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INSPECTION NOTICE �
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection _—
Date Requested_/ Time-7 A.M._ P.M.
Address -_-/�� / �'_
Permit *_4L 7 7
Owner_
- -- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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F`retanted to ------- L-CJ Approved --'�
Inspector _ �•►
T ❑ Disapproved
Dare - G 7
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CALL FOR REINSPECTION
t ❑ YES ❑ NO
INSPECTION NOTICE i
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection
Date Requested 41 `1'" L-3;04 _ Time A--- A.M. P.M.
Address i S �� > S w �y Permit *-'51-A
Owner _ Lot #
Builder t(A y m ( l0-11%—
The
c=1%—The following building Code deficiencies are required to be corrected:
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P1/Mntf,d t0 LApproved
Inspector "'"` [] Disapproved
Dow
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❑ YEi ❑ NO j
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CITY OF TIGARD 639.4171 tar iUMPSCLions call 539-41 i5 5921
BUILDING PERMIT DATl`4rG-1_— 1A fit
TAX MRP LOT NO. h_ _____.SUBDIVISION'uriT tui
OWNER_.►�,x_.+tl1eT JOBAUDRESS —151GS SW 80th
BUILDER IiyX_23261, Tj&ard S'fATEREG.NO3VjQ9_s_..__—_...EXP.DATE
BUILDER'S PHONE _4,4541
ARCHITECT PHONE
STRUCTURE 't! NEW ❑ REMODEL ADDITION REPAIR MOVE LJ OTHER ❑ DEMOLITION
RESIDENCE COMM_ C] EDUCATIGN IND FI LIGIOUS ACCESSORY 1 . GARAGE OTHER ❑ FENCE
OCCUPANCY Kj LAND USE ZONE �_r BLDG TYPE i FIRE ZONE_ —PLAN CHECK BY HEAT.
rilvir_A:iiiggjhl tawiIg iw&,I.I.i1ilN—iiai i11 ..ri. —
SEWER PERMIT N 29111 L 1.lu] �,}araoe 44U � iJa.tl► __�__, _
OCC.LOAD FLOOR LOAD 4U HEIGHT ZU NO.STORIES __ ARLA } NO.BEDROOM,93 VALUE
r BUILDING DEPARTMENT —� SET BACKS FRONT 2U REAR LEF'i SIDE `� RIGHT SIDE
Permit 39a.Ou THIS PERMIT IS SSSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 'ONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I I .S HEREBY AGREED THc,1 THE
Plan Check 40.UU 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
PI.Ok.Fire _ _ RESTRICTIVE COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY Bt"SINESS
�— TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax11•BV C z
Total V 346.60 — SDC— :)LU.w ,_ ,.'. a_ ;�_-- --------
-- PDCN APPLIOANTOR AGENT
Prepdi_... 4_U._OU I 11 150.0(i
eel.Cue ---- ----- —--
Sfif)080 Receipt No. 1.2 of l�y ADCc1FSS --- PHONE
-
Issued By Approved By
OATE INSP. TYPE INSPECT!GNREMARKS—
PLUMBING— D
—FATF
contrwtor�,( 7 R'
&I • Permit N
Rough-irj_
Fixture
Final
HEATING
Contractor 4y
AV, Permit No
4,
r�L/57 GasorOil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Pain Drain)Final
Sidewalk
Curb&31tee1 Final
Approach
BLDG.DEPT.FINAL TEMPORARY I CERTIFICATE OCCUPANCY Final
CFRTFICATF OCCUPANCY Landscaping
Zoning Final
rAL
:ITY OF TIGARD 639.4171 DATE
lU1LDING PERMIT TAX MrF NO. SUBDIVISION ✓." •�
IwNER. __ ---
JOB ALORE,3S _.-.� ��� C- J � �
STATE REI; NO, EXP.DATE
'UILOER'S PHONE __ --
PHONE _ OTHER _
RCHI T ECT._
.T URE - EW ❑ REMODEL ❑ ADDITION U REPAIR U MOVE U OTHER CJ DEMOLITION
ESIDENCE Q COMM Cl E TION ❑ IND ❑ RELIGIOUS U ACCESSORY ❑ GARAGE ❑ OTHER ❑ FE��NCE
"�' _HEAT iSeSG:_
�.CUPANCY _LAND USE ZONE BLOC.TYPE FIRE ZONE."` PLAN CHEC 1 BY
-- ----
VER PERM11 I
NO.STORIES AREA/1 7 NO.BEDROOMS VALUE
L.LOAD FLOOR LOAD HEIGHT U ! d
_BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIOf: �+ RIGHT S DE
THIS PERMIT 1'S ISSUED SUBJECT TO TKE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOnING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AG; FED THAI THE
%an Check (J " WORK WILL !IE DONE IN ACCORDAWCE WITH THE PLA-S AND SPECIFICATIONS AND Ih' COMPLIANCE
WITH ALL APPLWABLE CODES AN3 ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE NOT WAIVE
I Ck F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRAC70RS TO LAVE CURRENT CITY BUSINESS
TAX PERMI'T'S.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.tale Tax
Wal SrU APPLICANT OR AGENT
''n— PDCI
ispd. 0I
-.---SQL- _ --- - -------
ReCMP ADDRESS PHONE
lel.Due
Issuod 0 ____1__.-- _Approved By
--- s W S,
,IER CONNECTION
U[:R INSPECTION S
SURCHARGE S
i m e n t e: 4_
CITY OF TIGARD BUILDING DEPARTMENT ?IAN CHECK NO. : 3 y y I�-
PLAN CHECK A2PLICATION DA—E RECEIVED: 2y/J,--G
P.U. Box 23397, Tijard OR 97223 P/C DEPOCiT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, fj` edition.
PROPERTY OWNER: Z,.(_) i, f -i-_ OWNER'S ADDRESS: �kl I� Z.,
CONTRACTOE: TELEPHONE:
JOB ADDRESS: �C' `� L� d LOT NO. & MAP:
G
DESCRIPTICN OF WORK: ��T ? ( c-
Approvals Required SPECIAL NOTES
0 Planning Dept. Reissue
OEngineering Dept. �j Flood Plain/Sensitive Lands
Fire Uist, ict (�� Sewer Availability
U Other O Other
Items Required
0 List of subcontractors
OBusiness `fax
0 Calculations
nTruss Details
OParking Plan
OLandscape Plan
0 Other
COMMENTS:
City of Tigard Building Department
BY: i-. c