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INSPECTION NOTICE
City of Tigard Building Department
{ 12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
tit ^ i
Type of Inspection
Date Requested_— _ Time--�A.M.— P.M.
Address —�Z =_ �4�,� ��`i�L Permit # z
Owner dot #
Builder.
The following Building Code deficiencies are required to be corrected:
Presented to
— — � Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION 1
L7 YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 63Q-4171
Type of Inspection r
D•.e Requested Vrne i^ A.M. .�._P.M.
Address.��Is
r.� i Sl� �� CF;) <
Permit f
( oer
-- - Lot #_
Builder
The following Building Code deficiencies are rectOred to be corrected:
---- -- _ y
—_�..! � •L _.-rte _�.,..-,_•+ ,•c��--i .
•l=..rte a .
Presented to _ Approvef✓
Inspector j
pproved `
Date
CALL FOR REINSPECTION
rl e o f40
i i i l i i
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I INSPECTION NOTICE 1
' City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223 1
Phone: 639-4171
Type of Inspection VV.,"°" "C( �' -0 .
ate Requested tZ VyTime A.M. F.M
'-� «
Address � '� J' �� � Permit
Owner Lot #--Z-3—C—) ��
Builder ri �t�Vl.�t G1 �7
The following Building Code deficien ies are recujired to be corrected:
� ..
Presented to _ —~ �-�r
L� Approved
Inspector _ i°l
� ❑ Disapproved
I Date
CALL FOR REINSPECTION
❑ YES 41 NO
BUILDING PERMIT APPLICATION TIGARD DATE_ t':acch Te 4347
THE UNDERSIGNED HEREBY APPLIFS FOR A PERMI I F(.)N 1 HE WORK HEREIN INDICATED BIIILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AP40 SPECIFICATIONS. OWNER PHONE
OWNER i s i 1Ewe 10j)T 10rJDB ADDRESS LOT NO. '1i1 .e�t t ,ert [I
_
,1 L [,+!r , ARCHITECT
BUILDER ADDRESS Uje W1151W' tSaettlut RLvul. ENGINEER
DESIGNER 11+'.,,iirti.c
STRUCTURE _ 13 NEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR 1:1 RENEWAL ❑ FIRE DAMAGE_ D DEMOLITION
CkRESIDENCE ❑ COMM ❑ EDUCATIONAL L7 GOV'T D RELIGIOUS O PATIO 17 CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ;;_} LAND'JSEZONE -ZBLDG.TYPE �-� .! IRE ZONE PLAN CHECK BY �__-y._HEAT f9
--__ -- - (:c,natrTict sins;Y« F'ani1y !a 1.lwellir see correction sheet - -
-- attached. :a 'Redrotms
li.3t}t$
SEWER PERMIT k u.
OCC.LOAD FLOOR I OAD N' ,HEIGHT NO.STORIES AREA I"'" NO.BEDROOMS r VALUE tis, 100
BUILDING DEPAkI'MENT SETBACKS FRONT _ REAR LEFT SIDE RIGHT SIDE
Permit 33110 1 THIS PERMIT IS ISSUED SUBJECT TO THF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULI,TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I S. I5 WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
;ila,�• ;a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND .SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I } i
State Tax LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total }r SDC
By PLUCM APPLICANT OR Ad-NT
w;,t1
�lti�ii _ Receipt No. -- - — - --- -
- -- - .
Approved ADD BO ��PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE",
�_ _�- .� ��� '— Cont•±ctol
-_3 -,•G-�; �, Permit No,
y-/J-��Q 7 �i ✓ t%, /� - avZ�-
Rough-in
j//�^ Q?� • Fixture —�
Final
.S:�_ /+ .7 _ / _ HEATING
gc Contractor
Permit No. qi�,2_e
Gas or Oil
Ftauph•in _- --
Final
SEWER
�. ---- -- Final
DRIVEWAY
-- — —----- --- - Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
BLDG, DEPT.FINAL C TEMPORARY CERTIFICATE OCCUPA14CY
CERTIFICATE:OCCUPANCY Final
I.undscWing
oning Final
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OWL 1 nNo rc:n►v►I I h.VL►Uh I IVH Ul a
THE UNOSRSIGNED HSREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHON `�G
OR AS SHOWN AND A61�
APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEPPoin�P�F
LOT NOS•. Q
-�'iN JOS
ARCHITECT
'7 Po•'�'i�N ENGINEER
J.: x _ �91i. DESIGNER �./6w"1"1
1T11UCTLIAE VE'N ❑FlF'anCEL_-- ❑aDOInUv ❑ReP:.iR ❑RENEI;JaL ❑FIREDAtAAGE ❑DE:.tOL1Tl.
IZESIL�E-"1Cr CCOFfr- ❑EDUCg71pNAL- LJGOV_T ❑-FIELIGIOUS OPATIO OCAR PORT ❑GARAGE ❑STORAGE,: SLA ❑FEN
CCCI P�R•.Y� �>_-LAND US ZONE-1 0LDG.TYPE`-- -��.FIRE ZOIvE._•� PLAN CHECK; BY -HEAT
----=� TnA ---- ?I h Tail_1��Vtil I N It► _QJ F d A.P� Q
SEWER r-E r m yr
FLOOR, t•OAD 'S H -I 'HTQ__ NO.$DORIES �rr AREA I G! NO,BEDROOAt ' Vi QQ
Sf1ILCIN•S DEPARTMENT SEr BACKS FRONT It��jo REAR ad LEFT'SIDE ID..0 RIGHT SIDE .�r
Permit op
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONI
11-;.in Check I 2 �','a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COlAPLIA.NCE W
`J•1TtOtdl u�Y/' ALL APPLICAFILI' CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
-- Y—L RESTRICTIVE COVF_NANTS. CONTRACTOR AND SUB COi1iRACTUIIS TO HAVE CUP•R=_NT CITY BUSIN
!7:8t9 Tax ' � 3,2µ LICENSE. SEPARATE PERMITS RFOUIFIEO FCR SEWER. PLUMBING AND HEATING.
Tutal 'LL- 2SDC -
B• por# -
APQLICANT OR AGENT
I Appruvtri �I — — Hece pt No
L- n!1nRFSi -HONE
SDC - 00
PDC - $ /00 QQ ��
—_-.. �
SEWER CONNECTION $ 1629_
SEWER INSPECTION 3,i
SEWER SURCHARGE
/ 3 (vo
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