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INSPECTION NOTICE
City of Tigdrd Building Departmont
12420 S.W. Main Et.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Acidress Permit
Owner, Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector ❑ Disapproved
Date
—
CALL FOR REINSPECTION
F-1 YES LpIrNO
BUILDING PEnmIT' APPLICATION TIGARD Arc �'+�' - fA 4308
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IND'GATED AUILDER PHC14E
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIE IGATIONS, OWNS;PHONE
-
,OWNER— iC t aReh1b0ld T vk JOB —DbWSS 9272
l OT NO.,_. jaj i-j ,
AflCHITEC`T J � ��G�f3 f,
BUILDER I.l�,v: 948 !1"? 1700tft r. EN�NEEfi
_ADDRESS —� — _ _ D_E_SiGNER c'�L"}r Petty 646-0145
STRUCTURE _GY NEW_ ❑ REMODEL Ll ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Ll'RESIDENCE El COMM II EDUCATIONAL ❑ 0JV'T ❑ RELIGIOUS ❑ PATIO F__J CARPORT C7 GARAGE 1-1 STORAGE ❑ SLAB[J FENCE
OCCUPANCY LAND USE ZONE —_��—BLDG.TYPE
?' FIRE ZONE PLAN CHECK BY r� HEAT gAry �
c�rx �t.r;t�t sinr;ie >:'apil.y
,�rtirt�,_•c:ti'ixS c.,•S11f*rtit. c?4t�.:�!�'tlk'}tt.�• _.__�—.____ � ctr'cIl.r� l`�."'1 ,
SEWERPERMIT#
OCC LOAD FLOOR LOAD 1 HEIGHT NO.STORIES '' AREA 2 NO.BEDROOMS ' VALUE 51 ,700
BUILDING DEPARTMENT— -- —--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS
SIDE !� RIGHT SIDE r
SETBACKS FRONT
Permit _-- --_— - ---_ —�-- —
--- --- LATIONS 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
Subtotal
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS'r0 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total c� �, SDC--
By
DC--
PDC# ! 1 Cjl'I Ott ApPLIC R GCNt `"'
Approved J111 Receipt No. _ —_
DATE INSP. TYPE INSPECTION
_ REMARKS PLUMBING -
DATE
Contractor RtaY�
_3.� _ 2a.39$2
=-4,11 ,��, Permit No,
✓-.A ' ; �[�C� Rough-in
. t.'f ��.2<2_ -r'1� L Fixture —�-
y%27 final
�. HCATING
Contractor
Permit No.
-------- - ___- GAS or Oil -
-__ Rough in
Final
Fir _
DRIVEWAY -
-' - Final -
'- -- Storm Drainage ----
----- (Rain Drain)Final _�-
------ Sidowalk '-- - -
-- Curb&Street Final
i'LDG. DEPT.FIN AL App'�"� - --- —
___.
TEMPORARY CERYI C TE OCCUP
CERTIFICATE�CUPANCY `4 �� Final
I,
an Scalping -----
_ Zoning Final
I
I
Q Q 11308
BUILDING PERMIT APPLICATION TIGAH:) E DATlL—_-.19.v�_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THF.ACCOMPANYING PLANS AND SPECI,--.... OWNER,PI E _
���� G• , C�. LOT NO ZntQ�g��
U.NNER ADDRESS W / _ w T�
filu
BUILDER �"L 82430( �� .ADDRESS 44D � 7o b1^_i`�V l� DEAREIIIIFE
SIGNER 1 d"ry, pv*(A
>fWUCTURE NEW ❑ REMODEL ❑ ADDITION u REPAIR ❑ RENEWAL ❑ FAEDDA-M�AGEt- ❑ DEMOLITION
FtESIDFcNCE ❑ COMM ❑ EDUCATIONAL l a GOVT ❑ RELIGIOUS ❑ PATIO ❑ C,4R?ORT ❑ GAR_AGE C STO AGE-rt_SLA80- FENCE
O::iiPANCY _ LAND USE ZONE !�-� _BLDG.TYPE "' �" FIRE ZONE_"_PLAN CHECK BY _ HEAT r4S
SEWER PERMIT
M`-._ �— r ,�-��G✓r'trt�l�i ��,— ___._ -
OCC.LOAD FLOOR LOAD_ HEIGHT .2 Q NO.STORIES , AREA �_� NO.BEDROOMS VALUES,/L7�30
A
B! LOING DEPARTMENT _ r�
_.. _ SETBACKS FRONT *��-REAR �� LEFT SIDE �� RIGHT SIDE �
Lprmit '2117 ?00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Zarw`la
w/n� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
IF-IanCheck � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
v- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su�tetal / �•�y RESTFIIC'fIVF_COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— 'I•Jti LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;itatt�Tax nn__
--- SDC- '1 p'v" R't�
Total L' - -- -- ---- -- ---------
PDC# APPLICANT OR AGENT
By _
r- Receipt No.
Approved ADDRESS -� -- --- PHONE
L -`_
VIdh
DC - S �__---# � Vp
I
SEWER (. ONNF_CTION S
SEWER INSPECTION $
_
SEWER SURCHARGE &
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