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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Sof U44
Type of Inspection - ---- ) '�.,6 --
Date F-ouested Ti A.M.---P.M.
ftddres! pffmit
Owner t
Builder
1';1e following Bulld;ag Code def I i-r.cies a/. required to bl3 refit:W
A
N
Presented to
App a d
Inspector Ll Uinpr(oved
Date
CALL FOR REWSPEC770N
CJ YES C 1 NO THF s Lutz
oAC" ""x'T.Q"
IDA ROTH BUB SM CerAtol Hwy.
As ocipre Broker Portlend.Oregon 97201
Ree:150 3)246.8183 Office:(5031244-0193
Wr #, I!f
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. /f�
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Reouested _ Time--_.. A.M.---P.M.
Address
___11,
_ - — Permit #_
Owner —--— l „ — i—'%p V° /' --)- Lot
–1 ✓
Builder
The following Building Code deficiencies are required to be corrected:
0`�'
Presented to _ ❑ Approved
Inspector !' Disapproved
Date
CALL FOR REINSPECTION
( ] YES C] NO I
/ W W W— 1W
i
Ir INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,OrEgon 9722.3
Phone: 839-41\71
-,-1 fel •U A-' (Jt
Type of Inspection - -- --
Date Requested ..r Time—A.M._—.--P.M
.`3P.M.
r. '— r " , ' -� A J or, C y Permit
Address
Owner ��`' Lot
Builder
The following Building Code deficiencies are required to be corrected:
�r
i
Presented to _.---- ------ /Approved
i
Inspector _ < _- _.___ Disapproved
t�
Date --
CALL FOR REINSPECTION
C7 YES • /NO
F,
INSPECTION NOTICE
City of Tigard Buildin Department
12420 S.W. � In St.
Tigard,Oregon 97223
Phone: 639-4111
Typ, of Inspection
Jatt. Requested Time A.M. ---P.M.
Add;ess Permit #
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
ex
47
Presented to [] Approved
Inspector �01iupproved
Date
CALL FOR REINSPECTION
J9 YES E3 NO
INSPECTION NOTICE
City of Tigard Building Department
1A20 S.W.Main St.
Tigard,Oregon 97223
one: 639-4171 ---
Type of Inspection n IQ�,
�1 --- ---
Date Request Time —4 A.M. P.M.
C 1- Permit =c 0
Address
Owner - Lot
Builder
The following Building Code deficiencies are required to be corrected:
-Ad
Presented to Approved
Inspector Disapproved
Date
CALL FOR REMP, CTION
YES /IrrNO
BUILDING PERMIT APPLICATION TI DE
THE UNDERSIGNED HEREBY APPLIES FO AP r R Olif�H EF INDICA�ED BUILDER PHONL
OR AS SHOWN AND APPROVED IN THE CCOMPAN LAMS AND SP CICATIONS. OWNER F!iONE
LOT
T
OWNER i,an�,c> ,i� JOBADDR S tDW �,:r+Nx�rt)n<s l.r _—
—�— ARCHITECT
ENGINEER
BUILDER
c S DESIGNER
�.:+�:,� ADDRESS._---.�__ �. is , iJ�; Lr•--_.---- -
STRUCTURE_ _ ❑,mNEW ❑ HEMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C-1 FIRE DAMAGE ❑ DEMOLITION
E] RESIDENCE f] COMM E❑ EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO ❑-CARPORT 'El GARAGE ❑ STORAGE ElSLAB❑ FENCE
OCCUPANCY LAND USE ZONE _r� BLDG.TYPE
,� H.Th+ HEAT�`..�+J.8 .—
_ t, �_ __ r,�l FIRE ZONEPLAN CHECK BY
construct 6inije I'®t.il _tl.rell.ici�ac/�rott�rttw_d Gural;e
SEWERPERMIT# --- - ---
OCC.LOADFLOOR LOAD 40- HEIGHT 2tr+NO STORIES 2_ AREA I NO.BEDROOMS VALUE
BUILDINCI DEPARTMENTSET BACKS FRONT REAR { LEFT SIDE °-.'t" RIGHT SIDE '
- -- _
Permit .Qu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_ REGULATIONS ANn ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DO.4E IN ACCORDANCE WITH THE PLAt,S AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total ' •'0 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEFARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC—
$400000
Total
-- PDC# IfNI.U( APPur,ANTORAGENT
BY Recelpt No. If PHONE JW�_
Approved —�
DATE INSP. YPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Jkd Rough-in
k d u LN Fixture
final
HEATING
, Contractor ^T
7 Permit No.
caa or on
X11 �+l/�rn
Final -
- SEWER
Final
-- — -��_ - -
DRIVEWAY
Finei
Storm Drainage
—~ (Rain Drain)Final
�^ Sidewalk_ I -
-� Curb&Street Final
Approrch
BLDG. DEPT.FINA'. TEMPORARY .ERTIFtCATE OCCUPANC/
r't=r+TIFICATE OCCUPANCY Final
G�� Lendec.pinp
i
G �
BUILDING PERMIT APPI_;CA-PION TIGARD DATE_ T--� -•- t9 0°f aQ1 G
THE UNDERSIGNED HEREBY hi-PLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE,2 /)S,
OR AS SHOWN AND APPROVED IN THE,,C,COl`APANYING PLANS AND SPECIFICATIONS. OWNER PHONE SGa+G
// /� //�� LOT No.
OvvrJERLA/V 0 CkIf F 7- JOB ADDRESS �� d 1 _ 1 _ ----
ARCHITECT
C Sw ENGINEER / /e (, CO.
BUILDER S�/'�� ADDRESS �� �_ —ng0n `'W' DESIGNER f^Ar1Ca
STRUCTURE I+S NEW _❑_ REMODEL ❑ ADDIT ON 0 REPAIR ❑ RENEWAL ElFIRE DAMAGE C1DEMOLITION
Pr RESIDENCE ❑ Comm ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCT
OCCUPANCY LAND USE ZONE TYPE `�—FIRE ZONE- " PLAN CHECK BY
__ _ _ _�_.�.— -----_ ----------- �-- ----______---------
SEWER PERMIT
OCC.LOAD FLOOR LOAD y'o HEIGHT d-O NO.STORIES� AREA Lp NO.BEG ROOMS VP.I.0 r1
BUILDING DEPARTMENT SET BACKS FRONT a0 t �REAFI 411 LEFT SIDE s- RIGHT SIDE
F'!rmit oma- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOPWK
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYAT THE
ipljn_Chgck J a , '1.� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND CRDINANCrS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV_
Su'rtetal _ 6 y u Q RESTRICTIVE COVENANTS. CONI RAC''OR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�— LICENSE SEPARATE PERMITS jEE.QUIPED FOR SEWER,PLUMBING AND HEATING.
:A.itn Tax • >' S
Total
POCJI APPUCANTORAGFNT
--
E3y
Receipt No. ADDRESS — PHONE
Approved
S O C
CIC -A /00
SEWER CONNECTION S �5 —
SEWER INSPECTION $ 3 SEWER SURCHARGE SURCHARGE $
Valu e
k elo- C/ a10
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