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10700 SW DERRY DELL COURT
INSPECTION NOTICE
City of Tigard Euiloing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection _ —
Date Requested _-- 5 //L-,a� TItIN�7t.M. P.M.
Address � `J� �� 1 armit #
Owner.----
Builder
wner.Builder —_ —�
The following Building Code deficiencies are required to be corrected:
i
presented to
Inspector _ Disapproved
Date
CALL F0J' REINSPeCTION
C- YES C7 No
for inspections call 639-4175
L.ITY Of TIGARD 639.1171 DATE P--L'.1.12 I9-Lo—
BUILDING
PERMIT
P.O. Bax 23397, Tigard OR 97223 TAX MAP _ LOTNO. _ 0 SUBDIUISIOW
OWNER 1 Y _ _-. JOB ADORESS J 01'00 S,uk)- terryl beII C�
BUILDER �}� /�K�L�.G mac-rt c�� _ STATE REG.NO. _. __.__--__________--EXP.DATE
BUILDFH'S PHONE
ARCHITECT____i.� PHONE
STRUCTURE ❑ NEW ❑ REMODEL OADDITION ❑ REPAIR ❑ MOVE ❑ OTHER LJ DEMOLITIO
g..R£SIDENCE ❑ COMM O EDUCATION C) IND O RELIGIOUS U ACCESSORY U GARAGE ❑OTHER ❑ FENCE
OCCUPANCY LAND USE ZONE �.._� BLDG.TYPE FIRE ZONE PLAN CHECK BY —HEAT
GZ
K
SEWER PERMIT A
(NW.LOAD _FLOOR LOAD HEIGHT , NO.STORIES f T
_ _ � AREA ,�f i NO.BEDROOMS Q VALU�,s,.._..
BUILDING DEPPARTMENT__ SET BACKS FRONT 20 REAR S I,FFT SIDE � u + RIGHT SIDE /V
Permit a'^_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE 20NIN
REGULATIONS AND ALL APPLICABLE CODES AND CROINANCES.AND IT IS HERELIY AGREED THAT TNF
Plan Check �/ O'U 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
Pt Ck Flre NESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_ TAX PERMTTC.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING-
State Tax �• •3 t;
—
Tula1 d 4 SOS ---------._----- _
APPLICANT OR AGENT
Prepd.
Bat,Due ��, Receipt No. ADDRFSS PHONE
Issued BY_____._—_._.__. Approved By `
SSDC -- $
SDC - � /Y-
POC
SEWER CONNECTION S ICXe�uyz� A
SEWER INSPECTION 8 �t
SEWER SURCHARGE S
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Bu f LD I NC DEPARTMENT PLAN CHECK No . ; J'-.2
PLAT .'HECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:_
'this is to certify that the attached sets of plans have been submitted for plan
ehcrk hursu.int to tht, Oregon Structural Code and Fire & Life Safety Codi, clition.
PROPERTY OWNER :A OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: 0
,JOB ADDRESS: kL 2-v9-e--��=_� U LOT No . & MAP: 36
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. Reissue
Engineering Dept . 0 Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Required
L
0 List of subcontractors
V Bus'.ness Tax
�1 Calculations
O Truss Details �f�(,(�s�'(�Q`
OParking Plan
OLandscape Plan
OU i e r �-1 e-- •
COMMENTS:
City of Tiga /ui ,,d//ing Department
BY:. ���
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