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INSPECTION NOTICG
City of Tigard Building Department
12420'� N. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Typo of Inspection ._-
De•e Requested f - _ Time A.M. - _,P.M.
Address '` .< �' "� Permit
Owner -- --- — __ �ot # —
Builder
The following Building Code deficiencies are required to be corrected:
{1,I
I
I
Presented to _.__ _ __ Approved
Inspector ___ 4 ❑ Disapproved
Date -----------____ 1
CALL FOR REINSPECTION
,._/ i
FJ YES la N0
BUILDING PERMIT APPLICATION TIGARD DATL `�" '"—�'� ..•i ,ie_Ua- 554;
THE UNDERSIGNED HEREBY APPLIES FUR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 642-3093
OR AS SHOWN AND APPROVED:N THE.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PRONE
LOT NO.
0'"'VER litau Properties
JOB ADDRESS I41 S 5W Fan
-- Aloha 97UU6 ARCHITECT
ENGINEER
BUILDER_ baUW ADDFlESS 20945 SW TV Hwy. _ hESIGNER
STRUCTURE 12 NEW ❑ REMODEL ❑ AUDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Ll RESIDENCE ❑ COMM l:] EDUCATIONI.1 _❑ GOV'T ❑ RELIGIOUS f-1 PATIO ❑ CARPORT ❑ GARAGE L; STORAGE ❑ SLA9❑ FENCE
OCCUP,r NCY i{-3_LAND USE ZONE k(-7 BLDj0.TYPE 5N�_ F:nE ZONE—PLAN CHECK BY �uC,I" HEAT — __
--_-- (;orjFt.rUct sin1la fwail_r,}wPlling w/attached Sarage.—_—__
he-Issue of Po►rmit #4843
2 Bathroom
SEWERPERMIT# 28527 Garage 315
OCC LOAD F BOOR LOAD 40 HEIGHT 13 NO.STORIES I AREA IUb I NO.BEDROOMS 3 VALUE 4 i•Wu
BUILDING DEP,,,RTMENT SET BACKS FRONT 19' REAR 41' _LEFT SIDE _ r RIGHT SIDE go
Permit 269.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COCE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TNF.
Plan check 40*W WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODFS AND ORD;NANCES. THE ISSUANCE OF THIS PERMIT DOES NO' WAIVE
Suu•total 31619.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU31NESS
.Ib LICENSE.S5%AtTE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
IU
State Tax j . k
Total � 320.121r; SDC— $ U - ''---'-- y—
PDCM APPLICANT OR AGENT
By (:I; II S 1SQ.UU
Approved - Receipt No.
lick —j PHONE
——- �� ----
DATE INSP. TYPE!IN�SPEEC,ION REMARKS PLIqBING DATE —
Contr
ont
'^ Permit No.
I 9r5 _ s,r rs��04 -
G Rough-in
Fixtute
Final
- HEATINd
Contractor
Pat-mit No.
No.
--- --- —— Gas or Oil
Rough-in
-- -- ---- -- —._—.—..-- -- -------- -- f=inal
---- -- — ---- - ---- SEWER
Final
—�_ --- ----- ------ —_. DRIVEWAY
-- -- —- Final
Storm Drainage
--- -- - --------------v -----�-
(Rain Drain)Finpl
Sidevwlk
— Y Curb&Street Final _
-- T�.._ -�---_—.---_--- Approach
E31 OG. DEPT. L't P 1. PORARY
CEP t IYt: AT OCCUPANCY Final
1Cr:RTIT'M+GATEOCCUPANCY
' �v , Landscaping
7oning Final
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