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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard,Oregon 97223
Phone:639-4175
Type of Inspection _ _.�
Date Requested /hd4e Tan"__ '--A.M. P.M.
Address - �( , ✓` ��` � Yh Permit Ik
(?weer Lot �k
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —T� 41 L,0 roved
Inspector _ .e -- Disapprover,
Date –
CALL FOR REINSPECTION
❑ YEE ❑ NO
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7� a INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oieyon 97223
Phone:639-4175
Type of Inspection
Date Requested /7 rime A.M. P.M.
Address Pe'mit #,
Owner. _�_ _�lr �� Y/'j Lot #
I Ly
Builder. ___ _
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The following building Code deficiencies are required to he corrected:
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Presented to � �-droved
Inspector _ 1 _ U Disapproved
Date 3,���Z -- - -
CALL FOR REV ISPECTION
❑ YES ❑ NO
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for call 5848
CITY OF TIGARD 639.417.1 DATEke%bruar " _lgtbf.>>_
BUILDING PERMIT
TAX MAP _......_LOT NO.64 _._.SUBDIVISIOIt(jpI0dPyrIr .3
OWNER__J!!Y ;i11er JOBAL'7)RESS" -- --
P.U. iw% 23291, tip and oh 9122.) -3f.J1U9 ] �- 1 tsu
E BUILDER _--_� _�-.-- STATE REG.NO _---___- EXP.JATE ----_- ---
BUILDER'S PHONE 692-3615
M ARCHITECT____- _ PHONE OTHER
STRUCTURE h,I NEW REMODEL ADDITION REPAIR _ MOVE OTHER _ DEMOLITION
L� RESIDENCE 1 COMM EDUCATION IND RELIGIOUS ACCESSORY GARAGE 1 01 HER I FENCE
OCCUPANCY _LAND USE ZONE _P__BLDG.TYPE FIRE ZONE PLAN CHECK BY ' _ HEAT
ts
1.
SEWER PERMIT# )liub/ k isu 1 0;acage 4.14 6 :) batl _ —
OCC.LOAD FLOOR LOAD� HEIGHT '=Zt' NO.STORIES _AREA-' ' NO.BEDROOMS4 VALU0b,'
_ BUILDING DEPARTMENT_ T SETBACKS FRONT 21) REAR _�++"' _
LEFT SIDE -.o RIGHT SIDE
t Permit _ 290.UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEDIN THE BUILDING CODE. ZONING
f( T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 HE
Plan Check ly3• U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
_ — WITH ALL APPLICAB,E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
f; PI.Ck_.Fire _ RESTRICTIVE COVENANTS. CONTRACTOII AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
w TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
" State Tax .13_ i. _
- -' 9UU•Oti
Total er SDC-- 'o'`-�---- - --
'... A,PUCAIVTOR
Prepd.
PDC#
II 15U.{iU
h -------- --�lJ<J.b�-- -
Bel A
Due
Receipt No. 1t:1qYt9 _DD—_RF.Ss_c
1 PHONE - --—
-
---------- - - •.ate.._..__.�.
Issued By_ -Approved By--
.-.:....._. ..,:......n..�,.�..,.Asa....W�.wwv.._..s...«.a..,.�..- ..,........._........Wv...�......_•- --...,..�...w.._.._...._.._...
FXF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contrac
Permi1W.
Rough in
f--ixture
v Final
16
HEATING
Contractor ,, ' /
PermitNo. L4(;itj� )
GasorOif
Rough in
Vinal
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Ram Drain)Final
Sidewalk
Curb A Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIF710E OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Z....q
Final
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:`����c� b
P/C DEPOSIT PAID: ���J CCE)
This is to certify that the attached 2" sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, a-2--. edition.
PROPERTY OWNER: ?' / OWNER'S ADDRESS: Z2 1
-�A�-
CONTRACTOR: Ll�/LQ�--'� TELEPHONE: 6 �'2 -
0B ADDRESS: <��'�-V `�G!f f• L T NO. & MAP: C
DESCRIPTION OF WORK: ``�� j�(�� �-. 72 —
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
O Other O Other
Items Required
List of subcontractors
0 Business 'fax
0 Ca?,-ulations
OTruss Details
OParking Plan
OLandscape Plan
OOther
COMMENTS:
City of Tigard Building Department
BY: i
CITY OF TIGA',ID 639.4171 DAtE
BUILDING PERMIT
TAXMAP __IOTNO. _r Iit SDIVISIOPI��t _
OWNER JOB ADDRESS,' L�
BUILDER f C_�, %3d�1 z STATE REG.NO. _EXP.DATE
BUILDER'S PHONE
ARCHITECT _ _ +_ PHONE_ --_OTHER
STRUCTURE V NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLIT101
RESIDENCE ❑ COMM ❑ EDUCATI
O
N ❑ IND Cl RELIGIOUS L7 ACCESSORY ❑ GARAGE ❑ OTHER ❑ FENCI
OCCUPANCY R3 M a uND USE ZONE JA_BLDG_.r�T(YPE _ FIRE��_ ,PLAN CHECK BY __Q HEAT
SEWER PERMIT I 2.9067 _ ► 4.34 -3
OCC.LOAD FLOOR LOAD 4O 'HEIGHT Z I t NO.STORIES 2 A9EA j$qq NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT JSETBACKS FRONT 2C)' REAR 241' LEFT SIDE 5 RIGHT SIDE
Permlt _ _ 2,98, 00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THP
PtanCheck WORK WILL BE DONE IN CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALL APPLI^.ABLE CODES AND orDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOTWAIVI
PI.Ck.F" RESTRICTIVE r %VENANT i. CONTRACTOR ANDSUB ONTRA RS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.Sc'ARATE P) RMITS REOUIR D FORS 9,PLU RING AND HEATING,
Slate Tai / ( • k �t
SOC-- /\ �._� _
TotalAPPLICANT OR AGE T
----503.62- POC•
Prepd. d(). 0ID
— Re-elpt No. ADDRESS PHONE
Bal.Due Q'(�� .b21
-- Issued By_—__ -. ._Approved By
2 5 6
SOC —
P0C -
SEWER CONNECTION 5 �?_ .� il�c�►` y� � #
SEWER INSPECTION S
SEWER SURCHARGE S
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Commento:
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