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kINSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
MD,
Type of Inspection .--------__---, "^'` r' " U
Date Requested Time_ A.M. P.M.
Address l /�- s� r/1 '� Permit # 'WZ41
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to u Approved
���Inspector _ _ F1 Disapproved
Date
CALL FOR REINSPECTION
O YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE_ ''ay .Zv �3 4426
THE I INDERSIGNED HEREBY APPLIES FOR A PERN'IT FOR THE WORK HEREIN INDICATEL` °U1LUrR PHONE "-l-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND PPECIFICATIONS. OWNER PHONE
OWNER .�owlnLC j>�� Ca JOB ADDRESS LOT NO. 11 SCIlc�rl_t:a �:.
- - --- 1�i1395 N14 89c, u - "� —
ARCHITECT
BUILDER same ADDRESS ! 1051 '?%1 Rarbur 131vd. ENGINEER
DESIGER DoatiC.t+r,
STRUCTURE_ NEW ❑ REMODEL ❑ AODITION ❑ REPAIR ❑ RENEWAL _ ❑ FIRE DAMAGE ❑ DEMOLITION
F1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ElGOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE ElSTORAGE ❑ glAg❑ FENCE.
OCCUPANCY LAND USE ZONE r{ 7I'D BLDG.TYPE ---FIRE _PLAN CHECK BY !1 HEAT
_ ';'n
Ca*r<etxtitrt .1inlrle Family 1'1,,relT ,,. wi'attacl,td �'.w
-ee correction aliQet attached' 3 ;ed rooms I
1;ath
SEWERPERMITN 25719
OCC LOAD FLOOR LOAD 40 HEIC'HT 1 ! NO.STORIES n 1 AREA i,:1?.4 NO.BEDROOMS i VALUE 51 X000
440
_ s _
rrm
UILDING DEPARTMENT SET BACKS FRONT ?0 REAR_ LEFT SIDE RIGHT SIDE
1�.Ut1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
ck tA5.91) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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
Subtotal 41t.90 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State lax 11.44 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total -t4#13. 1a SDC- 4UC*00
Tc3. PDC# 11 IOO,DO APPLICANTORACFNTBy
ApprovedaVli Receipt No.
AD'D LE88-`_ - --- l
---- PHONE
C:
I
DATE iNSP. TYPE INSPE.TION REMARKS PLUMBING DATE
Contractor yLQ A/
Permit No. 54/y TV6160
C Z.L3 Rough-in
e_.?21 e_j? Fixture
Final
HEATING
lContractor
Gas or Oil
Rough-i
Fine/
SEWER
Finijl 7 -z-
DRIVEWAY
Final
Storm Dreinap
(Rain Drain)Final
Sidewalk
Curb&Street Final
_Z_ElilrIFi'7 ATE OCCUPANCY Approach
FILDG. DEPT.FINAL TEMPORARY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
ww -,qw�
BUILDING PERMIT APPLICATION TIGAr7J
1'HE UiNDEPSIGNED HEREBY APPLIES FOR A PER AIT FOR THE WORK HEREIN INDICATED BUILDER PHONE YO 9
OR AS SHciWN AND APPROVED IN THE ACCOMPANYING PL;.NS AND SPECIFICATIONS. OWNER PHON
tj
�1 _ LOT t`JO. 4 �
o'r1rJER�` i�N�` Y�V• Gp• JOBADDRES�� SG��Q .��' —
— ARCHITECT
�+'l Q L pp ENGINEER „
BUILDER ADDRESS ().,S� 7'VBaw6C/r-I4IW DESIGNER
STRUCTURE Yj NEW ❑ REMODEL _❑_AUDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
c)..GiiPANCY ��;2__.LAND USE ZONE �Ll��_ BLnG•TYPE S Nom_FIRE ZONE='—PLAN'CHECKS HEAT
Q v�R�r1�/ e%J�fid'• —-- ----=� _✓off i�.`�& --- -
-- c �+ -_
SEWER PERMIT N —� __ — __ —. 00 — - —
OCC.I.OAD FLOOR LOAD �O HEIGHT 'JO.STORIES I. AREA 10244-NO.BEDROOMS 3 Vml-6$7,d DO
(-- BUILUING DEPARTMENT SET BACKS FRONT 20 REAR 33 T LEFT SIDE �5�.3� RIGHT SIDE
,Permit � '� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZUN'Nu
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT I HE
PlanCheck '�' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIP.ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV;
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
/! 'tel LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Staua Tax T`T
_._. _ SOC— , �1
----
Total '��• PUCJ1 A LI TOR AGENT
By - —-- - —� _, e
Receipt No. PHONE
Approved ADDRESS
SDC =
PDC —
SEWER CONNECTION 5
SEWER INSPECTION $
SEWER SURCHARGE 8
130
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