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INSPECTION Nul ICE �
City of Tigard Buildir 3 r,apartment
12'.20 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
TYpo cif Inspection
Date Requested-- Time–_1_A.M. P.M.
Address — - -,/,'l�� ./c ? y
Permit #
Owner _ --–. --
- - -- Lot #
Builder
The following Building Code deficiencies ,are required to be corrected:
Ile
Presented to
--.-----�_ n Approved '
Inspector _ 1-1 Disapproved
DMte —
CALL FOR REINSPECTION
YES NO
BUILDING PERMIT APPLICANON TiGARD DATE_-_ .. r ��r ,te81 _ 379A
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONES�"�-���� ~
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONEo'��
OWNER JOG OCUN.iupfl ant CJOBAUDRESS 14H ' 't,l Ingth AvenueLOTN0. 83038 2�►�
�
911 LO Sig 50 ARCHITECT JOe_UEZ_m_ Kra bsigr �..
< ENGINEER
BIJILDEH Same ADDRESS SIGNER 292-86195
STRUCTURE 11 NEW 17 REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
CXRESIDENCC- ❑ COMM ❑ EDUCATIONAL 0 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 273 LAND USEZONE — A--12BLDG.TYPE - LiN _FIRE7.ONE--";PLAN CHECK BY %W—h— HEAT
Construct single family duelling LI/attechad garage. _-_ 3 Oedruams
SEE. CORRECTION SHEET ATTACHED. PLAN '10"
SEWERPERMITM 23374750.00 — �iaIFi --!�Q�__J:i-C1iEa----_
OCC.LOAD FLOOR LOAD 40 HEIGHT 23 NO.STORIES 1 AREA 1:j01 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 26 LEFT SIDE [a Hlc_;IiT SIDE
Permit $195.00 THIS PERMIT c ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ — 97.50 WO' K WILL RE DONE IN ACCORDANCE WETH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
_ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
sub-total_ _ 292.50 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
.80 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax T-- 7 SOC-- .;540U.00
Total S!]0. 30
BY P.1
PDC# ' I1.00.00 AAGENT
PPLICANTO _1
Receipt No.
Approved du ADDRESS - - _ - --- - PHONE---
DATE INSP. TYPE INSPECTION - REMARKS_ PL .BING -- DATE
7i 2
—
T-..+�-s- ��,�w���.•rj. _...�_.�.-_-.._..__._�_._ COf1tR�CtOf �p l/�(^ _ __ -
�lG 1 � t !- ----— ------ --- Permit N.. 0
-'- OEC Rough-in
Fixture
Final r
HEATING
Contractor
Permit No.
Gss or Oil
Rough-in
Final
SEWER"
e-- Final �.,Z t7
DRIVEWAY
Final
Storm Draina,w
(Rain Lrain)Final
Sidewalk.
Curb&Street Final
Approach ET
SLOG.DEPT.FIN,4L TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
�■ +� +SWI I� an► t >� r
SUR-DI'NG PERMIT APPLICATION' TIGAa0 DATE !Q•
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FUR THE WORK HEREIN INDICATED BUILDER PHONc Li
9
ORAS 3'iO4VN:SND APPH"VE0 IN THE ACC0.41PANYING PLANA A N 0 SPECIFICATIOIIS. Oi.%1NSP PHCO ;E
L'.,",-' �'.J� Y��/ 1 �08 ADDRESS
ENGHi INEERY Oe, Va>ALb pax 8
EUILDER 44M•e ADORESS I(�.`J' 'LoPx 11373 IrAyraa)i&?MDESIGNER
STRUCTURE ,KNEW O RE`AODEL Q AD`OI�T!O`7N� ❑ REPA:F� $ i_.; RSNE�VAL ❑ FIRED MAGE Q DEMXITI
RESIDENCE C CCNIM ❑ EDUCATIONAL ❑ GOV,E ❑ RELIGIOUS Ci PATIO ❑ CAR FORT C1 GARAGE ❑ STOt9titaA
SLAa� FEN
—�_
.ti.%u`rANC1/ _ �LA-NOU1SEZOJE _I�i SLOG,TYne � FIAEZGNS _PL4NCHECKBY .� T E
f3cNER PERMIT
GCC.LOAD FLOOR LOAD HEIGHT j N0.STORIES z AREA -O/ NO.BEDROCMS VF.LUS
r BUILDING Dc?AATNIENT SET BACKS FRONT Z_Q_ REAR 2( _LEFT SICE RIGHT SIDE Loi$
r �_ _ _
P13=it /is. 00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TIiS BUILDING Cour,%GP;:`
s O REGULATIONS AND ALL APPLICABLE CODES AND OROINApir^_S, AND IT IS HE9e3Y A.GP'cD TEG;
'Plan Chack . WORK WILL SE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CC'.;-LIA2i
WITH ALL APPLICABLE CODS AND ORDINANCES. THE ISSUANCE OF THIS P5P,%AIT DOES `.;;T W,:;
S'b P.FSTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTAACTORS TO HAVE CURRENT CITY E':SI`;,
TO LICENSE.SEPARATE PERMITS R_OUTAEO FOR SEWER,PLUNIaING AND HEATING.
ex •
� — Ra Total SoC� 4
POC;+ APFUCA V i OR AuENT --
By D ` Il
Receipt No.
A�CrovlA A0D S
PHONE
1, ioo
�
4EL27R C07.'NECTiON S 7�3 C (,•30�
IINSPECTION g Zj—
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UER SUn:H,;rRCE S
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1,9
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7 x 7, L 4,0 f
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vt
/s-at # ; 292
Jr3s 2 32
4 13, 900