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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date, Requested _ ' "' Time `r A.M. ...P.M.
r
Addresb .
_--�l-LfLY '�- - f�i��-�-�✓—h ----- Permit #.
Owner - r�-P�------- Lot -- ---
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _ �_ pproved
Inspector - I Disapproved
Date _- --_ �
CALL FOR REINSPECTION
❑ YES ❑ NO
I
t. iiiimirmaiiiil E
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 83 -4171
jType of Inspection ---
Date Requested � '�� TimeAp,1. P.M.
Address __— =4 � =G � _— Pal mit #
Qwncr-- _—_— -------__--`— Lot #
Buil+
Hying Building Code deficiencies are required to be corrected:
I
i
Presented toApproved
Inspec!or -- _ Disapproved
Dath
CALL FOR REINSPECTION
0 YES Cl NO
a
6022
CITY OF TIGARD 639.4171 ,✓ 1 (,
DATE:
BUILDING PERMIT
TAX MAP LOT NO. __-1J - SUBDIVISION J,Lli tlil�
OWNER �vweer Junr;kind JOB ADDRESS $704 SV Hamlet St.
BUILDER �nJ_ blo5 aW bsth jLace._97223 STATE REG NO. 1441U _.__---EXP.DATE
BUILDER'S PHONE __')4S&j
ARCHITECT________-_______ PHONE —OTHER
STRUCTURE Ii NEW REMODEL LJ ADDITION REPAIR C: MOVE U OTHER DEMOLITION
RESIDENCE U Comm EDUCATION v WD s," RfsLl U [ J ACCESSORY Q RAGE. r r Fi FFAICE
OCCUPANCY n3 LAND USE ZONE BLDG TYPE " FIRE ZONE PLAN CHECK BY- HEA1dK
'-`�.+:_&iij,rnwcdlgna. _..-
SEWFRPERMITM "iSa ll�lu)-- l_ :atlt. C 6u,@r_ i.4ra e [ rta 4�U --
OCC.LOAD FLOOR LOAD 40 HEIGHT rd+� NO.STORIES t' AREA 1665 NO.BEDROOMS S VATU04 X11 +
F_ BUILDING DEPARTMENT J SETBACKS FRONT 1Sr I` REAR 1 '_ LEFT SIDE ' RIGHT SID[
Permit 351t10 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE .Ull-DING CODE. ZONING
- y REGULATIONS AND ALL APPLICAP.LE CODES AND ORDINANCES, AND IT IS h 1EBY AGREED THAT THE
Plan Check 2!0.25 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATh_S AND IN COMPLIANCE
- - —� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 'THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS CONTRACTOR AIJD SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax 15.4E 150.OU ('
— — SDC— yoU.uu
Total �+SU+bS_- APPLIGANTORAGENT
DCN j `—
Prepd. --- v a --- -�- ---PHONE------
it 15U.u(� -
Receipt No.'_1{�3 d ADDRESS
Bel.Due 559.65
Issued By._._ -.__.__A owd 8 ____ __. �.y���,y �,• •_
i
DATE INSR. TYPE INSPECTION REMARKS PLUMBING D�_
47L 2 Contractor .- ZZ
Permit No.
Rough•f�
Flxturo
Final _
HEATING7-3-f I All onlroctor
( v1
/�- Permit No.
Gas or Oil
Rough-in
Final
-- -� -• —SEWER
Final
DRIVEWAY
Final
Storm Drainage
`--' (Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL CERTFITCATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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