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INSPECTION NOTICE
City of Tigard Euilding Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Oate Requested Time A.M. P.M.
Address Permit
Owner Lot
Builder
'The following Building Code deficiencies are required to be corrected:
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d0V— 2.d 4.L
Presented to Approved
Inspector Disapproved
Date
CALL FOR REL"ISPECTION
El "ES 6 NO
^ INSPECTION NOTICE
City of Tigard Building Department
'12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection .__ k i `✓/�_'
DAMP. Requested Ti A.M. P.M.
Address ` a hGH V i_ �ermit # -�✓ /�
Owner_ — C�/1^ /U ✓/ Lot #
' Bui'Jer— — ---- -- //--
The following Building Codo deficiencies are required to be corrected:
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Presented to _� , Approved
Inspector � _ ?�-- Disapproved
�-
Date ----._--- _ -
I CALL FOR REINSPECTION
Z� YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171 .
I
Type of Inspection 161
r'.i. Requested Time_ X - A.M.. _P.M. 7
Address ' 10 _ Permit # /,
Owner Lot #
Builder
The following Building Code deficiencies ark required to be ccrrected:
Z7--j
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1
PreNntod to
-� ❑ Approved
Inspector -- + .s /��
_ a M "' �i Disapproved
Oats
CALL FOR REINSPECTION
Wo" YES EJ NO
r RUILDING PERMIT APPLICATION TIGARD DATE _ 19a 5272
rHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FCR THE WORK HEREIN INDICATED BUILDER PHONE 642-3093
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNEHLOT NO.
Iitari k'L'Uperki�s JO_BADDRESS 8200 SW rann4 Creak Drive COlcony Cry k LI
20900% SW TV Highway ENGINEER
ARCHITECT
BUILDER WeADDRESS Aloha, OR DESIGNER
STRUCTURE ® NEW ❑ REMODEL ' ❑ ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRFDAMOGE ❑ DEMOLITION
Cx RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE I�3 STORAGE ❑ SLAB I-1 FENCE
OCCUPANCY bZr"3 LAND USE ZONE i�-7 BLDG.TYPE _ � FIRE ZONE —PLAN CHECK BY— �� —'HEAT—�
0ourcruct singlefarsil�r dw lXin wLatCnebcd --
Re-Issw of Pormit #48+42 - --- —
2 Bathrooms 3 Bedroom Garage :iu — --- ---
SEWER PERMIT# 28359 _
OCC.LOAD FLOOR LOAD 44J HEIGHT 15'6"NO.STORIES 2 AREA lull NO.BEDROOMS 3 VALUE G2 UUl?
BUILDINGDEPARTMENT SETBACKS FRONT REAR 13 LEFTSIDE :3m RIGHTSIDE 11 '
Permit 319.U0 —_ --- - -_-.. __-- - —
_ THIS PERMIT IS ISSUED SUBJECT TO TIiF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 40.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONF, AND IN COMPLIANCE
339 0 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total • 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACIOnS TO HAVE CURRENT CITY BUSINESS
Stale Tax �'"' IZ.7ti �!ffeSE.SjfARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 371.76 SDC— 5+1u
- PDCM I:I 150.00
At�LI-CA NT Ofi AGENT .--
By
Approved )SCKgbj• RecelpiNo. ADDRESS
PHONE
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DATE INSP. TYPE INSPECTION REMARKS �— PLUMBING DATE
3-.n-�y ;/ Contractor
apPermitNo.
4 L _ Rough-in — — —----
41 -W Fixtureme-044 C:p ---- -- -----
�O _ ----- -- — Final
HEADNa
Contractor
p�--- Permit No.
Gas or Oil
Rough-in
Final -----
SEWER
Final
DRIVEWAY —
71nal
Storm Drainage
(Rain Drain)Final
Sidewalk
-- -_.--_--_- ___-- —! Curb&Street Final
APp"cli -- ---
BLDG. DETIT.FINAL TEMPORARY _ CERTiFiCATE OCCUPANCY
CERTIFIC v.TE OCCUPANCY Final
Landscaping
Zoning Final
i