10830 SW GARDEN PARK PLACE 108313 SW GARDEN :?AF;K PLACE
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type, of Inspec.
Date Requested TWWA4414L A.M. P.M.
Address 'get: —e Permit
I?•
Pirmlt
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION'
D YE8 El No
v�
t
~� Permit No:
T ' Address:
Issued by:- Date: _--
� / --- -_ FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCT,ON RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.016(7), need
not submit this statement. This statement will be riled with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
' F-1 I own, reside in, or will reside in the completed structure.
2. A. = My general contractor is
(contractor registration number
I will instruct my general contractor that all subcontractors wno work on
the structure must be registered with the Construction Contractors Board.
OR
S. [-1`] I will be my own general contractor,
If I hire subcontractors, 1 will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and do hire a general
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I wit, immediately notify the office
issuing this building permit of the name )f the contractor.
I hereby certify that the above Information Is (,orrect and that I have read and understand
the Information Notice to Property Owners about Construction ResF onsibilitles on the
reverse side Qf this form.
Signature of Permit Applicant Dat
CONSTRUCTION CONTRACTORS BOARD
0244J 1/90
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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BUILDI.NG PL`RMI't 1�1�'
CITY OF TfrwA RDIP E_R il I'T It D U P 9 0---0'323
COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TWARD
"' 7 DW'E ISSUED: 10,124190
13 125 SW HWI Blvd. P.O.Box 23397,Tigard,Oregon 9722.1 (503)639-4i�t
1211 i: (M)DRES( -.I 1--'ORK 1-L. 2Si0?DD---0:3t?0W
SW iimmE-14
SUBI)1.V.[SION. 61--)ARDE PPRK ZoWiNGi R 7
L.01.. .. . . . . . . . . . . . .. 15
R E I'S S U E Fi OOR EXTFP.JQEi WAI L CONSTRUCIJOI'l
CLASS UF WORK. '.ADD F1 RST. . . . Sf hl: S- L W
E Cl()N D S f PROI'ECI
1'YP!_- OF USE.. . . --SI G
TYPI::: (.')F:' CONS*T*. :5N 1+11 RD. . . . . S f 11 S: E W.
OCCUPPIACY GRP. -.R3 o"T,(-)i...--,., (d S f RODE- CONs,r FIRE:'. REV"?.-
OCCUPANCY 1_.C)-.1D-. F(ASEME.11'r. Sf A R E0 S F.''P. RAI*Ll).'
S'T OR. HT. -. ft GO RAGE:. S OCC(.) W-VIED...
B S M T MFZ Z?: RE UD
EI nOR LOAD. . . . .. P115 f L.E[:"T f is RGHT f t I:- I R S)PK L fail OK DEI'.
T)WF.*A_1_.1NG UNT-Is- F R 147, ft REAR: ft; FIR OLRIVI: HNDICI'.1 W."C3
0 C, PARK 1.N
P[,.DR11S BOTH13% TMP SURFACE" P I ON
VALUE'. $ 0
Rema-H.t.s: 8" -FeilCe j.11 !:)Ack.ya'vd. Inspeet f'o-r hc)le depth.
(1wl-le-r- FEES ........
C-)7NEVIEVE WORD type A M C)U V1 t by date -r e c p t
:1.(d 8:30 6 W 17 A K 1)EN PARK P L PAY11 $ 1.5. 73) JLIA 10/24/90
P'RA'T' $ 1.5. HH
TIC)ARr OR 97221" 5PCT s 0. r:.5
11hovie 0e
I'rivit.-ac.-to-rc
f)WN1'R/CM!) RACTOR
.... ......
Phmie 0- 15. 7 5 'TO N.)L.
OWNER
REOUTRED INSPE.ClJONS
',is perwit is issued subiert to the revulations contained in the Final. .111spectioll
Tigard Municipal Code. State of Ore. Specialty Codes and 41 ether
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
withi;i 188 days of issuance, OT if work is suspended for rare
than 188 days. .......
............
m i t is e 6 i.q n a is 3.c-r,e ...........
's ut e
(:all fov lnsperti.m-i 639---4.,.75
6
CITY OF TIGARD RECEIPT OF PAYMENT RL-"CEip,r P4u. :9()-- 206 175
CHEGP', AMOUNT : 1%1 /3
lklnIiE : WARD, GENEVILVE GASH AMOUNT s
ADDRESS : SW GARDEN rivo, PL PAYMENT DATE !
