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INSPECTION NOT|LE
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ci,vof Tigard Building Department
| 12420S.VV.Mwir, qx.
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Tigard,Oregon 87223 `
Phone: 63941/1
Type of Inspection
Date Requested ma A.M.
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Owner— Lot #
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The following Building Code der jonci°vvm ,vqvi,wd to be corrected:
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| FOR REINSPECTION
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,0-gon 97225
Phone: 639-41"/l
Type of Inspection ._ lrdwwva ----
Date Requested_ � Time _ A.M. P.M.
Address ��/��arS/+� ' /I Permit
Owner /4l U i� n —._ Lot #.--
Builder — —The following Building Code deficiencies are required to be corr .ted:
1
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4 Presen.ad to X Approved
_ _ ,
InspectorDisapproved
Date
CALL FOR RFUNSPFCTION
❑ YE8 e NO
CITY OF TIGARD Plumbing Permit
Building Department (y�
Residential I_] commercial
U Re lace l� Addition 1
New Installation p [_� Alteration ❑ Date
Licensed
Plun-ibe r =- --- " ----- - - Owner --- - -------------
Add-ers. __ _ �_-- Job Address _--
Pho•�e _ _:�__,_ r _�__._—_- Applicant -
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps_ _ _ ' ' 7.50 Sewer:First 100 ft.- _ _ 30.00_ -
Dishwasher-— - --_-- 7.50 _ Eau, Addit.100 ft. _ _ - 15.00 `-
Garbage Disposal _ _ 7.50 Ejector Pump _ _ _ _) 50
Water Hwater 7.50 _ tNater:First 100 ft, 20.00 -
Backflow Preventer -7 50 Each Addit.200 ft. _�— 15.0c_I
------ ---- -- ------- storm 8 Rain Drain:First 100 ft. — 30.00
Erich Addit.200 ft ---- 15.00 ---
- ----_-_--.-- _... - --- -'. - Mobile Home apace - _- 25.00
Other(Specify): Fain Drain-Single Fam.Dwelling f 15.00
PERMIT FEE 6om,units: _
Issued By:
SPATE °/,
S.A - Receipt No For Plumbing- Applicant __.__. .-_-- _-�__�.__—
TOTAL � Inspecticr1 Phon,?639-4171 Signature
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BUILDING PERMIT APPLICATION TIGARD DATE January 23 1985 51. 84
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOVVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNE-9 PH NE
OWNER 1"4ei !' LOTNO.— 6
..y�i.re JOB ADDRESS 79 15 SW lsutui bond �`
---^ - -- -- ARCHITECT �------��
BUILDERSAflli ENGINEER
ADDRESS -- — DESIGNER
STRUCTURE r1I NEW — O REMODEL_ _❑ ADDITION — ❑ REPAIR_ ❑ RENEWAL_❑_ FIRE DAMAGE ❑ DEMOLITION
jj(RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 17 GAHAGF ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ E-3 LAND USE ZONE K—M) BLDG.TYPe .—_ FIRE ZONE �' PLAN CHK B �
CHECK Tl�f—`— c`
._— — _ ..—.___.. _,�.----
Construct single family dasaliing w/a4ttaclled HEAT pa_ra�a —
3 Bathrooms 3 .t.ctr<•ooms Gajage 440
SEWER PERMIT# 213295
OCC.LOAD FLOOR LOAD HEIGHT a
RIES 2 AREA 1516 N0.BEDROOMS 3 VALUE 52 IU00
BUILDING DEPARTMENT _ V 20+ —NO.STOSET BACKS FRONT 20 REAR `LEFT SIDE __ RIGHT SIDE
Permit 289.UU — — --_ - ---- ---- IU__
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
Plan Check 187.85REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS NERLBY Al3REED THAT THE
WO IK WILL BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICA71ONS ANL:I IN COMPLIANCE
Suta 476.85 76•�5 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ViAIVE
P.ESTRICTIVE COVENANTS. IONTRACTOR AND SUB CONTRACTORS TO HAVE I,JRREIJI UTY BUSINESS
LICENSE.SEPARATE PERMIT:o REQUIRED FORS WER,PLUMBING AND HEATING.
State Tax 11056 �::•E�.i1J
Total 4 h8*4 1 SDC— 5U0.00
BY dID PDC#I 1 150•n0 P/L;A�RAG;N - --` —
Approved - — ET A Receipt No. �,� --
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I 'PE hIISPECT JN ` REM1'ARKS I . .UMDIN(7 DATE.
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