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INSPECTION NOTICE ,
City of f"gard Building Department
1: 120 S.W. Mao St.
Tiqard,0i^gon 97223
Phone: 639-4171
(ype of Inspection _-- —�--'r-" ---- �-
Date Requested Time A.M. P.M.
Address 'rye
us�i+ Permit
Owner _ Lot
Builder -
c;.
The following Building Code deficiencies are required to be corrected:
_��-1.- ��:ty-sem,.�.-, � c'�--•r�.1c�'--~'� ����_
t �
f
Presented to _ —__ n Approved
Inspector _ ` — Di-approved
- //-
Date
CALL FOR REIN EG.i'1 U N
Vp YE8 qNO
a.• --�rr.rru�r
BII,I_DING PERMIT APPLICATION TIGARD DATA—_� T'' `r __ .____.,,s_1�_ 4194
THE IJI`JF ERSI(:3NED HEREBY APPLIES FOR A PERMIT FORTH Evv1)RK HEREIN INDICATED GUILDER PHONE --
)R AS SHOWN AND APPROVED IN THS= ACCOMPANYIh ; PLANS AN(1';PECIFICATIONS. OWNER PHONE____�—._____
LOT N0. 21 Geritic
OWNER / JOB ADDRESS r.t ti �"WI Antiv 4v'o(4' fts
97220 ARCHITECT
ENGINEER
BUILDER PkQU ADDRESS •tt• BA)c 20: 6b, "rt"110DESIGNER ,J.r. —
STRUCTURE Cl NEW ❑ REMODEL O ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
Cl RESIDENCE ❑ COMM f 1 EDUCATIONAL n GOVT L7 RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB Cj FENCE,
OCCUF-ANCY ��—LAND USE ZONC BLDG.TYPE __FIRE ZONE PLAN CHECK BY dwii _HEAT_ -as
L fors sheet attaciled
' I:fLCIA:R a
SEWER Pr'MITM 60.0.7' -----"-- 'a�i3 --- ------ _
OCC.LOAD _FLOOR LOAD 40 HEIGHT _I'$ NO STORIES —AREA 1 ' NO.BEDROOMS VALUE f_
BUILDING DEPARTMENT SET BACKS FRONT REAR LEF 1 SIDE RIGHT SIDE
Permit THIS PERMI 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 4+'•St' WORK WILL BE DONE IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS 04D IN COMPLIANCE
IU•`iWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SuU-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—^ LICENSE SEPARATE PERMITS REQUIRED FOR SEWEP.,PLUMBING AND HEATING.
State Tax
--— SDC— :.. �.i ;
Total I i a.-ib
w - — --- PDCN it 100.11 �NT O
APFLIR AEtd
G
Receipt No, J 1
Approved ; ADDRESS "— PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
T=r — Permit No.3 2,2,?
Rough-in
�T - _ Fixture - -
Final
HEATING
Connector
Permit No. �J 9 ,i
Gas or Oil
Rough-ii 1117
OB-
. —
SEWER -+--
- - Final 2 f
DRIVEWAY
- -�---
Final —
Storm Drsinagp
'— --�---- -- -- (Rain Llrein)Final
-- ----------------- Sidewalk
Curb&Street Final
------- ------
Approach
BIN
BLDG.. DEPT.FAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscaping
i
Zoning Final
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