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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
'I igard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested S Time A.M.--P.M.
Address
Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
Date D Disapproved
CALL F R REINSPECTION
YES LJ NO
w w
INSPECTION 140TICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6394171
11 U
Type of Inspection iC
Date Requested Z Time` �/ P.M.
Address 0 Lt/ �,�15
• Permit #
Owner Lot 'k
Builder
The following Building Code deficiencies Cre equired to be corrected:
Presented to _ / Approved '
Inspector Disapproved
' Date '� —�O—
CALL FOR REINSPECTION
C1 YES JZNO
��MISS
BUILDING PERMIT APPLICATION TIGARD DATE_A1499L, 116 — tgt_A 4771
THE UNDERSIGNED HEREBY APPLIES FOP 1, FERMI f '-OH 1 HE WORK HEREIN INDICATED BUILDER PHONE 642-2,4`jU_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 153
OWNER - itu : recht Howes JOB ADDRESS 1241U SW 1211th _ Belwood Ill
Aloha VR 97006ARCHITER —1
BUILDER ;,a,:gg ADDRESS ItyST.IS SVr Alderwood Ct. DESIGNER -
STRUCTURE LANEW _ ❑ REMODEL ADDITION ❑ REPAIR_ G RENEWAL ❑ FIRE DAMAGE^-❑ DEMOLITION
Cl RESIDENCE n COMM ❑ EDUCATIONAL ❑ GOV'T I RELIGIOUS ❑_PATIO_ Cl CAR PORT_11 GARAGE CJ STORAGE_D SSLAB❑ FENCE
OCCUPANCY _�- LAND USE ZONE it`.:TBLDG.TYPE -=5i . FIRE ZCNE .-PLAN CHECK BY liCh HEAT GAi
_
------_Construct_aicigle_ fawily ir jj_ur f attar_he•l gura;o,e.
tiubiect_-gAl`J.0k) Lerun ►teights Sewer StlrcharAe
SEWER PERMIT# 27 1.i,� _ t:rtra!,,e G IU
OCC.LOAD FLOOR LOAD G( HEIGHT i. NO.STORIES I AREA 14`+3 NO.BEDROOMS 3 VALUE bb,71''
8l111_DINODEPARTMENT SETBACKS FRONT REAP 1i.. LEFfSIDE RIGHT SIDE
Permit _ .340-00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING,
REGULATIONS AND ALL APPLICABLE CODES A.!n ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 221.1 WORK WILL BE DONE IN ACCORDANCE WITH THE '.ANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WITH ALL APPLICAULE CODES AND OR'JINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 56 1.1)0 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CLNTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax i:►•t,(7 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC- 64(1411f /' r /' ,
TCtal 574.1,t) / f CC (_mf, _'-•..f
B PDC# loo.00 �� NT
BY _ t:y _
Receipt No.
Approved Bilk ADMIN i � PHONE
DATE INSP. TYPS INSPECTION REMARKS PLU"ING DATE
Contractor
Permit No.
Hough-in
1/f Fixture
Final
HEATING
Contractor
61W
Permit No.
G or Oil
Rough-i,n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
'Rain Drain)Final
Sidewalk
Curb&Stre-tt Fins'
Approach
BLDG. DEPT. PPI14 r L --�TEMPORARY CERTIFICATE OCCUPANCY Final
Cr
LRTlIjCATE OCC,,IPAW,
Land%caping
I
Zoning Final
i
1
Building Permit U. 7
Location 1.05L,6
Certification of Registration
With the Builders Board �
I. —/4_ /( doing business as (dba) ,
.i
C Ul-11?c CrT am registered under the provisions
of ORS Chapter 701 Oregon HomebuildLrs Law) .
My Builders Board Registration Nu,nber is Y 45
My registration is in full force and effect and expires on
r:.
'Signature � .
MW
THE UNDERSIGNED HERE6Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILUERPHON6 � • �L
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP?FtONF
SLOT NO
OWNEP �ti11i1L�t�:1..Z lOSADDRESS 1 ,12
' \.t 7 Oc k ARCHITECT
Q LNGINEER
AOURES.i / 95 4 'y �C.)- �- �t t - •r'c���"_OESIGNER
STRUCTURE t�IAIEW L]RtNinCEL Cl ,DOITIO.4 Y QRcPAIA ❑REVE':JAL ❑FIRE DAMAGE ❑OF.Alj .ITI
r"In(islL,E^ICE ❑COM M ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[]PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLdB ❑FEr,
�{( 7•.�J n F — PLAN CHECK BY T�L`� HEAT
(;ccupm;Cy�` " AND USE ZOrI'c — OLOG.TYPE�-1-- IRE
T.- I/L/C"I,F
--- ._,h�„- Nrs � ,� .�� % "ter T ►r
Yy�_�gap� F149R t.04D `�'' HEIGHT "D / N0.STORIES AREA/Yf--3 NO.BEDR 0flS -3 VALUE6f
RlJILf'l-NG UEPARrMENT SFT JACKS FHONT �/. REAR / LEFT SIDE �- RIGHT SID _
�i 1 1/0 -
THIS PERMIT IS ISSUED SU13JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON
IF �� L I
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A.CFf.ED THAT
Check
r----- WQAk WILL BE DONE IN ACCO RDAtJCE WITH THE PLANo AN SPECIFICATIONS AIVD IN CGNSPLIt.NCE Y:
5'j.)-toralI l ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN
f%ara Tax I LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER. PLUMBING AND HEATING,
Tuta SDC -
I s �/ G r PDC��
r —
1 •r -----
tAPPLICANT OR AGENT
1 AnnRpSS V�+UNk
SDC -
PDC -
SOWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE $
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