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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. 11
Tigard,Oregon 97221
Phone: 639-4171
Z
Type of Inspection
Date Request7d Time A.M. P.M.
Address KAE;&-' --L—' Permit
Owner Lot
Buildor
The following Building Code deficiencies are required to be corrected:
Presentee to Approved
Inspector El Disapp-oved
Date
CALL FOR REINSPECTION
F-1 YES FZ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
T;gard,Oregon 97223
Phone: 639-4171
Type of Inspection
Daze Oequested,--- 42 110 A.M. P.M.
Addi ermit
Owner
Builder
The followinLBulldlng Code deficiencies are required to be corrected:
r
e<
le
Presented to --------- Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES F-1 NO
BUII-DI14G FERMI r APPLICATION TIGARD DATE_ •puna, 6 19 - 5411
f Ht Ut1DElt ;IGidED HEREBY APr'1-IFS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE t>42-�3U93_
OR A 3 SHOWN AND APPROVED IN 1HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
L")T NO. 52
OWNER Titan Nrojvrties JOBADDRESS- 14220 SW Fanno Greek Ct. _ 17.0 .ony_Creek T
iAloha 97006 ARCHITECT
ENGINEFR
BUILDER ADDRESS 20945 SW TV DE'3IGNER
STRUCTURE is NEW ❑ REMODEL ❑ AUDITION _❑ REPAIR _❑ RENEVVAL ❑ FIRE DAMAGE ❑ DEMOLITION
® RESIDENCE ❑ Comm ❑ EDUCATIONAL O GOVT ❑ RELIGIOU", n PATIO C CARPORT E GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAI0 USE ZONE ��"� BLDG.TYPE _�� FIRE ZONE —PLAN CHECK BY BCR HEAT
_ _Construct single f&mi.iy &iwelling E.r(ataarhed garages
Etre-' strut of Permit 04842 3 aedroou —2 Batbroom
SEWER PERMIT 4 28444 Garage 3U8 — ---.--.----
OCC.LOAD FLOOR LOAD 40 HEIGHT 15-6 NO.STORIES _AREA 1077_M0.BEDROOMS 3 VALUE b2°UUU.
BUILDING DEPARTMENT SETBACKS FRONT 241 ° REAR 33' LEFT SIDE I U° RIGHT SIDE "
Permit Z:9•UO _ THIS PEPMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.W WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OPJINANCF!•. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 359.(.0 _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- LICENSE.SEPARATE PERMITS nEQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.76 ti li u.vu
—
Total 3 7 1.14 SUC— $5UU.UU
By C2 PDC811 "-aO.AU APPLICANTOFAQENT
-- .._�--- Receipt No.
Approved ADDRESS PHONE
........,............w....,.,...........,...,.pis
DATA INSPP, TYPE INSPECTIOii REMARKS PLUMBING ODATE
Contractor
i Permit No. ^
Rough-in
-- �— -- Fixture
— Final
HFATIN6
V �r/ Contract
Permit No.
Clef or Oil
Rough-in
- Final
--� - EWER
Final t
- - - -------- -------. � DRIVEWAY /
Final
Storm Drainage
— (Rein Drain)Final
---
Sidewalk
Curb&Street Final
Approach _
— ELM DEPT.FINAL TEMPORARY CERTIFICATE OS:C:IPANCY Fins;
CERTIFICATE OCCUPANCY -
!7/1rV- Landscaping
7.oning Final
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