10717 SW 127TH COURT 10717 SW 127TH COURT
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iNSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Gate Requested Time A.M.
Address _���( � Permit
Owner Lot t
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to _ Approved
Insppetor — _ __ ( � Disapproved
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CALL FOR REINSPW.- Mr
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INSPECTION NOTICE
City of ,igard Building Department
12420 S.W. Main St.
l Tigard,Oregon 97223
Phone: 639-4171
`f Tvpe of Inspection --
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Date Requested— c� Time A.M. �! P.M.
Address
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Address _ �� C�.�--L"� / Permit # Zk'Y
( Ove i.^' -- -- — Lot # --
`� Builder
The following Building Code deficiencies are required to be corrected:
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Presented to PC ZI [ Approved
Inspector ems_ �. _ [_� Disapproved
DetP - ---- LJ 7 - k6 _
I CALL FOR REWSPECTION
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OF'TIGARD 639.4171 DATE-=,uwary_ fig__
BUILDING PERMIT
TAX MAP LOT NO. 155 SUBDIVISIO1`+"H1 - iia
4iVendiah CO. � JOB ADDRESS 10717 SW 127th Ct. �s
GINNER _ --
BUILDER .__y.u:Iek.U. box 212Lake Osweg() Utl 9!( illATE REG.t�VUS_-- EXP.DATE —
BUILDER'S PHONE.L44—S S1__ — --_�
ARCHITECT --Arga PHONE tjb.11:•u OTHFR
STRUCTURE NEW REMODE._ ❑ ADDITION I REPAIR MOVE JTHER ❑ DEMOLITION
1 RESIDENCE GOMM EDUCATION 1-1 IND RELIGIOUS .l ACCESSORY 1 1 GA'IAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE .y BLCG.TYPE '•=- FIRE ZONE -.PLAN CHECK BY ra_. _HEAT
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.,Vb tt.'LC jo ;,:11,U.( 415k).ub Leren �,Lk. :fewer c1largeu --
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SEWER PERMIT M - l 1SU J
OCC.LOAD FLOOR LOAD 4u HEIGHT
NO STORIL-S AFFkil:: NO.BEDROOMS -> VALUE
BUILDINu DEPARTMENT ,ET BACKS FRONT 1•. REAR L LEFT SIDE y)1•" RIGHT SIDE;
Permit "VU THIS PERMIT IS 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 t1.4.9� WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT. DOF.S NOT WAIVE
PI,Ck.Fires RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REGUIREA FOR SEWER.PLUMBING AND HEA TING.
State Tax
SDC-
Total--------- PDOO L5u.Lot; APPLiCAfJT OR Auf N1 ..,
Prepd. � y�1
"�—`- Receipt No -'y � ADDRESS
Bal.Due aa4.ib_—_
Issued By- Approved By
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DAT INSP. TYPE INSPECTION . VREMARKS PLUMBING —T DATE —
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Storm Drainage
(Rain Drain)Final
--- _--- --- Sidewalk —~--
Curb Zti Street Final
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Approach
I BLDG.DEPT.FINAL — TEMPORARI' rCERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY -
Landscaping
Zoning Final
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CITY GF TIGARD 639.4171 DALE t9_
BUILDING PERMIT / ,�
� y � nA JOB TAX MAP _LOT NO. ,�JSUBOIVISION '�'�
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OWNER - 7
BUILDER T— rCt� V- L/ STATE REG.NO. G- 606S EXP.DATE _ Z Z- 7 S-'6
BUILDFR'S PHONE _ Zyy 3 3 S _�_ �._
ARCHITE.CT-_----- =T y PHONE �1 OTHER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE U OTHER ❑ DEMOLITIO
D'RESIDENCE ❑ COMM ❑ E^UCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTTER ❑ FENC
OCCUPANCY !'i h'I f t LAND USE ZONE h. 1 )Q BLOG.TYPE •ir FIRE ZONE PLAN CHECK BY r A HEAT
It/ �i i m Ai 7ArtJ1,L ti
SEWERPERMiTN 29[72 () _ r- 7
OCC.LOAD FLOOR LOAD (.' HEIGHT G I NO.STORI S AREA ' 1 NO.BEOROOMS VALUE
BUILDING DEPARTMENT �� �r
SET BACK., FRONT I R' RFAPI �� LEFT SIDE S•- 6 RIGHT SIDE f! 6
Permit 0 0 THIS PERMIT 'S '.';SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN
REGULATIONS^00 ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT TH
Plan CtwkWORK Wlll BE DONE IN ACCORDANCE WITH TME PLANS AND SPECIFICAI<IONS AND IN COMPLIANC
WITH ALL APPLICIk8LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
PI.Ck.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
TAX PERMITS.SEPARATE PERMITS REOUIRE9 FOR SEWER,PLUMBIKO AND HEATING.
Stale Tax ,
SOC— Q_ .vc
Tota) VPttCANT OR AGENT
Prepd. ILt�'T, J �'�
-- -
Receipt No.
ADDRESS PHONE
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lasusd BY_ BY
SSDC --- $ �. t ` cz,,
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SEWER CONNECTION 5 _—_—
SEWER INSPECTION S
SEWER SURCHARGE 5 ,
Comments:
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