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INSPECTION NOTICE
�N City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4115
Type of Inspection u
Date Requested—._ Time_
A.M. PM
Address — I I I� r �GU- 0..�. {
Permit #
Owner � �
Lot st
Builder A-
The following Building Code deficiencies are require(4 to be corrected:
Presented to
Inspector ( iGr� r _ /I—J pprOved
""`��-- ❑ Disapproved
Date
CALL FOR REINSPECTION
C] YE! 0 NO
� IIS � I� l� ! #1► !
INSTCE TCE IP ON NOTICE- -
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspectiony��
Date Requested /^� -/
rime— 7A.M. 4" P.M.
Address
Owner
Builder
---— ---
The following Building Code deficiencies are required to be corrected:
gag
Approved
Inaper.tur --��"
-- Disapproved
CALL FOR RF.INSPFCTION I
PJ YES ONO
INSPECTION NOTICE
i
City of Tigard Building Department
12420 S.W. Ma;--i St.
Tigard,Oregon 97223
Phone: 639.4171
t
Type of Inspection �.( �fi��GL—' �
Date Requested
p / 1� �`� Time_ _ A.M. P.M.
Address _11/rJ S��/ � +�—�--�
- _ Permit 4F✓—�
Owner Lot 4—
A (_
The following Building Code deficiencies are required to be corre,,ted:
-x
Presented to
~ ❑ Approved
Inspector
G —,r•sC' 17lsapproved
Date
CALL �FOR REINSPECTION
JCJ YES 0 NO
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BUILDING PERMIT APPLICATION TIGARD DATE Sept. 4. 19 1:15 5576
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE '41a�'�1tC13
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE _—
r
OWNER 1) :LL>Ct Lte�Ct[� µJOB ADDRESS 1 1 185 %, IU9tB -- -LOT NO.``rtl£.i1�S1° — —
Portland, 9 , J7215 ARCHITECT
.U. :lox *15$24" ENGINEER
P
BUILDER a''�a�' ADDRESS DESIGNER
STRUCTURE 13 NEW Ll REMODEL ❑ ADC:',ION rJ REPAIR ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION
L*RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY !t-3 LAND USE ZONE 1t"4.5 Bf I G.TYPE FIRE ZONE PLAN CHECK BY BTW- HEAT
CUNSTKUCT SINGLL F'EAt1ILY 06ELLING WITH AML CULO (;,,U"L —
RE-ISSUE. of PLRI111' IF 5114
2 bathroous 3 aedroom --
SEWER PERMIT# 2r353t3
OCC.LOAD — FLOOR LOAD 40 HEIGHT —�NO.STORIES AREA 130O _NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT 20 _REAR I6 LEFT SIDE 20 RIGHT SIDE I S
Permit Lby•1^tU_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4U.U(j REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TIIAT THE
Plan Check WORK WILL bE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
32�.Utl WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
11.56 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
A � "
Total 34U.56 SDC—
By 1•'l-
PDCM ; APPI TOR GENT -
Approved �, Receipt No, ADDRESS PRONE
ger s Iw aw
')ATE IINSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor C�
r Permit No. Z 0
Fixture -- — — —
Final
S HEATI
/o-3� � _.-Lv�A.���=•.�i� -
Contractor
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Permit No. 73� ��►G
Gas 3f Oil
r "Rough-in
Final
— SEWER .�
-- - —-- ---- — —--- _ --. Fmel`w- 0o-iS S
DRIVEWAY
—�----.----- final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FIN/tL TEMPORaRY CERTIFICATE OCCUPANCY Final
' f.rrTIFICATF..OL]CUPAN�'.'f
Landscaping
�-v Zoning Final
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Building N-rinrt No. JS7�
Location f�/�$ ,.�tc� /O yr
Certification of Registrdtion
With the Bui Iclers hoard
�-
1doing business as (dba) ,
v - � am registered under the provisions
of ORS Chapter 701 Oregon Hamebuilders Law) .
Ply Builders Board Registration Number is
My registration is in full force and effect and expires onl �
igna�ure
D o n M O R I S S G T 1 G BUILDERS P O BOX 19524 PORTLAND.OR 97219 246.8803
1 Zc-.
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eAoc- Ide -.1 aft
APPROVED FOR CO\STF2UC-LION
CITY OF TIS,1xRO
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PERMIT N0. .57�_._ SITE ADDRESS Z/$.__mac e.Lo-Q G ( T-y OF TI G AIZ t)
BY - - TITLE DAT"E�,-.,&I <-0�1 a-1Jg H K\NI
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THE UNDERSIGNED HEREBY APPLIES FOR APERhII f FOIL ItIL ''Volt K kit:11cIN INUI%-AI LU OVMEr'ifto
OR AS SHOWN AND APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIE ICAT�ONS. LOT No
_1oB AQORESS �_-�-
r)-�^�r9ARCNITECT
/ ENGINEER
'� ry OESIGwER
AOORES± �
STnUCTIIAE _ NEW 0RFkfn0FL ❑ADOITIO'V QnEPAIn ❑RENEL'IAL ❑fIAEOA•.4AraF_ DOE-.
� tiESIL�fNCC C)CO►GM ❑EDUCATIONAL ❑GOV'T ❑RELIGICUSCJaAT10 ❑CARPORT QGARAGE ❑STQRA.,t'Ecmvm
— +
PLAN CHECK BY �fi'y HEAT- �
S� rAr:r�Y R-3 tAI:O USE ZONE .� _OLOG.TVPE��_
_ I.OKS�RLICc��S N •1. —
!
`-_BATHRQQM , BEDROOM
S U oR-CM fl I T Gsg r a ge _,,_i,,
^t;.C_L9�p FLOOgI-An DORIES ^ 6R N0,j E12R0Qk'5-=YjILUE --
CJ
911IL41hG OEFARTMENT SFT BACKS FRONT REAR_ �� LEFT SIDE �' f IIIGHT SIOE-5
THIS PERMIT IS ISSUED SUBJECT TO TF E REGULATIONS CONTAINED IN THE BUILDING COOK
1 Yarn .heck REGJ_ATIONS AND ALL APPLICABLE CC OES AND ORDINANCES, AND IT IS HEREBY AGREED
WOPIK WILL BE DONE IN ACCORDANCE WI tH THE PLAN;AND SPECIFICATIONS AND IN COW1.1 4
'$75-t:1fa1 ALL APPLICABLE COOES AND ORDIK NCES. THE ISSUANCE OF THIS PERMIT DOES NC
c..
r RESTRICTIVE COVENANTS. CONTRACTOi AND SU8 (:ONTRACTOPS TO HAVE CUgREfI CITYI
S;atR Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
To c3II -,t 1_' , SDI'. -
PDC#
! gv -
�`'_ APPLfCA'iT OR AGENT
I
Approved Receipt No. —
L NONf -
SVC (Storm
SOC - �p—