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CITY OF TIGARD BLDG. DEPT.
f
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
---
-,PL — <<rya C�l rz/\I L-
D ate:
-Date: ------ Permit No.---______
Inspec �
CALL. FOR REINSPECTION
ear
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.417.1
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
o
Date:, Permit No.
Inspectay,"
CALL FAR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(S) of the Uniform. Building Code, the
following item(s) require correcting:
------------
/C-
Date: Permit No.
Inspector
CALL FOR REINSPECTION
CIT
BUILDING PERMIT APPLICATION oFY TIGARD DATE I LII'
- 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP!.CIFICATIONS. OWNER PHONX_._,2,���7���
OWNER I-n-ci'y aallfwm LOT NO. 1J '_ " _
JOFJ ADDRESS , 1��4? 5 F31 rhave!n r
�_ CAME ADDRESS
UUILDrR ARC_HIT'ECT
DDRESS 4 zENGINEER
STRUCTURE ❑NEW ❑Rf M_fTD_EL —I-`� DESIGNER }:3�C}•'1• ��(�1;� I;r i }
_OADOITION IJ REPAIR ❑RENEWAL -�-- —
❑ RESIDENCE ❑COMM ❑EDUCATIONAL _j IRE DAMAG_-F CJDEMOLITION
OG ❑REUGIOUSCIPATIO ❑CAR PORT --
❑BOND _ ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑MOVING ----- `-
0CCONDITIONAL USE ❑DESIGN REVIEW -PROVED - '-
t,+�G ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY .LAND USE ZONE -------______
BLDG.TYPE FIRE_ZONE___ PLAN CHECK BY ` I C -
----- ,. net r.uc.t linUlso �'®oily dtv�1l il� s - ----- HEAT__
9 f.�4l.ar.h�c: .,�€ta&JO,q.
"cawter �JeY°maL .Zy:.G — 570"".00
S�C. LOAD L __ 1 QQB LOAD _a r
BUILDING DEPARTMENT —•�lQI4gl_ --- — ItlO B hpQQMS 3
T BACKS FRONT I VA ------------____
Permit i... SEREAR
U LEfTSIDE
l i. �� -------- RIGHT SIDE
------------
Plan Checky J THIS PERMIT IS ISSUED SUBJECT TO T4E REGULA-IONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Sub-tOtalI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
d 1: 0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
State Tglc ''' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�.�� LICENSE. SEPARPTE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total • In
NQC iN'i 3lu�u 00
BY _— �
ApproveH APPI-ICANT C1R AGFNI ----------
RP'7P1111 No.
ji
d: Bilill
DATE INyS�P. TYPE INSPECTION REMARKS PLUMBING `'f,bATF
Contractor -
Permit No. aff? J �•IIO -'1-1 S
s� / G. Rough-In
pu. 1-14.' '►S li�,..�_ �'��'k-eb Fixture
Final �-
S�I HEATING
Contractor
- - _— ---- Permit No.
Get or Oil UU
SEWER
4i Final ;a
DRIVEWAY
----------- Final -- --- -
Storlh Drainage
(Rein Drain)Final
S idewal k
Curb&Street Final
-- - - —_� '- Approach
BLDG. D EP FT.FINAL TEMPORARY _ CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
ZuninU Final
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