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INSPECTION NOTICE
City of Tigard . Wing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested Time 1 A.M. P.M.
Address J �7 1 ipermit *—
Owner
—Owner Lot # __
Builder �- '�w�-_--zfa4.h.-'—kb - _
The following Building Code deficiencies are required to be corrected:
Presented to _ — �Approved
Inspector ---(/ W--
/ Disapproved
Datr, — -— , `��47 d !(rte
CALL, FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE`
City of Tigard BuJding Depwtmenl
12420 S.W. Main It.
Tigard,Oregon 97523
Phone: 6b-4171
Type of Inspection
Date Requested Time A.W P.M.
Address ✓ Z!/, Permit 0 Y'5 2-
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ------- 5Wpproved
Inspector U Disapproved
Date
CALL f'OR REINSFAFMON
YES 0 NO
G
Ho.",rS /,A,
CITY
OF GARD
PLANNING IDEP.
A-PI ?0v 6
f7....
f}t o?f—
r� '6�FF( _2
E(C.)hr
PUILDING PERMIT APPLICATION TIGARD DATE__ r'u2;usr. 's _ 5,921
IHE UNDERSIGNED HEREBY APPLIES FUR A PERMI- FGR I HE WORK I-ICREIN INDICATE.` BUILDER PHONE 246-(.;r 12
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 49 --
OWNER 1wber6r ,)n JOB ADDRESS 1158'1 LW Sheif icd'id Circle: ____ Ori ttac�v E Quare
1,• ARCHITECT
ENGINEER
BUILDER Claru Humes ADDRESS 525 Sid loloqy ___Y DESIGNER
STRUCTURE EX NEW ❑ REMODEL 11 ADDITION O REPAIR L] RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Ij RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS LJ PATIO ❑ CARPORT ❑ GARAGE Cl STORAGE ❑ SLABO FENCE
OCCUPANCY k-3 LAND USE ZONE k"t►•5 BLDG.TYPE StL `FIRE ZONE_ PLAN CHECK BY ''11' HEAT_
Cnnstruct sin le fmail d"lli.ng ajattached garabe.
Re.-Issue of permit #5520 _ _,—
SEWER PERMIT# 26Ir, _6arak�e 4 lb
OCC.
-
OCC.LOAD FLOOR LOAD 40 HEIGHT 20* N0.STORIES 2 AREA 7 NO.BEDROOMS 3 VALUE 56,
— BUILDING DEPARTMENT SETBACKS FRONT REAR _ LEFT SIDE` RIGHT SIDE
Permit 30,00 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 4U*QU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 341.OU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACI ORS TO HAVE CURRENT CITY BUSINESS
LICENSE,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATI":u.
State Tax iM.2b Y.:- . X-.,L , ,.� ,._: , -,. _,.
--
Total 359.2sac— $5UA.c
1±
PDC#i $IS,U U0 APPLICAN'i OR AGENT
By _
CG
Receipt No.
Approved BT6! ADDRESS - ^—�'�-- — PHONE
Dl:TE P. TYPE INSPECTION REMARKS PLUMBING DATE
ContractGr -
s �1,' � ..li;Irrmlt No.
F1 jugh-in
,L Fixture
yi�7
Final�,'rt HEATING
/t7_/•y_pi .L��� � -�� - ICOntraCtGf
Gas or Oil
----
Rough-in -----•- —
Final -- - _-T- - --
SEWER
Final Z7.85 r
DRIVCWAY
Storm Drainage
Main Drain)Final
Sidewelk
Curb&Street Final
Approach
SLOM DEPT VINAL��
TEMPORA CERTIFICATE OCC'.1F,�,'•:Y
CERTIFICATE O:C'.j ANC, Final
Landscr.,ing
.— . ....._......__ .�.��_._..� -�._ _..r 7.rni„Final
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BUILDING PERMIT APPLICATION TIGARD UATE l 5 -_19_��
THr I IN0FRSIGNED HEREBY APPLIES 1'08 A PERMIT FOR THE WORK H-MEIN INDICATED BUILDER PHONE17 2_L)
OR AS SHOWN AND APPROVED IN THE A',.COMPANYINg PLANS AND SPECIFICATIONS. OWNER PHONE
�( / c(w [ / J LOT NOS.
OY�NEH �v"i0E? i�,yf.' JOB ADDRESS�I S�7 J �/`�'�7 t'�a C/x _ _ .Z—11"."
ARCHITECT
1ti) „ENGINEER
/O
BUILDER �������/_�� �S — ADDRESS Sc'°r 3U1 Ct�llcwk R'�C'%i►'r�yOE51GNER _--
_ _ REPAIR _ ❑ R4NEWAL U FIRE DAMAGE C1 UE►AOLI'
STRUCTLI
RESIDENCE ❑ COMA ❑ EDUCATIONAL ❑ GnwT ❑ RLUGIOUS ❑ PATIO ❑ CAR PORT ❑ vARAGE ❑ STORAGE ❑ SLAB❑ FB
CGS:C,0 ANCY _LAND USE ZONE � �.r BLOG•TYPE a -=r PUN CHECK B` G� HEAT, `{
--_lam. -� cx-�.c•�C _ —__
SEWER PERMIT N
1
OCC.LOAD FLOOR LOAD HEIGHT JrY 1 - NO.STORIES �1_ _ . 21-1 7 NO.BEDROOMS_ VhLUE _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 319 Z-0 1 THIS PERMIT IS ISSUF'D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOI
REGULATIONS AND ALL APPLICABLE CODES AND ORUINANCIES, AND IT IS HERESY AGREED THAT
PIS an ChsCk
e!,' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO►ArUR
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W
Sub-total 3 el 7, O RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSII
fff UCENSE.SEPAPNTE PERMITS REQUIRED FOR SEINER,PLUMBING AND HEATING.
States Tax
SDC -
Total
—• P1JC;A APPUCANT UR A(;ENT A
By _
'— Receipt No.
Approv ADDRESS - --_ __-___-----.---_.--_--- PHONE- --- -- -
SSbC -- $ S-._.C� --
sac
SEWER CONNECTION
SEWER INS_P'._CTION
SEWER SURCHARGE S
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Da t e tau f/ C.G2e-
Cert if icat ion of Registrat inn
With the Builders Board
C2A.-, ,<- _, doing business as (dba) ,
/l�"Pli`-s) J-•N (-4 am registered under the provisions
of ORS Chapter 101 Oregon Nomebuilders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
46
Signature -