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INSPECTION NOTICE
City of`figard Building Departmert
12420 S.W. Main St.
Tig rd,Oreg"j ((97223 - /7
Type of Impeation —_� — >Z1la {'1 IJA
-
Date Re"anedd� Time A.M. P.M.
1 Address Permit #
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
0
I
Presented to _ _
n Approved
Inspector —, Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
.ae VWJILJ= ..
INSPECTION NOTICE
City of Tigard Building Depart.r;nt
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
r
Type of Inspection _- _
Date Requested_-_.� -L Timq A.M. --� P.M.
Address _ �?'1�"o Permit # _j
'f
Owner ---_--- Lot #-,-
Builder
The following Building Code deffsencies are required to be corrected-
-
_
Presented to
--- � Approved
Inspector —_ _ Disapproved
Date
CALL P )R REINSTEMON
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223 I
Phone: 639.4171 I
Type of Inspection ��
Date Requested /�/ ` Time
AM
P.m.
P.M.
Address _ Zas'_. _n
Owner,
-- --- — � Lot #
Builder
The following Building Code deficiencies are required to he corrected: `
i
I Presented to
Approved
Inspector /
Disapproved
Date
CALL POR REINSPECTION
QYES 0 NO
kas w sr R wmw
BUILDING PERMIT APPLICATION TIGARD DATE—'lAY I'd ,19 84 _. 4832
THE UNDERSIGNED HEREBY APPLIES FOR A PFRN;I f FO'4 THE WORK HERLIN INDICATED BUILDER PHONE ►5--s 1133 _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _..__�...
1-67 N0.
OWNER brewer _.0nJtrlACti4Q8ADL,RESS - 17( W C,!acier Lily (Arcle —, u•'a���_tA`K� —�
ARCHITECT
ER
NGIN
BUILDER ADDRESS 167`15 NW Sonmrset DESIGNER
GTRUCTURE I NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C7 DEMOLITION
Cl RESIDENCE ,-1 comm C1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ ti_j__LAND USE ZONE _R-M) BLDG.TYPE 51`r FIRE ZONE _.PLAN CHECK BY _ r"' HEAT`"sem
",instruct since isnily dwellinc;
SEWE.9?ERMITd 261632 : aCu:te 550
OCG LOAD FLOOR LOAD HEIGHT 20+ NO.STORIES 2 _ AREA 2 385 NO.BEDROOMS 4 VALUE !Sb,UOO-
___—BUILDI'.VC DEPARTMENT I SET BACKS FRONT_ 31) REAR ;J .. LEFT SIDE — RIGHT SIDE —
Permit 33 I.ULj THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 254. 15 WORK WILL BE DON%'- IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE:
WITH ALL APPLIL.AVL.E CODES AND OR'ANANCES. THE ISSUANCE: OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 645•I5 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I S•64 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC $,50t).UU i i , , (.,
Total bCU• PnCN 15t7•tha APPLICANT OR AGENT' f
- — -- --__._
By _ CF! 250,kh.)
Receipt No.
Approved P'TW ADORE$8 - --�—----------- PHONE
DATE INSP. TY E INSP ZTION REMARKS PLUMBING - (IATE_�
Contractor - •� •.
_ �----
Permit No -4-4 S
e- sough-in
-' Fixture __a
FinalAO
_
HEATING
— I
Contractor
Permit No.
1- - Oil — --
- I R,)ugh-in ---
Final
SEWER
---� — Final
DRIVEWAY
Final—
- -� ——� Sturm Drainage
--- - (Rain Drain)Final
Sidewalk
---� Curb&Street final
—�� Approach
P:DG. DEPT.FINAL TEMPORARY CERTIFICATE(JCCUPANCY Final
CERTIFICAM.U .:UPANCY
I.andsca,jing
—� Zoninr final
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