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INSPECTION NOTICE �a��
City of Tigdrd Building Depaitment
12420 S.W. Main St.
Tigard,Oregon 97223
°hone. 639-4171
i
Type of Inspection -
Date Requested�_` Time __.�A�I P.M.
1 "
iAddress —I U , r S Permit #
Owner— F S,2U V Q Lot 9��—
II 11
Builder
The following Building Code deficiencies are required to be corrected:
el
---------------
1
Presented to Approved
I �
Inspector -- �_�. Disapproved
Date __ '�' z
CALL FOR REINSPECTION
❑ YES * NO
NOTICE
- f
City of Tigard Building Department
„r 12420 S.W.Main St.
T;gard,Oregon 97223
i none: 639-4171
Type of 'n�;iection
Date Roauested `S �� `7 ' _ Time -, A.M. '- P.M.
Address /0 dy�7 _S "e��`_—s Permit
Owner �_— -
Lot #
Builder __ ---- — —
The following Building Code deficiencies are required to be correctdd: `
_ r
Presented to _ Approved
Inspector _ l G. — -- [J Disapproved
Date
ICALL FOR REINSPECTION
i 1 YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE _- -___-.ts.--_` . 356
II
THE UNDERSIGNED HEREBY APPLIES FOR A PE=RMIT FOR THE WORD I IEREIN INF)IGATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THL ACCOMPANYING PLANS AND SPFCIFIGA IONS. OWNrR PHONE
LOT NO. 12 p r3 Lw-t.ln1
OWNER i t:` :it tQ8ADDRESS il.:K::i k.�_)UrC __ ---
ARCHITECT
t
ENGINEER 1' ��nn ('k• DESIGNER s�lOrGy s�arc�� ey
BUILDER ADDRESS —_
STRUCTURE In NEW L] REMODEL Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[T-RESIDENCE D. COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑_GARAGE [j STORAGE EJ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY __ HEAT_
C'uristruc` ';in(lle F'a;n11y i)wel.linq w/�lttachC,.'l jara(le & basement ------
Se!e correction shoot Attncbbil. � 3 go?dryorta
319tYa�: —
SEWER PERMIT M 7;C, 2 l i r a:. 4:!Q_�.
_OCC.LOAD FLOOR LOAD 4If HEIGHT ' NO.STORIES ,1 AREA 22U " NO.BEDROOMS 3 VALUE ";()0200
BUILDING DEPARTMENT_ SET BACKS FRONT REAR— i LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Ir Is HEREBY AGREED THAI THE
Plan Check �' . r.\ WORK WILL BE DONE IN AC:COAUANCE WITH THE PLANS AND SPECIFI,'ATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND 'ORDINANCES. THE ISSUANCE OF T 411S PERMIT DOES NOT WAIVE
Subtotal '_ _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO F;,\VE CURRENT CITY BUSINESS
r LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA i ENG.
State Tax soc— 400.00J
Total e-
PDC#j jx l i)IJ.�� APPLICANT OR A(J r41
By
------'i
', -- - Receipt No. _ i / /✓!Ir+iJiC
Approved ADDRESSHOS NE
DATC INSP. TYPE INSPECTION REMARKS PLUMBING ^DATE
11S/.�d, -- Contractor s rw
y= ti• t?3 L /f
Permit No. _ �x3 ]
y.27-8 I M A -- Rough-in
Ur i�,e tt.Ciys - Fixture A
� /` Final
l(e 7 a4.^
:v,( H EN G
..` Contractor _ 1
Permit No
-_-
�� Rough-in
Final — -
SEWER
- -.—�—. i- - --- Final _+-.J/-
DRIVEWAY^
Final
Storm Orair•.ge
(Rain Drain?Final
Sidewalk
Curb&Street Final
App aech
- BLDG.DEPT.FINAL-r TEMPORARY --(-CERTIF;CATE OCCUPANCY F nal _y -
CERTIFICATE OCCUPANCY
K
Landscaping
Zoning Final
• bU!LUlIYU f CnIVII I hrf'LIUt11 I IVI'l OF • • • - ��f„�w� '___.. "- T 3`¢��
THE UNDERSIGNEO HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON"%.-f_7�f_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PUNS AND SPECIFICATIONS. OWNEF'r-f.01I
�p .,1. /p] ��wr��,,A/.�,`` "� LOT No. 2 "l-_ s iA wil --
13YINEP F-_"O 0 RIB ADDRESS._ -100(oo� $.'ylC.__ w _
ARCH' EC
_n'-UI�..O.:�t ADORESi �O �j kM► DENT GN N -.R (�rr' r0*80
STRUCTURE _ �IEw ❑nt%inDEL 0ADOIi10N ❑REPAIR ❑RENEY/AL, ❑FIFTEDA?WAGE 0E.m11-LI TI.
TIE5IL�E"ICE C Gn�r1.1 ❑EDUCATIONAL ❑GOv T ❑REdIG�QUS LIPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FEN
CC'CL:PAf,CYY LAND USE 20NE117MOLOG. TYPE 4-A) _.FIRE ZQNE� PLAN CHECK BY HEAT
SEWER PERMIT
FLOOR LOAD HEIGHT NO SYORIES I AREAZZd)vNO,BEDRUOAiS
61JILOIN•; DEPARTMENT SET'BACKS FRONT REAR LEFT SIOE J •J RIGHT SIDE �Z
Ipara,,it �d�•�� THIS PERMIT IS ISSUED SUBJErT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. z0k,
Kin Check ��3.,'?b REGULATIONS AND ALL APPLICAOLE CODES ANr) ORDINANCES. AND IT IS MEREBY AGREED ?HAT 1
p VNORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Y:
`Sill-total r�G I.�d ALL APPLICA'TLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN
r-wot Tax I ,2 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
TUt3l /!� SOL
POC#
APPLICANT OR AGENT
LApp►ovM Receipt No.
nnR F%% PHONE
50C - $ _ ��l7O
PDC =
SEWER CONNECTION $ q— +
�Y"
SEWER INSPECTION $ 3'~
SEWER SURCHARGE $
13Gp
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