' U P D I V 133 10 N
TIGARD. OR 972:171-
PURFIC.13E OF PAYMENT AMOUNT PA I D PURl"OSE Or- PAYMENT AMOUNT PAID
PUILDIMI,", 1.4UP90-0327 15. 00 ST. 141.1,TLM PER 0.7
TOTAL AMOUNT f"AIL) 15.75
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BUILDING DEPARTMENT, TIGARD `
PLUMBING PERMIT `
C.'�•� I/ �� V 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 installations require inspection by the City Inspector who shall be notified not less Lhan four _
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and subcontractors.
Addres -G' Xe,
NUMBER OF TOTAL PERMIT Igo..S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT - (Office Use Only!
Single Family-1 bath-each — 25.00
y,
Duplex-Each 1 both unit _ ,1 26.00 4� -
�dditional '7athroom h-4ach % 10 i0 t' G, r
f4lobdo Homes
us-__1-ar-_h _ 15.00
INDIVIOUAI, FIXTURE _EFS
1 to 50 Fixtures In 1 builder each _ 3.00
51 to 100 Fixtures in 1 huildint-each _ _ 2.50
101 to 200 Fixtures In 1 buildin -•ach _ _-_-2.00
_20t or more Fixtures in 1 building-each- 1_50
MISCELLAN EO_U_S _
_ Building Sewer-l;t 50 ft, —_ -- 10.00 ---�--�__-_-
Sewer-each additional 100 ft. - v 10.00 - ~�-
Water Service to building 5.00
Private Water Systems-each 100 ft. - - 10.00 __�'i�e
Other (Specify): - .� �✓!11 ,rj Jx,�I�J'I.
PERMIT /� C7, b t� For Plumbing Inspection Phone 639.4171N.L. F £�
r.'UState 17� y C t Plumbing Contractor By �CANBY, OR 97013
TOTAL RECEIPT NO. Issued ByJ� -
..,,�^"^-P_"""'4N�7�'yi.^rw,-�mr+ia�n•w�•.v.-•--im.-mar.-•.. .�+�wewr-•,��"-.",..��..,.,-.,..��,,...-__._.._..._.�yPf�..r...-_— „r,,.,,.,.uq•.
� ? ` U4
BUILDING PERMIT APPLICATION nor TIGARD DATE ` '' 19�n__ i
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHO
[� ( LOT NO._
OWNER K hill Y nyee L*I..]OB ADDRESS lt.)t.7 U Stj Yat own parI,% HOME ADDRESS
. ARCHITECT
^)t�� rif1 �x Ii sft �� jtf � i}�� f . ENGINEER
M� �16WRESS DESIGNER
_
�~
SSTryTRUCILIRE ONEW ❑Ri mnDEL ❑ADDITION [I REPAIR ❑RENEWAL [-]FIRE DAMAGE ❑DEMOLITION
[]RESIDENCE ❑COMM ft--��L..IEW.ICATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑POND ❑MOVING ❑CONDITIONAL USE ❑DEFIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
A-2 Tw
OCCUPANCY__._____LAND USE ZONE ------BLDG.TYPE___ FIRE ZONE, PLAN CHECK BY _ HEAT_ _
---
-—T-,;Pg 6-2 -Tsoua if Permit 2364 (i,at I- 1U990 5t~ 6arden Psrk Place
t;urletruct duplex u/ettachud 4ersl is. Bedrooms - 3 bet.hm.
!jowsr Permit #19614 - $1236,00 -3U
4th i0 _ ll.r!'�"�
UCS J QAD _— 19QR_,OAD_ _ NEI.�iT__ & 44M-5.__ _-_.YALO.-..-�r------
BUILDING,DEPARTMENT _v Slct BACKS FRONT �(l REAR t' LEFT SIDE !L RIGHT SIDE
F�c,mit u1990l�g—` —'— 1 TIIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COt7E, ZONING
Plan Check • REGULATIONS AND AL! APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL 1. BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 2,09*(jG ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE.RMII DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tail 7.96 LIC4�jt SEPARATE PERMITbREOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
kApoved — Receitit N(, y��l?ts7
APPLICANT OR AGENT
DATE IN TYPE INSPECTION ,-- REMARKS _- PLUMBING —DATE. -
-- Contractor
��r
Rough-inPermit No.
Fixture
^ Final ----
— — HEATING
Contractor
Permit No.
Gas or Oil
— Rough-in
-- Final
—.. — - SEWER --
- Final �-Y,-"..
--- — DRIVEWAY
--- -- -- - Final
—T Stonri Drainage
(Rein Drain)Final
Sidewalk
Curb 6 Street Final
- �--J_
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCCUPAj/ Y Final
7
CERTIFICATE OCCUPANCY � i p(
V 6 / U` Landscaping
Zoning Final