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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone:`639-417'
Type of Inspection
I
Date Requested _ Time A.M. P.M.
Address ' =KJ rT — .�,a — Purmit #
Owner Lot #
Builder T
The followrig Building Code deficie, cies are required to be corrected:
62 C ....
Presented to —, Approved
Inspector — ❑ Disapproved
Date -- ---
tzy
CALL F REINSPECTION
0 EE fX NO
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A, >*e-� � 3
BUIL-DING PERMIT APPLICATION TIGAa7 DATE----- 1 19�__
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
�J Q&6I��� , JCB ADDRESS � Lor No. �
OWNER �.
ARCHITECT
iNGINEER
BUILDER ADDRESS DESIGNER�_ Q9
U_
-- _
STRUCTURE C) NEW ❑ REMODEL C1 ADDITION 0 REPAIR _❑ RENEWAL ❑ FIRE DAMAGE: ❑ DEMOLITION
P RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE: ❑ SLAB U FEN[E
OCCUPANCY USE ZONE _eA LOG.TYPE . FIREZONF PLAN CHECK BY -If—n'L HEAT-- +^
'3EWER PERMIT M ��-
OCC.LOAD I:LVOR LOAD q P HEIGHT �A� NO.STORIESAR _A Q NO.BEDROOMS 2 VALI
I _—�
B[IILDING DEPARTMENT _
_ SETBACKS FRONT �U REAR _� O ���LEFT SICE „g �-®RIGHT ,;;OE
Permit
���V THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE, ZOri?N,!
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF-3Y AGREED VSAT THE
Plan Check (4 v WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAUC!
^^ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIV:
Subtotal_ .��r� V RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY HUSINES;
460LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Mate Ta: 1
r-
TotalAPPUCANiOR AGENT
PDCJI
Ry
Receipt No.
Approved ADDRESS PHONE
_.. _
S O C
I U r 1 1 -7f
PLIC - 17 k G
SEWER CONNECTION 5 0 7 a
SE=WER INSPECTION S
SEWCR SURCHARGE S
14
BI'iLDING PERMIT APPLICATION TIGARD DATE. October up# � 19�r43 4 R29
THE UNDERSIGNED HEREBY APPI.JES FOR A PERMIT FOR 1 HE WORK HERE114 INDICATED BUILDER PHONE z+1 M x►3
OR AS SHOWN AND APPROVED IN THE ACCOMPAN fING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER__ GlA&mx 2 I lac_JOH ADDRESS 9714 ;u Lgadan C[_ LOT NO.
ARCHITECT
�'ilTt. 97225
ENGINEER
BUILDER Sidle ^! ADDRESS ]412 Sk By n ..I jUN, _,_DESIGNER
STRUCTURE ___[4NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDU_CATIONAL ❑ GOV'T RELIGIOUS 1:1 PATIO 13 CARPORT n- GARAGE ❑ STORAGE ❑ SLAB El FENCE
� 0- CCUPANCY k-3 _LAND USE ZONE 13 228 5[•1 — -
. —_ _� LDG TYPE ,.FIRE ZONE. __.PLAN CHECK BY HEAT k;__-_
`_ Con�tTuct Sin�cltr Fau;dly I Iliug w atteched t.sraas.
- Issue of !Iermit #4629 -- 2 dsthrou;L4 2 lirdromw
SEWER PERMIT N 26447 _
OCC.LOAD FLOOR LOAD 4p HEIGHT 2c) NO.STORIES 2 AREA 91)! N0.BEDROOMS ,! VALUE 35.OUc;
BUILDING DEPARTMENT SET BACKS FRONT 2, _REAR LEFT SIDE _ , RIGHT SIDE _
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COVE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C0111PLIANCF
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal , 255.50 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSINESS
State Tax 6.62 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC- 84Ut).tX►
Total �a4. 12 y
-- -- PDCN ' IGtl.tltl XPPLICAN-�0��A6t_1 T 7-�"--
By
Receipt No. _ ____
Approved _ i'1'w' ADDRESS _�. PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBI G DATE
r � Contractor
C=aO-Ar � _—--— ---- Permit No. ✓
- - — -- Rough-in
Fixture
Z Final
HEATING
i—
z-, '�,/J 1�� IIIA �, Contractor
Permit No.
Gas or Oil
Final
SEWER
Final -' —
DRIVEWAY
-- _ ---�� — Final
Storm Drainage
(Rain Drain)Final
Sidewelk
Curb&Street Final
AOP'tsach
BLDG DEPT. JAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTNICATE OCCUPANCY
Landscaping
Zoning Final