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1.1990 SW ROYALTY COURT
KING CITY
I
INSPECTION NOTICE
Citv of Tigard Building Department
12420 S.W. Minn St.
Tigard,Oregon 97223
Phone: 839-4171
(_--.
Type of Inspection
Date RequestedL4 Time--- A.M. P.M.
Address 0
Owner—----�.�C---_ —...— 1.0t �—
Builder .--- — --------- _—
Thefo�ing Building Code deficiencies are required to be corrected:
2 1060-Le
Presented to rl Approved ,
Inspertor /� _ �. Disapproved
Date ���,�'Z — —
CALL FOR REINSPECTION i
f�' YE= EJ NO '
BUILDING PERMIT APPLICATION kiNG crrY DATE._ _ -___'_' _.. ,9
1310
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEHEIN INDICATED BUILDER PHONE (IL".
I 1'`1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
#a), LOTNO._1t�_G'_�..i
OWNER JOB ADDRESS;i 1 - – – -- 1!
ARCHITECT
ENGINEER
BUILDER ADDRESSI` 0 f" `` 1 1 F th h.lrn DESIGNER
STRUCTUFIE L' NEW L REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS O PATIO ❑ CARPORT ❑ GARAGE_❑ STORAGE ❑ BLASE] FENCE
OCCUPANCY � �__ LAW JSE ZONE _ BLDG.TYPE _` FIRE ZONE PLAN CHECK BY _ ''�'ri HEAT--
r foil., yti.on. f,_rx- r,otrr..,°-j.rt T;i.;i+T1 < ' 1 1:4, inig l It.taf _ ---
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SEWER PERMIT N -
OCC.LOAD FLOOR LOAD `'" HE1 3HT NO.STORIES I AREA`– NO.BEDROOMS VALUE
BUILDING DEPARTMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �� .�•'� 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
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax +
SDC--
Total `' •
PDC# APPLICANt OR AGENT
By 1
-- --
y• Receipt No
Approved ADDRESS J PfioNF
DAYE INS
P. TYPE INSPECTION - — REMARKS - PLUMBING OATt
1 •Q_ i __ ��. _- Permit No.
Rough-In �-
- Fixture
Final
HEATING
--�� — Contractor
Permit No.
_ --y — Oat or Oil
Rough-in
Final —`
- —-- ------- '— - SEWER
Final
- �---- _ DRIVEWAY—
_.,._.__._...— --- — _ Final
Storm Drainage
-- (Rein Drain)Final -�
_-------'-_ — Sidewalk
_- Curb&Street Final
------- ----
Approech
BLDG. DEPT. FINAL v TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY �— —
Landscaping
.� J I Zoning Final _