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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Ti ard,Oregon 97223
Phone: 639-4171
Type of Inspection z("
Date Requested Time A.M.-) or
— -
-4 1
i Address13� JZLLA,-, Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
DSte
CALL FOR REINSPECTION
YES F-1 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tiard,Oregon 97223
% hone: 639-4171
Type of Inspection f 1"Ji
Date Requested Time A.M. P.M.
.o) armit
Address p
Owner Lot
Builder
The following Building Code deficiencies are reqt i-^.d to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES L;?NO
BUILDING PERMIT APPLICATION TIGARD DATE._— ��" i_J� 19 4S 4
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT'FOR THE WORK HEREIN INdfCATE'� BUILDER PHONE ?�2"35h3 _
OR AS SHOWN AND APPR._)VED IN THE.ACCOMPANYING PLANS ANI)SPECIFICATIONS. OWNER PHONE
0WNEH ;_ �rvac,�i t JOB ADDRESS_ I tt��) S.L1 E�atle�.+ LOT NO.
ARCHITECT
BUILDER Sane ADDRESS 13250 B•W Falcocl �,tiSL ENGINEER
DESIGNER
STRUCTURE C;NEW J REMODEL Cl ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
f RESIDENCE ❑ COMM 17 EDUCATIONAL ❑ QOV'T ❑ RELIGIOUS O PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
'ICCUPANCY It-3 __LAND USE ZONE K� NJ --------- =
-- _�_�.BLDG.TYPE S-14 FIRE ZONE—__PLAN CHECK BY ETW HEAT.. G
orlAtru�t sin,;le Eaunily dwrellLig wjattached ,garage 3 bedroom
2 bath
PEWERPERMITM 2641.7
OCC.LOAD FLOOR LOAD 40 HEIGHT_ 2U NO.STORIESZ I 50
AREA • NO.BEDRO.O_MS_ 3 VALUE 63, Iw)
F
D7TMEN� SETBACKS FRONT 21 _If,
_ __ _ REAR ____LEF_T_SIDE ' RIQHT SIDE 5
!T IH S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 9UILDINQ CODE,ZONING
REGULAi;'�NS ANC` ALL APPLICABLE CODES ANU ORDINANCES, AND IT IS HEREBY AGREED THAT THE
___.�WORK WILL t : DONE IN ACCORDANCE WI'iH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLIt ABLE CODES AND ORDINANCES. THE ISSUANCE OF PHIS PERMIT pOES NUT WAIVE
{ RESTRICTIVE COVEN:NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PFi0MITS REQUIRED FOR SEWER,PLUMBING AND HEATING SDC– !„)t1•��_,
- --
APPLICANT O iF AGENT
—
Receipt No.
ADDRESS
_ - - PHONE --
DA TIC INSP. TIPS INSPECTION REMARKS PLUMBING ATE
Contractor
Z Permit No.
A- nough-In
Fixture
Final
HEATING
JA'-- Contractor
Permit No.
Ga DIIAM
-- lb• U
�q;t
Rough-inIn — ^�, Final .__--
is �t ------ - -- _- --
SEWER
Final
1T DRIVEWAY
Final --
Storm Drainage
(Rein Drain)Final
Sidewalk
_-- Curb&Street Final
Approach
FILDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Lanckcaping
Zoning Final
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