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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 9Z- --- Time A.M.. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficien-*�s are required to be corrected:
61
Presented to Apornved
Inspector Olt .-Oroved
Date
CALL FOR REINSPECTION
El YIES &I NO
INSPECTION NOTICE y�-
City of Tigard Building Department.
12.420 S.W. Main St.
Tigard, Oregon 97223
Phonc. 639 4171
-�f
Tvpe of Inspection
Date Requested ��' ��'� _ Tirtre- ' A.M._—___P.M.
r i rr..0
Address Permit
Owner Lot #
Builder
— —The following Building Code deficiencies are required to be corrected:
fir-- ---
i
i
Presented to — F1 Approved
Inspector ,Cl� { Disapproved
Date
CALL FOR REINSPECTION
Lk YES 0 NO
exl
V
Zn
EO ��
O i� fi• E _ M
INSPECTION NOTICE
i
City of Tigard Building Department
12420 S.W. Main St.
f Tigard,Oregon 97223
` Phone: 639-4171
f J
Type of Inspectionor
Date Requested � Z Time --_(.10 F.M r�tp
M.
Address
Permit
Owner,------------
wner
/ � —— —
f Builder C_ KLot #.,- / -
I The following Building Code deficiencies are required to be corrected:
—'`'"� `_-�-�'— _.___ �.�- �—_ -•cam-,
------------
Fres-rated to _ W
Approved
Inspectr.r ----`--�-.���
r> Disapproved
Date
CA LL FOR REINSPECTION
Cl YES 0 NO
BUILDING PERMIT APPLICATION TIGARD DATE _. . 23 19—�.2 $18
THE t_INDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDFR PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS IMNER PHONE
�,•� I_OT N�) w) ICY@p Goxsrk
OWNER.._:%,a '7 -AaBS.Ca/n.ri ��RESS ' 1169► S4' 92M Ava. - -- -----
ARCHITECT
NGINEER
BUILDER
Sat:* ADDRESS P.O. Al,, 1':524, Ptld 9721'EESIGNER brri8elAtte
—_
STRUCTURE P-MEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
W-RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _� _LAND USE ZONE _ _ BLDG.TYPEtil FIRE ZONE ""' PLAN CHECK BYDtL4U HEAT
Corutruct Single Family Dwelling vikh attached ,rr;aragn. _ --
Tte-issue of Pernit 041' i (11740 3f+' 92nd Ave.) 3 Redr"W
- ---- - - ---- 2 asc5r;
SENIER PERMIT M 239/1 ) ,'
OCC.LOAD FLOOR LOAD 4 HEIGHT 12 NO.STORIES 1. AREA 1144 NO.BEDROOMS 3 VALUE 43,1.1100
-BUILDING DEPARTMENT SETBACKS FRONT 1 REAR 15 LEFT SIDE 5.5 RIGHT SIDE 5.5
Permit 27340 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 13 HEREBY AGREED THAT THE
Plan Check 130w WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEE,MIT DOES NOT WAIVE
Sub-total 2)3w5"t RESTRICTIVE COVENANT!;.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
4 11 wl�i LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBIP G AND HEATING.
3{ 4 rfi4 SDG- 4UU.{1U
Total �•.•-�.-
PDCN 10D.w APDLCAI NT OR AGENT
By
Approved ice! Receipt No. ADDRESS- ^- _--�'T PHONE
�7julu iA!-KWLW �1►
DATE INSP. TYPE INSPEC'T'ION REMARKS PLUMBING C ATE
9- Contractor`-F
3 i Permit No.
�� Rough-in !aa
Fixture
/u yy L — —
Q„0��/ Final
HEATING -
io Contractor O // v
i.>-,✓'t ".� _ �_ --._ Permit No, t/ �6't7 9-.2
Gat or Oil
— Rough-in -
Final � -_--
SEWER
_�� ---- Final
DRIVEWAY
Final
- Storm Drainage
-- (Rain Drainl Final
-- Sidewalk
Curb&Street Final
Approach
BI.OG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY `
CERTIFICATE OCCUPANCY Final
'Landscaping
I 7oning Final
IF
BUILDING PERMIT APPLICATION TIGAH:) DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONEy2r!%2
OR AS SHOWN AND APPROVED IN THE ACCOMIPANYING PLANS AND SP IFICATIONS. 7WNE9 P NE
O:vr1EH TIS Rd ADDRESS -90 j� �� *— 4 LOT NO. ���
�ok Ao s �
BUILDER Sq.y%%e.- ADORESSPy_ 1 4 rPLT? �� DESIGNER
STRUCTURE_ NEIN ❑ REMODE - ❑ ADDITION ❑ REPAIR ❑ RENEWA.- ❑ FIRE DAMAGE _ ❑ DEMOLITION_
RESIDENCE. l COMM ❑ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT [3 GARAGE ❑ STORAGE ❑ 51-ABC] FENCE
C CZOPANCY -k---3L_.LAND USE ZONE �:�_BLDG.TYPE S N FIRE ZONE PLAN CHECK BY� _HEAT Ira _
SE WER PERMIT k
OCC.LOAD _ FLOOR LOAD HEIGHT :0.STORIES I AREA t NO.BEDROOMS 3 VALUE_ pp
BUIL DING DEPARTMENT _SETBACKS FRONT REAR_ Ar LEF_TSIDE Ar RIGHTSIDE
THIS PERMIT IS ISF" D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOPI'NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREERY AGREED THAT THE
Plan Check +� 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
FSu�total _ _,
OZ 422 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY FiLINESS
/ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total ev
PDCA APPLICANT OR AGENT
By
Receipt No
Approved �- --- ADDRESS — ------ — PHONE— -l--�--
SDC - .40 _ .
PDC - S T /00
SEWER CONNECTION S $,2S \fin p.�►q, ��
T
SEWER INSPECTION S 33-
r
SEWER SURCHARGE _ S
1360
ccmments: 1?eJ.o(•7.82 L4115 7 8' FIVIOT)i 1'+
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2r.•x - it 44- re '-o s?®
2c�6
11/44 & 34.40
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28 fog?I? Z .
Z.0 400
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