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YJ•+'�� .l ;NSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 9722.3 Phone 639-4171 Pennit Address Type of Inspection The following Building Code deficiencies are required to be corrected: w oo r L� Presented to__ -ipeetor -- Date __ ---- -- —'-- CALr�L FOR REIMSPF-CTION W VFS ❑ NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639.4171 Address --- ---— - -.-__ Permit #_ T`;Pe of Inspection The following Building Code deficiencies are required to he corrected: . , •�_�=.:• ( »^. ��.-... ��� h Presented tofns p ecter _-_-- Date CALL. FOR RDWEMON tJ VES NO 3476 BUILDIRU PERMIT AP"LIOATION TIGARD DATE_----: __ iy__ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE .,I— OR AS S141JWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO, OWNER ,i1I 1 (,00wi.a JOBADDRESS , ,sl) sq., iClit'Citltl brlVr' We Fnrl,. - ARCHITECT 17.9 t a T t 03 ENGINEER _BUILDER h9l.. c.x ADDRESS w. f h `r w' DESIGNER ()wti~p.r STIRUCTURE 0 NEW D REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL. n FIRE DAMAGE J DEMOLITION © RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY 1:•- t-- LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY --L"—HEAT—L'-1E;-- ,w L" HEAT_- A a3_— ,w strurwt ..i:t; 1r. £a;uily uwy111. _ tri nt4acocd - ara ,e (or:'C+'l.1+:)tt F:Iicf+r 'ittrich,ci 3 bearoo,.:,s — — 58the SEWER PERMIT# ;9"%Z- J.9�. 0th _ ( :i rst�' ' 4 i OCC.LOAD — FLOOR LOAD HEIGHT NO.STORIES _ AREA I `+ NO.BEDROOMS VALUE �BUILDIN(=CEPARTMENT — 1 SET BACKSTFRONI REAR LEFT SIDE RIGHT SIDE Permit __ _ 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 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 Subtotal _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS — LICENSE.SEPARATE PERMITS REQUIRED FOR FEWER,PLUMBING AND HEATING. State Tax SDC Total PDC# ,4 �LICAT OR AGENT By Receipt No. r , Approved 1LADDRE88 PHONE. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE /7-S-y0 w 6�e✓�•(�-� _ ---tf�l `b'T r (V! ContractorNOrh_ — M �r /� Permit No. —.2,q73 •YA 1.b 12-17 o dt1/ -�• Isc�l �p1 .�,r,.,�, IF` - Rough-in Fixture — asC Final HEATING Contractor �CpHO* 1 --- Permit No. .2I �^ Gas or Oil Rough-in Final _.— -. ----- � SEWER - Final — DRIVEWAY Final Storm Drainage (pain Drain)Final Sidewalk Curl,&Street Final �- Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUI'ANCY Final CERTIFICATE OCCUPANCY - �� -8r Landscaping Zoning Final BUILDING PERMIT APPLICATION TIGAP:) DATEAl..fc'-x_____.19--jS 3IVA THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON5�'–___ OR AS SHOW AND APPROVED IN THE ACCOMPANYING PLANS AND cnrCiFICATIONS. OWNER PHONE � (�� LOT ro O. OWNER ` d JOB ADDRESS UJ(��L •�L� � _ 5r"14Cl ,AENRCGHINITEEECR ADDRESS DESIGNER BUILDEP w _ �I STRUCTUPE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE COMM r EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[] FENCE CGUPANCY -_..LAND USE ZOISE BLDG.TYPE FIRE ZONE `_PLAN CHECK BY '1=- H AT— _ PA SEWE'iPERMITN 04 OCC.LOAC FLOOR LOAD Ali) HEIGHT /,,[_ N0.STORIES / AREA f j?(a NO.BEDROOMS•3 VALUE160I 300 BUILDING DEPARTMENT SETBACKS FRONT 3 3 REAR 2j-- LEFT SIDE RIGHTSIDE Permit d0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TH£ BUILDING CGDE, Zon-,IG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED TPAT THE PInn Check 0 • �p ORK WILL BE DONE IN ACCOP.CANCE WITH THE PLANS AND SPECIFICATIONS AND IN COfoIPLIANCE t�t _ �� Wff H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAPJCE OF THIS PCR` IT DOES NOT WAIV: 1Subtetal RESTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTRACTOg3 TO HAVE CURRENT CITY B,'SINtSS r-'— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEF ING_ i State Tax + RAt- ( n n �, SDC-- Total _+i �__ PUC-1t ahSd�.!-v ✓1 �-----. ----_ ----_�—�_----- APPLICANT OR AGENT ey _ _ Receipt No. Approve* _ J ADDRESS ---- - ---------PHONE Lam_ SDC S -_ LO p[)C SEWER CONNECTION S 2Z57 SEWEF INSPECTION S 71 r SEWER SURCHARGE S Rea. 11- 3-90 / 515P __ _ -- --- _ -- --- 11 y' 7 _------- 7 Nov. P(oee-plot w = 7-Z x / 9G 2x - 4- x r4-q x z 7 %C 7 (,. R x 7 x #oma �8.$A ?w(gp 7 sZ