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INSPECTION NOTICE I
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection —
Date Requested �rF'� `� -- Time k A.M. —___P•M-
c_^. Permit # __
Address
Owner _ Lot #— --
Builder
The following Building Code deficiencies are required to bye corrected: I
t'-P
Presented to Approved
Inspector � Disapproved
Date —
CALL FOR REINSPECTION i
YES l_1 NO
r
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972?3
Phone- 639-4171
Type of Inspection --
Date Requested ' �"� Time A.M. _P.M.
Address 2� 2 --�� '�'`��' " Permit # _
Owner __ ---_-- — _��— Lot #w_
Builder —_-- -- —The following Building Code deficiencies are required to be corrected!
Presented to —-- Approved
Inspector _ �_ I1 Disapproved
Date .._._.__ —
CALL FOR REINSPEC IO
D YES 4 NO
BUILDING PEHMITAPPLICATION TIGARD DATE-FwObruary $ _yI� 4�0 +�
THE UNDER SIGNED Hl FiEkY APPLIES FOR A PER f FOR THE WORK HEREIN INDICATED BUILDER PHONE 64'i"3,,51 ,?
0P AS SHOWN ANCA'-'I'ROVFD IN THL^CCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT N0. __�;.�._L''.1F'�1-�tr�-1 i
OWNER :L fZ i1:XJ1i1 iJ4'Va'`JORAIJDSESS �:�: .:r. '.._ ii3,t f�iT w ---- --- .fitatnn
_ _�-V ARCHITECt
BUILDER fir, R 'nl�#1,1 i)e+V^. 'T'VADDRESS 448 "4':4 170th Or ,IVs,v DESIIGNER_ ", � � z'�^Gty r)4G-61 a
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Ll':RESIDENCE ❑ COMM 1-1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS fJ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Cl SLABEI FENCE
OCCUPANCY LAND USE ZONE L�""7 BLD' .TYPE SJ FIRE ZONE — PLAN CHECK BY .-_;L_- HEAT �:as _,
"():lStt-l_tct Sill)(114" t anlily f.)wellin-T w/nttachrF i tarnrxry -
5tlr^ ,-orrectlon shcht Attacho i.
2 Rat I -
SEWER PERMIT M �� E 3' _
OCC.LOAD FLOOR LOAD a� HEIGHT 1 NO.STORIES AREA 1 " 'T4 NO.BEDROOMS � VALUE r4 ,700
BUILDINC DEPARTMENT — gET BACKS FRONT -l.r'. REAR LEFT SIDE RIGHT SIDE
S -- _-_� - ..
Permit "•"' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
j )7. r� REGULATIONS AND ALL 14PPLICABLE 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
Sub-totals . t RESTRICTIVE COVENAN't S. CONTRACTOR AND SUB CONTRACTOFlS TO HAVE CURRENT CITY BUSINESS
ti I t.ICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _
i , , SDC-
Total
PDCN APPLICANT OR AGENT
By
}X Receipt No.
Approved ADDRESS 'PHONE
PLUMBING DATE
DATE INSP. TYPE INSPECTION REMARKS
Contractor za
Parr 0t No. 26
Rough-in
Fixture
i11I.n,
Final
Ow T
HEATING
"a 10
Contractor _ //
5A )41 L<
(•4w _? -95
Permit No.
La�
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
F;nai
Storm Drainbqf
(Rain Drain)Final
Sidewalk
Curb&Street final
Approach
Ncy
BL DG DEPT.FINAL TEMPORARY R FiCATIE OCCL)PI Final
CERTIFICATE OCCUPANCY fel-,,eeVI -
Landvoping
MMAMAN# E ! ! m ! t!
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TI iE WORK HEREIN INDICATED BUILDER PHONE tle.d.f_aalz
OR AS SHOWN ANDAPPROVED
IN THE ACCONIPANYING PLANS AND SPECIFICATIONS. OWNER P O 'E
OYJNEF% U bpl AMB ADORES. y: -, ��� LOT NO. lift
L►1�CQ h—
BUILDER 1�� y�J�Y�,ADDRESS TT/ QESGGuG+ F�i;
STRUCTURE � XNEV ❑ RF'd_ODEL —_❑ ADDITION ❑_ REPAIR_ ❑ RENEWAL Cl FIRE DAMAGE Cl DEMOLITION
RESIJENCE ❑ COMM n EDUCATIONAL ❑ GOV'T Cl RELIGIOUS Ll PATIO Cl CAA PORT ❑ GARAGE ❑ STO9—HEAT
E_❑_SLAB❑ FENCE
OCZ6PANCY _ LAND USE ZONE _ BLDG.TYPE_ ZONE PLAN CHECK BY _—
SEWERPERMITN amgtICAO
OCC.LOAD FLOOR LOAD� HEIGHT r�. NO.STORIES � AREA I ly°F`NO.BEDROOMS YALUiys 740
BUILDING DEPARTMENT SET BACKS FRONT 7%0 REAR .7 LEFT SIDE-_RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONENG
Q REGULATIONS AND AL!. APPLICABLE CODES AND ORDINANCES, AND IT IS HERe'i3Y AGREED THAT THE
4Plan Check / �• �� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COIAPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �• TO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINzss
�— LICENSE SEPARATE PERMI rS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;Stat»Tax rfZ
Total ----
- PDC# APPLICANTORAGENT
By
Receipt No. - —
Approved l ADDRESS PHONE
SUC
PDC 100 90q
SEWER CONNECTION $ 2
SEWER INSPECTION
SEWER SURCHARGE 5
('n m m o r]�.C .L�L�Gta6! I '�.1.r_-�C.�.—• •rl• �� .,----._
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