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INSPECTION NOTICE
City of Tigard Building Department
17.420 S.W.Main St.
Tigard,Oregon 97223
Phone: 039.4171
iype of Inspection —
Date Requested _ Time P..M. P.M.
Address � �� Permit �►_
Owner --_-- -- — _ Lot #— —
Builder - -The followhig Building Code deficiencies are required to he corrected:
Presented to _ _ _ i Approved
Inspector �'� ! �E. Disapproved
IT
p_ n�
Date --- - _-/ /
CALL FOR REINSPECTION
YES ❑ NO
INSPECT ION NOTICE I
City of Tiqard Building Department
12420 S.W. Main St. +�
Tigard,Oregon 97223
Phone: 639.417
Type (If Inspection
�
Date Requested__ _ Time — A.M. P.M.
—
Perm°t #
Address
Lot ;
Owner
Builder
The following Building Code deficiencies are required to be corrected:
--Or-
I
Approved
Prevented to
IInspector .---- n� ------ _
Disapproved
Dale
w CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
l
M.
Date Requested ?. Time__ A.M�y __P.
Address '� l Permit #--
--�
Ow.ier-- Lot {
----_,--__---_ #-
BuilderThe following Building Code deficiencies are required to be corrected:
VA
1
Presented to ---_� _ _ _ Approved
Inspector
-- --��-- __ �_� Disapproved
Date
CALL FOR REINS'PFCTION
❑ YES ILLI NO
BUILDING PERMIT APPLICATION 'fIGARD DATE �(tly -> ,� 4512
19� _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE Gy2-�r�IS
OR AS SHOWN AND APPROVED IN THE ACCOMP,`,NYING PLANS AND SPECIFICATIONS. OWNER PHO}E
OWNER JI.y
r JOB ADDRESS LOT N( .__-
- � ,ttzin! nsT
ARCHITECT -
BUILDER .1aY_'iy 1. _ ziy. . ADDRESS P-0. 'lax 23129f T ENGINEERDESIGNER
STRUCTURE 13 NEW ❑ REMODEL — ri ADDII;ON ❑ REPAIR ---LJ RENEWAL LJ FIRE DAMAGE _ 11 DEMOLITION
rl RESIDENCE Ll COMM ❑ EDUCATIONAL rl GOV'T ❑ RELIGIOUS ❑ PATIO 11 CARPORT El GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ,�: _LAND USE ZONE R-•'/}' ' "'' -- --
_ _ .OLDO.TYPE _ 3 FIRE ZONE;_ PLAN_CHECK B_Y _ `►CR _HEAT_ as
truc t jin!"Je I•'&ROly Dwl., inj W/att;tclt@!tt ;rQ;'C�*E• —��----- ---
_ 3 @o t r:t elt„�„t �e t r ar<checl. �1e�!rrarati
:omit P4259 _ A 'ttttitn
SEWER PERMIT M
OAC.LOAD FLOOR LOAD iHEIGHT 2 ) NO.STORIES _� _AREA 1`)-"4 NO.BEDROOMS VALUE ��?�r,t)17•
BUILDING DEPARTMENT
SETBACKS FRONT
_ REAR LEFTSME RIGHT SIDE 1t�!
Plroved
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. R'UILUING CODE, ZONING
P ���)�,�� REGULATIONS AND ALL APPLICABLE CODES AND ORDININCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THEE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
8362. WITH ALL APPLI,:ABLE CODES AND ORL"INANCFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANQ SUB CQNTRACTOFlS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
S12.T3,4s SDC— hW•f>tPDC# 'T100*BA Recelpt No.— l.Tt;?; ADDREA9 PHONE
t
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4
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ..
7�,f .3 . t ✓� /E' ��- /�'� — Permit No.
Rough-in
Fixture
&'d 4-�,�dM J _ i�Final
_ �iS(flQjG�✓l O HEATING
Yl. Contractor
Permit No.
gii.0,Oji
Rnugh•in
Final
SEWER -
-'- --� Final
DRIVEWAY
Final -_
Final` —
Storm Drainage
(Rain Grain)Final
Side%-ml k
4 Curb&Street Final
Approach
HR
BLDG. DEPT.FINAL. TEMPORY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPAN:.Y�`� F nef
1
i+ndtcaping 1
ening Final
J
3
�4
i
BUILDING PERMIT APPLICATION TIGARD OAT" 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORT HE WORK HEREIN INDICATED BUILDER PHON ____ _
1&
)RAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINER PHONE -
L /�+� 0 .y LOT N O.LL
OWNE,<� �/1( l f�'�JOBAdDRE�S �' t ✓7_ .� -W—Avi�Ole lCr,
p
DESIGNER IPif'Cf�/ {7A�►T�PQa/
BUILDER —
STRUCTURE ___�(NEW ❑_REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIO'AL ❑ GOV'T 0 RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STOI AGE ❑ SLAB❑ FENCE
OC iji1ANCY _ LAND USEZONE P ALDG.TYPE `rk—FIREZONE----.. PIAN CHECK BY HEAT G P _
C _e, r I. teal--H e. • _—
r .3
SEWER PERMIT It Z 5 2 7 X
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES Z AREA /J , kt NO.BEDROOMS _VALU 800
LUILDING DEPARTMENT i SLT BACKS FRONT i REAR LEFT SIDE 2. RIGHT SIDE. ! i
_ 322 00 — _.� �---_--
Parmtt + THIS PERMIT la ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NG
,fi�rr_ REGULATIONS AND ALL.APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY WIRE TY,AT THE
PTcf7C ck y� 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
5u�total 6' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTr*ACTORS TO HAVE CURRENT CITY BUSII;ESS
�' LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA(ING.
State Tax
Total
APPLICANT ON AGENT
By . 3 7'`r'•�x' PDCJt I
Approved
celpt No. ADDRESS— — PHONE
..1_
loc -
s SL ; too
''I�IER CONNECTION $
EWER INSPECTION
,EWER SURCHARGE
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