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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit
---
Type of Inspection ____ _�____ ;•'w,,,..,,�,.,.,... _
The following Building Code deficiencies are required to be corrected:!�--A
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Presented to Inspector __----_ .'_J_____. _-.—•
Date F
G4LL FOR RE-1WFCT101V
❑VES Cl NO
'°°!,";"e�R'+s'RT�nMnR+rl�w�elif^�"�"Po'Ti7mn�."T'ml*TRvt!��nt�,� ^l�.r�'r•,n,•.,r..p..�..::..
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregan 97223
Phone 638.4171
Address Permit #
Type of Inspection
The following Building Code deficiencies are required to be corrected:
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Presented to___.....__ Inspector - :Z'` ~
Date(ALL FOR RE-1WECTI01V
d yES n No
I BUILDING DEPARTMENT, TIGARD �T
1 n PLUMBING PERMIT 1�
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installatioi.s require inspection by the City Inspector who shah 4e m-i6fi-ed not less than four
(4) hours prior to the time the installations are ready for ins;)ection. City of Tigard Business L�-ense r,quired
for all contractors and sub-contractors.
Owner Address i LJ 4Z 'I U). Ltd+U2ZL Date" -
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS I FEE ON EACH AMOUR'T (Office Use Only)
t(TIAL
Single Famil -1 bath-each 25.00 r
Ou lex-Each 1 bath unit 25.00
Additional bathrooms-each
Mobile Home Space-each---- 1K.00
INOIVIDt'AL FIXTURE FEES _
�1 0 50 Fixtures in 1 building-each 3.00
51 tc 100 Fixtures in 1 build n -each 2.50
101 to 200 Fixtures in I building-each :.JO
201 or mire Fixtures in-1 building -eec
MISCELLANEOUS
Building Sewer-1st 50 ft. 1000 _
Sewer-each additional 100 ft. 10.00
Water Service to building - 5.00
Private Water Systems-esch 100 ft. 1000
Other fS ecifyl;
PERMIT For Plumbing Inspection Phone 639-4171
6State Plumbing Contractor By �� ��
TOTAL RECEIPT NO. Issued By
asci
BU;LDING PERMIT APPLICATION TIGARD DA TF 2/_ln/ 19 E►1 35$8
TH'=IINDE.RSIGNED! CRERY APPLIES FOR A PERMIT FOR THE VJORK HEREIN INDICAI LD BUILDER PHONE _ 620-3883
,AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND PECIFI(;A'lL JS OWNER PHONE.
LOT NO. J_=- n��0urt
OWNER H. L. Robbins JOBADDRESS 13790 SW Coolse Court
ARCHITECT
ENGINEER
BUILDER Rick L. RobbinsADDRESS 4 b SW i4let DESIGNER F.X�.Haf fernan
148b
STRUCTURE EJC NEW r� REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
♦ ] RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO L CARPORT ❑ UARAGE ❑ STORAGE_L-1 SLAB❑ FENCE
OCCUPANCY _n_ LAND USE ZONE R"� BLDG.TYPE -" FIRE ZONE —� PLAN CHECK BY dWh HEAT_9'89
Construct single family duelling W/stt.achad garage. 3 Bedrooms 3 Baths.
SEL CORRECTION -,,#EET ATTACHED.
SEWERPERMITN232�Ei i ,IlQ garage- 490 sgpft.
OCC.LOAD FLUOR LOAD 40 HEIGHT 16 NO.STORIES 2_ AREA l J39 NO.BEDROOMS 3 VALUE `:1`11 9T ty-
BUILDING DEPARTMENT GFT BACKS FRONT 20 REAR 16 1'FT SIDE 18 RIGHT SIDE_ 21.
Permit — f,199,013 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 99.6[1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA14CE
WITH ALL APPLICABLE ODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 199 JO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINLSS
— i LICENSE.SEPARATE PERMITS RFOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax k 7.9t
Total SDC— 40i1.U(:
$306.46
PDC# If 11011-00 APPLICANT OR AGENT
By --
IApproved duh Receipt No. ADDRESS PHONE
{
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i
DATE INSF.I TYPE INSPECTION REMARKS PLUMBING
DATE
--J3 Contractor t-.*!,S---.-,S-!,:�
�
;--Irr—
& v� Permit No. cp 4�4go 4 jq�,4••a
Rough-in
Fixture
Final
fs?n/- 4p -,i HEATING
Contractor
Permit No.
a v
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
---Istorm Drainage
(R.I.Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATEOc C:Y [�Flnall
CERTIFICATE OCCUPAPIC / I
Landscaping
Zoning Finel
J\ City- of Tigard MeChanical Permit
\� Now Installation. Replace rl Relocation Addition Alteration � —
\ DATE
HEATING
CONTRACTOR ZZC-C1Z/y2 OWNER
ADDRESS 271A'
_10B ADDRESS/2 J�D 0" Lt j -c'/1,
PHONE�� APPLICANT
Heat Input Hating(BTU per Hour) ��'� ? �t��_ Vent Size — Flue Size_
FUEL OIL C GA'a ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System � 1.50
Neel-ups to & incl. 100,000 BTU _ — 6.00 Commercial Hood System _ 7,50
New 10000 BUT's & over _ 7,50 _Other Equipment - Each 450
Woodburning Stove — 4.50_ 1 trip Inspection 430
Wall-Floor- Suspended _6.00 _Air Condition Compressor - up to& incl.3 H.P. 6.00_^
Vent System w/Fan 4.5_0 Air Condition Corepressor-3.1 to 15. H.P. incl. 11.Q0
Repair-Heat Cooling 6.00-- - -- -- _ --
_ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PER,NIIT ISSUANCE 10.00— Comments: _--_ -- -----__ — —–
FEES eel --- ------ ---- ------ _
c1 10 TAT A 1
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