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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223 / oj'F!� 3 0
Phone:639-4175
Type of Inspection - �EvC �N/✓/=<�t'" ��/
Date Requested _ Time_ —P.M.
Address f r Q
Permit
Owner Lot #
Builder _
The following Building Code deficiencies are required to be corrected:
-- - — — _
Presented to
Inspector _ [ � Dish
pproved
Date _—
i
I
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Crate Requested / / Time _ A.M. P.M.
Address Permit # 5Z-'
Owner-_ _-- —_--_— Lot #
Builder
The following Building Code deficiencies are required to be corrected.
ay
Presented to
- -- - Approv
Inspector
- Lpprovec!
Date
/ CALL FOR REINSPECTION
CJ YEI 0 NO
W W1 W W
for inspections call 639-4175
CITY OF TIGARD 639.4171
BgUILDING PERMIT DATE 1• �b �hd
P,0. Box 23397, Tigard OR 97223 TAX MAP LOT NO. 7 SUB04"SJON 044
OWNER— J08 AODRESS 15836 L _7"' o v e
BUILDER 3/q V Ali 11-r 61 d I. LI t- STATE REG.NO. �a 1° q EYE.DATE
BUILDER'S PHONE 7 B y- 7.5''f
ARCHITECT _— _ PHONE _OTHER
STRUCTURE NEW CI REMODEL ❑ ADDITION U REPAIR 7 MOVE ❑ OTHER ❑ DEMOLi
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND • ❑ RELIGIOUS ❑'ACCESSORY (3 GARAGE O OTHER ❑ Fl
OCCUPANCY �,LAND USE ZONE R_ _BLOO.TAPE DIRE ZIDNE_PLAN CHECK BY HEAT
T T`N t I lT L-)
SEWER PERMIT 02A.,-I r s+Cr�•F" •/d,? -.- 'Ro"
OCC.LOAD FLOOR LOAD ^ HEIGHT ? C7 NO.STORIES AREA I yq O NO.BEDROOMS -; VALUE
BUILDING DEPARTMENT SETBACKS FMW �Z--r' REAR LEFT SIDE PLIGHT SIDE
Pom* "a TNtS PERMIT iS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z0,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND R IS HEREBY AGREED THAT
Ptm CIwtk WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND BPECWICATIOMS AND IN COMPW
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE Off THIS PERMIT DOES NOT Ilr
PL CIL F" - ' RESTRICTIVE COVENANT&CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI►
6 TAX PERMITS SEPARATE PERMITS REOUINED FOR,SEWS LUMBJNQ AND HEAr^Q.
Stab Tax I
Total _ E;!� SOC
ARUW
PDG
PfVPd• y t' rJ D ) IC �,►�� G - s y3
R�oaiP1 No. ADDRESS
I"uW By_ __Apwvra0 Br
SSDC --- S
SQc - '
P 0 C -
SEWER CONNECTION 5
SEWER INSPECTION f { ��
SEWER SURCHARGE S
Comments:
F� ! ! ! ! ! !AIIIINUMAW11IM-Aw !
CITY OF TIGARD 639.4171lr}rril 5 9 Q 2
BUILDING PERMIT inbi;action Line a39-41i:, DATE
.lay r.Iller TAXMAP _LOTNO, i4 .SUBDIVISION 'au kirk
OWNER — JOB ADDRESS UbGi"S bUtAVe• —.---- ------
BUILDER fterme�k•0• b*x 23291 , Tigarc: STATE REG NO. 3W lirl— -_ EXP.DATE
BUILDER'S PHONE
ARCHITECT_ ___ PHONE __.______ __OTHER — -
STRUCTURE �L ' NEW EJREMODEL La ADDITION REPAIR C MOVE L7 OTHER DEMOLITION
C7 RESIDENCE I COMM 1 EDUCATION L IND I RELIGIOUS At OXY GA AGE I I OTHER FENCE
OCCUPANCY" _LAND USE ZONE"!!BLDG.TYPE � FIRE ZONE PLAN CHECK BY � _HEAT
t.onstruet Sin6le Yamily dwelling wej'attaC1)Cu all per aVFruvecl P aua.
SEWER PERMIT#295U6 (lclu; S bath, lU traps garage are+e 462
OCC.LOAD FLOOR LOAD..,: HEIGHT2U NO.STORIES2 AREA49U _ Nj BEDROOMQ _ VALUE,000
BUILDING DEPARTMENT_ SET BACKS FRONTIU REAR I LEFT SIDE , RIGHT SIDE
Permit L92.UU _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION' CO":FAINED IN THE BUILDING CODE, ZONING
p( _� UU _
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH'E
4U.
Plan Check WORK WILL BE DONE IN ACCORDANCE WiTH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
f WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
k PI.Ck.FlreRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
(, s TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
If State Tax 1)(: 2SU.Uv
4C 500.UU
Tota!
APFFLIGANTOftAGENT
( -- - PDC#
Prepd. L: I )U.UU
- - �-- '�� Receipt No. ADDRESS _ PHONE
Bal.Due i�13•Gt�
- - ----- -- Issued by_. —Approved By---
AL
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DATE INSP. TYPE INSPECTION ; REMARKS PLUMBING DATE
Contractor 5ti
Permit No
Rough-in
Fixture
G.7 _ Final
6 - HEATING
Contractor (��,�� 4J 6 a
Permit No 9 2
GasorOil
Rough in
Final
_ — SEWER
-ml_
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
{ Curb 3 Street Final
y Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
i
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