7735 SW GENTLE WOODS DRIVE ..,.. _..., .. .,..�i.............w ..ur.0..u.n....w.. �� �,.....vw/+�+'••�•�ru+�...y.waa+..+.....riwwewn-eM..ra wM�s..wwwM.+�rw..+whine.. ..,�.......... ...x .�.._.�.yy,Y.vhKNrw+4Wi.MMW�•.Mnw�WAYNM'�r.W9+M4M�KM�-+ ...w+rufw
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7735 SW GENTLEW0005DRIVE -
n ��10TICE
/I � I City of Tigard Building uepar't�ent
lr V" 13 95 MI Ball. Bled. Tigard. Oregon 97223
Inepncti%:n Line (Re::-O-Phone): 639-4175 nuoinese Phone: 639-4171
i
Fasting
P)bg, Underslab Mach. Rough-in Appr/sdwlk
pound. Plbg11 Tui Out
Gas Line FINAL: l
post/Beam StnJct., San. Sewer
p-aming -Bldg.
Poet/BeEm Meeh. Rain Drain
Insulation -plumb.
Gyp. Bd. _Tech.
Plbg. Underfl.a>r Water Lino iJ L
/U ✓ -el,
rT T f AM PM
Date Requestodt_,,,,.._
Address:-/--/—-_
Builder: '
TNR 1►oLLDWING CORRECTIONS ARE REQUIRED'
pp y
i
- I
T
Date:
Inspectors=
APPROVED DISAPPROVED APPROVED SUBJF•C7 TO .XBOVF
call For Reinap.
� *e
�Mmc ION A017CE
city of Tigard Ruildin9 &M.-t-s'at
13125 SW Bell Blad. Tigard, Oreaoo 97223
Inspection Line (Rec-o-Phone)t 639-4175 B,As:n.as Phone: 639-4171
Inspect lon
4ech. Rough-in APpr/Sdwlk
Pouting Plbg. Underslah -------
Gas Line pINALt
Found.
Plhg. Top cif i �
-Bldg'
San. Sewer
Framing
Pcot/ea.a�n '3truct.
Rain pm ra
Insulation 'Plumb'
Post/Beem Mterh.
plbg. Underfloor Wat/err Line
Gyp. Bd. -Meah.
y - ("1 , LI?- TLM, AM —11 1
nate Requeetedt! to/ ,F)
Permit #I- _
Addreaes� / �.iJ
Bul..d-rs_ ` r
TUE FLILI OWING c`ORRE::T I ON S ARE PEQU I RED
Dater � -
Inepw tori
IT
��pROVED _—_ DISAPPp� D _—_ APPRONID BtlATECT TO ABOVR
�' Call For Reinsp.
INSYECfI!JN NOTICE /
city of Tigard Building Department
13125 811 Ball Bird. Tigard, Oregon 9722.3'
Inspection Line (Rec-o-Phone): 639-4175 Busines+e Phone 6 9-411711
Footing Fibg. Underslab Hech. Rough-in Appr/Sdwlk
ound. Plbg. Top Out Cas 'Line *I +�
Poet/Beam Struct. Ran. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underiloor Water Line Gyp. Rd. -Hach.
Date Requested: 1� 44—'31-` _ Ti., f � jAN -----PM
Address: I ��� "� p u r C� Permit i s 1•�/"5 . 'q2_ -
Builders ` `) L Q —
THE FOLLOWING CORRECTIONS ARI! REQUIRED:
Inspectors Dettes
APPROVED DISAPPROVED APPRC'VRD SUBJECT TO ABOVE
Call For Reinsp.
INION o1'ICE
City of Tigard Building Deport"'"
7223
13125 BM Beill Blvd. Tigardi, �n
i -o-Phone): 6'.''-4175 Business Phone: 639-•4171
nspection Line (Rec
Inspecticnr
r/Bdwlk
Footing Flbq, Undert•lah Mech. Rough-1n �
Found. P1bg. Top OutJc
Gas Line 1IMhi' �'
Pont/Ream Btruct. San. Sewer
Framing -Bldg.
insulation ''ply'
Poa:t/Beam Mlech. Rain Drain �--.`___
Gyp. Bd. \�h.
Nater .ins �
Plhy. Underfloor �
(� I
-AL - _7 Lme f 11M
nnt.a Requestedt_ (�
Permit 1:-� ��� 2- II_
!1v i:der: _'-_..-----_.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
------r// jam- --- Date:
Inspertoi /
APPROVED —�
DIBAPPROVBD APPRCNBD BJB.TiCT TO ABOVE
Call For Reinsp.
INSPECTIONfJTICE %j
City of Tigard 60110A-9 DeparYsent
13125 SW wall Blvd. TigarC, Oregon 97223
Inspection Lino (Rec-O-Phone): 539-4175 Business Phone: 639-4171
f
Inepectione— —___..__---.-- ---- -----
Mech. Rough-in Appr/Sdwlk
Footlnq Plbg. Undersl
Found. Plbg. Top Out. Gas LLne
Poet/Beam Struct. San. Sewer Framing
Post/Ream Mach. Rain Dr.ali I-)quIFiti(in -Plumb.
