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INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection —
/'_ 7
Date Requested.__,C�— �~ Time_--•A.M. P.M.
Address
Z-5, Z U--��'==��� Permit # __
Owner __ Lot #_
I Builder ----
'rhe following Building Code deficiencies are required to be corrected:
-----------
I
_
Presented to ~% 'I Approved
Inspector Disapproved
Date. —
CALL FOR REIN PF,CTION
F-1 YES W11 NO J
s
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 9-7223
Phone: 639.4171
/ C -
Type of inspection _ --
Dat^ Requested— Time_ A.M. .M.
Address --j-f- —� Permit
Lot
Owner
#
Builder
i
The following Building Code deficiencies are required to be corrected:
42y
Presented to __ f Approved
�f1
Inspector __ Disapproved
_ -� -
CALL FOR REINSPECTION
fc'l YES C7 N0
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
P ne. 639-4171
Type of inspection —
Date Requested _ e_ A.M. X P.M.
/�
�.��� (v c, ly' _ Permit # `� /
� Address
��__� '
"wner - - -- -- Lot #
jBuilder
The following Building Code deficiencies are required to be corrected:
51
T.
� 1
Presented to —�cj-�. _ TDitapproved
Approved
Inspector �l� /
Date
CALL FOR REINSPECTION
YES f] 110
Building Permit No 'y 7 68'
Location t % J, i 001 A--
Date �-�,��
Certification of Registration
With the Builders Board
-r-, doing bus-nes., as (dba) , j
am registered under the provisions
of ORS Chapter 701 Oregon Homebuil,,c; s Law) .
toy Builders Board Registration Number is C?
My registration is in full force and effect and expires or _ /a
T�
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ignature +
BUILDING PERM.ITAPPLICATION TIGARD DATE- -arch 13 „19 4768
1 HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDI."".TED BUILDER-HONE 646-6983
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNFR PHONE
/S.V(10 LOT NO. 21 _
OWNER ri.... JolsoliOn JrrBADDRESS I•L +il!! :i': 10616th :Jfside i Grates
l'. 97)05 _ ARCHITECT
ENGINEER
BUILDER Salus+. ADDRESS 117_6L SW SeLtier _-__-DESIGNER —
STRUCTURE NEW ❑ REMOUEL Fj' ADDITION ❑ REPAIR Ll RENE�.AL ❑ FIRE DAMAGE ❑ DEMOLITION
LIRESIDENCE [J COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR TORT ❑ GARAGE ❑ STORAGE ❑_SLAB
OCCUPANCY —1_ _- LAND USEZONE �t- VU.BLDG.TYPE ---y FIRE ZONE--FLAN CHECK BY _ h(:r( HEAT_ 1•w18
Construct oingjr fazuily dwelling w/attacl.t�i garage.
3 Udr:au 2 UthtOan
SEWERPERMITR 217W5 ';mra&e 4a2
OCC.LOAD FLOOR LOAD "f) HEIGHT 19 I F,"NO.STORIES 2 AREA i I.%/ NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT v SET BACKS FRONT REAR �,1 L EFT SIDE RIGHT SIDE 5
Permit 2661(1(/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND OPrINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check It 5.Qu WORK. WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
b71.41r WITH ALL APPLICABLE CJDES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENAtrTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
11.44 LICENSE.SEPARATE PE aMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
',tate TaxSDC- `i 00.!)U i
Total 4? �•. i4 ;;
-- _ PDC#= jOO.t)(j APPLICANT ORAOENBy UhT
Approve) KCH Receipt No. ADDREt3s -�-
L HC't
I
i
i
DATE INSF. YPE INSPECTION REMARK S — PLUMBING
_ RATE
Ccintrat
Permit No.
Rough-in ---- --
' (' Fixture
final — —
�/
HEATING
CoritrectoGi -.-_
APermit No.
Gn$or Oil
Finfil
SEWER
_ ------ ----�—------- --- - -' Final -.�.�.--
� Final ---------'
Storm Drainag!
(Ra:n Drain) Final
Sidewalk
_-- — —,-,•----�_. .._ Cavi,A Street Fina!
proech
BLDG.DEPT.nUAL. -+T�TEMPORARY CERTIFICATE OCCUPANCY �--'
CC P"rIFICATE OCCUPANCY l �r:il
I� I .r dsca-i,j
^,t"F. UNP)HSIGNEO NFRF_f1Y AP,'LI,,S FUII AI'LF1M1l FON IHF '•NUF1K II!-Hi.,N INUILAILU buu-u(.I(r:I,_�r.lI4-��e_' ,�,y�
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS ANO `,f'c:CIFICAT1OiNS. OwnClt.'Hutlt�__—__�
LOT
7� � ���(V� iia aourrLss/'S.c ��5 G�_1��%�L� rte_ _ c.itiK Sd,�
97yrARCi41Ti:CT
ENGINLER
;U11_D. /`- aDORFri, _G�-� �y /�f�L.TiCE/E� DESIG�ER
:TRI!^T IRE P _ ❑REPAIR �REVE'IAL ❑FIRE DAMAGE DE:.I LITI
� .._�v-w URttilnCEl ❑ADDITION ---- ❑ 0
r nESIUE^ICC QCOt✓.til ❑EDUCATIONAL L�GOV'T ❑RELIGIpU5f��ATlO UCaa PORT ❑GARAGE u STORAGE 0SLA3 ❑FE11
CCCI P.�RrY `ANO USE ZONE�� 01 ;JG. TYPE_; '__FIRE ZONE_= PLAN CHECK OY� _ NEAT ('_—'
-''I(VL' ! /`i % C /`i' )"1-/ , ir_ ,�i_•� ,_,'n, ( �wii/I T r ,, ( t1':h
I
3El1ER rER('1IT it �s''�`
:.'- -;-c L D FLOOJ,OAD r� _�I ►/ 1* NO.STORIES 8REA1 7 NO-BC ht
5111 LOIN•] OEPARI-MENT c r
_ SET BACKS FRONT e z REAR !�` LEFT SIDE RIGHT SIDE
I q THIS PERMIT IS ISSUED SU3JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON
RCGULATIONS ANO ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HE-iEBY AGREED THAT 1
r— --- WOAK WILL BE O- 'E IN ACCORDANCE WITH THE PLANS AND SPECIFICATION:AND IN CGN%IPLIhNCE v.
li ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY Bl1SIN
r�>tt✓! Ta% VLICENSE. SEPARATE PERMITS REOUIRED FCR SEWER, PLUMBING ANO HEATING.
Tuts1 I 7 --� SDC -
- Ji' PDC#
�_ --- -- -
APPLICANT Oq AGENT
Approved �I Receipt No
lrinq(SS -�ON�'
50C - s
PDC
SEWER CONNECTION $ C-,` j
'iEWER INSPECTION $ �
SEWER SURCIIARGE
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