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i INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
1 igard,Oregon 97223
Ph639.4171
Typo of Imperstion Z-;2x-) -
Date Requested �_� --- Time A.M._�_P.M.
rmit -5; 7 7
AddreAddress #
.f
Owner. _ _ Lot #._
Builder
The
,,foil,-)w!nq Bailding Code deficiencies ar,s required toobe corrected:00,
j
7
Presented to Approved
Inspector _ —�f Ci Disapproved
Date
CALL FOR FOR REINCTION
F-1YE3 NO
BUILDING PERMIT APPLICATION TIGARD DArE_+!OWe-_11htr-�i_t9 __ 4677
THE UNDERSIGNED HEREBN'A'PLIES FOR A PERMIT.OR Th' ORK HERE N INDICATED BUILDER PHONE 636-6622 _
OR AS SHOWN AND APPROVEr`IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT N0.
OWNER —l_+ISL]C�iQLLes lnc O,►�BADDRESS
ARCI IITECT
Tiy,gid ENGINEER
BUILDER St+cxR ADDRESS____PsU. RQlk_ _.-----DESIGNER--- Piercy k—J6ir_QlAX
STRUCTURE 1-i NEW [._I REMODEL ❑ ADDITION ❑ REPAIR —❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
❑xRESIDENCE Cl COMM 1 1 EDUCATIONAL_❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE El SLAB❑ FENCE
r OCCUPANCY t4-3_-_LAND USE ZONE ►t-7 PlhLDG.TYPE— !4 FIRE ZONE — PLAN CHECK BY k HEAT
• __ C'onet=uct single fawi.ly dwelling w/attached_l;ar,a�e,
(Sub ect Lu &,mrtfk'edbewood Surcchar-e'360.00) 7 bedruor) 2 6aLtiroow
SEWER PERMIT III 2b417
UCC.LOAD FLOOD LOAD _ HEIGHT, 14' NO.STOR!C��. 1 _ AREA 165b NO.BEDROOMS 3 VALUE 71�4UU.
— BUILDING DEPARTMENT SET BACKS FRONT — 111E R I_FFT_SIDE RIGHT SIDE
Permit _ 364.UUTHIS PERMIT IS ISSUFD S(IBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REGULATIONS AND ALL APPLICABLI_ CODES AND ORDINANCES, AND IT IS HERcBY AGREED THAT THE
Plan Check 236.60 WORK WILL BE DONE IN ACCURDAN'CE WITH THE PLANS AND SPECIFICATIONS AN') IN COi/IP1.IANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 611(1.60 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
---_.._ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.56
SDC_ o4hu.0U
Total 615. 16 �r ..
By
PDC# l 100.OUI A#P—ICANT OR E
c.lt _-_.
Approved
Kit A00111181 No. 1 81-- -- _ PHONE -----— —
— OAT% INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracto
Permit No.
Rough-in -
f =� Fixture
Final
HEATING
1 , Contractor
_ Permit No.
Gas or Oil
Rough-in� — -----
F I nal
---_—�T SEWER
Final
DRIVEWAY
— — Final
Storm Drainage —
(Rain Drain)Final
Sirl•twalk
Curb&Street Final
Approach
awn. DE,,7. rlr,:s L — —TEMPORARY CERTIFICATE OCCUPANCY n,
�t'fY! CATE OCCUPANCY el
ij Lan.fscaping
Zoning Final
K,
i