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'NSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St
Tigard,Oregon 9722N
Phone: 639-417100 ,
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Type of Inspection . _/ol
Date Requested_ /,( Z 'r
--JT �� Time_. _ A.M. _P.M.
Address .__ �- 2- C - 6+- 2— _ Permit #
Owner__--_- Lot #
Builder.-----...- a_ 2�� ���,
The following Building Code deficiencies are required to be corrected:
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- _
v
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Presented to Approved
Zor
Inspector _ L I Disapproved
Date
t CALLFOR REIN PECTION 1
I �
" ❑ YES NO I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigard,Oregon 97223
Phone: 639-4171
iType of Inspection _ —
Date Requeste Time A.M. P.M.
Address \ Permit #
Owner J L-)t #
Builder
The following ►ilding Code deficiencies are requir to be corrected:
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—
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I _
Ph vented to ❑ Approved
Inspector Disapproved
v -2
Date 0 Je5'
CALL FOR REINSPECTION
YES 0 NO
w FW
BUILDING PERMIT APPLICATION TIGARD DATE--")t. `^_ 3 459 --)
THE UNDERSIGNED h+EREBY APPLIES FOR A PERMIT FOR (HE WORK HEREIN INDICATED B•111-DER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOM?ANYING PLANS AND SPECIFICATIONS. OWNER PHON —
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LOT NO. ',el 'food 7Ii
OWNER Dominic ')civ. JOB ADDRESS IN111A*—`:4 128B5iir_
ilortlalltl, Or. ARCHITECT
`1A',T' 10151 Garber 'iIvrl. ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE F 'NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL El FIRE DAMAUE 1-1 DEMOLITION
[I RESIDENCE !-i COMM U EDUCATIONAL 0 GOVT El RELIGIOUS ❑ PATIO ❑ CARPORT [J GARAGE C STORAGE CI SLAB❑ FENCE
OCCUPANCY �;LAND USE ZONE r'1'1) BLDG.TYPE —'' _—FIRE ZONE PLAN CHECK BY _HEAT+_
— "omitractirm nin�-le fsroily dwell nr w/attached ;;ara-,e —
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT I ' NO.STORIES AREA 1 NO.BEDROOMS^ VALUE
BUILDING DEPARTMENT
SETBACKS FRONT I+FAR L.FFT SIDE r RIGHT SIDE '
Permit 3 a2•'fir' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 'ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT ,S HEREBY AGREED THAT THE
Pla_nCheck_ _ ' "' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
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
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 0.p1)
_ SDC—
b0
Total
PDCM 001100 APPLICANT OR AGENT v
By - ------
Receipt No,
Approved 7► p g PHONE
DATE IINSR TYPE INSPECTION ►�J/Pv'� REMAR�• PLUMBING DAT
Contiacto ��
r7r — ilf /C'� PermitNo`--, s3 f7�8v
/ 7 _ J_t- -�1-�`�r_•1 trough-in
` Fixture
/�z n �C fi��--- —.—. _ Final
017 Vj r
`t������.��__— � HEATING
Contractor64(
Permit Na. 330 !J
Gas or Oil —
{� Rough-in —___ -------
9 - — -- Final ----
SEWER
Final
DRIVEWAY
Final
Stu-m Drainage
Rain Orsini Final
Sidewal k
Curb a Street Final
Approoch
I EMPOr1
P1LDCi.DEPT.FI"JJIL ARY CErtt't' U
ICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
i
i Zoning Final —
40
BUILDING PERMIT APPLICATION TfGA:?:) DATE-- '� '2 loilfa
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 46 -qo-4—/
LOT NO** 03C 1,J--
/ G Pro
OWNER jQGL/ — JOB ADDRESS / -_/ a
ARCHITECT
ENGINFER
BUILDER Ar.r — ADDRESS /O /S1 /�^QC'- (` 0�r DESIGNER -
STRUCTURE L7 NEW ❑ REMODEL ❑ AOOITION� ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
W'hESIDENCE ❑ COMM ❑ EDUCATIONAL iJ GOV'T ❑ RELIGIOUS ❑ PATI(, Cl CAR PORT ❑ GARAGE G STORAGE Cl St-A80 FENCE
OCCUPANCY - __ LAND USE ZONE R ��PA BLDG.TYPE +v—,—FIRE ZONE--=—PLAN CHECK BY/ HEAT
-- (f b J n.t�C /rn Glc�����•_�,cs�CQ -----
.iEWER PERMIT k
OCC.LOAD -- FLOOR LOAD '*(9 HEIGHT -AS� NO.STORIES ol.. AREA NO.BEDROOMS T VF.LUr�
BUILDING DEPARTMENT i / !
SFT BACKS FRONT 2 O REAR y Z LEFT SICE /`r' RIGHT SIDE s!
Permit 35,. Q o —__— -- ----—- _ --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!!JC
REGULATIONS AND ALL APPLICABLE CODES APID ORDINANCES, AND IT IS HEREBY AGREED ieAT THE
'Plan Check fS WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANC:
Sg�� 7 WITH ALL APPLICAFLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATF PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;State_Tax /y• i�d
soc -
Total _
PDCN APPUCANTORAGENT
ay�
eceipt No. _
Approved - ADDRESS ------------- PHONE --
Oo
SDC -
PDC - /Do •
SEWEf2 CONNECTION S
SEWEf; INSPECTION S
SEWEfi SURCHARGE S