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IN PECTICN NOTICE
City of Tigard BUIlding Department
P.O Boz 23397
Tigard, Orogen 97223
Phone.839-4175
Type of Inspection Ali?
_ —✓ ----�'—
DAte Requested ---_ J _. Time— w A.M. _P.M.
Address r� — – Permit # !;7902
Owner,.--
.�ICL� I_ Lot #
Builder
The following Buildin C de deficienci `e required to be corrected:
Pn,sented to i.— improved
Inspector _ �..� Disapproved
Date.
CALL FOR REINSPEC HON
❑ YES C] NO
w
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 6394171 n
Type of Inspection
Date Requested 2_/�// L�------- Tima�� A.M. P.M.
Address
-' Q/n Permit #_.
Owner __ —___.____._.._��__ _ Lot # —
i
The tollowing Building Code deficiencies are required to be corrected:
Presented to _ _—_ ---- —' _— Ih.Approved
Inspector —_ --- �_� Disapproved
Date _.z —
CALL FOR REINSPECTION
R
D YES C❑ NO
CITY OF TIGARD 539.4171 97 9 2
BUILDING PERMIT I•,'r
�:.rss
G.i'I-4175 TAX MAP LOT NO..i(l _SUBDIVISION illi,,
. uri:;aeCtc :• :.alatt.
OWNER j J08 ADDRESS $143 i
Bar-at Q.U. Box 19524, Yore int o OR q i11� � _EXP.DATB3il)L_t�tc
BUILDER STATE REG NO _3 �S.i;;___-
BUILDER'S PHONE
A11:41ITECT/. -- --- - PHONE OTHER —
STRUCTU EI_' NEW [ REMODEL U ADDITION REPAIR - MOVE OTHER DEMOLITION
RESIDENCE ! COMM EDUCATION F! IND Irl RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY J LAND USE ZONE _ BLDG,TYPE FIRE ZONE_ PLAN CHECK BY HEAT
.GuassLrUCC Sin LC 4atcsi,'y reaiuc:f:cr. w�a,tCac llnd �-
;:LISSUL: OF All per apps-OVed plane and code t ----�__
SEWER PERMIT N
OCC.LOAD FLOOR LOAD �� HEIGHT_ 2t, NO.STORIES AREA I�.i4 NO.BEDROOMS VALUE{ t
_ BUILDING DEPARTMENT SET BACKS FRONT 20_ REAR 35 LEI-T SIDE !? RIGHT SIDE 1;'
Permit • 5�uu ]THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAII D IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, A. J IT IS HEREBY AGREED THAT ,HE
Plan Check iit,�[►U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC!FICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PLCk._Flre — _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax 13:(JU I ;tet, ;�atr.t)t, r 1�
Total 7h.U(i 5UU60() b f
Pt1CM PIC TO AGENT
Prepd. --- ._bia.t,tJ _ IL 15U.UU
Bal.Due Re celpt No,/f•ir 7 0 ADDRE e —---LL--- PHONE
_--- �lB.u�
It sued BY--.-___ Approved
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
4AC, Contractor
G' sEwt°.c cs�wEcro•� F` Permit No. L/U& -f
J2 O 6 Rough-in
' \ fixture
F .iel
HEATING
�U L Contractor
Z-3-
(� Permit No. a
Gas or Oil
0Ile rFinal
h-In
—mac—
SEWER
-- Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Glo Landscaping
_ __� r"2'8 Zoning Final