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15625 SW QUEEN VIC'T'ORIA PLACE
----KING CITY —
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
/ Tigard,Oregon 97223
Phone- 639-4171
TyVc- of Inspection
Date Requested_— I 777-1 $ rime,— A.M.—P.M.
Address Permit
Owner Lot #
Builder
The following Building Code deficienriEsare re"wPd-to-be-owxowed:
---ai4o!tQ I W I T H 5 -4 V. rr.
k2 1r4 5M L Roc h I u Ck o uV—�r_
-No0 _
Presented t _ Approved
Inspector "�` —_ ❑ Disapproved
Date
CALL FOR REINSPECTION
CJ YES 0 NO
BUILDING PERW,,!T^,PPLICATION \ DATE i�loveaber _,19 13 5t
KING CITI� 12 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BLilt_DER PH0NE2�A, t_4&l OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER
LucilleLucillePeacock JOB ADDRESS 1.')625 SW Tauten Victoria LOT NO.
Pic:.♦ K, Lly 804 N. Albertar Pt1nd ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER_
STRUCTURE ❑ NEW REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ f71 DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Cl STORAGE ❑ SLAB❑ F:NCE
bw
OCCUPANCY " LAND USE ZONE _ BLDG`TYPE FIRE ZONE_ ` PLAN CHECK BY _ HEAT
Corvert Dart of existing attached t,arage into laundry-& sevi% roost.
SEWER PERMIT M
UCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE ,{ _
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 3b.at,�THIS PERMIT 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 _-�WORK WILL BE DONE IN ACCORDANCE WITH 'THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
! —
Sub-total 'WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N( ; WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�"�/
SDC—
Total 5�i,.'�
PDC# APPLIC_A_N_f0kAGENT
By - ��—� - Receipt No.
Approved __ LTWd ADDRESS PHONF
I
DATE INSTYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
L
QL
ull QA
Rough-in
Fixture
Final
HEATING
ContraCtor
Permit No.
Gas or Oil
Rough-in
Fin
al
DD
SEWER
9
IVw/EE
9
WWR
Final
Final
Storm DrblnuLo
(Raln Drain)FinalkSidewalk
Curb&Streat Fina
AAlYY
�Approach
BLDG.. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Fin"I
CERTIFICATE OCCUPANCY
I-andscaphig
Zoning Final