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INSPECTION NOTICE
City of Tigard E uilding Department
12420 S W. Main St.
Tigard,Orey•m 97223
Phone: 639-4171
Type of Inspection
Date Requested------- Time f '� A.M.._ P.M.
Addre" Permit # _
Owner
-- - __...-- -- ------ Lot # �—
Builder ---- ----- ---- -- --The following Ruildiny nde deficiencies are requueo to be corrected:
lei
Presented to —v -- — Approved
Ins mor Disapproved
j Date `' Y
CALL FOR REINSPECTION
0 YES LP NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of In-,pection i
'a 1 11 ---------
Date
-- ---Date Requested Time -- A.M.—) P.M.
74 Permit #
zw'-7 do'n
Address
owner "t
Buildur
The foll,)wing Building Code deficiencies are required to be corrected:
Presented to Approved
ln%pector Diqapproved
Dat
CALL FORREWSPECTION
NO
::ttnt�rfrurp "�1" 4583
BUILDING PERMIT APPLICATION TIGARD DATL_ ���t�B��T,iv �
THE UNDERSIGNED HERESY APPLIES FON A PERMIT FOR T HE WORK HEREIN INDICATED BUILDER PH(!NE
OR AS SHOWN AND APPROVED IN THE ACCflMP YIN AND SPECIFICATIONS. OWNE�i PHONE -
PLANS -
7 LOT NO._
OWNER Century 71 i, J09ADD_R_ESS_ 9731 V L+Dt'_dga lag.
ARCHITECT
ENGINEER
BUILDER Samaaa': AnnRESS — 7412 Sly 13ay. IiillNs. 'I'v DESIGNER Job 11277
STRUCTURE 0:NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR C.] RENEWAL ❑ FIRE DAMAGE ❑ Dt►AOLITION
0 RESIDENCE L1 comm [-J EDUCt.(IONAL D GOWT ❑ RELIGIOUS ❑ PATIO [] CARPORT ❑ GARAGE 11 STORAGE ❑ SLAaU. FENCE
OCCUPANCY ._LAND LISF ZONE BLDG.TYPE — FIRE ZONE - PLAN CHECi:BY HF:,r
--- Ccmntrtl,ut Single Family nwellin -?,tattar`ted rarale.
r i.$93m of Permit '14552 w Isalth �`*,ITt�?
SEWER PERMIT# 26420
OCC.LOAD FLOOR LOAD 40 HEIGHT a 0'� NO.STORIES AREA ' �' NO.BEDROOMS VALUE !.611,000.
BUILDING DEPARTMENT SETBACKS FRONT ' RFA.R LEFT SIDE RIGHT SIDE 1 --!t
Permit 266.00_ THIS PERMIT IS ISSUED SUBJECT rr, THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICA 9LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA' THE
Plan Check 40000 WORK WILL BE DONE IN ACC11RDANCE WITH THE PLANS AND SPECIFICATIC14S AND IN COMPLIA14CE
„ �5.r�0 WITH ALL APPLICABLE CODES ANL` ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTPICTIVE COVENANTS. CONTRAC'OR AND SUB CONTRACTORS TO HAVE CURRENT CITE BUSINESS
State Tax
tD.ro0 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
—` SDI. - ,
Total 315.Fit:7 ,�
— PDG# IM.011P LICA; �q_AQ��
Receipt No. —
Approved A-SDR1� PHONE
a� ap i i sis as
DATE IINSP.I TYP INSPECTION r REMARKS PLUMBING DATE
L _ ---- - Contractor
prrmit No.
2.ISO
rixture
Finan--'— --
HEATING
77
�y
7 Contractor
permit No.
Gat or Oil —
i
Rough-in
f Final_ _ --_—
SEWER
Final
// r��( � � v/y,(LL L•Gt'GZ•t7L 1 � .��e9 DRIVEWAYFinal
Storm Drainage
(Rein Drain)Final —
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
T
BLDG.DEPT.OPINAI—ICERTIFICATE OCCUPANCY
Londreaping
_-- -- -
Zoning Final i
A! w wQ +'N ew v s w waF
`Av
BUILDING VER IT APPLICATION TIGARD DATE 1e_— �C��_ i
THE UNDERSIGNED HEREEIY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ l !�I
O SHOWN ANDA ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
(/ ,(/` - -,-._ LOT NO. —
OYrr1EFi JOB ADDRESS 3 �*W'1y'KM►t<
AHGHITE
EEN * .1-7
�G,INEECF���I �!
BUILDER - ADDRESS�k�"� — ""r IGNER
STRUCTURE NEW ❑ REMODEL Cl ADDITION 0 REPAIR ❑ RENEWAL Cl FIRE DAMAGE Cl DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOVT ❑ RELIGIOUS C7 PATIO 0 CARPORT ❑ GARAGE ❑ %To,,AGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONEpp/k BLDG.TYPE -Z_L-__FIRE ZONF- PLAN CHECK BY �' HEAT �-
C /A/
el
�..
SEINER PERMIT M 01-v____ -
Da�
l �
OCC.LOA D FLOOR LOAD HEIGHT _ '} NO.STORIES y AREA" 7 O.BEDROOMS 2„ VALUE r J
_ --f----
BUILDING_ DEPARTMENT SET BACKS FRONT /f�"C' REARA'p LEFT SICE �' "U RICHT SIDE
P_ennit �^ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COPE,ZOWN0
REGULATIONS AND ALL APPLICABLE CODES AND ORDINAIXES, AND IT IS HEREBY AGREED THAT THe
iPlin Check WORK WILL BE DONE IN ACCURDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONIPLIANC:I
WITH ALL APPLICABLE CODFS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV=1
i Sut,.telal += RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I—� UCFNSE.SEPARATE.PERMITS REQUIRED FOR SEWER,PLU61BiNG AND HEATING.
Stite Tax �I
r--- — SDC—
rotat „ V ---------- -- -
-- pDGN ApPUCANTOR--AGENT -------
By
--^- Receipt No. ADDRESS --------_
Approv —
POC "—
SEWER CONNECTION S —
SEWER INSPECTION 5
SEWER SURCHARGE S -(!ri„1 �_