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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection
Date Requested )) 71nu A.M. P.M.
Address
2Permit *-5
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to Approved
Disapproved
Inspector J
Date
CALL FOR REINSPECTION
EJ YES C-11440
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard.Oregon 97223
Phone:639-4175
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Type of Inspection �"I _
Date Requested / �D 71111e�f✓+•�• P.M.
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Addres ?j -!` �_ Permit
.-1 / --
Owner ____
l�(,[a __�� ��` --_ Lot #
Builder —_ -- --- -- —"
The following Building Code deficiencies are required to be corrected:
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--
Presented to .___ �T._ n Approved
disapproved
Inspector —
Date
CALL FOR REINSPECTION
;�`YES ❑ NO
i
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone-639-4175
Type of Inspection -----------_-----
Date Requested�.. __ 's Time_ A.M. __-P.M.
Address T3== 3A-+A Permit �-
Owner -_- - -- ------ Lot #
Builder -- -- ---- — ---- - -
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The following Building Code deficiencies are required to be corrected:
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Presented to _ _ Approved
Inspector _ ____.._— llk_ z ❑ Disapproved
Date — -
CALL FOR REINSPECTION
Cl YES [_'NO
i
INSPECTION NOTICE i
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
e
Type of Inspection ---
Date Requested Time A.M.1L P.M. 1
Address -Sf�/ �,/_ �O CB Permit #----- -_--__-_
Owner Lot # ----- --Builder .—
The
uilder ---The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector - [] Disapproved
Date _ -----
CALL FOR RF,INSPECTICN
L_) YES LZ NO
CITY OF TIGARD 639.4171 DATE �3�Y___ 19 d6 5995
BUILDING PERMIT Luspection Line bliv-417` - k
TAX MAP __ LOT NOl'�_-_SUBDIVISION�.�1�.___.y#K.
OWNER LuBtom /rags by Dave, LImc. JOB ADDRESS 123310 SW North Dakota
6
BUILDER -QIt�eI, 19105 L--NV1•_. �-C��a orb-'Ai - STATE HEG.•,JO..4-346--_� -EXP.DATE�_---
BUILDER'S PHONE - 97132 -
6,3�32U—_ .
ARCHITECT _-_--- PHONE
STRUCTURE ? NEW 1 REMODEL _' ADDITION Ci REPAIR l MOVE L7 OTHER _ DEMOLITION
RESIDENCE [I COMM EDUCATION IND LI RELIGIOUS ACCESSORY 1 GARAGE OTHER FENCE
ZU 51y FIRE ZONE PLAN CHECK BY r'1h HEAT`'
OCCUPANCY � � _.LAND USE ZONE BLDG.TYPE ----- -----
(,anialrlacL_ -i niI,In Aug-II i ink WALL.Ahm" MAX !MA All OjLrY "111mj,ayad g1AnA- —
:.uhisc._t._OAwxrLl�iB'.Gl�;�+ond 11 a r,�i �rc�►� Li iy; x � .U(� t}ewer char;:ea.
SEWER PERMIT# 74451s, tldul 4 Lath o trot's e 3 41' --
19+_ ,
OCC.LOAD FLOOR LOAI�U HEIGHT NO STORIES� AREA l:fb�,► NO.BEDROOMS') -. VAL
BUILDING DEPARTMENT _ SET BACKS FRONT 2() REAI`*' LEFT SIDE RIGF T SIt7E~
-- ---
Permit 25.100 _ THIS PERMIT IS ISSUED SUBJSCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
" - REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA'. THE
Plan Check 40.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AIJD IN COMPLIANCE
-" '-- WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEW7E ,PLUMBING AND HEATING.
State Tax 13.1w S$1)(; 25v.UU AV
- i—�SDC— 500.1010 �*
e�L_AGE l -------- - -
Total APPLIGANYOR -NT �. v
PDC1 130.Uij C J �� a<� to` __>- , •1
Prepd_- -- 40.1010 ---- -^ �,7;r /!/(� � .. P4�ONE
Receipt No./ Yr AnDRFSS
BaL Due �38.Ut�
-- �_——
Issued By —. .Approved By.
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DATE INSP. TYPE INSPECTION w REMARKS z PLUMBING DT ATE
ti-✓ -� =ate t-/�if� �� Contracto 4 122 S
y
Permit No iib y
Rough-in ---
/ �J Fixture — --
Final
HEATING
Contractorf - S-
�-/�
Permit No 14/1
'r` /ci ti� Gas OII
Final
SEWER
-------- — __—.�._ Final _:5-- /'- rim
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb✓1,Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCrUPANCY Final
CERTFICATF OCCUPANCY J
r�� Landscaping
Zoning Final _1 _�
for inspections call 639-4175 l /
CITY OF TIGARD 639.5171 DATE �.� / 19 � ' /3+1 YDs{
UILDINO p MIT j
F.0. Box 1339 7, Tigard OR 97223 TAX MAP _,LOT NO. 1 SUBDIVISION
/InOWNE I,.c3 1' 1 / ;x�'ti- JOB ADDRESS-, 1. �7, AGA `
BWLDER STATE REO.NO. DATE
BUILDER'S PHONE ---
ARCHITECT - PHONE OTHER
STRUCTURE }q NEW O REMODEL O ADDITION ❑ REPAIR O MOVE ❑ OTHER O DEMO(
RESIDENCE O COMM Q EDUCATION ❑ IND • ❑ REL101" O'ACCE8SOmll ❑ GARAGE O OTHER ❑ F
OCCUPANCY LANO USE ZONE p-2 BLDG.TYPE J: /FIRE Zfkl PIAN CHECK BT 'HEAT
77W
SEWER PERMIT• 7L °'1`w a' Y/l
OCC,LOAD FLOOR LOAD HEIGHT NO.STORIES Z- AREA Zj 6a NO.BEDROOMS VATL6
BUILDING DEPARTMENTSET BACKS FRONT REAR LEFT SIDE 4 RIGHT SIDE
Parnell Z "' THIS PERMIT M ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BURAINO CODE.Zo 1
REQULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THA•
Plan Chock v WORD(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND tN COMPL►,�
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIB PIE;RM(T DOES NOT w
PL Ck.Fki - -�- RESTRICTIVE COVENANT>t,.CONTRACTOR AND SUB CONTRACTORS TO IIAVII CURRENT CITY%US-
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATROM
Stat*Tax 3 v O
SOC—
Total I AP NI OA AOEN
[FPrepd. y0,(!Ip1 Na. AooREssaI.Due
I bawd Ppmved Br_— -
SSUC
soc
POC — s-&
SEWER CONNECTION S / 7
SEWER INSPECTIQN S 31
SEWER SURCHARGE S __ a �
Comments:
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