi
Agel-104 .
t C# 0 tam t I.10 CI OL't,e 1,M III LI e CI . It.43 t lit 1.
y'a
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the) ac-C.I.41--at'y c)4! tllca C-,+ the 14:Lde sewer- J.#ktv
mllte4� daeu, I'lat ;1 1.1 lit I,—
W4-I.,
I-I I:)t InellkillL11101rel'It c1:1.
N0.1 dir*-c:Lians fi-am Lhest . 110 .1. V.)I,Cl lit 0 C!t 3 -ko(i.?t
the irllntallel• whi"A.1
l.m.irchaime ot "'1*^P fill,11111 ti-1ci,
A,erlcy wjjj.
I N F5 VAI I_ 'T'yC)E: IMPERVIOUS AREA:
F'1X'T1JRF: UNITS : TE'NANT IMPP(WEMPENT :
OWE-LLING" IJNXrS : 1.
NO OF' D1 DG5 .
OF Fi,E S
W WAYM-mF: MELVIN JA Pr-.-nwri,
N 1-01345 514 DOVER CT . 111315 00
E . C'ONNE(,—T*TON CHARGE
R TTC;;AR0 OR L.T'Nk'.: 'Y'AP INSI'ALL. . $1 11.00 , 00
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T MEL. WAY111RE
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R REGTSTC;A'rT.0N NO. 3597
L--L— 6 -- TCYTAL : :1.35 . GO
This permit is issued subject to the regulations contained In Title'i NEI.
of the TIVIC, State of Oregon Specialty Codes,zoning regulations ...................
and all other applicable codes and ordinances, and it is hereby P11'QUIPPA) TNSiC3r-.0
agreed that the work will be done In accordance with the plans and ROI.GH—A.'N
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required inspection Are re uestpd and approv
Permittee required
Issued By:
SEPARA'Tr- PERMITS REQUIRED FOR WORK OTHER THAN DESORISED ABOVE
C17YOF TiGrARD PLUMUING VIERMIT
CITYOFTWARD T NO. : FSI... Hlit-1-IM!
COMMUNITY DEVELOPMENT DEPARTMENT ORMON
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigarc:,Oregon 97223.(503)6394175 0611::
P111-M PMT-1qrt- 8t-1P..)qLV')F1
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TAX 11"AP/1-0*11' PSI 12CC r.!600 SUP . EXIND VIAWK e) I T* 8A Ei;K
I)ND USE.' : N1 2
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A* FEW NO : N(.') .
WOPK GLASS NEU WATEA CLOSE.-T TRAP
USE: *TYF:'F:: : SINGLE. F'AMILY UPINAL. 1'-ikF;'!-.(:)W PRVN VP
f T*YPF: : VN L AV(:)PA*T'(:)FIY Al 11PAV,
0C.C.Up G14111. 143 '11,06 SHOWER GAEASE TF4APS
UIS FIWASHED
NO I:i*l()P:[E:!; : a WeSI-11W.; MACHINU 1.
1*)IAJI!:'.1 A... LJIN 3: S LAUNI)PY T'R6Y I3L.1)(; . DFWEN (DIA
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This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations PEE GLIPT NO c,
and all other applicable codes anti ordinances, and It is hereby .........
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and P1 B
ordinances The issuance of this permil does not waive
covenants Contractor and subcontractors shall have current city WA'i 1':*;:1'1
business tax pew)lts This permit will expire and become null and
void it work is not started within 180 days,or if work is Suspended or
abandoned for a period of 1!%0 days any time after work has I''6 EN DPAINS'
commenced It shall be the responsibility of the permittee to assure
all required inspections P reqU sled and approved.
Permittee A �t Signature
Issued By kj't LJ
i I (')P I N S 1 1; Y 1'ON 63 9.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVF
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