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, 4 INSPECTION NOTICE
City of Tigard Budding Department
12420 S.W.Main St.
Tigard,Oregor. 97223
Phone: 639-4171
Type of Inspection � �- f/y!
Date Requested__ f _ Time_ , A.M. P.M.
Address 1 Permit #_
Owner A, Lot # _
Builder
The following Buiid!ng Code deficiencies are required to be corrected:
Presented to Approved-
Inspector Disapproved
Date � �'� J
CALL FOR REINSPECTION
0 YES [/NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time—k—A.M. P.M.
Address 2z Permit
-7
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �- Approved
Inspector Disapproved
Date -- I
CALL FOR REINSPECTION
YES 12/140
BUH DING PERMIT APPLICATION TIGARD DATE `' +> is 4 97
1'`
THE IJNDERvIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER 'Tom Millar JOBADDRESS VJ Martha Street__
ARCHITECT
Tara Miller 18270 SW tSoaAee kc,•ry Rd•ENGINEER
DESIGNER
BUILDER � ADDRESS _
STRUCTURE IN NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L RESIDENCE ❑ 1*MM ❑ EDUCATIONAL LJ GOVT ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Cl SLAB❑ FENCE
OCCUPANCY `�3_ LAND USE ZONE JY—fl)—BLDG.TYPE SN _FIRE ZONE--__PLAN CHECK BY ETT HEAT
CoQetrtACL 5iogle Family LvellirW w/attsched garage
3 tsat'► 3 tied
SEWER PERMIT# 2193$ 421)
OCC.LOAD FLOOR LOAD 40 HEIGHT 2UM NO.STORIES 5N AREA 4#33 N0.BEDROOMS 3 VALUE 55 SOW
BUILDING DEPARTMENT SET BACKS FRONT 2u REAR AO LEFT 131DEy d RIGHT SIDE 7
Permit 296400 THIS PERMIT IF ISSUED SUBJECT TO TI1E REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
1H3.7U 1;,'GULATI0f4S AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check W03K WILL BE DONE IN 11 "'r.ORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
4g 1.7U WITP ALI_ APPLICABLE CCJES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
)111.92 LICE14%.SEPARATE PERMkTS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax5U0 goo
-
TotaSOC_l 503.62
PDC# ZIA50•UJ AFPIIC:ANTORA T
ay S ura Wrain $2510.1)0
Approved E'TW Rer,,iipt No.
ADDRESS PHONE
DATE IINSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contr, to,
Per" No.
Hough-in
Fixture
__0e Final
HEATING
--- Conti ac--
Cho-f
Permit Nn
Gas or Oil
Rnuoh-in
SEWER
Final
DRIVEWAY
Final
Storm U�.4;,agp
(Flsi.i Gisin)Final
Curb&Street Final
Anproach
fj (ANAL TEtqPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
kAridscapi-,g
Zoning Final
� 7
BUILDING PERMI T APPLICATION TIuARD DAT - _tg r ~ !
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN I DICATED BUILDER PI IONE M
OR AS SHOWN AND APPROVED IN THE ACCOMPANY;NG PLANS AND SPECIFICATIONS, OWNER PH DNE
LONO
T .
OWNER JOB ADORES
—� I
ARCHITECT
�TT ENGINEER
GUILDER ��Zr�J�P _.C� ADDRESS I "70 w(,)Grs+�.� EsiGNER
STRUCTURE - NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR — ❑ RENEWAL ❑ FIRE DAMAGE C1DE►AOl_1710N
RESIDENCE ❑ COMM ❑ EnLICATIONAL ❑ GOV'T ❑ RE!IGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCII
Cy__cUPANCY LAND USE ZONE _k2f�Csi BLDG.TYPE X--&L—.FIRE ZONE w— PLAN CHECK BY Gt r4e HEAT
13
SEWERPERMIT# 7
OCC.LOAD "^ FLOOR LOAD HEIGHT..?0-0 NO.STORIES Z ARE 3 "O.BEDROOM_S V1 LU�"0 1S3 1
BUILDING DEPARTMENT —1 b y
SET BACKS FRONT REAR [� LEFT SIDE RIGHT SIDE
FMrtnit �— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SU1LI]ING CODE, ZOMNd
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED TYAT TH�
�Ian Check / WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS I+NO IN COIAPLIANC
-7 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV,
Sub-total I , I G' RESTRICTIVE COVENANTS.CONTRACTOR AND SLIS CONTRACTORS TO HAVE CURRENT CITY BUSINES1
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
— i
—
Total
By I POCK APWIICANTOHArENi-194— — w
Receipt No.
Approved ADDRESS PHONE
SDC
Soo
PDC
SEWER CONNECTION sas� �.
?? r
SEWER INSPECTION S J ,
SEWER SURCHARGE S _—,