11110 SW SUMMER LAKE DRIVE 11110 SW SUMMER LAKE DRIVE
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INSPECTION NOTICE
Citi -,4 T;-4ti' '3uilding Department
1247.0 S.W.Main St.
Tigard,Oregon 97223
Phone. 639.4171
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Type of Inspection �C=�
Date Requested__. _ Time
Address
Owne. . _ __ __ Lot #
Builder _—_ flu
The following Building Code deficiencies are required to be corrected:
Or
_ _ 1
Presented to _ ❑ ArprovP
Inspector Disapproved
Date —
CALL rR REINSPECTION
YE8 ❑ NO
INSPECTION NOTICE
city of Tigard Bu Wing Departrni?nt
12420 S.W. Main Sr.
Tigard, Orego,, W223
Phone: 639-4T71
Type of Inspection IN Cl — — ),,,,o/--
Date Requested A.M.--P.M.
Address r Permit
Owner Lot #32—
Buiider
The followl Building Code deficiencies are required I.o be corrected:
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Presented to �2 VApproved
Inspector - 0 Disapproved
Date CALL FOR REINFECTION
El YES X4,NO
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Building Permit No. cF02
location �� c
CErtification of Registration
With the Builders Board
I• 41C, '��// doing business as (db.i) ,
. ` t��f �? arra registered under the provisions
of ORS Chapter 101 Oregon Homebuilders Law) .
My Builders Board Registration Slumber is
Pty registration is in full force and effect and expires on
ig at re
THE UNO!-1151GNED HL-HLLIY APirILIESFOlt AP`cHoI1 1.0 1 IL VV(.)Hn tit:llclly l,vun..klLu ...j„_.....�: .,",.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVlNE.F!ilItOIIr_
1 ) /) / & LOT
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(i/��.� ARCHITECT �My—�--
Q ENGINEER
Ault-�.�C,F- /,JJJ ADORE55 .�:�_LLSlC� / L � rr--�� OESIGNER
STnUCilh, VEW_ IllSIIIOEt lJAO01T1iV f-�_ L.JncP EJ
IR RcVEYIAL ❑FIHEDAMAGE _[�DE:I0LIT
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RESILE[^ICC ❑CON.0.1 ❑EDUCATIOfy=AL CJGOV'T CJRELIGIOUS LIPATIO ❑C.AR PORT C]GARAGE ❑STORAGE C�SLAB �,FEI
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C(CQPA(,'--Y K-3 .-LAND USE ZONEI!——OLDG.TYPE- 5N PLAN CHECK
---.----__CON 'TRC.T SINGLE U0111.1 DWELL IN( IATTAC FI)
BATHROOM BNUKOOM _
SEWER rERf'1ITf��---— — — -------- c„i r a (
STORIES 2- ' AflEA;L�'4'� NO.BE�HO AI VA _U �ILY�
I _ BI)tLOI v G OEPAR TMf:NT SETBACKS FROM: LEDE
REAR S FT SI
,_ �� RIGHT SIpE
THIS PERMIT IS ISSUED SUH-,eCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOh
I
:-:.In Check 'j' ��� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEHEBY AGREED THAT
�` �►'” WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C0hIPL1A.NCE M
`!:!')•LO[dl /t S S�� ALL APPLICAW.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT Wt
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSK
S;atp Tax 1/4, C,8 LICENSE. SEPARATE PERMITS REQUIRED FOP. SEWER, PLUMBING AND HEATING.
� Total �+ z 0 ,1 3 soc -
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/ APPLICANT On AGENT
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Receipt No.
J ✓� � ��O nnPFS NON -"-------
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SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE
Comment;) : �
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