10640 SW BLACK DIAMOND WAY-1 i
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10640 5W BLACK DIAMOND WAY
INSPECTION NOTICE
Citv of Tigard Building Department
F.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
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Type of Inspection __ ....�� �L---.--------------- --
Date Requested —.__.__--_ Time A.M. P.M.
/
Address
J G S / /� lti� Pit
_ erm -
Owner —_�- tee+.—.--._ _ Lot #
BuilderThe following Building Code deficiencies are required to be c,v rected:
Presented to —C_�
Inspector /— — C. Disapproved
Date
CALL FOR REINSPECTION
Cl YEs G NO
I Y � MECHANICAL !'�kRMIT .J
CiTf OF TIFARD PERMIT NO. i lEh]�i1].'i1r''_0
CnyOFTIWIRb
COMMUNITY DEVELOPMENT DEPARTMENT CMNOON
l')AT'E: ]:SSUED: 91131819
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)t 1-4175 r01T.140, 891920
JOB ADDRESS : 10640 'SW 131-ACK DIAMOND WAY
1'AX MAN/LO
. 'T' SUB
' LT : BK
LAND USE :
I OT SIZE :
'(TEM: NO: NO
WORK CLASS : ALTERATION F'URNA(:'E <100K AIR I••IANDLR <10
USE T'Ypw.: 'SINGLE FAMILY FURNACE= ].00K+ AIR HANDL..R 1.0,K
CONST .TYPE: F'I_.00R 1=URNACE:: E:VAP.C(]ULEP
(]CL"UP. (.RP. : HEA'tk::R VENT FAN
VENT VF N'1'. SYSTEM
BLR/(::(]MIS 431-11P HOOD
NO . STONILS : ETLR/C:OMP :3-1 iHl.) INOINEPATOF((DUM
DWELL.. .UNITS : Bl-.R/(COMP 1.7-•3OHP INCINERAT'UN(CUM
FUEI... TYPE 61-141/0.')Mp .:30-501•41.) REPAIR UNIT'S
MAX . ]:NpU't F)I._R/COMM .50+HP OTHER
FIRE: UMF)AS.? GAS PIPING OU"I'L.1115 1
HIGH PPE SS'?
I_.UW PRESS,
:i.1114 t 81.].].:L n g s:i 7il.� r.l r y(A r•1 1•e1 n t,e r• i,(.) cl
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FEE5 :
D imaacz braldl�sly PERMIT' $1.3 . 00W
N 10610 19w bial,ck diamond wary 11-11 AN REVIEW
R t igsard nr 3 99122 I IXTUPES
PHONE, (503) 6841--O3.51 ST'AT'E: TAX sp 75
_
OTHER
C
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R TOTAL. : $15 . 75
RECEIPT NO./p 53/d/
This permit Is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulationq REQUIRED INSPECTTONG
and all other applicable codes and ordinances, and It Is hereby GAS LINE=
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and POST & HE.AM
ordinances The issuance of this permit does not waive restrictive ROUC;H-]:N
covenants. Contractor and subcontractors shall have current city FINAL
business tax permits. This permit will expire and become null and
void of work 0 not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced 11 shall be the responsibility of the permitter;to assure
all required Inspections are requesters and approved
Pitt-e Ignature
Issued By
J4 PUP Nfi;P6WT3': —4441-""S
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A®OVI
i
ddre 7s �U � c� Permit No. 7L
Permit charge
Connection fee /� cc) ,
Paid by
�a�e of h�.�ild:;nc, ; — __ �f Oate connected
b e
In .paction Fpe
" nntractor Paid by date
of conn,3ction Assessment Paid
71x/7 S'
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SEWER PERMIT N9 15878
Lf) Un;;ied Sewerag4 e Agency a
of Washington County C ITY OF T i 9rd DATE 4-2?4-27-78
OWNER: J.B. Properties PHONE :_____ ____ _
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
X® BUILDING SEWER [] BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
®XNEW X®XSINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : 10640 SW Black Diamond Way
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIO14S OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS iPPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( ago ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION B. Greene
ISSUED BY ._
OTHER
TOTAL s 625.
APPLICANT DATE
SEWER PERMIT N° 15878
ADDRESS OF STRUCTURE 10640 SW Black Diamond Way
TAX MAP _ TAX LOT SYSTEM fanno creek
LOT BLOCK OF
F. Idgldgn
APPROVED BY DATE ISSUED BY DATE
D . U. 'S _ 1 REMARKS bldg. #2060
p�"..'.«p.-xN .--`�!� ,�,..r�.,... ••.�-�. ;,. y�,,,.�n...v.:W..^qT-�e/nn{W4'n�p�e-.eWW •,��r+.�.—•'�.r••_,.,.�I-.qr�..r r_+r.r«.«.......,yaryµ...a...�.n.q,�.
CSA,
BUILDING PERMIT APPLICATION 11 Y TIGARD DATE_THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FON THE WORK HEREIN INDICATF_D BUILDER PHONE
JR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF;CATIONS. OWNER PHONE
LOT NO. ----- .. __.—..-.....
OWNER ' bo Prope tisC JOB ADDRESS L.�.tJAJ SW black 1.Aem HOMEADDRESS _
ARCHITECT ^—
ENGINEER
BUILDER ADDRESS [DESIGNER
STRUCTURE 01VEW ❑RFMODE,L C3 ADDITION [I REPAIR ❑RENEWAL ❑FIRCDAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T C1 RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SL AB []FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUPANCY—"I' USE ZONE —BLDG.TYPE S'--F!RE ZONE�� PLAN CHECK BY }W HEAT
:I.. u f ortri '..a LIU011iny W/AttilUit ; : ;jAi s(9 hg----
aa�s 420 1 bath
AREA NO.4ED-9D2-5—_-A-1�L–__-.----
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --- _— ---- -- ---- ---.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINC CODE, ZONING
Plan Check I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
T --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISS04MCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY RUSINESS
State Tax LICENSE, SEPARATE PERMITS REnUIRED FOR SEWER, PLUMBING AND HEATING.
Total t • •G•
By --- _..— ----- --- --
_-------------- APPLICANT OR AGENT
Approved Receipt No.
— v—_—
AD, ss
I
1
DATE INSP.� TYPE INSPECTION REMARKS _ PLUMBING DATE —M
-/ p(t Contractor -- -_
Permit No _ / 3
Rough-in
Win 0 L r.Q-_isa,I— Fixture -- - --
�.>i11]��L��.�
Final --
_LiJ12U�L HEATING
Contractor
5 ,! S l �, - - ---- Permit No_ 1 f �s '17 / O
,j",ZZ-7 ` f.� _ Gas or Oil -4-� - -
Rough-in -
l0 (J//-w Final -_ ---
�1-�- J � -- ---------- -- - SEWER ---
1 Final
•,;� DRIVEWAY
Final —
\JJ�.v
Storm Drainage
(Rein Drain) Final
Sldawelk
Curb&Street Final �
Approach —
d..DCi. DEPT.FINAL 'fE'MPORARY 'ERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANC':
Landscaping
I Zoning final