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INSPECTION NOTICE
City of Tiriat d Building Department
12420 SXV.Main St.
Tigard,Oregon 97223
Phone. 639-4171
1 71
Type of InspeWon
Date Requeftill Time f A.M. P.M.
Addren Permit
Owner Lot
Builder
The following 13"ilt-linq Coit deficiencies are required to be corrected:
7--
Presented to /Approved
Inspector Disapproved
Data
CALL F �R RE1J'y,5PFCTI0N
YES � NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection __. �•-���'"�' `"'
Date Requested T' e__ _A.M.
Address _ 3�7 _ �� .�. Permit #
Owner #-
Builder
The following Building Code ct r,iencies are required to be corrected:
i
Presented tr, — Approved- _--
Inspector �_ -� Disapproved
Date -- — — —s
CALL FOR REIN 'CTION
71 V I - NO
JU
BUILF)iNG PERMIT APPLICATION 4s16
TIGARD DATE October 4y 19 (t i
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WOPK HEREIN INDICATED BUILDER PHONE7-1493_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS Al' D SPECIFICATIONS. OWNER PHONE 29—
OWNER 'etr_tlry 2) tiorrn JOB ADDRESS �%�� ';`' Lrnti f>n LOTNO.._
- -
ARCHITECT -
.ILDEp �ti;.� ENGINEER
ADDRES- S 7412 .iiJ !3�v. �fijjB. i� .DESIGNER ,47.94
STRUCTURE I:1 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENE_'rVIAL ❑ FIRE DAMAGE L7 DEMOLITION
❑dRF^,IpENCE ❑ COMM 11 EDUCATIONAL ❑ �3�V'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE ❑ STORAGE ❑ S�,Ag❑ FENCE
O;CUPANCY R-3 LAND USE ZONE _ A t 7_BLDG.TYPE -� { - --�- —`-
-FIRE ZONE` -PLAN CHECK BY - t'I" HEAT
D'W'.RtrUCt " finrle 'wily dwelling w/�Lcethe' �sY„rr►s -___T- _
Re 190.1c: of Vermit #456
SEWER PERMIT# 26441_
OCC.LOAD FLOOR LOAD 4� HEIGHT 7�; f 10.STORIES ),,)_ NO. -
- - - AREA 8EbR00MS ' W►LUE
BUILDING DEPARTMENT -
- SET SACKS FRONT REAR
Permit 22y,i)o - LEFTSIDE_ _RIGHTSIDE'
THIS PERMIT IS ISSUED SUBJECT TO THE RE3ULATION3 CONT,IINED IN THE BUILD:NG COUE, ZONING
Plan Check !11)�
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_ WORK WILL OF. DONE IN ACCORDANCE WITH THE PLANE ANo SOECIFICATIONS AND :N COMPLIANCE
Subtotal 7t19�1)iJ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
------ RCcTRICTIVE COVENANTS. C ONTRACTCR AND SUD CONTPACTORS TO HAVE CURRENT CITY BUSINESS
State T_ax r. I r, LICt IISE.a-PARATE PERM!-,S REQUIRED FOR SEWER,PLUMBING ANL HEATING.
Tote, _ 2 SDC- $400.
By r.:1
P CM /� t(Nt'1�OAFpLICANTO4-AGENT
Approved pt No.
PHONE
..RJR=
DATE INSP. TYPE INSPECTION _REMARKS PLUMBING DATE
Contractorm �
mkem< —
V Permit No.
Rouph•in
Fixture _
Final
�A �• TT —Y— _.— � HEATING
Contractor
Permit No.
— Y Gas or Oil
--
Rough-in
Final `
SEWER
Finn'
— —i- DRIVEWAY
Final —_
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATk.::"CUPANCY —
0ndcwping
Znning Finai
li.
ij
�. sio ar ar .ep a� we n. Cas
BUILD NG PERMIT APPLICATION TIGARD DATE. l9f-3
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON6I-97�!!-"a
O S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHJW
LOT NO.
OVJNEFl
ENGINEER ,j
BUILDER _ADDRESS 7 y I NER
STRUCTURE—_ANEW - ❑ REMODEL —__❑ ADDITION ❑ REPAIR RFN L ❑ FIREDAMAGE 0 DEMOLITION'
,�XRF..SIDENCE ❑ COMM ❑ EDUCATIONAL C GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB C1 FENCE
lh iuPA-NC�Y - LAND USE ZONE /T0n. BLDG.TYPE ,T/ FIRE ZONE—_PLAN CHECK BY ;Z�± HEAT
qt
SE_1h_EH PERMIT N - -_—_--
OCC.LOAD FLOOR LOAD (J HEIGHT.:7-(/ - NO.STORIES Z- AREA NO.BEDROOMS VALuy- ,60o
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SICE RIGHT SIDE
P!rrnil _� THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT1ONS CONTAINED IN THE SUILDING CODE,70 WIC
REGULATIONS AND ALL APP!-;CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TP.AT THE
�IanCheck ^ � pp WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC!
�--- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV7
�Su�fetal — — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOAS TO HAVE CURRENT CITY 863INtS�
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;State Tan
/j SDC
Total
ppr,N APPUCANT OR AGENT
13Y _
Receipt No. ---- - -- -
Approv ADDRESS - -- PtIONE-
0C
Dc
EWER CONNECTION S 4-7 -
EWER INSPECTION S
EWER SURCHARGE
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