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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone. 039-4171
I
Type of inspection
Date Requested— Time A.M.---P.M.
J - ,4�C�
Address _ .
ermit #_
Owner _ Lot #
Builder
The follmNing Building Code deficiencies are required
/to be corrected:
-✓ �._��1���, �....iz�=i�' ��_..,� .–"� �!.�;�_ 111
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Pr,sented to __ _ [] Approved
Inspector �—._ `% Disapproved
Hate
CALL FOR REINSPECTION
E YES ❑ NO
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R
INSPECTION NOTICE
C y of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
� d
i
Type of Inspection
r-
Date Requested_ "� _ Tigie A.M.
Addressmit #
Owner._____ 1� .. Lot
Builder
The following Building Code`L'�!�c:encies are required to bF. corrected:
Presented to r IV4pproved
Inspector s ms s_ Disapproved
Date
CALL FOR REINSPECTION
YES CJ NO
t
INSPECTON JN NOTICE
City of Tigard Building Department +
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639-4171
I
Type of Inspection
Date Requested
Time. A.M. P.M.
_-_�� �
L 11
Adu ass
Ic1'_ Permit
Jwner
1 � AJ Lot #_
Builder -- -�
The following Building Code deficiencies are required be corrected: I
I '
Presented to __ % _ t3proved
Inspector - '��: �"'- __ � Disapproved
Dai -
CALL FOR REINSPECTION
❑ YES V NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4 71
Type oaf Inspection
1'7
Date Requested Time
Address Permit/#—_6*Api,/
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Insperter Disapproved
DEAP Z
CALL FOR REINSPECTION
7 YES yj NO
EiUIL ANG PERMIT APPLICATION TIGARD DATE February 111 19 r 85 5200
_ .. —
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 642-10093
OR AS SHOWN AND APPROVED iN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER l'i[alll PrC>verCiBtb JOB ACD_RESS 13220 $11 Fanun Creek Drive Gaiony LOT N0.Creek 1
20945 SW TV higivay ENGINEERT «
GUILDER ;iAP _ADDRESS B!!atllrtoz Ok ! 7006 DESIGNER
STRUCTURE {ANEW ,C 1 REMODEL ❑ ADDITION G REPAIR_ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[B RESIDENCE [] COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY --An-3 -LAND USE ZONE -&--L—BLDG.TYPE VN.. FIRE ZONE -- PLAN CHECK BY ETW HEAT__.tom
�:anatruct single f.,,,ji�rl�lling W/attached garage i _._--g�6G -
30-ISSue of Permit 1 4842 & 51_76
2 Bathrooms 3 Bedrooms Garage 308 —�
SEWER PERMIT# 28305
OCC.LOAD FLOOR LOAD 40 _H_EIGHT 16+- N0.STORIES _2 AREA 1578 _N_O_.BFOROOMS 3 VALUE 63,000
Ei111LDING DSPARTMENT SETBACKS BACKS FRONT 25 REAR
-Zd� _ 20 LEFT SIDE RIGHT SIDE I U+-�
Permit _ IJ'•U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 40•00 REGULATIONS AND ALL APPLICABLE CODES AND OR171NANCES, AND IT IS HEREBY AGREED THAT THE
WORK. WILL BE DONE IN ACCORDANCE WITH THE DLANS AND SPECIFICATIONS AND IN COMPLIANCE
359.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEP41F�TE PERMITS REQUIRED FOR SEWER,PI UMRING AND HEATING.
State Tax 49 'x•716 �• .
Total 371.Tb SUS WLI
----- - 11 150000 0TRAGENT
PDCMAPPLICA T R ADEN
L�y __
l:��l>ib fP Receipt No.
Approved _Y ADORE88�� -� PHONE
DATF_ INSP TYPE INSPECTION REMARKS PLUMB114G DATFy„
Cnntracto L -- ?
Permit Nu. 016 '
Rough-in
LL.
Fixture
C C Final
-> a
HEATING
Contractor
Permit No. ---
Gas or Oil
Final
— SEWER ,
Final
DRIVEWAY — _—__--- -
- .- —`------ - Final —
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY Final
CERI'rFICATE OCCUPFNCY
landscaping
Zoning Final
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