10070 SW INEZ STREET ADDRESS:
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4A ;, 5 CITY OF TIGARD BUILDING INSPECTION NOTICt
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 71
;! Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. �an. ewer Gas Line -Bldg. k
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
Date Requested: zi
Time: AM PM -
1vAddress: �
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Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIREC: 4:t
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Inspector,__ �..._ – -- Date:--. cS f
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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-,EWER CONNECT ION
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CITY CSF TIGARD PERIKIT �. . . . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: �.�.'+� /`:)`
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (50:!)839.4171
PARCEL: 2611 1.kiC:--O`000
T TE ADDRE a,:i. . . : l ki0 W .Ivi_.i: `.i f
) JBDIVISION. . . . fIGARDVILLE HEIGHTS
ZONING: R-3. 5
rNANT NAME. . . . . :JANLS W 80KER
F aH Nu. . . . . . . . . . . F=IXTURE UNITS. . . : A
._ASS OF WORK. . . :NEW DWELLING UNIT'S. . :
TYPE OF USE. . . . . :SF NO. OF BUILDINGS:
INSTALL TYPE. - . - :BUCiWfi
residential Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
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(503) 639-4171
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Jobsite Address:
Office Use Only f i
I r�� /% I. 'Lot#
Subdivision: � - �i�'� � �- -
' Contact Date / / Initials
Valuation: I 1 it l% Result i
Planck/Rec #
New Construction Only: (Square Footage) Permit #
House: _ Garage: — Reissue of _
Map & TL # s�
Zone
�,� Plat # _
Corner Lot? Y I N Flag Lot? Y ` N )
Approvals Required
Owner: _.;.$-MSS
Planning Setbacks Solar
Address (��Q`]7 �- vV^ (�'-� S ` Engineering _
-Z-z } Other _
Items Required
Phone: (o'z
Subcontractors
Contractor: _ —� -- Truss Details
Other _
Address:
Notes
Phone:
Contractor's License #
(attach copy of current Oregon license)
Contact Name: _
Contact Pho ie:
Subcontrac tors: 11/0111 +J Architect/Engineer:
Plumbing: Q.JCi1 ^J Address:
�# Z.-z-C_�r�
Mechanical:
(attach copy of current OR Contractor's License)
Phone: L� )
JOB DESCRIPTION:
A licant Signature - "-- Applicant Phone number
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Received by: Date Received: C� �C
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Permit # Account Description Amount Amt. Pd. Bal.. Due
y Bldg. Permit (BUILD) _
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Plumb. Permit (PLUMB)
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Mech. Permit (MECH) _
State Tax (TAX)
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Bldg:
Plumb: _
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Mech:
Plan Check (PLANCK) •
Bldg: _
Plumb:
Mech:
1-0
Sewer Connection (SWUSA) J`
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT')
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN) —
TOTALS: �,� �"
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ADDRESS libO70 `.••W INET lIT3t)IVI If?h!
TI.GiOn17 OR 97224- � ^
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