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INSPECTION NOTICE l
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639 ,171
Type of Inspection _
Ti e
_.-.�_LL-�-��- ---- -�• A.M. �P.M.
Date Requested
Permit
Address
Lot #
Owner
Builder
The {ollowing Building Code deficiencies are required to be corrected:
----�-77
I
Presented to _—_ ----•-- I�t+pProved
Inspector - -
Disapproved
Date ---
CALL FOR RE �aPECTION
C] YES tit'NO
INSPECTION NOTICE
City of'Tigard Building Departmer.
12420 S.W. Main St.
Tigard,Oregon 07223
Phone: 639.4171
Type of Inspection _ _ --- —�----.-- --- I
Date
iequested �<j _ Time— A.M. P.M.
Address �_. –�C� �� _ Permit # - '
Owner J _ Lot #L_
Builder iA'
I a following Building Code ALNciencies are required to be corrected:
4 Presented to _ _._—Y F❑ Approved
• Inspector r Disapproved
Date _ '� `J`C/
CALL FOR REINSPECTION
2T YES ❑ NO
Pq
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6.39-4171
Type of Inspectinn
Date Requested
Time P.M.---P.M.
Address
Owner Lot
Builder
The following Buildinc; Code deficiencies are required to be corrected:
,Presented to Approved
Inspector Disapproved
"It
Date
CALL FOR REINSPECTION
YES JZ NO
BUILDING PERMIT APPLICATION PGARD DATE.__._--!ptamber 7 19 M 5013
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED P:;ILDER PH0i,E
OR AS SHOWN AIJD APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF;OATIONS. OWNER PHONE
LOT NO.
OWNERWe_otdale COnUt•_- JO_BADDRESS 9%5 $W Kabl* ✓ft• Cul Aide '/gL,Qtes
PARCHITECT
� 97223
ENGINEER
BUILDER Sam ADDRESS 8185 Sid 78th PISCO DESIGNER
STRUCTURE LNNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAG i ❑ DEMOLITION
11RESIDENCE ❑ COMM ❑ EDUCATIONAL 'I GOVT L7 RELIGIOUS ❑ PATIO ❑ CARPORT P GARAGE ❑ STORAGL ❑ SLABCI FENCE
OCCUPANCY _ _ �'"`_LAND USE ZONE . 1ti�7>'pBI.DG.TYPE ZONE_--_PLAN CHECK BY -NL HEAT—-49--
Ceastruct_-single. _family dwelling.w/atteched garage.--____
SEWER PERMIT# _ 27957 _ Garage-416 _—
-
OCC,LOAD FLOOR LOAD 4U HEIGHT 15 NO.STORIES _ I AREA IZIJ NO.BEDROOMS 3 VALUE 640000•
BUILDING DEPARTMENT SET RACKS FRONT 2U REAR- 30 LEFT SIDE RIGHT SIDE 10
Permit W THIS PERMIT IS 'SSUED SUBJECT TO THE R,700LATIONS CONTAINED IN THE BUILMNG CODE, ZONING
REGULATIONS : NG ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 211025 I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICArtJNS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 5_36925 RESTRICTIVE_ CCVFNANTS. CONTRACTOA AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
'+ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13,00
SDC-
'rotal 549925 �__ �._a���--�-� --
- PDCM 11 150 TUU AppLIC/KNT Op AGENT I
By CZ of 2544.Uu
Receipt No. �
Approved RCR < A()bE$'-- PHONE
DATE tNSP. TYPE INSPECTION REMARKS �PL.UF4vNQ DATE
Contractor
Permit I j jam.
C`�rX RoUph•in
Fixture
Final -- --- _ _
HEATING
Contractor 0- .c
Permitmit No.
G85 Of til
Rough-in --
Final
SEWER - -
._ Final
DRIVEWAY
Final
Storm Drainage--_—'
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
�MCM DEPT.riN%.L — I€MPORARY CERTIFILATE Or—UPANCY —�
'F[-TIFICATE OCCUPANCY final
nodtcacing
Zoning -Incl
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Building Permit No.
Location 99�s 5;«/
C t e I ?+
Certification of Registration
With the Builders Board
doing business as (dba)
I. am registered under the provisions
of ORS Chapter 70 Oregon Homebuilders Laid) .
My Builders Board Registration Number is
My regist-ation is in full force and effect and expires on
r �4A
Signature
v
THE UNUER51GNt0 N:HLLIY APPLIES ► Jit A VEHhII I FUN I i I L .tiUIIrs 14Lll�104 uv 01�..s I Lu .-2. I-
OR AS .HOWN AND APPROVED IN THE ACCOMPANYING PLANS ANU SPECIFICATIONS. ovrNEr.PF!Ofl
�-��
1 B A!)nRR E -/ .�.G..C1, C—
C. 55 � 'S � .C��.L —
r ` ENGINEER
ADORES5 OESIG VER -�
STnucTVAENEW ❑FICNInOEL ❑ADDITION ❑czP.;IA ❑BENE`.•'/AL ❑HIREDA?AAUE ❑DE:dOLI
r_j "ESILIE"ICE ❑COP.11.1 ❑EOUCATIONAL ❑GOV-T ❑RELIGIOUS UPATIO ❑CAR PORT QGARAGE C.]STOP.AGE❑SLAa LIF.
CCCI�ar,_v $ q f AND USE ZOPIE ��� _OLOG.TYPE_.—_. PLAN CHECK BY 1Yi< HEATS_
SINGLE FAMILY IUUI.TNC W ATTAC►t_F ) GARAGE_
'ZJMTliE�OOM :ti BEGn00M
SELIER PERMIT # 2 Z ! 2 Garage 6 y
2Lj,o. D _ FLOOH l.L)a� y L-' HEIGHT �-` � NQS RI S / ABPA L 41' N0�1EQfl aIS- J.._`; LU .4-., .
I ILOIN•] pEPAH TMENT SET 9ACK9 FRONT <� REAR LEFT SIDE RIGHT SIDE. / 17
rp
THIS FERMI I' IS ISSUED SUaJECT TO THE REGULATIONS CONTAInED IN TNF BUDDING CODE. ZC
I S-:l.%n Cluck �' R.GIjLATION5 AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS N REBY AGREED THA'
WORK WILL bL:DONE IN ACCORDANCE WI1 H THE PLANS AND SPECI FICA I ru..a AND IN CGhtPLIF.NCE
S-.Jti-tznat - ALL APPI.ICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT r
RESTRIC71VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS
c:mrp Tax II / —3 LICENSE. SEPARATE PERMITS REOUIRED FCR SEWER. PLUMBING AND HEATING.
7uta1 �-� n <- SDG -
r—
I�
APPLICANT OR AGENT
I)I A .provPrl tII .,. Rzcelpt No.
SDC (Storm)
SDC -
POC - $_ Z7
SEWER CONNECTION
SEWER INSPECTION $ -J
`EWER SURCHARGE $
Comments :
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