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INSPECTION NOTICE
City of Tigard iluilding Department
12420;,.W Main St.
Tigard,Oregon 97223
Phone. 639-4171
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j Type of Inspection
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Date Requested Time A.M.- ? P.M.
' Address `7�.�n _� sc -rte •¢..4 c-r�.� Permit #—__._ _
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Owner._...---- —--- ------ -- — Lot # --------
Builder
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The following Building Code deficiencies are required to be corrected:
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Presented to ._ _ ❑ Approved
Inspector — �_ Q] Disapproved
Date - -- — — — - _Z— S —
CALL FOR REINSPECTION
C YES -W="O
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4214
TIGARD DATE
BUILDING PERM _
APPLICATION BUILDRP E ------'`�
SIGNED HEREBY APPLES FOR A PERM11 FOR THE W`JRK HEREIN INDICATED BUILDER PHH�OINE 1
THE UNDER IOT NCI ._.—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. f,-,
LwjMan(,f1.,j
OWNER� !�h t IE11J JOB ADDRESS - --T �r—rr--.-T�~ ENGINEER
ERT Studio 5
___, DESIGNER —'
ADDRESS
BUILDER [J ADDITION C1 REPAIR -- 0 RENEWAL_ ❑_FIRE DAMADE ❑ DEMOLITIO
❑ RE
El
STRUCTURE Q NEW— — I^,t1,9'
L GUV'T ❑ RELIGIOUS_ [I PATIO ❑_—__�AR PORT_ _-AaE U S_-- I__E T AB f� FENCE
[� RESIDENCE ❑ COMM
EDUCATIONAL ---��� FIRE ZONE y PLAN CHECK
__ _— _----- P_r� —PLAN
�,,,,3 BLDG.TYPE �.----
OCCUPANCY —.-_LAND USE ZONE _ W 1 tl 1 0 Ct�tC:IOrI ----
';)til�t>�tlrt Si,nIYln kttr7lL I�w 'lJ liti' -- --- 3 edror), s
z3kt(,,,^t a ached. x n,-W)s
trd7,.
VALUE`_i r 7 hff
SEWER PERMIT M �`3323 1. AREA 11.9 3 N0_BEDROOMS 3 r
I) HEIGHT 1.3 NO.STORIES _�.. ----- RIGHT SIDE _
FLOOR LOAD — I `7 LEFT SIDE T -—
OCC.LOQ_ ------ 1, i REAR — _ _ — --
BUILDING DEPARTM TEN SETBACKS FRONT REED THAT THE
BLE.CODES AND ORDINANCES, AN
IDANDIT IS HEREBY �� COMPLIANCE
Permit 1 — —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICA
Plan WORK WILL BE DONE IN ACCORDANCE INANR AND SUB CONTRACTORS t0 HAVE GURRF'4T CITY BUSINESS
WITH ALL APPLICABLE CODES AN ORODINANCES. THE ISSUANCE OF THIS PE:RMII DOka NOT WAIVE
RESTRICTIVE COVENANTS. CONT
Sub-total __ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
stateTamSDC— I00.(10413.4 a1 APPLICANT OR ADEN?
Total -------- PDC# I Z 10t) Or)
3 _�_�.�------ - - -- -_ PHONE
By - Receipt No. -A5D§j7 '
Approved — c1S;�tt s jr
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
nntractor
+�
Permit No.
d Rough-in -
r Fixture _ ---
1 Final
HEATING --
�� el;-7 42 e-C/ Contractor�7 L
Permit No. 3 ii6�i
-3%-,? Gas or Oil —
,.� �+
Rough-in
Final
SEWER
Final .2 -/- 9;," —
DRIVEWAY
Final
Storm Drainage
(Rain Drains Final
Sidewalk
Curb&Street Final
Apprnach
BI..I).;. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY — L
Landscaping
Zoning Final
aar a® w aar ns w w� carr .w
f2/*
BUILDING PERMIT APPLICATION TIGAK) DArE �' •— '' _r,ts
THE UNDERSIGNED HEREBY l,PPLIES FOR A PERMIT,-'OR TIME WORK HEREIN INDICATED BUILDER PHONE ''!1-
OR AS SHOWN ANO APPROVF'-' IN TH _ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO E riaB,_ 1.�tlIA�
�1 tn, g,4;'O S W La Ag H c. Q+- _
LOT
O'�I —rR 1 ee_ � Jt)E AOORESS
-- d ?� ARCHIT' CT
�� � X
ENGINEER
BUtI GER ��m Q _ADDRESS f� DESIGKER
STRUCTURE NEW Cl REMODEL Cl AODITION ❑ REPAIP—! ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CAar"ORT ❑ GARAGE ❑ STCRAGE ❑ SLAB❑ FENCE
OCCUPANCY - --LAND USE ZONE -S._BLDG,.TYPE FIRE ZOiVE_` 7PLAAN CHECK SY HEAT�S�a S _—
.�� s?!��q� a �eKG �' Q--
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT �,� NO.STORIES_ AREAI ; NO.BCOROOMS ,3 VALUr 80
BUILDING DEPARTMFNT _ SET LACKS FRC, REAR ¢ LEFT SIDE J_ RIGHT SIDE J^
Pcrmit _ �.�� THIS PERMIT IS I5'WED SUBJECT•r0 THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZONING
— / REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check r WORK WIL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
r---- --�- b WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ _ �` DO. RESTRICTIVE.COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;Stata Tax
Total `.
--- 7• Cl O _-�� __—__._----•----
POC;k APPLICANT OR AGENT
Icy
-- --- Receipt No. AOORESS PHONE.
Approved
400
tic - S _ ____,# QOO O
EWLIII CONNECTION
EWER INSPECTION $ ��
EWER SURCHARGE
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