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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone-639-4175
Type of Inspection
Date Requested—_— ? Time_ A.M._ ✓ P.M.
Address t (. � ., Permit
Owner !
— Lot
Builder i
The ,ollowing Building Code deficiencies are required to be corrected-
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Presented tol"rl — proved -- -�---
Inspector _ _ _
.— — L ! Disarprovad
Date
CALL F7R REINSPECTION
❑ YES O NO
L��
CITY OF TIGARD 839.4171 101.' inur-c'tiarnr cull 639-41i5 /r� 5891
BUILDING PERMIT DATE 1"41 -L— -----w �
TAX MAP — LOTNO. lU4 SUBDIVISION%-0101+y CL k.
OWNER Tit= i1fty. 14111, 5k Creeki�la,cc• iY
— JOB ADDRESS
BUILDER S:UNt' 10A5 ':w STATE REG NO. _EXP.DATE Z/ l4/bi
BIJII DER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE NEW 1 1 REMODEL I ADDITION REPAIR MOVE _ OTHER _ DEMOLITION
T RESInENCE C COMM EDUCATION IND RELIGIOUS ACCESSORY I GARAGE _01 HFR FENCE
OCCUP,'NCY s'- ;AND USE ZONE•`� BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAP
•nirklCt_i�".� lu 1:�:i1� cyu�llinu Ufa 'a^r�ei y�uY�yt all Wgr ajjUr0Vgsj y14i[1•>
HhViSUL 1# it St+!'l.
SEWER PERMIT M __"LU, jy1uu. �e;Lrdi-e .}4 OCC.LOAD FLOOR LOAD 4U _ HEIGHT lV .._ NO,STORIES AREA 1,,U , NO.BEDROOMS v_AI_UE
,BUILDING DEPAFITMENT _ -TRACKS FRONT REAR LEFT SIDE I l RIGHT SIDE____
Permit _lir U�i THIS PERMIT IS ISSUED ;UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULATIONS AND A,L APPLICABLE CODES AND ORDINANCES, /AND IT IS HEREBY AGREED THAT THE
Plan Check 4U-jjL, WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire _ _ _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
lyA f'LERMITS.�rJF�AR�,TE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA'TINU.
State Tax
_ SDC—
Total
a APPLICANT OR AGENT
PDCN 11 Liu.UU
Prepd. yj1eLlt.�._
Bal.Due /_
Raceipt No. j Me, ADDREii PHONE
_... _.:cv 1.�i4_ - - _�
Issued By__ r Approved By
1�1 �Ii 131; 3
DATE �INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor 4 u o 3 2 6 &b
7 �. Permit No. LAr_,
Fixture
Final
/ HEATING
Contractor -
2 Permit No.
Gasor011
Rough-in
Final
SEWER
----- -. --- Final
.—. _ ._ -- ---------- DRIVEWAY
— - — — ---- --------- Final
Storm Drainage
_ — (Rain Drain)Final
-- Sidewalk
—�- -- Curb 6 Street Final
— Approach
—�BLOG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCYZ by --
O'� 1 \ Landscaping
Zoning Final
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