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i:\records\microflm\targets\building.doc
INSPECTIOK WTICS
t City of Tirlard SmUdi..g Department
13125 AD Hall Bled. Tigard, Oregon 97223
Inspwction Line (Rec-O-Phone): 639-4175 Busineas Phones 67'o-4171
t Inspection: �-Lo e
tooting Plbq. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
Post/beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. \n 'Hoch.
Date Requested* ! C1 I �_______Time:
_ �Gp,cM
� 0 �Address: g -10 Permit :
Builder: (7)o-C1410�"i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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i
`)L(
� - -- - - _ �
Inepactor: Dates
�_APPROVED `1 DISAPPROVED APPROVED SUR"CT TO RBONE
_� ,,Call For Rainep.
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INSPECTION NOTICE
city of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
as:spection:__
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor /Mater Line oyp. Rd. -Hoch.
4 Date ((� - �' /�� --
Rwque(st�W}t �) 'C / Times /� C�__AM PM
Addreee: (1 % yO r/ISLC/�/ parr-I �1T^/ Palo f:
Builder: 1kU�GC/1_G( 1/6&0 0)-'0
TH2 FOLLOWING CORRECTIONS ARF REQUIRED:
_ !a —
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I
f
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Inspectors f -`-- — late:
DISAPPROVED _ APO* 'D SUBJECT TO ABOVE
__Call For Reinap.
CITY OF T I GARD
Btu ILD.INO 91ERM.11
' l
COMMUNITY DEVELOPMENT DEPARTMENT . . . .. . . r eLktl: 3
13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639-4171_
is
f--((RCE L: J_510 20 D-025 176Z,
rTF.- ADUkL3, 0(3940 fiW BURP411-01" ET
al:DIVI';-�10N. BURNHAM TRACTS ZONING i ' CPL)
. . . . . . . ;'_UT. . . . . . .
1'33UE FL.I)OR ARLAS- - ------ X rE k I U R WALL tON°,T RUC T I aN
OF WORK. DEM I RST. N. b. F s W
T-1� 1 OF JL�E. 'T I IL
PROTEC. UPENIN16S'�
YPE OF [;DNST. s c.!.S TH. RD. . . . f N S« E W
F I I"'
��'CIUP6NCY GNP. b C_' f('37 AL. LA f RO(.Ji clor�mr.
i=UPANCY LORD: BASEMENT. : f AREh SEP. RATLD
r"t LARA(M.. . . MQU 5',S 141 I -I),:
ME"Z? : RtQLJ1RLL,-
pst L.r--P, r z ft: RGH ft [. IR SiVlli._': Sr'-JOR LP.-J .
FONT : ft REAR: ft FIR ALRM: HNDT('1P ACC-.
BATHS. 111r, EURFnCE: PPO (.'Up,, PARK ING
emarlkqa DEMO L 1144 1-10 IJ EL.;1i- ----- SEWER 10 BE CAPPLD FIND I ALL DEBRIS MUST sa
EN!'!VELI.
�,kc LOW CURP type amai-Ant by d&tv r-c:
4bQ1 SW BURNHAM PRMr a ,gib. 00 JH I1h/07/93
5 P L.] jil
1(30k[) OR 9
,kine it:
Iona f" TOTAL
REGUIRLD 1N"j"EQ11UN8
.i3 parmit is issued 51;ert to the regulations contained in the Lop sewer line
jard �ufiicipsj caeri State of the. Specialty Codes and all other Final lnspe(^tion
oolicable iasis. All *or,, will be done in accordance with
orovtd plans. This Ne-sit will Lmpirt if mark A not started
oithin 180 days of issuar'-e, or V vork is suspended for iore
t+,0 11W days.
AD P_J4AtA^_P_
A
ist.tp(l By
(_t11 for-, insvectirm 6,33- 4175
Commercial Building.Permit Application
City of Tigard
13125 SW(Wall Blvd.
Tigard, OR 97223
(503) 639-4171
_ 1
,lobslte Address:_= >� .1c_i /✓� �
office ae Cit
Tenant: suite#�
Valuation:
Owner:
Address: `�%.1�..�`�L,0-:ice
Z.
Phone:
(contractor: _- �1L1"L�'�n �- �'�LL- i•-
Address:
�- rype of const:
—� ,occupancy class:
Phoma.
Spdr*lerwJ? Yes No
Contrac:toes Lk;ense#_
(a; coM of current Oregon poense) Sq. ft. of project: _---
Story (1st. 2nd, etc.)
Ar+chitectlEngineer:_� ! P+ '`�]1�.L//� Proposed use:
Address: Note: Plumbing & mechanical plants
must be subrnitted at time of
building pemnk application.
. Pho. ..,:
COMMENTS:
Appiirant Sfg!'.aiuo Phoria mnmtb r—_,__
Received by:__ Date Received:
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
K State `faux (TAX) --. --
Bldg:
Plumb:
Mech:
Ptu,i Check (PLANCK)
Bldg;
PlumL:
Mech:
r
Sewer Connoctlon (SWUSA)
Sewer Inspectlon (SWINSP) _
Parks Dev Charge (PKSDC)
Stam Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I) _
Insftdional TIF (nF-IS)
Ofte TIF (TIF-0)
Water Quality (WQUAL),. M
Water Quantity (WOUAMT) � ,:; r r•, r :.
Fire Disted (FIRE)
TOTALS:
11ITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. %93-244968
CHECK AMOUNT : 26. 25
NAME a OVERF'(,..GW CORPORATION CASH AMOUNT 3 0. (Aw
ADDRESS a PAYMENT DATE s 10 07/93'
SU401VISION
PURPOSE OF PAYMENT AMOUNT PAID PI.JRPOc+.' OF PAYMENT AMOUNT Fria ID
i3UTEDINU PERM 25. 4 o ST. BUILD PER t. 25
8940 SW BURNHAM
10Tni- AMO(JNT PAJD