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INSPECTION NOTICE
City of Tigard Building DeFartment((4
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Typa of Inspection
Date Requested 'Time.---- A.M. PA.
Address Permit
Owner Lot #
BuiWer
The following Building Code deficip;.cies are required to be corrected:
-----------
Presented to �<Pprnved
I ispector Disapproved
Dwq
CALL FOR REINSPECTION
Ei YEI L-'-j NO
INSPECTION NOTICE
City of Tigard Building Depar^ment
P.O. Box 23397
Tigard, Oregon 97223
Phone!
639--'.175
Type of Inspection _ � s'�\L�1�ov .---- _�-----.-----
Date Requested � __—_ — _�_ Time.-1C A.M._ P.M.
— -- �L�� 1' '' �,,� ``r
Address ����'�, � Permit #5f���_
Owner- � `� �5��C- _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
_ " 2.�y� y f Al .7.
_---
Presented to -_ _�__ _ � � Approved
Inspector — Disapproved
Date. --.
CALL FOR REINSPECTION
M YES (_7 NO
,. ■. .. s, � A.. .. e. a.r
'r
INSPECTION NOTICE
City of Tigard Building Department
V.0. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
�.�
Date Requested._�.. / '/''� Time A.M.---P.M.
Address _�� �_)J'! _....-.-1`,�=� —. ----- Permit
Owner ,( 1.LC� 4;v._ ___ Lot
Builder
T'+h�)e following Building/Code deficie;icies are required to be corrected:
Presented to ---------.-__ ,_. _ __ -__ ��_.---___� � A7proved
Inspector Disapproved
Date L�
CALL FOR REINSPIECTM
C] YES ❑ NO
CITY OF TIGARD 639.4171 DATE " -7, 2 196 - 6 0 3 8
BUILL-ING PERMIT
TAX MAP _ LOTNO. fib _.. SUBDIVISION(;QLlaUd&
Don tlarissetre 1628 SW darning dill Drive tier Jaws ZI.
OWNER _ --_____----____• ----__._ -_ JOB ADDRES� ,—._— ----
BUILDER �.j,i� BOX 1952!1,L_E'LrL] STA(E REG NO.._-.3 X33 EXP.DATE
BUILDER'S PHONE 246-cdbU3 ---�__._.------.---- ----___- I
ARCHITECT PHONE _._—_.__-_—OTHER _
STRUCTURE ? NEW Ll REMODEL ❑ ADDITION REPAIR ❑ MOVE Ll OTHER _1 DEMOLITION
1 ' RESIDENCE Ll COMM Cl EDUCATION Ll IND RELIG'OUS ACCESSORY GARAGE L OTHER ❑ FENCE
OCCUPANCY -f LAND USE ZONE ;2 BLDG.TYPE �" v FIRE ZONE__PLAN CHECK BY ''1"i HEATs'2
Subject to Amart/Wadproau 3bl).otl anti Leron Fite. 115U.GIu sewerecharges.
SEWER PERMIT k 29553 l ildu) 2 bath, 8 traps ,,pra ,e area 44u
OCC.LOAD FLOOR LOAD /.t, (•,EIGHT ZLj+_.. NO S10RIES 2 AREA lag(: NO.BEDROOMS_, VALUE Jji ),UUIy'
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE PIGH1 SIDE
Permit _ 3�:b.uU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION£ CONTAINED N THE EUILDING CODE, ZONING(
~` 4U*OU — REGUL-ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 4 IS HEFIEBY AGREED THAT THe
Plan CheckI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE CIF;�ATIUIIS AND iM COMPL.IANC1_
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVE COVENANTS. CON "Ig TOR/ANSUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PF�RMI of RR SEWER, f),
G AND HEA1 ING.
State Tax 15.52 SSllG 250.100SDG
Total _ ALI AN� R AGEN
' ---- _4 U.UU � PDC
PP
Prepd. I 151).I.jo
Rt-elpt No, ADDRE>B-� PHONE
Bal.Due
Iseuer.,Sy_ __T Approvwd 8y___ ,' f
DATE INSP. TYPEtNSPECTION -- REMARKS f PLUMBING DATE
Contractor /1(/VO
Permit No. —
�- Rough in
Fixture T
~ r yx 00? + C /2 �.�,,• /3�ry HEATING
v
Contracbr
Permit No, v 7-�7
GasorOil
Rough-in
Final
._-- —_— SEWER
Final
DRIVEWAY
Final
Storm Drainage
IRaln Drain)Final
Sidewalk
Curb 8 Street Final
Approach _
BLDG.DEPT.FINAL TEMPORARY ,T CERTIFICATE OCC IPANC"r7.ning
CERTIFICATE OCCUPANCY 29 -
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for inepections call 639-4175
CITY OF TIGARD 639.4171 �o�'��
?%I! DING TMIT GATE _ _19 <- MCACLI-j
1�,0., Box 2 97, Tigard OR 972231 I TAX MAP LOT NO. _� SUBDWISIION
OWNER, jL 'IJ L-I S S �SC c�2S 1 kk _ JOB ADDRESS 119 7 A S, Iy }7 I
BUILDER TE REG.NO. P.DAd E
BUILDER'S PHONE
ARCHIT'�,;T— PHONE OTHEF _
STPJCTURE '4w, ❑ REMODEL ❑ ADC'TION ❑ REPAIR ❑ M,)VE ❑ OTHEA 0 DEMOLITIO
(RESIDENCE ❑ Of' ❑ EDUCATION 0 IND Ci RELIGIOUS ❑'ACCESSARY ❑ GARAGF, ❑OTHEh CO) FENC
OgZJPANC L, USE TONE a,DG•TYPE ��-FIRE ZONE--�_PLAN Cllci;K BY HEAT _
low Aa
4 Ad
`� •.007)
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SEWER PERMIT/ �"-Z, y'
OCC.LOAD FLOOR LOAD HF.IGHT�' IL NO.STORIES � AREA���� NO.BEDROOMS�� VALUE _
BUILDING DEPARTMENTSET BACKS FRONT f, �! REAR LEFT SIDE � RIGHT SIDE �
PwttNl THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS COHTAINED IN THE BUILDING CODE,ZONIN
REGULATIONS AND At .APPLICABLE CODES AND ORDINANCES,AND IT 18 HEREBY AGREED THAT TF.
Plan Chock U OW WORK WILL BE DONIE IN ACCOF.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN(
WITH ALL APPLICABLE CODES AND ORDINANCES.. THE ISSUAIICE Cf TNIS PERMfT DOES NOT WAIV
PI.CIL F" RESTRICTIVE COVENANTS.CON f CTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINES
TS,
TAX PERMISEPARATE PEgMI S 6EOUIRPPOR SEWER.PLUUBING AND HEATING.
Stater Tax _1`—'_.�• c
[TotalTo'W .0 SOC~ !� . !/�}(
FYftpd. U oG Poch Av� O� -I SZ� Y(YL�,d� �L `7 7`�RocNpi No, ADDRESS PHONEI_Dua
issued By_ --Approved By 2��
SSDC --- $ S—U
u (L.)
PDC J
SEWER CONNECTION S �7 S `�� 2- -7
SEWER INSPECTION S 3.�
SEWER SURCHARGE S
S�U
P as
Comment - r) l !2 d ---' .
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