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INSPECTION NOTICE -
City of Tigard Builcling Department
P.O. Box 23397 --
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ---
Time._`�-A•M•— P.M.
Permit
Address
Lot_
Lot
Owner _ — #___-------
Builder -------- —The following following Building Code deficiencies ars required to be corrected:
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- --- ----- Approved
Presented to _ ----- - —
__� (� Disapproved
Inspector ----- — �— ,,
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Date —
CALL FOR dSPECTION
�! YES (_-1 NO
- Gi.
I SOON
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�. CITY OF TIGARD Plumbing Permit
,Building Department No.
IIId�lltid , � Commercial L-]
Inyta111moon [ ] Replace ❑ Addition [_J Alteration ❑ Date
Owner l ---� Cam¢*' # j.
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Applicant40
_CITY BUSINESS LICE14SE REQUIRED FOA ALL CONTRACTORS AN()SUB•CONT'RACft*s
ITEM NO. FEE TOTAL ITEM NO. IPE r+y
I'e1lSM -- 7.50 w Sewer.First 100 ft.
atlhur 7.50 _Each Addit. 100 R.
'. fW........a_0Disposal 7,50 _ Elector Puinp 7.50
N�1"It14tMr 7.50 7 water:First 100 ft. 20.00
presenter 7.50_ EarhPddit 200ft. _ 15,00
—V — Storm&Rain Drain:First 100 ft.v 30,00
Epch Addit.200 ft. 15.00 h" 1
Mobile Home Space 45.W.
Rain Drain-Single Fam.Dwelling �1
Comments -- --- -
+' ATkM� �/ `7/0 Issued By:
TAL
/C, �(�I Receipt Nt,. - --- - --- Applicant I fir;
'TO1 `
---- --- For Plur rainy Inspertiun rhone 633-4171
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INSPECTION NOTICE
City of Tigard Building Department
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P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
VI
Type of Inspection � �- _ ` L--- _
■
Date Requested_��- _ Time A.M.—_ _P.M. +;
Address Permit
Owner __ Lot
Builder -
1
The following Building Code deficiencies are required to be corrected:
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Presented to --_ /Approved
Inspector ! Disapproved f
Date
CALL FOR REINSPECTION
❑ YES fZ NO t
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INSPECTION NOTICE F
City of Tigard Building Department
P.O. Box 23397
Tigard, Orenon 97923
Phone: 6,39-4175 '
P
P
Type of Inspection
Date Requested '2 Time_�/ A.M...L P.M.
Address kt) 'S _— Permit #-
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Lot #—
Owner ----
Builder—.._ ���► ' —
The following Building Code deficiencies are required to be corrected: {
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Presented to __—_. —_. Wpproved
Inspector _-- Disapproved
Date —__—
CALL FOR REINSPECTION
❑ YES NO
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INSPECTION NOTICE
City of Tigard Building Department
A P O Box 23397
Tigard, Oregon 97223
CIA,-
Phone. 639-4175
Type of Inspection --4Z
— -----------_._._� _
C
Date Requestu//d//--__ ___.- _-� ___ Time --_— A.M. ✓ _P.M.
Address �1L �.21/ — �� _ Permit _ _—
Owner.--.— �_._1_ �/Lr 2c C_ �f c— _ Lot
d Builder .�_ -- _.Y�_--- ---.-----
The fo'lowing Building Code deficiencies are required to be corrected:
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Presented to
Approved
rt Inspector Disapproved
Date
CALLI'FOR REINSPECTION
i`
YES F-7 NO
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CITY OF TIGARD `�C ON{
" s OREGON
>�' ! /"� H�rrb Inorissette.. ..._ .. ..... ......... _ .....Permit No......122.. _
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Building Address80 SW 113th P1. k ` '
_.-.1.1.6. . ...
Certificate is hereby given this....--17.... -clay of_._Augu•st............... 19.....7.?
t
int that said building may he occupied and
q; that it ccnnll111-s with all requirements of
the Building Code for the City of Tigard, �'' ,
as approved by the Tigard City Council. d '
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{� Building Inspector ,
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: -�3 11,21V DATE ISSUED :
OWNERS NAME : ltd. 1St �;�_
ADDRESS: (�v v t /7j l-7
CONTRACTOR :
7
FEST : Air p, Woter , Visual D , Laboratory ❑ „
RESULT' Approved , Disapproved C Pending E)
SKETCH:
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INSPECTOR DATE
COTE: Attach 3-:1plemental test data bereto�
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_f DATE _ 17 ,19 �s��'M� I
BUILDING PERMIT APPLICATION DoE TI �Ru � �
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR ,rHF WORT, HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANY;NG PLANS AND SPECIFICATIONS. OWNERPI4ONE—
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OWNER 3 6 U_L LL' JOB ADDRESS HOME ADDRE.:, ,
ARCHITECT
EER
BUILDER 'Clr,10
ADDRESS _ DESIGNER
STRUCTURE ❑NEW ❑REMODEL_ ❑ADDITION _❑REPAIR_ ORENEWOL_ ❑FIRE DAMAGE — ❑_DEMOLITION
❑
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA HO OCAH PORT ❑GARAGE (:1STORAGE❑SLAB ❑FENCE
9 _ DBOND ❑MOVINS ❑CONDITIONAL USE r.1 DESIGN REVIEW ❑C01INCIL APPROVED ❑SIGNS
C(�CUPANCY Y LAND USE ZONE-_— BLDG,TYPE-----FIRE ZONE__ PLAN CHECK BY_ HEAT
! :J.3441" falluly JuiwilLl, ufiictruom 4f: �ju Lr~t 4 Type: 5ptll:irJtt -�
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QCT LOAD FLUQ[i LOAD H GHT 1. NO.STORIES AR- EA ___m @,EDROOMS a bALUE 2U, 1!JI 1s E
BUILDING DEPARTMENT SET BACKS FRONT 1(} REAR.. ( LEFT SIDE L RIGHT SIDE
Permit -
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check W*(7(.I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total— ALL APPLICABLE CODES AND ORDINANCLS. THE ISSUANCE OF THIS PERMIT DOES NOT' WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY — -- ----------- ._—_
APPLICANT OR AGENT
Approved Receipt No.
