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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard. Oregon 97220
Phone 639-4171
Permit
Address
Type nf Inspection
The following Building Code deficiencies are required to be corrected: -4
Presented to Inspector
Date Z::!�
CALL FOR RE/IVSPEC.7/()N
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INSPECTION NOTICE
City of Tigan; Building Department
124'3 S.W. Main St.
T;gard, Oregon 9722-1
Phone 639.4171
Permit
Address __—____ _-_1� �-- -���•� ___
Type of Inspection —__----------- — --r-----
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The following Building Code deficiencies are rsquired to be ro
--
Presented to_----------------- ---- Inspector - - ---— ---
Date ._111 - ---- - ----
CALL,rOR REIAWECTION
YES ❑ NO
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BUILDING PERMIT APPLICATION TIGARD DATE_ '25- 19 ,s _'1 3519
T HE UNDERSIGNED HEREBY APPLIF_ FOR A PERMIT FOR 1 HL WORK HEREIN INDICATED BUILDEH PHONE ti41-n-0)h
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.–=.�lClAcrnaO Tett
OWNER _..uae•tt JOB ADDRESS 10450 SW Crant Court
ARCHITECT
ENGINEER
BUILDER ADDRESS Q(i_S,W. i��rty-1 ENGINEER DESIGNER
STRUCTURE L3 NEW ❑ REMODEL_^ 11 ADDITION Ll P,EPAIR ❑ RENEWAL ❑ FIRE DAMAGE 13 DEMOLITION
PWERESIDENCE ❑ COMM ❑ EDUCATIONAL n GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB_❑ FENCE
OCCUPANCY LAND USE ZJNE_ K^-7 BLDG.TYPE I –FIRE ZONE �-- PLAN CHECK BY N HEAT QLL
Ccmptruct Ain,11e featly dwellina, with attached parake
--- ,orrection Bh^et attached. 3 betirc»ns
SEWER PERMIT M 2321��
OCC.LOAD FLOG.I LOAD _40 HEIGHT 15 NO.STORIES_ 2 AREA IW-j NO.BEDROOMS 3 VALUE 6'',900
BUILDING DEPARTMENTgET BACKS FRONT REAR_ LEFTSIDE YRIGHT SIDE
Permit_ 2»5.00 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS OEREBY AGREED THAT THE
Plan Check 1.12.50 _ WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSJANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 137.51) I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY DUSINF-SS
State Tax
A 1) OU LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Total 31�• SDC- 4U0.0C3
r,�<<t)
— PDC# 1 100900 116?
APPLICANT OR AGENT y[�
By _ ��•��'� f.. i4% �1 7
Rerolpt No.
rove
Appd --ti��'' ADURES8' - - - PH(_JtJE
REM 4R,i;S PLUMBING I DATE
DATE INSP. TYPE INSPECTION
Contractor
Permit No. � � �/.X00 4-T0`QJ
Rough-in I
.ay,�ilsT_ --- — — -- ,
Fixture
(y
Final
HEATING �A7f}.
_2_ncs Contractor�Qpl
,21.2 4 A.6
Permit No. 2� -
Gas or Oil
Rough-in
Final
BEwk:R
--- — Final
-------- DRIVEWAY
--- ^� Final
— —J Storm Drainage
)Rain Drain)Final
— Sidewalk
Curb&Street Final
—__.—.------..— Approach
BLDC3. DEPT. FINAL J TEMPORARY CERT;FICATE OCCUPANFinal —
CERTIFICATEOCCUPAI,_Y A p.��//
/ U Landscaping
2oninq Final
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