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INSPECTION NOTICE
City of Tigard Building Deportment
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested S— 2 A�— 82 Time A.M. P.M.
Address Permit #--
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspect-)r Disapproved
Date
CALL FOR REINSPECTION
YES L NO
T,Ot 15 — 01NEFT, 42
BUILDING PERMIT APPLICATION TIGARD DATE 19_x2_ 4033
THF UNDERSIGNED HEREBY APPLIES FOH A PERMI I FOR THF WORK HEREIN INDICATED BUILDER PHONE `4-1' 60
OR AS SHO1 VN AND APPROVED IN THE ACCOPAPANYINI, PLANS AND SPECIFICA BIONS. OWN:R PHONE
LOT 110. 1}, + -,.0 "17Y�.,_
OWNER 11swC�; :;CJl� i T'.i`. JOB ADDRES.', �i l� �i';2 �4 th Pyenue
T.•
ARCHITECT
BUI ODER Rc9T1{m ADDRESS : 955 C�' Commercial ENGINEERDESIGNERgj
STRUCTURE Q';,f+IEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 11 RENEWAL ❑ FIRE DAMAGE_ ❑ DE_MOLITION
C,'HESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T 0 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE — 24DG.TYPE y_FIRE ZONE = .PLAN CHECK BY (1%'d-4;�HEAT c_j L:> _
C 0nF,trUct ringle fa-VlilyIlWellinq w/att,,t-fiDtj rYara cin. 2 i.',e(lroor c;
7�Vl ! 0t'J-'P','T10N c;W,"?T ATTActim), -
SEWERPERMIT# 2740,'
OCC.LOAD FLOOR LOAD 4 _ HEIGI IT 1. NO.STORIES 1 AREA 4 6 D NO.BEDROOMS " VALUE
BUILDING DEPARTMENT SET BACK s FRONT 20 �REAR � � ~�
11,'i LEFT SIDE 2 1 RIGHT SIDE
Permit
fIQ THIS PEPNIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check S ry REGULA' IONS 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 A .L APPLICABLE CODES AND ORDINANCES. THE: ISSUANCE OF THIS PERM17 DOES NOT WAIVE
Sub-total 437.25 RESTR GTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CIIPRCNT CITY BUSINESS
LICEN•'iE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex `�°' 1'l.
Total $4 4 7 i1 7 SDC— ;to•(?t'
PDC# `�1 t! •D APPLI'd ANTiY1 AGEFJT __----
@y t"'1
Approved �,•�, R-acelpt No.
AODRE$9 ----____--_ —._._-_--
-- PHONE
DATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
Contractor r"
-YI.20
Permit No. 3o6i
Hough-in
' �1 " _
(2V Fixture
Final
HEATING
Contractor
Permit No.
Final
(Jos o•oil
Rough-in
F Final
r
n
SEWER
Final
DRIVEWAY
Storm Drainage•
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FI-NAC TEMPORARY CERTIFiCATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
1andscapiflg
Tuning Final
BUILDING PERMIT APPLICATION TIGAFI:D DATE-4J�I'�_
'THE UNDERSIGNED HERE70Y APPLIES FOR A PERMIT FOR TIME WORK HEREIN NDIOATED BUILOcR PHONE�y 00�►0
E7R AS SHOWN ANO APPROVED IN THF ACCO W,PANYING PLANS ANSPEC IFIC;ATIONS. OWNER PHONE _
Ao
O:1NE, �C01� JOB ADDRESS LOT NO._�0���--
i t I t
ARCHI TECT
ENGINEER
BUILDER d"+�kt ADDRESS °�,'Sb V M�/'CIt, DESIGNER, J-00
STRUCTURE X NEW ❑ REMODEL — ❑ ADDITION —_0 REPAIR _❑_REN_EW_ AL —❑ E=IRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EO',JCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �y.' 7_,,LAA�N,'j�USSEE ZONNEEp -BLDG.TYPE !_ _FIRE ZONE=--_PLAN C11 ECK 13Y" HEAT--J& —
JL'l��. --- --- -�
SEWER PERMIT If
OOR LD O.STORIES
OCC.LOAD FLOAHEIGHT NAREA w ���ry
_ �— —_ 0NO.BEDROOMS Z VALUE61j.
BUILDING DEPARTMENT _SFT BACKS FRONT 20 REAR A f _ LEFT SIDE RIGHT SIDE G
1—F�rmit 2BUILDING CGDE,ZON�
evs.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD ! G
_ N.
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY)GREED THAT THE
(Plan Check ••Z� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANC IN COMPLIANCE
Sut !! WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
rt2tal 7 .ax RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
,b' 4 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING_
State Tax
Total 8y► SDC— .
—_ l' PDC# APPIICAN OR ASr.Gt _ - – --------- ----�_�—By
Receipt No.
Approved ADDRESS --- ---�� ---- PHONE �~
SDC - �00
Poc --
SEWER CONNECTION 5 7Z
SEur R INSPECTION S _ �J
SEWER SURCHARGE S
comments: 2964 .
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