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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address •.� �A. �:. �:, 7
_- ----.� - c, ..—.���--- �- '°"., s Permit
Type of Inspection
The following Building Code deficiencies are required to he corrected:
Presented to—_—_—- —__—�.--- - __ Inspector
Date
(ALL FOR RE MPEMOV
r]
YES NO
BUILDING PERMIT APPLICATION CITY TIGARD CATS
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13l11LDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO.—:__..
OWNER LI'L _L,ULl;lrt JOBADDRESS91145 & Uyrham HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER .1,. 1,'1'•, 1" (� ADDRESSd -- f L..i t ! �.' DESIGNER
STRUCTURE ONEW— ❑REMODEL ❑ADDITION ❑REPAIR_ ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Q RESIDENCE ❑CCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PI RT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
—
OB-)ND [I MOVING ❑CONDITIONAL USE ❑DESIVN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCl1PANCY______LAND USE.ZONE "` PL' BLDG.
TYPE=_= FIRE ZONE—) PLAN CHE^K Bv_,,_ f HEA7_�i—_,.__
- =- ' amity -?w*JL1.LIgj and out'-40)"(1 tai
TION SHl':E7 A,TTAILH[U. ----
_ �____ 6141,1RI Parl"it #20:ji9F�
ocCLOAD L.4UR LOAD 'rl.I
�€1Sty? i a NQ TQHI S-� �R p ---- NO.BE�L44!M5 VALUE ► UL.,
BUILDING DEPARTMENT fll-
SET BACKS FRONT '��� REAR •� 1'� LEFT SIDE RIGHT SIDE
Permit "4
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cheek '72. )0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WIIH THE PLANS AND SPECIFICATIONS AND,N COMPLIANCE WITH
Sub total i ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEPMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ,E;(' LICENSE SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
Total i('1
By
�` APPI_ICAN1 On AGENT
- --`-`---"`--
Approved Receipt Noy/
��f ADDRESS _--
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECTION ,_ --
Contractorpe cit.
zoo
Permit No. a,11,7
Rough-in —
4,2-e-S,* /Sac Aft _ -
` fixture _
so Cvp 'Tito bar%
Final
HEATING
Contractor
f. b"3►� fi4++ 1w�lr ten.- — —
ee �- ♦` _ Permit No.
— -
Gas or Oil
Roughwin
Final
SEWER
_- --- —-- --- FinalG -/% ,`4J
DRIVEWAY
---- -- -------- Final
- Storni Drainage
(Rain Drain)Final
Sidewa I k
Curb&Street Final
'—' — — - Approach
BLDG. DEPT.FINAL TEMPORARY --�CEF'TIFMCATE OCCUPA Final _
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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