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INSPECTION NOTICE
City of Tigard Buildi,ig Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection AOW A.M. P.M.
Address
Date Requested Time
;3 6_L C/ t4t?/ Permit
Owner Lot 0
Builder fowekgl -
The following Building Code deficimce s are required to be cormicted:
Presented toDisapprovedd
Inspector
Date
1 LL FOR REINSPEC T1(JN
YES 17A NO
._..._'' �"'I�I�IIq�Fii ?':. :rer-.,;fps+;:•,
INSPECTION NOTICE
City of Tigard Building Department 1
P.0 Box 23397
Tigard, Oregon 97223 I
Phone. 639-4175 1
Type of Inspection
Date Requested 11ttN—__ -- A.M. _ - P.M.
Address - Permit #
Owner—__.---- --
Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to ..,_ _ �pproved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
!_] YES 0 NO
CITY OF TIGARD 639.4171 DATE 5996
BUILDING PERMIT _';�+Y..�_ 1��.___
1aapectxon Line 639-41/5 TAXMAP -_.__._._._LOTNO6 —SUBDIVISIOh1i1 Um?K
OWNER . ►vttnetrbstr COCNt., It1C. JOB ADDRESS LbZ4 SW ,►filler C
ame, 144UO SW 866, T �,accl - 88t, 3-12-t!7 __-_-
BUILDER -__ __- __ STATE REG.NO. ____ _______._. XP.DATE _
BUILDER'S PHONE 621i-7143
ARCHITECT _- _ _ � L._ _ ____.. _ PHONE _...- OTHER
STRUCTURE N ' NEW ❑ REMODEL L7 ADDITION I REPAIR MOVE ; ' OTHER DEMOLITION
I RESIDENCE i COMM L EDUCATION I IND f l RELIGIOUS ACCESSORY L I GARAGE E OTHER 1 FENCE
OCCUPANCY+'_ _ LAND USE ZONEBLDG.TYPO'` FIRE ZONE-_.PLAN CHECK;BY TLI? HEAT
LN11YlCY'li1'r :i1i�[yl.. isrijW sic`allini, w4 aj&gI,lPj I.araji,. all jyf_�_AllunlVed jIAEIA;•
SEWER PERMIT M 29-`71! r�il$� �_ � l'_ mit y�•C area
OCC.LOAD FLOOR LOAD 4t_ HEIGHT _lti NO STORIES .J AREA Ljule NO.BEDROOMS f VALUE 2_.L
BUILDING DEPARTMENT SETBACKS FHON1 REAR °;i LEFT SIDE 1 RIGHT SIDE
Permit_ _1THIS PERMIT I5, ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
—� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 221t.`:U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGMPLIANCE
WITH ALL APPLICABLE CODES ,ND ORDINANCES. THE ISSUANCE 01' THIS PERMIT DOES AI
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
---- - -
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING RAND HEATING.
State Tax 14.Ou _ ',,:.i; , ,�;.•.i;,
SSC—
TOlal �9�►• � 500.00 APPLICANT OR AGENT
Prepd. IUU.UU P'll 1.,0.ou
Receipt No. ADDRESS PHONE
Issued By__ .___ Approved By__�..
l
DATE INSP. TYPE INSPE TION RE RKS _ PLUMBING DATE
Contractor �-/
L _ Rough-in
/(a��(/ Fixture --
(sY Final
_ HEATING
Contractor
Permit No.
Gas or OII
-Utz r Rough-in
Final ��� --
,_�� SEWER ..__
Final i
DRIVEWAY
—_ Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb S Street Final
Appruach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
La idscaping
Zoning Final
Ike- 591
for inspections call 639-4175
CITY OF TIGARD 639.4171 DATE !
gUILDINQ RMIT /
P.0. Box Z 397, T:gard OR 97223 1 Ax MAP . LOT NO. y,__.SUBDIVISIONA1.1Y Y.L_
OWN r
JOB ADDRESS
BUILDER
., '�,� f ' c _ STATE REG.NO. 4 ' EXP.DATE '3
�c��'�u ��� ___
BUILDER'S PHONE _ —
ARCHITECT �'fJ _ __ � PHONE L�2-U�- OTHER
STRUCTURE _M L-._REMOOEL 0 AOOITICN ❑ REPAIR ❑ MOVE _❑ OTHER CI DEMULITIO►
UGIOUS L7 A RY Q GARAGE ❑OTHER ❑ FENCI
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RE �-- �
BLOC,TYPE
f " �,'
. FIRE Zl N PLAN CHECK BY �
/, �NEAT
OCCUPANCY LAND USE'ONE —1_ G. - --- --
SEWER PERMIT I
Go@?~ �a FLOOR LOAD HEIGHT NO.STORIES AREA S ) NO.BEDROOMS VALUE
BUILDING DEPARTMENT g� BACKS FRONT ;� O REAR � F LEFT SIOF- RIGHT SIDE _
Permlt
SL' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONIN
p
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT RZ HERESY AGREED THAT P�.
Plan Chock x.�, 'G WOgK ylllll !IE DONE IN ACCLtRDANt:E W[TN THIE PLANS AND SPECIFICATIONS P MD IN C:OMPLIANC f
WITH ALL APPLIC.ASLE CODES AMD ORDINANCES. THE 14SUAN/ OF THIS PERMIT DOES NOT 'WAIVE.
pl Ck.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTI4ACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMIT&SEPARATE PERMITS REOUIR D FO EWER,PLUMBING AND HEATING.
Stats Tax ►� ,/ /
Tat,J 'sw Q J� APPIICAN lKi (i -
- POCKPHONE
l 7
Receipt No. IIaD t SS /'•
r Issued By Approved By_.L..=
SSDC -- $ .SSU
soc -J
POC
SEWER CONNECTION S 9 -7.5—
SEWER
-7.SEWER INSPECTION f _____..� ► -�`
SEWER SURCHARGE S .
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