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INSPECTION NOTICE {
City of Tigard Building Department
12420 S.W. Mai 1 St.
Tigard,Oregon 37223
Phone: 639-4171
Type of Inspection
Date Requested-__ - �- 5 _ Time _ A.M._-_�'_P.M. r
Address J l I✓ S w ,e
.�7� - - _ Permit _ _
Owner- , Lot- -
lot +1-
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ a I Approved
j Inspector/
----->' _ Disapproved
Date
CALL FOR REINSPECTION
YES [:� NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Insnection
Date Requested Tkrne A.M. P.M.
Address 415 3aj
Permit
Owner Lo,, #
Builder
The following Building Code deficiencies are required to be corrected.
or
Presented to Approved
Insp,-.ctor
Disapproved
Date
CALL FOR REINSPECTION
ZYES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
� Type of Inspection
Date R.-quested - � _--Time_� ---_— ------
A A.M. P.M.
Address ` `1, - _ i Permit #. '_,
Ft
Owner— , �L.A ' — --
`h Builder
The following Bu;ldinq Cc,ae deficiencies are required to he corrected:
I
� .rte ,2 �-✓��iC� !�_�.
Presented to _ _ ❑ Approved
Inspector �"�— ?/,
Disapproved
Date — G,/, /'Z ��.�'•
,. CALL FOR REINSPECTION
Uo?YES CI NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Ore ion 97223
Phone: 639-411711
Type of Inspection J rj
Date Requested
L A.M.,.-P.M.
Address Permit
Owner ....... AVA Lot #
Builder
The following Bbilding bode deficiencies are required to be correcte
100'
7'
PIZ
Presented to
Approved
Inspector
disapproved
Date
CALL FOR REINSPECTION
J�YES F-1 NO
es s� ri .n
INSPECTION NOTICE
City of Tigard building Department
12420 S.W. Main St.
Tigard, Uregon 97223
Phonq: 639.4171
Type of Inspection
Date Requested �Ij� �� Tim .���A.M. P.M. —
r Address — � � V� '✓ r ( lermit
Owner--- �� — Lot
Or
Builder
The following Building Code deficiencies are required to be corrected: /
.tet
Presented to r1 Approved
Inspector - --�- �� — _ Disapproved
Date
CAL EINSPECTION
S [a N c i
BUILDING PERMIT t PPLICATION TIGARD DATE January 21 19_. J.5 5178
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE 642-3093.__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS ?WNER PHONE
OWNER T itaik Properties JOB ADDRESS 14145 S.W. Fano Creek LOT NO. - 40 __�...
NEf45 S.W. TV Highway ARCHITECT
ENGINEER
BUILDER SAM. ADDRESS ,' 1 ljha• Oregon 97006 DESIGNER LIT'AFT
STRUCTURE [B NEW (J REMODEL G ADDITION ❑ REPAIR L7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
rXXRESIDENCE 11 COMM 0 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE C1 STORAGE [❑ SLABLI FENCE
OCCUPANCY --1--3 LAND USE ZONE R-7 BLDG.TYPE 5N FIRE ZONE PLAN CHECK BY BCK HEAT- Gas _
Construct sinZle lily dwelling viattache ' rage 2 bathrooms 3 Bedrooms _
SEWER PERMIT Ne-1.93 C
---
OCC.LOAD FLOOR LOAD 40# HEIGHT 15-t: NO.STORIES _2 AREA 1('27 NO.BEDROOMS VALUE 61000
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR :5 LEFT SIDE i RIGHT SIDE 5
Permit 319+0U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANn IT IS HEREBY AGREED THAT THE
Plan Check X0.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANC SPECIFICATIONS AND IN COMPLIANCE
WITH ALI_ APPLICABLE CODES AN' ORDINANCES, THE ISSUANCE OF THIS PEPMIT DOES NOT WAIVE
Subtotal _ _ 359.00 RESTRICTIVE COVENANTS. CONTRACTOR ANP SUB CONTRACTORS 10 HAVE rURRENT CITY BUSINESS
r� LICENSE.SEPAPiJ,5 PERMIT-REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 1.7..76
SDC– j00000
Total 371.7b
BY .�—�-- - KLT i 1J a PDC�Y 11 -150.1}U APPLICANT OR AGENT - --
4
Receipt No. l `f
Approv,d ADS--- PHONE
— — -
— _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
i
I Contractor
_ _ •ier Permit No. 401 J
''77
— Rou9h-in
-__— --- Fixture _--
3 �� _ --- — - -- Final — - -- ----
- HEATING
/
Contract
, 1L►
q '•x� — A^ Permit N
A
Get or Oil
Rough-in
P� Final -- --
SEWER
--- — — Final ---
-V DRIVEWAY
Final - --
Storm Drainage
(Rain Drain)Final
Sidevmlk
Curb&Street Final
Approach
BLDG.DEPT.FINAI TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Toning Final
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