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INSPECTION NOTICE
City of Tigard Buildin�a Department
P.O Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection '//Z
Date Requested ` 1 -----,.-----✓��
'im e_ . A.M. P.M.
Addrass
Permit #J
Owner__------ -- - Lot #
Builder
The following Building Code d,ficiencies are required to be corrected:
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Presented to - improved
Inspector
(_.) Disapproved
Date
rT CALL FOR REINSPECTION
0 YES C] NO
INSPECTION NOTICE
City of Tigard Building Depaltm t !
12420 S.W. Main St.
Tigard,Oregon 67223
Phone: 639-4171
Type of Inspection �� A �/�/' C/ /&4 A—I
Date Requested—?., /��(z _ Tima—� A.M. F.M.
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Address — Permit #
Owner------_ -- --- — � Lot #
Builder _ s—
"he following Buddin Code deficiencies are required to be corrected:
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Presented to
n�ipp:ved
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Inspector _
Date /_
CALL FOR REINSPECTION
I L YES O NO
W I. ■Ir
INSPECTION NOTICE
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C City of Tiga,d Building Departrnen
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection _ --- —
Date Requested Time A.M.. P.M.
Address ���a2 Permit
Owner- ��I— Lot —_--
Builder — —The following Building Code deficien6es are required to be corrected:
—
Presented to ._ � -----`-- ----- n�ispprmmd
—
Inspector '
` Date --------
CALL FOR REINSPECTION
❑ YES ❑ NQ
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CITY OF TIGARD _ 71.639.41 _ . .. .., .' F.,.
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BUILDING PEZMIT DATE j*1111111114111119i
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{ TAX MAP ___—LOT NO, 19 _SUBDIVISION I",iul' L_
OWNERc,ky lilt lt_Ot,?Bl,tillttNZa T_— JOB ADD9ESSRVi►.—
BUILDER :2a::C, 43L'(jll.L ,-,('Q�1?gtt Ul.STATE RFC,.N0. �!Uy�fa_ EXP.DATE
'.,UILDER'S PH)NE' --- - --- -
ARCHITECT -__— PHONE _-- -- _-OTHER
STRUCTURE 4 NEW REMODEL Li ADDITION REPAIR MOVE OTHER DEMOLITION
I RESIDENCE I I COMM EDUCATION IND i RELIGIOUS ACCESSORY 11
GARAGE OTHCR I FENCE
OCCUPANCY LAND USE ZONE �. BLDG.TYPE FIRE ZONE PLAN CHECK_P.r " ' HEAT _
Canarruct sink ledfami.ly reNl.eence wi*"tacheil :r „e, .11 , L-r apprw, „ Wl.l�aai�
SEINER PERMIT k ,903" (lau j f>zxa)�v ;.•G 2 tautly
OCC.LOAD FLOOR LOAD 4U HEIGH-I'_" NO.STORIES 2 AREA1111 NO.B_EDROOMS3 VALUES_
BUILDING DEPARTMENT SET BACKS FRONZ, REAR ?!, - LEFT SIDE RIGHT SInE
Permit r 1, THI' PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CIPDES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check ^� � WORK WILL BE DONE IN ACCORDANCf WITH THE PLANS AND�SPEC:FICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PL Ck.Fire _ � RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONT5ACTORS TO HAVE CURRENT CITY BUSINESS
--— TAX PERMITS.SEPARATE PERMITS q ]UIRED FOR SEWE PLUMBING AND HEATING.
State Tax
_ 12.5E ��G ZSU.UG r•• �� '
Total 5wu 1W
-- PDCM 4 LICA OR A JINf
Prepd. 1 1I15U.(aU _
J Receipt No. 4l'j'7?. ADDRESS 1 P NE �-
Bel.Due
-� - Issued By _ .�,�_'_ Api)roved By
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DATE _ INSP. —TYPE INSPECTION REMARKS PLUMBING —DATE
d'S/ ?QZ
/,J,^ �p�7 / Contractor
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a J�' 6,37- N� /ritr•/1J�1 ugh-in
Fixture
Final _-
/s5�—t�p,Pl�l,�,�'�
J p d•P_i L�ANN HEATING
Contractor
Permit No zj 7
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Gas or Oil
Rough in
Final
Z 2 --- — SEWER_._.—... —
Final
DRIVEWAY
Final
—_ Storm Drainage
(Rain Drain)Final
Sidewalk
— — — Curb R Street Final
Approach r
BLDG.DEPT.FINAL TEMPORARY CERTIFICATF OCCUPANCY Final
CERTFICATE OCCUPANCY O� f
i�l2 � Lendscaping
IZoning Final
CITY OF TIGARD 699.4171 �.
BUILD,'NO PERMIT DATE ---t9
TAX MAP _ LOT vO. SUBDIVISION _
OWNED jJ`•�'(-I(�N r; F'rf!i Vti1'� 13l l CyT/Z JOB ADDACSS J 5 _7 In Z SK) S./I _744 fel
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1 3 G'CT F l,Yl r 1 , /4yl'?'7 f L'
BUILDEq 1 Hw STATE AEG.NO. _EXP.DATE 2 -
BUILDER'S PHONE �{rr G�Z. i 7 G i�' 6 r r=rS-, -
ARCHITECT P140HE ----OTHER
STRUCTURE Q NEW ❑ REMODEL ❑ ADDITION U REPAIR ❑ MOVE U OTHEq n DEMOLITI
CJ RESIDENCE ❑ COMM ❑ EDUCATION ❑ ONO ❑ RELIGIOUS ❑'ACCES_SORY [] GARAGEY ❑ OTHER Q FENC
OCC'.JPANCY R 3 M 4 LAND USE ZONE Ct '7 9LD/G.TYPE __FIRE ZANE__PLAN CHECK BY HEAT
SEWFR PERMIT a
OCC.LOAD FLOOR LOAD Qn HEIGHT r NO.STORIES AREA f 71 ( NO.BEDROOMS 3 VALUE LOO
BUILDING DEPARTMENT SETBACKS FRONT ,Z U' REAR 3 LFFT SIDE $ RIGHT SIDE
Part313 THIS rERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z_ONIN
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,,AND IT IS HEREBY AGREED THAT THI
F%k^Chadic sir WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND&PECIFLCATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH13 PERM(T DOES NOT- WAIVI
P1.(X FM+ �^------.,- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES'
Slat*Tax _ ) 2-.-S2.
TAX PERMIT'S.SEPARATE PERMITS REQUIRED FOR SEWER PLUMPING AND r1EAT1NG.
TOtdQ Q`
—.-a.E8a31i_� ------- --`._ _
APPIK:ANi Olt AGENT
Bal.Due
�, ��j QQ QQ Recelpl No. ADDAFSS - - -
Iss+ed f Y __ __.JAPProvwd By—
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SEWER INSPECTION S 35
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