12765 SW GLACIER LILY CIRCLE-1 12765 SW GUCIER LILY CIRCLE
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INSP-CTIGN N01ICL
City of Tigard Buiiding Department
12420 S.W. Main St..
Tigard,Oregon 97723
Phone: 639-4171
Type of Inspection
Date Requested l " , %''
q .� Time A.M. )<' R.M.
Address. /!� 7GS� Sz; _c _ !*ajmit # y
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Owner-__.__. — Lot #
Builder _
The following Building Code deficiencies ere required to be corrected:
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Presented to _ ❑ Approved
Inspector _ � �G�. _ Disapproved
Date
CALL FOR REINSPECTION
[Z YES ONO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
(� , �- ��
Type of Inspection L A.M.--.—P.M.
Date Requested
Address ermit #----
=Lot
Lo"
Owner
Builder
The following Building Code deficiencies are required to be corrected:
Preseoted to ❑ Approved
Disapproved
Inspector yj
Dat(
CALL TOR EINSPECTION
YES F-1 NO
"WW
INSPECTION NOTICE
City of Tigard Building Department _ I
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Time _A.M. —_LCP•
Date Requested
AC,P i L _ Permit
Address _ J�- dot #
C t �
Owner -� r —
Builder II
The followin Building Code defici�ii�ies are required to be corrected:
1 Approved ,
Presented to -- {
Disapproved
Inspector --
tt
Date,
CALL FOR REI SPECTION
` C11 Yto 0 NO
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INSPEC TION NOTICE
City of Tigard Building Department
12420 S.N. Main St.
Tigard,Oregon 97223
hone: 639-4171
i
ITYPe of inspection
(Date Requested —__.__. �+ Time__--- M..---.X--P.M.
Address A)7 S,_—sJL_.I-J * ----Owner
i
BuilderThe following Building Code deficiencies are required to be corrected:
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Presented to _._-_— ��._—_� Approved
Inspector n Disapproved
Date
CALL FOR REINSPPMON
C7 YES V NO
BUILDING PERM I'TAPPLICATION TIGARD DAIS _ _ 19 �u_ 4820
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED RUILDER PHONE 297—T,!
OR AS SHOWN AND APPf OVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. owNER PHONE
1 0 NO.
OWNER rij iZy I o!j*S J JOB ADDRESS 127tj5 'JW Glacier Lily Circle
Portl.ind 97225 ARCHITECT -
;mae ENGINEER
BUILDEf, ADDRESS 771U SW t'astyon llr. DESIGNER _
STRUCTURE C NEW El REMODEL ❑ ADDITION _❑ REPAIR Ll RENEWAL ❑ FIRE DAMAGE E] DEMOLITION
OCRESIDENCt L-1 COMM 1:1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS I_) PATIO CARPORT_U_GARAGE .7 STORAGE U SLAB FENCE
OCCUPANCY _ c— _.LAND USE ZONE ._1tg—BLDG.TYPE —: _FIRE ZONEPLAN CHECK BY sl �: —HEAL
t'onstruct Sing:le rtlunily DW011ing w/attached garage — ----� — -
941b,jact to $360*Uo A-urt/lIedgewood Sewer ----
nU�CltAr,�! $ 15�1.(1i1 1.Qron Pius• 4 hedrocb o; 3 baths —
SEWERPERMITS 26525 Ro-iflwke Of •)crAt 'in. 1s7tit1
OCC.LOAD FLOOR LOAD HEIGHT N0.STORIES 7 AREA 2161 NO.BEDROOMS 4 VALUE I U3 000
-- —
-- — —
BUILDING DEPARTMENT SET BACKS FRONT 20 REARF,32 LEFT SIDF I ! RIGHT SIDE_
Permit 44U.5i) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 4U•S1U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANI'E WITH THE PLANS AND SPECIFICA TIONb AND IN COMPLIANCE
+I3005u WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 11
17062 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANJ HEATING.
Total 498, 1?
By rnr,# I I SU.1)U APPLICAN'f OR AGENt_^' — - --
--- l�/dmj .__ trwa Ix 250•0il
ETW Recelpt No.
Approved
- - --
------ -- _- 6; ADDRESS PHONE -- - --
i
DATE INSP. TYPE INSPECTION RErAAh:'S _v
PLUMBING _ p
Contractor
Permit No. - -�
�- Hough-in
Fixture — �-
6 - Final
HEATING
Contractor
l rr -
_ •v _ Permit No. 9-
&st
des or OII
/ L� r Rmigh•in
�_ --- Final
_ SEWER
_ _—�_--- Final
DRIVEWAY — �f
Final -�
Storm Drainage
—y (Rain Drain)Final
---- -- _ _ Sidewalk
Curb&Street anal
�H -:,C, DEPT.FIN,4l. '""' /appmcch
TEMPORARY _EOR CATS O:GtJPANCY
CFRTI:ICATF,OccuPANCY Fri al
Landscaping
I�Zoning Final
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