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INSP=CTION NOT:L E
City of Tigard Building Department
12120 S.W.Main St.
Tigard,Oregon 97223 {
Phone: 639.4171
Type of Inspection
Date Requested_ AO v? S • r✓ Time A.M.__ P.M.
A ddress - �� (;`�!L v'_,r� „�, Permit # —
Owner Lot #
Builder C )YJ ,4uyl -211fy��L(j/ _ 67 CP
1 i.: following Building Code deficiencies are required to be corrected:
-----�,+�nt►,.�,�.ter_ _--___._-------
------�--�----.C—^—=-o- -�--------ice ► �`s= � --... c
1
Presented to _. [�Approved
Inspector _ _ — —�_ �jJ(Disapproved
DateT ---
CALL FOR REINSPECTION
❑ YES LN N4,
INSPECTION NOTICE
City of Tigard Bvii1ding Department
12420 S.N.Main St.
Tigard,Oregon 9722-
Phone: 639-4171
Type of Inspeadon
Date Requested— Time A.M. —P.M.
Aare"
Krmit
Owner Lot
BuIldw
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date ...........................
CALL FOR REINSPECTION
O YES 0 NO
INSPECTI�04 NOTICE 1
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 87223
Phcne: 639-4171
J
Type ofInspection _—VU0 -
Date Requested = Time A.M. P.M.
/
Address _. 3 2 4f --:1.SC1`_'4'!S1tj' �QfY2-- Parmit #__�,�-�
Owner _ �— Lot
Builder_-- ` ZY)610z,
� ---- � L�
The following Building Code deficiencies are required to be corrected:
Pa
__— - — � dE• _--_-moi"6 �"oK' —y.-.:c-�.—..
Presented to - ------ — —-- Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
EJ YES EkNO
BUILDING PERMIT APPLICATION TIGARD DATE._ _ __. �9 439 1;
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNERLOTNO.;r
I_uEs�rt iiarlijg JOB ADDRESS �,�,Q1 5, � Ynvr✓in Loon
?ortl...:d 22-; ARCHITECT —
ENGINEER
BUILDER lt01ICW,-) ADDRESS 1355 _ DESIGNER C.arytil
STRUCTURE— 0 NEW ❑ REMODEL D_ADDITION 11 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ D_E_MOLITION
13 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY lig' LAND USE ZONE '�+' BLDG.7YPE�' _FIREZONE PLAN CHECK BY HEAT __`_'
0"litxuct 5inje !'.mile nlli at. Ft r.rtictxk�d ':erdlvtt -
:.ediw
-- - 3
SEWER PERMITM
OCC.LOAD FLOOR LOAD HEIGHT f; _ NO.STORIES _ AREA 1 + NO.BEDROOMS VALUE
_BUILDING DEPARTMENT SETBACKS FRONT REAR ;i, LEFT SIDE — RIGHT SIDE
Permit —.____— ---------_`y=--=
— _---__ THIS PERMIT IS ISSUED SUBJECT TO THE rEGUL.ATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Plan Check _`i•, . i` WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ Chi: I i RESTRICTIVE COVENANTS, CONTRACTOR ANL' SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stets Tax
LICENSE.SEPARATE PERMITS REOUIRF-D FOR SEWER.PLUMBING AND HEP,,TING.
I�• �':
Total SCC—
•
By PDC# APPLICANT OR AGENT -
App1OY d — --- --- - AD'D'RE98 — YF10NE _—
i
DATE INSP. TYP.^E INSPECTION i REMARKS __ U PLUMDING�.y DATE
contractor Cl',,,/,GI ► --� '�//�3G�0/•�
Perr,lit No. 3J __ •�.7+�/G ��-�3 /�
Rough-in
tF�inslHEATING
actor7„t No. 2{�'”—'— 2,? �:ZZ'•P7 /F
Gas or Oil
Rough-in
Final
SEWER! —�
—...—.__. Final �.�_�•P e'�,J'
— DRIVEWAY
Final
Storm Drairage —
(Rain Drain)Final
Sidewalk
—� Curb&Street Final
A_PProach
td.DG. DEPT.FrINA—L TEMPORARY CERTIFICATE OCCUPANCY
CERTIP ':ATE OCCUPANCI Final
Lendscwhig
Zoning Final