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INSPECTION NOTICE
City of Tigard l3wIdin;I Department:
12420 S.W. Main St.
Tigard,Oregon 97223
Phone 619 4171
Type of Inspection ._-__-- 1 M
— ---- --
Date Requested___-_-_._f�. 'If __-_ _ Time _ A.M. _ P.M.
Address Permit
Owner Lot-- ----— -- � l.ot # __----
BuilderThe following Building Code drificiencies are required to be corrected:
Presented to --- 7r—.. — /Approved
Inspector _._.a_— ___ t— ❑ Di:approved
Date
CALL FOR REINSP MON
❑ YES NO
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INSPECT ION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Tyne of Inspection
Date Requested Time--r A.M. P.M.
Address
0 Permit
Owner Lot #
Bklilder,----.
The following Building Code deficiencies are required to be corrected:
.0
Presented to /Approved
Inspector Di4pprovrd
Date
CALIF REINSPECTION
YES C.l NO
INSPECTION NOTICE
Gtv of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
/Plione: 639-4171
Type of 11,spection
Date Requested Time A M.
P.M.
Address Perrypit
Owner Lot #
Builder
The following Building Code deficiencies are re4uired to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
M YES ZNO
w
BUILDING PERMIT APPLICATION TIGARD DATE_ Docamber 20 18 i13 - 4691
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 H WORK HEREIN INDICATED BUILDER PHO14E _639"1tSa9
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO—_ —
OWrdER Bob Nalson JOB ADDRESS �t1bS til Heauuu1w�od Wur____`�_ u(:aC+n�T G:t�ak xI __
ARCHITECT
ENGINEER
BUILDER same ADDRESS 15900 5W Sereaa Ct. DESIGNER
STRUCTURE (i NEW ❑ REMODEL C] ADDITION C REPAIR C1 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LkRESIDENCE O COMM F7 EDUCATIONAL ❑ GOV'T 11 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB FENCE
OCCUPANCY it�`3 _.LAND USE ZONE __..__Kn4��Bftb.TYPE SN ---FIRE ZONE_---PLAN CHECK BY -RLh HEAT G"
_.Construct -_ciwel2in&_wjattaiched ar
Re—Issues 04609 3Bea 28rath
SEWER PERMIT# 26484 +,arete 4d4 —
OCC.LOAD FLOOR LJAD_ 40 HEIGHT 20 NO.STORIES I AREA I:.i53_NO.BEDROOMS 3 VALUE 69,00
BUILDING DEPARTMENT SET E-,CKS FRONT 26 ROAR 24 LFFT SIDE 6 RIGHT SIDE
Permit 343.OU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD,NG CODE, ZONING
REG11LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 WORM, WILL BE nONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND iN COMPLIC NCE
WITH ALL APPLICABLE CODES AND ORDINANCES. TWISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 38j•(jU RESTRICTIVE COVEN.ANIS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State rax 13.72
Total 396.72SDC—
By (All(All1 - — --- — -- —
PCOM II tUO.I}O APPLICANT ORAGENi
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Receipt No. I ' 1 ,r' .f.,t�
Approved l�CK AC1 R ,�__^ --- PHONE
1
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REMARKS
-- PLUMBING DATE
DATE INSP. TYV- INSPECTION --.--- Contractor
Permit No.
Hough-in
Fixture -
-
"" Final
HEATING_____—
Contractor /f
- A 7 1
Permit No. (n •
__ -
------'- Gas or OH
�.�.___--- ---- Rough-inn
Final
SEWER
— -- Final
DRIVEWAY
Final r -
_ --- Storm Drainage
--- ---- --P-` - (Rain Drain)Final
-- Sidevwdk
Curb&Street Final ---
- Approach
TEMI ORARY
CERj'If*KATE O< N
'CUPACY Final
BLOC) DEPT.F:N AL—?~ --_-
Ct?TIFICATF OCCUPANCY
Lun�tcapinp
Zoning Flnal
Building Permit No.
Locations 5' -
�ate
Certification of Regis ration
With the Builders Hoard
i, 3ob Old soy r,
doing business as (dba) , -
b,N N L '9 '"' am registered under the provisions
of ORS Chapter 701. Oregon Homebuilders Law) .
My Builders Board Registratior. Number is
MY registration is in full force and effect and expires on
sign.:
mature
W ALM ALM M
BUiLDING PERMIT APPLICATION TIGA?D DATE--Z-2
THE UNDERSIGNED HERE8Y APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOIAPANYING PLANS AND SPECIFICATIONS. OWNER PHON
LOT NO.
U'rlNER C)p, I II {. SC7/\/ JQB AODRE5S
ARCHIT
ENGINEE R
ADDRESSJUESIGNER �—
STRUCTURE JTd NEW ❑ REMODEL ❑ ADDITIONr� .RCPAIR 0 RENEWAL ❑ FIRE DAMAGE Cl OFMOLITIQI
(9 RESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOVT ❑ RELIGIOUS ❑ Fs Tim CAR PORT 0 GARAGE G STORAGE Cl SLABO FENG
7— ^ rIgE2QNE.._ =—PLAN CHECK BY ,�_NEAT__ a
0;--Z iPANCY _LAND USE ZONE 1�..���BIOG.TYPE ,�:_,l_
SEW ERPERMITM ��(�� ����
G/OsPAGLs �x'//
NO.STOFaIES AREA i NO BEDROOMS 1, VAWE .*
1 OCC.LOAD FLOORLOAD l/ ,-) HEIGHT,2 ` —= --
BUILDING DEPARTMENT GET BACKS FRONT `� REAR �, ``i LEFT SIDE �' RIGHT SIDE !1 `
PprmH ` — THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILD14*40 C001",ZOH►.N•
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT TH
IPIanCheck S� L� _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COlaSPUANC
WITm ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT 'DOES NOT WAIY
Sub-totalRESTRICTIYB COVENANT,.I;ONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINES
�-►� LICENSE.SEPARATE PERMITS REOUIREO FOR SEWER.PLUMBING AND HEATING.
Stats Tax /
� ",ZSDC--
Total ' AP pU NT OR AGENT
POLI
By .
Receipt No. ADDRESS PHONE
Approved
S U C
PUC
SEWER CONNECTION S �
SEWER INSPECTION S 3-J
SEWER SURCHARGE S