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INSPECTION NOTICE
LL City of Tigard Building Department
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested /�� Time"' A.M. P.M.
Address _ -3 2!2� _—,dr ����� Permit #
Owner_ —u_ Lot #
Builder_ �—
The following Building Code deficiencies are required to be corrected:
I
Presented to _ 1 Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES Li'l NO
BUILDING PERMIT APPLICATION TIGARD DATE duly 23, `i`' _ 4139
THE UN DEF,31GNED IIEREBY AP!11.1ES FOR A PERM (FUN i HE WORK HERFIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PF�O10NFr�-��K.
harks 6 Da lla Gdl ie},��� 13705 dw 12 E3 uh Court LOT N O..
OWNER "JQBADDRESS
--- ARCHITECT
86609 +Eby /Dais Circle,9V ENGINEEP omen
BUILDERADDRESS --� DESIGNER
STRUCTURE F3 NEW_--[-.j REMODEL _ C7 ADDITION _ ❑ REPAIR 7 RENEWAL ❑ FIRE DAMAGE C] DEMOLI'T00N
PRESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO O CARPORT O GARAGE U STORAGE O SLABI3 FENCE
OCCUPANCY -8--3--LAND USE ZONE !-7 `BLDG.TYPE�52 FIRE ZONE-- PLAN CHECK BY = HEAT
_ Construct Single rawilx M"111" w/attachsd garage _ -- -
,-cea correction sheat atlachedt 3 bedrooms
— s
SEWER PERMIT N Garage 527 — ----- - _- --
OCC.LOAD FLOOR LOAD 40 HEIGHT 22 NO.STORIES 2 AREA 2365 AO.BEDROOMS 3 VALUE(34,500
BUILDING DEPARTMENT—
SETBACKS FRONT 31- REAR — LEFT SIDE
RIGHT SIDE .T
388.0q — —._ - - - - -
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_
12.20 REGULATIONS 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
Ri),20 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
7 - LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total 655.72 - -- SDC- � — —
- —.
PDC# -APpL ANT OR AGENT
By -- -s No ( : Iv.
,
� Receipt _..1 �I +(PHONE
Approved AD 6B-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor /yam
Permit No. 31`10 _ I�•� 7-23-612
J/ /l ✓�f%-t %i-'r V - Rough-In
Fixture
Final
HEATING
_20_ _ Contractor a_")e4-
Permit No. 246
Gas or Oil
i
Rough-in
Final
SEWER 8
Final
-- ------ -- - __.- �_ Fin
Storm �ainage '7�
(Rain Drain)Final h
Sidewalk
Curb&Street Final
--�_ - - Approach
BLDG, DEPT. VINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCI' Final _-
Landscaping
Zoning Final _
Mai
,
r
BUILDING PERMIT APPLICATION TIGARD OAT EM __�!� _.t9- - 4f�g
THE UNDERSIGNED HEREB`(APPLIES FOR A PERMIT FOR TtiE WORK HEREIN INDICATED BUILDER PH ONEW_�7_V
OR AS SHOWN AND APPROVE) IN THE^,CC0MPANYING PLANS A SPECIFICATIONS. OWNER PHONE
JY:
LOT NO.
r:E� AS 14v l>eI�C iE�J013ADDRE3SJ' /a1za��
` ^ InARCHITECT
ENGINEER
?QiQ/ // rDESIGNERe66 �
+. -
STRUCTURE X NEW ❑ REMODEL_ Q ADDITION ❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EC'ICATIONAL ❑ GOV'T ❑ RELIGIOUS G PATIO C CARPORT ❑ GARAGE G STORAGEF-1SLABC FENCE
OCGUFANCY LAND USE ZONE '7_- BLDG.TYPE �_ -FIRE ZONE____PLAN CHECK BY i5y -HEAT_��' •
--- -- -- - - - --- _ __ _ - --------- z
SEWER PERMIT N
OCC.LOAD _ FLCOR LOAD HEIGHT NO.STORIES 2_ AIlEA23&,',' NO.BEDROOMS VAL U �Q
BUILDING DEPARTMENT SET BACKS FRONT '31 0 REAR 38 LEFT SICE AZ RIGHT SIDE ?3
Permit 388.00 THIS PERMIT IS ISSUED SUHJECr TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZQPt'" ,-
9 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckZs- . WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COh1PLIANCE
r -?'f WITH ALL APPLICABLE CODES AND ORDINANCES. IHE ISSUANCE OF THIS PERPAIT DOES NOT WAIV:
Suhtctal — G4n•ZO RESTRICTIVE COVENANTS. CONTRt�CTOR AND SUB CONTRACTORS TO HAVE CURP,FNT CITY 66SINES!
J �S.SZ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
stat»Tax
SDC---
Total _ �j,f�.
— PDC# APPLICANT OFA AGENT W--'
By
Receipt No.
Approved ADDRESS PMONE
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SEWER CONNECTION 'S
SEWER INSPECTION �S\
SEWER SUhCHARGE 8
- -- s. 7
i
c 14 21 IQS2
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