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INSPEMON NOTICE
' �ity of Tigard Bwle.ng Department
P U. Box 23397
Tigard,Oregon 97223
Phone:639-4175
or
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TYDe of li,spection _ �c� �1 �� �!/�
Date Requested Tune A.M.._Y__P.M.
Add r@5% •j'_� A7�/ �_—� Permit #
--
- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
1
-1
- - -
I
_ I
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Presented to
�.•�ved
Inspector ~'
/y Ll Disapproved
Date (/
CALL FOR REINSPECTION
YES 17 No 1
_ v MW !! "
INSPE:CTIO,J 7,0TIC'E
City of Tigard 6kj11 `nc Dr;-wi neot
P O Box ',K:91
Tigard, Oren, i U7223
Phone:639 1175
Type of Inspection
Date Requested / tlr_ 7irne___-- A.M. �� P.M.
Addrea _ l- �, .,,L. — - -- - - Permit #_-_...---
Owner — f ----- Lot #
Builder -
The 'allowing Building Code deficiencies are required tr be corrected. I
1
21
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Presented to 7t _ - (� Approved
Inspector �r - isapproved
Date _ L
GALL FOR REIN PECTION
D YES O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested/� _ ` `� Time A, `
_ Address !�(O✓ �L _�..
—_-- Permit #
Owner _ Lot
Builder
The follo,ving Building Code deficiencies are required to be corrected:
Presented to i
Approved
Inspector LJ Disapproved
Date _
CALL FOUR REINSPECTION
❑ YE$ ❑ NO
CITY OF TIGARD 639.4171 5890*
BUIl_DINGA e'ERMIT S��r b!'i ,'' ,C[CYPfGt call DATE
' TAX MAF _LOT N0. fj5 SUBDIVISION i,,I Ifac-, _
OWNER "�1' '�' !'t' TC'- ------ J08ADDRESS 663, _inlet St.
BUILDER 1�1:� � ... :,tuf:"Kc ?,QiA1@, i':
Wit— Y �1M�1L'. STATE REG NO. EXP.DATE ^�
BUILDER'S PHONE
ARCHITECT _--- Merry & rsArclay
PHONE_ 62U-4551�____.�_.OTHER-.----------._—__
STRUCTURE 1 NE'.'V REMODEL Ll ADDITION REPAIR MOVE I_J OTHER DEMOLITION
RESIDENCE COM.'" 1.1 EDUCATION F IND RELIGIOU: ACCESSORY ❑ GARAGE C1 OTHER I FENCE
OCCUPANCY —LAND USE ZONE "�0�� BLDG TYPE _—. —_FIRE ZONE PLAN CHECK BY lLl HEAT
SEWER PERMIT# MZ369'-y k LIU) burage 444 2 halal
f
OCC.LOAD FLOOR LOAD 4j, HEIGHT 21l-r— NO.STORIES 1, AREA 12's,, NO.BEDROOMS s VALUE 1�
BUILDING DEPARTMENT � SET BACKS FRONT REAR LEFT SIDE RIGH1 SIDE
95.(Ju
Permit — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
- REGULATIONS AND ALL APPLICABLE BODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1411.x5 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
M.Ck.Fire RESTRICTIVE COVENT NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-_—�� TAX PERMITS.SEPARA'4 PERMITS REQUIRED FOR SEINER,PLUMBING AND HEATING.
Slate Tax —11.�ti-- - �J.UU
SDC- WUU.U')
Total _ --^— A PPLICANT OR AGEI4T
PDC#
Prepd.Y... 4�4t:H6`--- .- Ll 1: 0.U4- _
Bal.Due
Receipt No. {"f '; ADDRESS —HONE —
-- _�c,* Issued By._.._____—.__ApprOWd BT
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor t((,t) 17-7- 3 �1
�•J Pemift No. Ifs
Rough-in
-Aixture
FInaY
_ HEATING
Contractor
Permit No. 3 _
Ciao or oll
_ Rough-In
Final
SEWER
Final
DRIVEWAY
Final
�, r-- Storm Drolnage
— (Rain Drain)Final
Sidewalk
Curb d Stroet Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
_ Zoning Final
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