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INSPECTION! NOTICE
('i(y of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspertior,
Date Requester_ '�` /y- 71me A.M. P.M.
Address -. 1�� '� /� 2.moi` %�L Permit AF
(Nuns,_._ Lot �t
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to _ [] Approved
Inspector _ _ �l -- DIsapproved
Date
CALL FOR REINSPECTION
of YE= 13 No
INSPECTION NOTICE
1
City of Tigard Building Department _ �1
12420 S.W. Main St. 11 J
T yard,Oregon 97223 T t jjQ
Phone: 639.4171,
Type of InspectionalnoY
Date Requested �� Time A.M. P.M.
Address —//// Permit
Owner_ e Lot #_
B-61der r
The following Building Code deficiencies are required to be corrected:
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� El Approved
Inspector
A Disapproved
Date
CALL FOR REINSPECTION
�7 YES C No
BUILDING PERMIT APPLICATION TIGARD DATE- is -- 55,11
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA SPECIFICATIONS. OWNER PHO�%
10VOWNER •tdale Const• JOB ADDRESS I 1 1 15 Sit t2tra t � LOT Aiiton
Farr' _
ARCHITF'r
Westdale Const. ENGINL=r{
BUILDER ADDRESS 8 i85 SU' 58th 9i223 DESIGNER
STRUCTURE E]:NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _ ❑ RENEWAL L] FIRE DAMAGE ❑ DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO CJ CARPORT ❑ GARAGE ❑ STORAGE E7 SLAB❑ FENCE
OCCUPANCY 11-3 LAND USE ZONE R-7 —BLDG.TYPE —5N FIRE ZONE_PLAN CHECK BY k + HEAT Uaa _
Construct Single Fwmily dwelling; w/attached garage
S1'i1 FC'f TO $360.00 AtART '',IEUGWUOI) SURCHARGE: ALSO $15::
,
DATE INSR TYI E INSPECTION � - REMARKS PLUMBING I � DATE
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Final -
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SEWER
Final ---
DRIVEWA'!
.--.. ------ -Final ---
-- — Storm Dr;_nspa
Main Drain)Finel
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Lr ndmping
I, N
2unmg Fine.
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Ilu i I d i ny Perm i t No.
Location
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Cert if icat ion of R,-,(jistrat ion
With the Builders Board
I (�GC /
doing business as (dba) ,
am registered under the provisions
100, S Chapter 701 Orego Homebuilders Law) .
Fly 4uilders Board Registration dumber is
Fly registration is in fall force and effect and expires on
ignature
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TNL liNDERSIGNED HEREBY APPLIES FOR APE RNII f FUN IHL 'vVUFJK FIEflkIN INUIL.AIlU UU l.UL#C11"06A
CUR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ovm[nyr.Lxl
LOT NOCHIT
S,
AwNEP 109 ADDRESS I • 1L
j[NGINEER
rOESIGUER
ADORES7
aUl�Oc: r g 'ef-1 OnE -----
STnU-Tk#nrz _ NEW 0Rf...w10EL� OAOOITIO��_ ►Aln_ OFiE*IE!•JAL ❑FIREDA�A.,aGE r]DE:•IOI
KnESIVENCE OCON.A1 OEOUCATIONAL, l_JGOV-T ORELW ICtr;[]PATIO QCAR FORT OGARAGE O S1 JRAGE❑Slag El
r OLOG.�rPE_ - -- —►L AN CHECK By—C_�ilL HEAT
gf.g,il%L4,4y—�tAND USE 2ONE®,, _>=�� ------- -----
CONSTRUCT SYNQLE_EAMII Y_-IIWELI.INC: WIAITTACNED GARAC'1�
2__VTHa 0Ojj 4 BEDROOM - -
-\
(- {-�14yT- G'7 _►�Q,� PI ! ���JzNO_BEDROOA1S - -YALUj -
BUIL41NGOEPARTMENT SETBACKS FcIONT _ t REARPermit ec,
LEFT SIDE RIGHTSIOf3
— THIS PERMIT IS ISSUED S08-JECT TO THE REGULATIONS CONTAINED IN TPIE BUILDING L'UUE• I
1 Y:IIn C•httk r
61j— REr-ULAT10NS AND ALL A.PPLIC.ARLE CODES AND ORDINANCES, AND IT IS HCREBY A:REED THI
WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN;A040 SPECIFICATIONS AND IN CUAPL1ANIO
ALL APPLICA41_E CODES AND ORDINANCES. THE ISSUANCE OF THIS 50ERMI T DOES NOT
r RESTRICTIVE COVENANTS. CONTRACTOR ANJ SUB CONTRACTORS TO HAVE CURREPIT CITY 191-
Sam
JCS:ata Tax ft LICENSE. SEPARATE PERMITS AEOUIRED FOR SEWER. PLUMBING AND HEATING.
Toty1 ! 5� SOC -
PDC#
APPLICANT On AGENT
Ap �! Receipt No. _
anngESSNnrve
SOC (Storm
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CIO
SEWER CONNECTION S
SEWER INSPECTI01 S
SEWER SURCHARGE S