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INSPECTION NOTICE
City of I igard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested / — Time _ A.M. —P.M.
Address 7C~Je r._ -f Permit #
Owner
Lot
—_ - -- — # _
Builr3ar _
The fo;lowing Building Code deficiencies are required to be corrected:
i
Presented to n Approved
�r 7
Inspector —_ {� _',,eQisaporoved
Date
CALL FOR REINSPECTION
�l!3�E8 ❑ NO i
71
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address oG Permit
Owner Lot
Builder
The following Building Code deficio-ncies are required to b,: corrected:
Presented to Approved
lInspector Ybimpproved
Date
CALL FC)R REINSPECTION
YES ❑ NO
85
B[T�ILL,ING �ER ITA PLICATION TIGAR� DATE__ g tsrs ��
THE U14DERSIGNED HEREBY APPLIFS FOR A PERMIT FOR THE WORK HERE114 INDICATED BUILDER PHOT E tar-i4g;�
�+ `5 SHOWN:AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN-.A PI-IUNE--___.___..
LOT NO._
0&.r� ,eLnttsry 2 l iqw# .JOB ADDRESS 970 $W I,o dcst} Vie_._ _ ---
-- ARCHITECT
ENGINEER
BUILDER 'o' ADDRESS 7412 AI's ,tr3�. ;iilla. '.Tay. DESIGNER Job P279
STRUCTURE I NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
J'�RESIDENCE ❑ COMM C] EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ P_ATIr ❑ CARPORT C] GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY __ ..LAND USE ZONE L) ~,'ZLDG.TYPE > _FIRE%ONE .PLAN CHECK BY _k'� � HEAT___._.
Construct Sbvr, . "n;►f1, r�lifn �/'alttnr_Sleci r;e�rase. _ �.
of t'ari.cf t h 563 2 Rath 2 droaav -
SEWER PERMIT 2,,V422 aral-o 220 _
OCC.LOAD FLOOR LOAD 40 HEIGHT i+ NO.STORIES_ " _ AREA 1 1 ' NO.BEDROOMS -VALUE"J6
BUILDING DEPARTMENT SETBACKS FRONT iREAR _ LEFT SIDE RIGHT SIDE
Permit 5 5.00 THIS PCFMIT IS ISSUEIJ SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDiNa CODE,Z01'ING
R.GUL' TIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT'.HE
Plan Check 40100 WOW WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 3'J!'i.00 RESTRICTIUc COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-� LICENSE.SEP:.RATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1!}•h0
- SDC-
Total „n - - - - — -
--- PDC# R✓ AFiPLICANT OR AGENT
By
RecelptNO. PHONE
Approved "r,.6()' ADORES$
w w w w w w w
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
ContractorQ'LA
Permit No.
Rough-in
- --- ----
- Fixture
2 _ ( _ Final _
HEATING
ContrartorCG/ /
/Vv
31 Permit No. 70
Gas or Oil
Rough-in
� -`'`�- —------------ - Final - -
SEWER
final -
- -------- --�-- DRIVEWAY` �_-
N- _ -- _-- -- Final — —
Storm Drainage
(Rein Drain)Final
Sidewelk
Curb d Street Final
Approrch
BLDG DEPT.FIN kL TEMPORARY -CERTIFI4ATE OCCUPANCY
CERTIFICATE OCCUPANCY Final_
Landscaping
Zoning Fincl
BUILDING PERM APPLICATION T IGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE:?!tL/T l
O SHOWN ANDA ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NU.___
O:vNE!? ( LJOBADORES3 �70G �� _
ARCHITECT
to ENGINEER f� a -Q
BUILDER �� � ADDRESS 7yI� S�-�✓ �(,'��'IGNFR ___
STRUCTURE NEW ❑ REM_OD _ ❑_ADDITION' 0 REPAIR ❑_RENEWAL Cl FIRE DAMAGE ❑ DEIAOLITION
RESIDENCE 0 COMM ❑ EDUCATIONAL Cl GOV'T Cl RELIGIOUS ❑ PATIO D CARPORT Cl GARAGE Cl STORAGE E] SLAB❑ FENCE
OGGuPAHCY _LAND USE ZONE �Y1Io BLDG.TYPE _FIREZONE � PLANCHE.CKSY �� HEAT—
SEINEN PERMIT M ^�'_ 22,6 _ eel
T p
OCC.LOAD FLOOR LOAD -HEIGHT NO.STORIES AREA 1 NO.BEDROOMS Y Va.LUt J
BUILDING DEPARTMENT SET BACKS FRONT REAR s�"(p" LEFT SI OF ` =j/ RIGHT SIDE -p
THIS PERMIT IS ISSUED SUHJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON!N0
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCheck9/ax'40 WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANJ IN Com.PLIANCE
i �. —.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
`Subtotal —T _3 •a RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONI RACTORS TO HAVE.CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUTA D FOR SEINER,PLUMBING AND HEALLING_
:Stato Tax /p G'G
�-otal
P0C.# APPLICANT OR AGENT-
Ry
Receipt No.
I Approved �// --- ADDRESS - ----� F HOW -- --T -
-
D C - _ .cw -
0 C
EWER CONNECTION S k7-
EWER INSPECTION _S
EWER SURCHARGE 's