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INSPECTION NOTICE
City of Tigard Buh ling Department
12420 S.W.Main St.
Tigard,Orejon 97223
Phone: 639.4171
'L--J
Type of Inspection
Date Rejuested_ _ ~` Time A.M. P.M.
AddressPermit #
Owner Lot #
Builder —
The
uilder .--The following Building Code deficiencies are required to be corrected: {
L
Presented to ❑ Approved
Inspector
Dis9,pprovec+
Date
CALL FORREINSPECTION
i�T VES E] NO
INSPECTION NO•f!CE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
r Phone: 639-4171
Type of Inspection — — --- •-- i
Date Requested _��f!Z-j — Time_ A.M. P.M.
— —
Address _l � '��-�' _ permit *—,I)"
�
L
Owner���,,//�� ,�'aL�rU/� _ _______ Lot
BuildeNLfL r oy', C��t 1 1Y A
The following Building Code deficiencies are required to be corrected:
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Presented toApproved
Inspector r� -- —_ — i Disapproved
Date
CALL FOR REINSPECTION
( } YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
17.420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspectiur �
f
Date Requested_ Time A.M.. —P.M.
Address -�� / unit #
Owner_ 7 /' Lot -_--
Builder .__ -����✓�_� _ __ _
The follow;ng Building Code deficiencies are required to be corrected:
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-- 1 -" �- L� —
�-
Presented toApproved
Inspector C/ [ k'ODisapproved
Date
CALL FOR REINSPECTION
y6! N0
y
BUILDING PERMIT APPLICATION TIGARD DATE i ire t 1 19 4874
LHF UNDERSIGNED HERBY APPI_IFS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR A�SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANC)SPECIFICA 11ONS OWNER PHONE
CWN-LR lgLiuu 1u -- _ LOTNO._ �G
1J8tru 4OADDRESS IZ( 5 tiW �ercaia T.00u GetrRls
00.21
711-4 Ire ARCHITECT —
r7
BUILDER ENGINEER
8In6 ADDRESS r:y'�d ,d 7r C, . . COESIGNER
STRUCTURE Eh NEV. ❑ REMODEL ❑ ADDITION ❑ RtPAIR _[ ' RENEWAL ❑ FIREDAMAGE ❑ DEM_OLITION
[RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT 1-1 GARAGE J STORAGE ❑ SLAB❑ FENCE
OCCUPANCY_It�3 LAND USE ZONE ._,BLDG.TYPE _�I1 _.FIRE ZONE -PLAN CHECK BY l �HEAT L,KS
(:u1YRtruc:t single familY awell:aj; W/attached garage.
3 haC1,roorii 3 liedrotm
SEWERPERMITN 790 Garage. 5664
OCC.LOAD FLOOR LOAD 40 HEIGHT 20+— NO.STORIES 2 AREA _1 NO.BEDROOM_S 3 VALUE 72,000.
BUILDING DEPARTMENT SETBACKS FRONT 2.s1 REARS LEFT SIDE IRIGHTSIDE 35
Permit 34 .U11 THIS PERMIT IS ISSUED SUBJECT TO THF REOULA110NS CONTAINED IN THE BUILDING, CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 226.05 �- WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PENMIT DOES NOT WAIVE
Sub-to►41 515.65 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
13.yb
—_ SDC— ,
Total l
PDCM ! 15Ll.U0 APPLICAN OO; GEENT
,By _ taI 11 L 250 U0
Receipt No
Approved fw 1>�1 . Q ADDR 88/
--- PHONE i
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i
DATE INSP. TYPE INSPECTION REMARKS PLUMBIIINNG DATE
Contractor-!
-
/ Pnnnit No. d1�J j
Rough•in
Fixture
Final
L HEATING
Contractor ,�,�� '
- � Permit No. �'S o7 Q)
r Gas or Oil
Rough in
------ —_ Final ----- '- --—
SEWER
! — - - — Final --
--- ------ CRIVEWAY
Final
— --v—' Storm Drainage
(flain Drain)Final
Sidewal k
.- _--,--. —_-- _ ._.--------- Curb R Strea7F4.�,.
_
A Al
�rurb&ch
poroa
2LDG.DEPT.FINAL
TEMPORARY -TCERTIFICATE OCCUPANCY FrnNl!— -
CERTIFICATF.00CUPANCY
— --
l_endfeepin„�
Zoning Final
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