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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection
Date RequesteJ-- Time-A.M. P.M.
Address
Owner
Lot
Builder 77
The following Building Code deficiencies are required to be corrected:
Dresented to Approved
Inspector Disapprovocl
Date
CALL FOR R§INSPECTION
El YES 11 No
BUILDING PERM ITAPPLICATION TIGARD DATE— 4400
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EVJORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER"HONE
LOTNO. 3u 104AI # (`I'Q4 :
OWNERJp�yr :'11s+�1 !���<1.1'. J10A,SADDRESS 2589 S-17, _IiMtttaLwo (AnL
ARCHITECT
5Tl'lf' (� Box 2.3291 llli►S.r
" , ENGINEER
BUILDER _ _ ADDRESS
DESIGNER �ZTCr
STRUCTURE C`! NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ f•IRE DP.MAGE ❑ DEMOLITION
M RESIDENCE l i COMM ❑ EDUCATIONAL GOVT ❑ RELIGIOUS ❑ PATIC ❑ CARPORT ❑ GARAGE �] STORAGE ❑ SLABC) FENCE
OCCUPANCY _ -__ LAND USE.ZONE BLDG.TYPE FIRS ZONE PLAN CHE,JK BY _ ,z HEAT_'salt►
k,,;;z�.ly� �l-,rw1l fr►tt w, attached �re,;;e _. _
ne correction abeet ,attached. T hh _ff
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES; 4AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR {' ' LEFT SIDE • ' RICHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZUNING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ -,'WORK WILI BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ;SIG
SDC -
_ 1 f 66u.()t1
Total _ _
PDG# API'LICA RAVENi
By
—h�i� Receipt No
Approved A3DRE88 -- — PHONE
DATE INSP. TYPE INSPECTFON REMARKS PLUMBING
ATE
r , _
-- -— T�,�'
Contractor 1, _2
�"yo g_1 " t .•.._ ---- — Permit `� o�.z
Fixture
!=kl Final
HEATING
EATING
8? „� f _•1/_ Contractor
Permit No.
_ Gas or Oil
Rough-in '—
Final
SEWER
Final
-_ -- -- DRIVEWAY
Final
---.---------__-------_--i—� Storm Drainage
(Rain Drain)Final
-- Sidewalk __---
�_ Curb&St•eet Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY --
CERTIFICATE OCCUPANCY Final
Landscnping
Zoning Final
BUILDING PERIAIT APPLICATION T'IGAR:)
THE UNDERSIGNED HEREBY APPLIES FOR A PERIMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OWNER P ONE -
OR AS SHOWN AIJD APPROVED IN THF rCCO/1fP�ANYI�M/G� PLANS AND SPECiF{CATIOMS. LOTNO._� • —
O'1:NE �.iy"• j"B ADDRESS (try®'_a�'' �_� -��t•• �_•Si�--
AFlCHITE('T �
dX 232 ENGINEER t Ap
BUILDER Z4.10 el
ADOFlESS� DESIGNER-• 1�/11 I �!"•
STRUCTURE NEIN i� REMODEL _Cl_ADDITIO_N_ ❑ REPAIR ❑ RENEWAL__F.� FIRE DAMAGE -Y❑ DEMOLITION
RESIOENCE ❑ COMM ❑ EDUCATIONA'- ❑ GOV'T ❑-RELIGIOUS CJ PATIO CARPORT ElGAFIACiE C1STOR E ❑ ."SLAB❑ FENCE
(h:GuPANCY LANd USE ZONE R-7 P.�BLDG.TYPE FIRE ZONE " PLAN CHECK BY HEAT—
od
SEWER PERMIT N
ONO.BEDROOMS �[ VAL U 600
OCC,LOAD FLOOR LOAD LSO HEIGHT Zy NO.STORIES� AREA,— -_—_----"�---
BUILDING DEPA.RTIAENT SETBACKS FRONT f�p REAR T L.' FT SID . �••�^ RIfiHT SIDE f
Permit -�_,00 THIS PERMIT IS ISSUED SUBJECT .O THE REGULATIONS CONTAINED IN THE BUILDING CODE ZON!N3
ReGULA7ICINS AND ALL APPLICABLE CODES AND ORDINANCES, AND ITIS HERE3Y AGREED THAT THE
p' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Stan Check 0,)
,r• �, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
IVE
Su'>total _,�►s��'_ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
'- --
SiatA Tax LICENSE.SEPARATE 6•ERMITS REQUIRED FOR SEWEP.,PLUMBING AND HEATING.
_ _ �a' r AAC� PDCN APPI` ENT
By
Receipt No. ADDRESS PNONE
Approved
5 D C �� —
P D C
SEWER CONNECTION—S
SEWER
INSPECTION $
SEWER g�R r H A R G E
� 3G�o
La+.R. } l�G• v- .cic.� 'e1e 2
14
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