12730 SW GLACIER LILY CIRCLE la R'
12730 SW GLACIER LILY CIRCLE
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INSPECTION NOTICE
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i City of Tigard Building Department
12420 SW Main St.
Tigard,Oregon 97223
P one: Q39-4171, 1
f Type of Inspection .� - •�
Date Time M' I
`
Permit #
I Address
Owner / Lot # l
Gunder
The fallowing Building Code deficiencies are required to be corrected
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1 /
fit7-7715-
.` =-_.— 1
Presented to
Approved
Inspector _ �_� Disapproved
Date — —
CALL FOR REINSPECTION
I ❑ YES V'1 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W Main St.
iyard,Oregon 97223
Phone: 6 9-417,4
Type of Inspection
Time 2C A.M. P.M.
Date Reqs ested
V
Address S 4, 1' . 1 Permit
Owner— ............ Lot
Builder
The following Building Code deficiencies ere required to be corrected:
' d Oregon
P
Phone:r6 �'4
11,isentee to
Approved
Inspector K Disapproved
Date
CALL FOR REINSPECTION
0 YES EYNO
_
BUILDING PERMIT APPLICATION TIGARD DATE .J+Me 26 in—,v _. 4893
THE UNDERSIGNED THEREBY APPLIES FOR A PERMIT FOH I HE WORK HEREIN INDICATED rwILDER PHONE %", 'j%'j'i_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFiCa''IONS. OWNER PHONE .-_
OWNER kid Rudishauser JOB ADDRESS 12730 SN Glariat Lily LOT NO. 73_
----- — ---- - _ :,u.:uije r lltke
ARCHITECT
BUILDER
ENGINEER
Same ADDRES; r?
-�.—._. _`�.��_ d. .•t r.;�L DESIGNER
STRUCTURE NEW Ll REMODEL _❑_ ADDITION LJ REPAIR 0 RENEWAL ❑ FIRE DAMAGE _O DEMOLITION
G� RESIDENCE ❑ COMM L] EDUCATIONAL �:] GOV'T []_RELIGIOUS O PATIO Ll CAR PORT i_1 GARAGE 0 STORAGE-❑ SLAB[] FENCE
OCCUPANCY_ R-3_ LAND USE 20NE _ ' BLDG.TYPE SN _FIf_p ZONE_.:PLAN CHECK BYLt�v _HEAT.-_- tri
—_-- —(.uil�C r�cC. lf�nule la,'tita! c�ir�ll__.;moi y,,.��CtaCtlt�d s;,sra��• —_ _
,_ 5ublect to J60.Ut) Avart/Nttdrye p!!,i ;__:.. �ur�ha4rrze� SISU.UU l,eeun ifaigl�k•
3 buthroo;•t 3 B Uvocnu _
SEWER PERMIT# try 1!) (;arab 43(1 — tiw/wen let: fluor
OCC.LOAD FLOOR LOAD 4O HEIGHT I! NO.STORIES 2 AREA .'w`NIj NO.BEDROOMS 3 VALUE 9��t1i).
BUILDING DEPARTMENT
---
SETBACKS FRONT REAR � LEFT SIDE RIGHTSIDE
-- --- -,
Permit _yO*U0 THIS PERMIT IS ISSUED SUBJECT TOTHEREGULATIuns CONTAINED IN THE BUILr'NG CODE,ZONING
REGULATMNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 26 1•95 WORK WILL BE DONE IN A( 'ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCMPLIANCE
WITH ALI, APPLICABLE CODES AND ORDINANCES- THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE
Sub total 6ti4.9S RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
16. 112
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND BEATING.
SDC
Total 661.07 ,�i�� _
PDCk 1 S�).f)l3 AP OCA f Y R A
yE3ENT —--
BCH 29t).uU
Recelpt No.,
Approved BCR r �%s.� A R - _--_ _—
PHONE __---._.----- _--
DATE INSP. T PE INSPECTION REMARKS PLUMBING DATE
4-7g _—_ Contractor
Permit No. MEL
ne. fr Vie
7
e - ._-A- Fixture --- - e
p���(&�.�- Final
HEATING
Contractor
Permit No.
Gas or Oil
---�—._._- --------
Rough-in - --- -
Final
SEWER
- - - ------------- � Ft gal `---
�— --- �'_-_-- DRIVEWAY - -_
final
Storm Drainage
(Rain Drain)Final •-
Sidevolk
Curb R Street Final
-- - —'- - ---- Appioerh
1-.�,---
BLDG.DEPT. FNAL 1 CMPORARY T-CfiRTIFICATE OCCLR'ANCY
'CERTIFICATE OCCUPANCY Final -
Landscaping
I
Zoning Final
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