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PAN7
IN:.PECT'ION NOTICE
1
City of Tigard Building Department
j 12420 S.W. Main St.
Tigard,Oregon 97223
Phone;,639-4171
i
Type of Inspection J __ �_ _"� .------ -- --------- --I
Date Requested_ _ r Ti ___. A M.
Address ------- _-_ _�L -�'�� L�� ` -. Permit
OwnerLot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _e _ >p ved
Inspector _..__. _ —. Disapproved
Date -- —.�
CALL FOR REINS I'ECTION
Cl YES lA NO
KNUMME
5817
CITY OFTIGARD 639-4171 DATE Uckbr--V ---
BUILDING PERMIT TAX MAP --LOT NO. SUBDIVISION,.jjjmo&"—
Kupprec4'i'll; GU811.4ji,i JOB ADDRESS 6628 5w 1411siv
OWNER
0. lial-1— EXP.DATE --Idwliill�
BUILDER STATE REG.N
BUILDER'S PHONE
ARCHITECT PHONE OTHER
SIRUCTURE F), N E W I 1 REMODEL L] ADDITION REPAIR--I MOVE OTHER DEMOLITION
i RESIDENCE I Gomm EDUCATION [I IND RELIGIOUS f ACCESSORY GARAGE I OTHER I FENCE
FIRE ZONE—PLAN CHECK BY HEAT
OCCUPANCY LAND USE ZONE BLDG,TYPE
garage 407 3 blkth
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 4u HEIGHT 21) NO.STORIES —ARFA I O'vk) NO.BEDROOMS VALUE
FRONT REAR .3c'. LEFT SIDE n6HT SIDE
BUILDING DEPARTMENT_
SET BACKS
Permit 31U.I.,o THIS PERMIT IS 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Pi.Ck.Fire TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax t'-
SDI`
'x
Total I .AO.41C�A-'Nf OR AGENT
TotaI PDC# I -(' �
I f K)
Prepd7.
a: Receipt No. A�1b 68
Due Bal.Due.
Issued By _—Approved 6
DATE _ INSP. TYPE INSPECTION REMARKSPLUMBING DATE
G Contractor /.3,57
_ Permit No. 4 9
Q2 �� Qt �� Rough-in
�r Fixture
;� Vut Final
HEATING
Contractor
Permit No.
_ GasorOil
Rough-in
Final
l"—SP SEWER
Final
DRIVEWAY
Fin,1
Storm Drainage
(Rain Drain)Final
_._ Sidewalk
Curb d Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
71r tall
CITY OF TIGARD 639-4171 HATE
BUILDING PERMIT
TAX MAP —._-.LOT NQ. ._L�sUB01VIS10N ,_�_.
JOB ADDRESS -��St A GSL
OWNER_ —/--
BUILDER If t,,"'6r yr C ( ��`i�� �lu����� —. STATE REG.NO.,.aLL�.� EXP.DATE •!
BUILDER'S PHONE y1 -y?'1C ARCHITECT PHONE
STRUCTURE_ NEW ❑ REMODEL ❑ ADDITION Cl REPAIR U MOVE U OTHER U) DEMOLI
RESIDENCE ❑ COMM ❑ EDUCATtON Cl INC I. ❑ RELIGIOU3 ❑ACCESSORY [-) GARAGE (J OTHER ❑ FE
..�. ....
OCCUPANCY Ii. l�'!L LANO 11SE 70NE 1s l BLDG•TYi?E +3j -'-'�FIRE WNE_ PLAN CHECK BY S ., NEAT
p,�? y�,�."o -
SEWER PERMIT I 29
OCC.LOAD FLOOR LOAD ��OPHEIGHT NO.STORIES Z ARfA i7np NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACK-S FRONT Z REAR LEFT SIDE RIGHT S40E
Prnnl! THIS PERMIT IS ISSUED SUBJE:T TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZOM
REGULATIONS AND ALL APPLICABLE COVES AND ORDINANCE'S,AND IT IS HEREBY AGREED THAT
Pl.&AChock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANII"MFICAnOMS AND IN 0.30PLIPA
WITH AL1.APPLPCJIBLE CODES AND ORDINANCES. THE ISSUp-ACE OF THIS PERMIT DOES NOT WI
Pl.M F" __-- _ _ RESTRMCTIVE COVENANTS.CONTRACTOR AND SUB CONTRAf:TOPS TO HAVE CUA►.ENT CITY BUSIN
TAX PERMITS.SEPARATE PERMIT'S IIEWRED FOR SEWER.PLUMBING AND HEATINIL
State Tax �'
��ir:��l G�, /�' •//
Total APPLICAWTORAG NT
Pnapri. D, C2 u PHONE
Recolpl No. ADDRESS
Sal.Due
SSD
SOC
Puc
SEWER CONNECTION
SEWEP INSPECTION 8 4
SEWER SURCHARGE S _
Ai
1106
0 1 R d `l, 3 T L Q C�
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