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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Typr of Inspection __-- r +'t��� __ _____7_
Date Requested.�1�� ^. Time — A.M.J P.M.
Address �f.7 a .�Ly /.J _ —_ Permit
Owner__�..._—�... Lot # —
Builder
'The ,ollowing Building Code deficiencies are required to be corrected:
-- - --- -
I
Presented to Approved
Inspector Disapproved
t Date
CALL FOR RZI, ECTION i
L7 YES NO
w w
BUILDING PERMIT APPLICATION TIGARD DATE TanuArn 9ct, fig_ -_ 42I �►:�
THE.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
of flash. Co. LOT NO.
OWNER >tlS ;' .1uGliOrlt.' JOB ADDRESS 11290 Soil* 95th AVO.
ARCHITECT —
BUILDER CinCQ 11Ctnes iuc. _ ADDRESS I;t. 3 Box 4431 Hil sboznD 11,t
STRUCTURE U NEW E] REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMnLITION
❑'"RESIDENCE 11 COMM ❑ EDUCATIONAL ❑ GOWT F] RELIGIOUS (._PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY llml LAND USE ZONE BLDG.TYPE —IJ FIRE ZONE PLAN CHECK BY 1] HEAT
GOnatruct `.yin;-.le .Family Dwelling per plan, Et Coda ---
ce CArr-eCtion Sheet attached 3 Yedrooms
I Bath
SEWER PERMIT# 2562.1
OCC.LOADFLOOR LOAD 40 HEIGHT_ 13 NO,STORIES I AREA 1234, NO BEDROOMS ; VALUE
_BUILDING DEPARTMENT _ SET BACKS FRONT " REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULArIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY 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
Sup total_ "2,E'' RESTRICTIVE CUVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1�,24 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total 432.6/+ SDC— f
PDCM
Ai+PLICANT OR AGENT
By -- dip t
J Rece' 'No.
Approved dwh ADDRESS -- -- —�y- — PHONU
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Permit No.
Rough-in
Fixture
Final
HEATING
&W,
Contractor
Parr 2-1143
Gas of Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Draml Final
Sidevvelk
Curb&Street Final
Approach
1,D& DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscap,nq
1 II zoning Final
R
Iffw
xwjtw W��M jai
A
BUILDING PERMIT APPLICATION TlGARD DATE_,=L6o2• � - - 19==3
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE6y7-51( /
O AS SHOWN AND APPROVED IN HE ACCOtrIPANYING PLANS A.ND�ECIFICATIONS, OWNER PON/E� :L1�
I� LOT NO._
U'NNER I�duS M �6t Dfif O1JGB ADDRESS �> �""' S�� A" '
_k - ARCHITECT N V udrlY10.►►
�I� � E►b63M1�a� �1
BUILDER M c� Rnh►Y!-"9 „c.ADr]REss �� ISI rV ,prsiCru ��-SNPa4 ---
STRUCTURE_ NEW ❑ REMOOEL ❑ OITtOh 7 RFPA!R ❑_RENEWAL ❑ FlREDAMAGE _ ❑ CE►AOLIT'iIN
AO
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOrT ❑ RELIGIOUS G PATIO ❑ CAR r.ORT ❑ GARAGE ❑ STOR GE ❑ SLA?0 FENCE
OCCUPANCY LAND USE ZONE -BLDG.TYPE: FIREZONF PLAN CHECK BY HEAT_.__
un A
SEWER PERMIT M
_OCC.LOAD FLOOR LOAD _ HEIGHT I3 NU.STORIES AREA� ! NO.13EOROOMS � VALUF4:7f;'v
BUILDING DEPARTMENT SETBACKS FRONT SEA LEFT SIDE .�. � RIGHTSIDE �.Z
Permit 'l y '�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!t4,7
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT'THE
P1anCheck , �''�'' 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 WAIVs
S^, total 2 Z -410' RESTRICTIVE COVENANTS.CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT(;ITY BUSINESS
l ICENSE.SEPARATE PERMITS REQUIRED FOR SEWL'R,PLUMBING AND HEATING.
j State Tax �'b 'Ll;
� SEK— I d
Total 3 • 6[7
POCA APP R AGENI'
By
---� — Receipt No.
Approved ADDRESS PFIUNE
14 01D
S D C
PDC /0 U
SEWER CONNECTION S
SEWER_INSPECT-ION $
!iEWE R SU11CHARGE
Comments: