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INSPECTION NUTICE
City of Tigard Bulldinki Department —
F O Box 23,97
Tigllyd,Oregon 117223 J
''hone:6 9-�°175
Type of Inspection
Date Requested - J Time A.M. P.M.
Address ,,..,���,� _� t. Permit _
Owner t 1C � —
._. Lot �
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ —Approved V--- -r-
Inspector
------_--..._------_..,_ U Disapproved
Date
CALL FOR REINSj'ECTION
❑ MES ❑ NO
6
INSPECTION NOTICE
i City of Tigard Building Department
I P O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested __ Time �,..GA.M. P.M.
Address . — _ � _ ��- permit *--
Owner �v -- --- --- Lot #
Builder
The "ollowing Building Code deficiencies are required to be corrected:
I
Presented to _ _ L�4--Oproved
Inspector Disapproved
Datr, _-
CALL FO REINSPECTION
_.. ❑ YES 0 NO
mwxwx
CITY OF TIGARD 639.4171ib •F 6001
BUILDING PERMIT >a ,eet.�uan Line t+� -til. DATE�ttty---_-.9 b.____
a ' TAX MAP _LOT N0. 47 --_SUEIDIVISION t'�illttaas�t
OWNER_ usve 1?olaeher -- - --_ _ JOB ADDRESS 6�k ?_Jj 16maj ot- ZiG.---- --
BUILDER" r._339 filly 19th. E{ilsborrr -- --� — STATE REG.NO X2634 __-.--EXP.DATE -1-21—"
BUILDER'S PHONE ---648—%4V.0
ARCHITECT-----.----.---- _-- -_-_ PHONE ------ —.. OTHER
STRUCTURE _`LNEW El REMODEL ADDITION L_'1 REPAIR ( i MOVE OTHER Ci DEMOLITION
XXL' RESIDENCE COMM ❑ EDUCATION 7 IND 1 RELIGIOUS I i ACCESSORY I GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE I*� BLDG TYPE FIRE ZONE PLAN CHECK BY'' HEAT
':oustruct sin&1v family dwelling w/attached s.ara .e, all Per aupruve:t ,alms.
MISSUL (IF 0 5241
SEWER PERM1'9M2Lx. 29521 tldu) 2 bAth 9 traps L nrage area 4bU _
OCC.LOAD FLOOR LOAD 40 HEIGIO NO STORIEt AREA 14b;, NO.BEDROOMS VAIA)E �-
_ �BUILD'NG OEPARTMENt SET BACKS FRONT ,L HEAR IL LEF i SIDE. RIGHT SIDE
Permit _. II J16•AU THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check
610.014 REGULATIONS
WILL BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CC-DES AND ORDINANCES THE I,iSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire ---_ _ RESTRICTIVE COVENAN i S CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax 12,64 5SUC 2�0v.Ut) r
Total
348.64 SDC- 500.00
- - -1 --- __ -----
Prepd. - --- - - -- PD0jI 150*U0 I,P�LiG�N1 pR AGEN T
-- _411 (,!!1 ------ -- _ _ --- ------_ _ .._ - ---_._
Bal.Due
JlH.64 Receipt No.' �, + .y A6uRESS PHONE
Issued By_ Approved By
LMqA
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/Z r Contractor //,7
fennit No.
Hough-in
Fixture
Fina: --
�l HEATING
Contractor
Permit No. 'y
Rough-in
Final
- ---_ � SEWER _—
owdagiu ve /! '�72,�s �tzs_ Final
DRIVEWAY
Final --
_ �--- _ -----•--
Storm Drainage
— Y (Rain Drain)Final
Sidewalk
-- — — Curb R Sheet Final
— --`----- Approach
BLDG.DEPT.FIH'•L TEWORARY CERTIFICATEOCCUPANCY final
CERTIFICATE OCCUPANCY --- - -----
Lands aping
Zoning Final