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7�[ INSPECTION NOTICE
City of Tigard Building Depertmont r
/ P O Box 23397
Tiga d, Oregon 97223
Phone 639-4175
F rl�
Type of ',nspection _—
Date Requestad—x Time A.M._ P.M.
Address � i/6' Permit
Owner ----.-- � - Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _._..—__. `-- Approved
Inspoctor R Rm Disapproved
Dat!!
CALL FOR REINSPECTION
DYES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 039.4171 f
t"� 1
Type of Inspection '
Date Requested
/ / __ ,_�_,�__ Time A.M.. P.M.
i
Address
ff2=L ��--L/,�a Permit
Owner����'' ___� _ Lot #�Z
BuilderThe following Building Code Jeff-:ancles ereer quired to be corrected. % -k.
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w
-- -- --J
Presented to Y _T_ —_ pproved
Inspector _ — � M � ? "` C_� Disapproved
Date c __
CALL FOR REINSPECTION TT
I F_J YES 0 NO �,�
BUILDING PERMIT APPLICATION TIGARD DATE_ � + ;" �,� 5542
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 642-303
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAIDS AND SPECI'lGATIONS. OWNER PHONE
LOT NO._l�__—
OWNER 'Y{tun F'ronfrties JOBADDRESS 14365 SW Fanno Creed �w+!�/��-c,_ _4�n1 �,�4k 111 _
Alolte ►I1IUi3 ARCHITECT
ENGINEER
BUILDER SAID,:. ADDRESS 2U"5 SS TV itar�. DES15NE-R _
STRUCTURE WI NEW ❑ REMODEL ❑ ADDITION_ C1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
-IRESIDENCE 17 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑—FENCE
OCCUPANCY tM4--LAND USE ZONE BLDG.TYPE 5H FIRE ZONE PLAN CHECK BY �'K HEAT__ Gaa
Cunstrurt aisle family dwelling w/attached garage.
3 Bathroam
SEWER PERMIT k 28522 Garage 390
OCC.LOAD FLUOR LO<. 40, HEIGHT 21 NO.STORIES 2 AREA 1/15 NO.BEDROOMS 4 VALUE 5900"
BUILDING DEPARTMENT SETBACKS FRONT u2J REAR LEFI SIDE 2 I�^-5" RIGHT SIDE
Permit I HIS PERMIT 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
Plar,Check 20.50 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
Sub-total _ 52{.5U RESTRICTIVE COVENANTS. CONTRACTOR. AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.TARATE PERMITS REOUIREU FOR SEWER,PLUMBING AND HEATING.
State Iex .2.40 4..5U.Ul ,..
SDC— $5W.U0
Total 523.90
PDCML1 $1SU.tlU PPLIC R G By
Receipt No. (�(0 1 A-0- PHONE
Approved BCtS
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BATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
' _'/ ?ta�.'�r.�L Permit No. L
Fixture
—
/ Final
HEATING
t l _� -- Contractor
Gas or Oil 6
Rough-in
Final
SEWER
Final ---
----------- --^---
DRIVEWAY
— ---- Finsl _-
Storm Drainage
(Rain Drain)Final -
Sidewalk
—� Curb&Street Final _
J— Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCt*ANCY Final
CEW. IFICATE OCCUII}INCY a —
Landscaping
Zoning Final
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