ADdRE55 �-PV�UNE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
J �
Contractor
I� L21-7 Permit No.C�'7G/ /-a75-7�
Rough-in
Fixture i
—
Final
HEATING
Contractor
S 7
C`v _ Permit No. y.�/ /-�
'2q-1� , Gas or Oil
Rough-in
Final
-----_ — — SEWER
_
Final
DRIVEWAY
Final _—
j Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Stree• Kinal
'y _
Approach
1 BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final -
Landscaping
Zoning Final
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CITY Oi .i IUARD V''.'
PERN.IT I`O. L�',y1 SIdA-
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UNIFIED SEWERAGE AGENCY NO. __ i10 8
DATE 1-3-77
WASHINGTON COUNTY
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CITY O F_____Tl_g a r d __.._-_ __ ._- _---
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APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: --__-- _---
OWNER'S ADDRESS: sreEr
STATE a
BUI`Dlh'; SITE: LOT_ �44 BLOCK _._______._-_ ADDITION —_ ------ �
residence
TAX LOT N0. --- ----- TYPE OF OCCUPANCY .______.__.
ADDRESS113th_P1-
DWELLING UNITS-- 1-_ FIXTURE UNITS
SURCHARGE IF APPLICABLE --- ---- - - -- ----- -- --- - --
PERMIT `EE-52fi._ ---- INSPECT-ION FEE 25... TOTAL DEPOSITED
L�EW; (EXISTING) BUILDING SEWER SYSTEM
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I he Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
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APPLICAN ,-(-----
SEWER PERMIT
ITHIS PERMIT AUTHORIZES CONNECTION TO THE SEIAIER SYSTEM.
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LINE SIZE -- - - -------- INSTALLER --- ------- --__ _
RECEIVED B Y
(AGENCY OR ttS AGENT)
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i Bldg. #1227 -paid to Leron Heights 5150 00
COMMENTS:
This Application and permit expires in one hundred and twenty (170) days.
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The amount paid will be forfeited should expiration occur.
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.aT.c� //3 TPermit No.
Permit charge
Owner !, f l A, ! z��a Connection fee
Paid by
jType of building Date connected
!Service rate Inspection fee
Contrector Paid by Date
Size of connection Assessment paid
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City of '(.YaCd Mechanical Permit ;, j Permit t%02-
FOR
New Installation ® Replace ❑ Relocation ❑ Addition ❑ A!teratlott ❑ -
�_� TOTAL 7 .21 f
CONTRACTOR Mi,inig RrnthPrc OWNER 11,erb A4orricsote
4v ADDRF-'-,3 6469 SE 134th Avenue Port1 and, QR 972WO11K AODRESS_�11�0�.11 nth „t �ze
pIIONE761-1070 APPLICANT KUYNX Laurey .J._Me i_ ig_____�
Ii Hent Input 11ntinq 113TU Per Four) 80 .00ob a Vent Sire 5.'R _ `-Iogl `1izo 5"R
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FUEL OIL ❑ GAS k 1LECT ❑ OTHER
ITEM %I n, rI<£ ITEM NQ. FEE
k
For Issun_nre of Perrnit Ix %I
0.00 _ • Pullers Over 50 MP 75.00
Niv+ Under 100 QQQ NTU ,gXXggX-t OCtI /fir Handlinn 110.000 Cf-M I,((,
Nw,v - Over '100.000 FITU � 5.010 !fir Handling Over 10,OQn CSM �r'tnc
r!oor rurnnre i _`La00_i Gvaenr�tiv�Cnn!rr 1
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F!nor - nusnrnr+rd ! 4.(.l.Q_' Vent riln
Wood
101M 'Jmlof ? NP 01 •0 �,U(1� Cnrnestir, !nrtnerntnr
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in :l0 1_1'1 Pt Ifs!'^I Q nr Nott Listed � i ;►1!1G I
:lni'n►S 0O *n rrn!-IP 11'i_r
INSPECTf!f1'S COMMENTS.
CITY 13UMNrSS LICCN',I~ 11r01-1IRED FQ1, -ALI. CONT,"ACTOItS OR SUM-CONTRACTORS
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