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INSPECTION NO'TK',E
City of Tigard Building Dima-1pne.it
12420 S.W. Main St. \
Tigard,Oregon 91223
Phone:
639-417 1
j Type of Inspe,-t,on
Date e _. 7e—L�—A.M.—�_..N.M.
Requested uested -
Addr,ss _ — �'U' --� Permit
OOwner^�_� ---- _ -- Lot #
__—_----
Builder
IThe following Building Code deficiencies are 'equirei, to be correctad: —
1
' Presented to __ - Q ❑ Approved 1
` Inspector ��� z� ❑ Disapproved
Date
h CALL FOR REINSPECTION[
i ❑ Yes FJ No
t M t
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
I Tigard,Oregon 97223
Phone: 539-4171
1 Typo of,lnspection
` Date Requested — 1 Time A.M.. —P.M.
Address Permit
Owner Lot #
Builder
— I
The following Building Code deficiencies are required to be corrected:
Presented to _ --._— _ _— Approved
Inspector !�� U Cisapprovpd
Date
CALL FOR REINSPECTION
f ED YES IJP NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection --__ ___-- --- —
v� �
Date Requested___ — c^ Time �'` Ar.M.-___---PP.M.
L.�--
Addresa
Owner T___ ----- — --
Lot #
BuilderThe following Building Code; deficiencies are requiter' to be corrected:
I
Presented t- _ — ��I Approved —
'aspector f� -- _ ❑ Disapproved
Date _
CALL, FOR RF[MSP CTION !I
i.-] YES 1, 0
s, o
BUILDING PERMIT APPLICATION TIGARD CATE.__ALIC� _23 _ 1905 a
1 HE UNDERSIGNED H[REBY APPLES FOR A PERMIT FON 7 h WORK HE-HEIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.._ �__-_ _.
OWNER T�.i:i�lLS?J -_JOB ADDRES_ S X383 SW Fillip
20945 SW TV lifghw,Ay ARCHITECT
S .T,, Aloha QR 97006 ENGINEER
BUILDERADDRESS � DESIGNER
STRUCTURE _- NEW ,❑ REMODEL ❑ ADDITION [I REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ PNCE
OCCUPANCY R-3 LAND USE ZONE -A=7-- BLDG.TYPE -I—N-_FIRE ZONE=—PLAN CHECK BY Bpi _HEAT c:ae
Goustrwat single tauLly dwelling w/attached -
3 bathrooms 3 Bedrooms garage 476
SEWER PERMIT N 13390
OCC.LOAD FLUOR LOAD_ 40 HEIGHT 20+- N0.3TORIE8 :? _ AREA 1562 NO.BEDROOMS 3 VALUE S_��UOU
BUILDING DEPARTMENT SETBACKS FRONT ' REAR LEFT SIDE! RIGHT SIDE
Permit 21390Uta THIS IS ISSUED SUBJECT TO THE REGULATIO 4S CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 187.85 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. T14E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 416.05 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4X 11.56 y:,-PL 25u.,j1,
SDC— SUU.UI)
Total 4 de*4 1 i { _
--
By vuco►"_ I50.UU APPLICANT OR GEN
Receipt No., I. l ))
Approved C)R 1 h j fA AODR 198 ____ PHONE
DATE l"SP.1 TYPE INSPECTION REMARKS PLUMnING DATIE
04— Contractor
Fo�rnit 1,0. 41
-3
Roup,-in
Final
HEATING
Contract
Gas or Oil
Rough.-In
Final
SEWER
final
DRIVEWAY
Final
SI..rm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
IALDG.Dr*PT.F'.1141.0
TEMPORARY CERTIFICATr UP
OCCANCY
ICERT'liCATE OCCUPANC.If Final
Landscaping
Znning Flisel