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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 Requested TimeP M
AM
Address Permit 5607
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __7 Approved
Inspector Disapproved
Date j
C ALL FOR REINS
Z' No
BUILDING PERMIT APPI_ICArION TIGARD UATF_ _1: __,19a.,e4876
I'HE UNDERSIGNED HFREBY APPLIES FOR A PERM i T FORTH%WORK IiEP,EIN INDICATED BUILDER PHONE k►39-4770
OR AS SHOVJN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS, OWNER PHONE
LOT NO. _
OWNF_R Ly (;Jgrx. JOBADDRESS 910 SN Ldgew000
ARCHITECT
ENGINEER
BUILDER Satue ADDRESS DESIGNER
STRUCTURE ❑ NEW aREMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
C,{RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C1 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ i�- LAND USE ZONE A-.-BLDG.TYPE __ _FIRE ZONE— _.PLAN CHECK BY ___&D _HEAT_
Cunstruct addiLion to e.Nistin& SiaLle all ger
flans G (:ode t;e-itab linisticta Rgow ;�e4'x�� data g. ---
SEWERPERMITM Septic lsnk `+yxtersr Plumbing leermit Requir+•d�__
OCC.LOAD FLOOR LOAD 4 HEIGHT 1j3+ NO.STORIES I _ AREA 120 NO.BEDROOMS VALUE {.�Ut�•
SUIIDING DEPARTMENT SEI BACKS FRONT IUB REAR LEFTSIDE ly RIGHT SIDE
Permit50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.., ZONING
RE13ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 44.53 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _113.u3 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 LICFNSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •74
- i SDC- ,
Total _ 115,77 -- - -- ----= - --- - ---
PDC# Al PLICANT UR AGENT
Recelpi Na. C r ^/ 1')
Approved t;TW ADDRESS f HONE
DATE, INSP. TYPE INSPECTION RLMARKS PLUMBING
DATE
CCintr3Cto,
Permit No.
_ �.
Rough-in —
0 'y/ Fixture
Final ---
HEATING
Contractor
Permit No.
Gat or Oil
,— —— Rough in
Final
Final
r _ — DRIVEWAY
Final
T /I Storm Drainage
kv (Rein Drain)Final
Sidewalk
I
Curb&Street Final
0(77AWAW
_ Approach
BLDC, DEPT.FINAL T TEIVFPORAUY v 4M TIFICATE OCC ANCY
CERTIFICATE P NCY Final
JLandscaping
/ Zoning Final
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