Plbg. UnderfLoor Nater .Ane Gyp. Bd. -ruch.
Date. nequestedf_ � •? I _ AM PM
Address:
Stave
17:x' c: Permit #:/�57-`l2—a�_'1L
�
r � \
Builder:_ l
TNR FOLLOWING CORRECTIONS AAE REQUIRED: 143 / O
47
/9/�S7iPyC�7iiPq/ CQiH�O,r/P.�/>1 /f 7�ice' —
'�'�i �7'/�,(�F�'Si�'N`is%�.t� G it/cY`csi �iyOs/?C.•/ � ,
Inspector: �� _ Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO AEOYE
Cell. Far Reinsp.
�. :..
1"sP�cr1�.�►-�o��-�
erd Bu i ldinq ` '�Me'
City o' Tig 97223
13121 S%1 Bell Blvd. Tigard. 6regoe
Inspection Line (Roc-o-Phone)s 639--4175 Business Phonrt 639-b171
I nspect to 1 t
pppr/8dwlk
plbg, Onderslab Hoch. Rough-in
Footing
Gas Line FINAL$
F,)und. plbq. TcP Out
Framing -Bldg.
post/Beam Btruct• Ban. Baa+ar -plumb.
Rain Drain
Insulation
Post/Beam Mech. �h
Nater LinS pM
Gyp. Bd. .
Plbg. Underfloor ` � _
Tim*i
Date paquesteds -
- � L �p.si't ft
Address' ---"—•��� � �J ' D ���
euildert
TE1F FOLLONINa CORRECTIONS ARE REQUIRED'
-------------
------------
- � Hata$3.1
--
DiSAPPROVF.D --._ -- APPR7VED SUBJECT TO ABOVE
D _
Cell For Reinop.
+i
hM
INSBuilding
HOT1CD
city of Tigardard Building Department
13125 R11 Ball Blvd_ Tigard, Oregon 97223
�0___
Inspection Line (Rec-O-►'hone): '�39-4175 Business Phones 639-4171
Inspections_ — ------- - —
Plbg. Underslab Hoch P^ugh-in Appr/gdwlk
round. P1bq. Top Out Gas Line FINAL!
poet/Beam Struct. sen. Sower Framing -Bldg.
Post/Beam Hoch. Rein Drain Insulation -plumb.
Plbg. Underfloor Water Line l Gyp. Bd. -Hoch.
Date Requested:_ r -,Nimes
Address:
.Iserm t 9! '7
Builders
THF FOI.LOWINO CORRECTIONS ARE REQUIRED:
Inspect1APPROV10
- nlSKPPROVRD _�- APPROVED SUBJECT TO ABOVE
Call For Reinap.
C'TYOFTIFAARDMASTER.4jA6 PERMIT
(MY
COMMUNITY DEVELOPMENT DEPARTMENT MOM
13125SWFWJSW. P.O.Box 23397,T4prd,Oregry,97223 (503)639,4175 DATE ISSUE*D: 02/-'7/92
SITE ADDREq9. . . : '77:33 SW GENTLE WOODS DR PARCEL: i!'S112C;4-v1t6k1v1
SUBDIVISION. . . . : GENTLE WOODS ZONINGs R-4. 5 PD
BLOC11.. . . . . . . . . . . t-.OT. . . . . . . . . . . . . .8
-------------------------------------- BUILDING
REISSUE: DWELL I N(l UN I TS:0 BA5EMF NT. . . . . . . . :Q1 S f
CLASS OF WORK. :ADD BEDRMS:O PATHS: 1 GARAGE. . . . . . :0 s
TYPE OF USE. . . -SF FLOOR AREAS REQUIRED SE
TYPE OF CONST. :5N F I Rl-')T. . . . :0 sf LEFT. . :o ft RIGHT. -0 ft
OCCUPANCY CjRP. :R3 SEC OND. . . :0 S f FRONT-0 ft REAR. . :0 ft
STORIES. . . . . . . .0 THIRD. . . . :0 S f REQUIRED'--____-____.___--____
HE
EQUIRED-- --
HE I GHI.. . . . . . . . : 0 ft TOTAL---------:0 f SMOKE DETECTORS.
FLOORLOAD. . . . -.0 psf VALUE. . . . . $ - 7500 PARKING SPACES. . :QA
Remarks . v-einadal bath room and ht.kil(J new deck VARIANCE TO SE.TBACKS NOT APPRnVED
OLUMBING
SINKS. . . . . . . . . . :0 FLOOR DRPINS. . . . :0 BACKFLOW PREI)NTRS. . 0
I.Ak,ATORIES. . . . . : 1 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . :0
7UB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BAS NS. . . . . . . :16
APIER r:LOSETS. . : I SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . zo
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 CITHER FIXTURES. . . . . :0
bNHE(AGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF PA 1114 DRA I NS. 0
MLCHANICFL FEES
FUEL TYPES------------------ Uh41'1- HTRS. . :0 type amount by date V,Prpt
VENTS . . . . . :0 TAPRT $ 6E3. `JO JLH 02/27/92
MAX INPUT:V BTU VENT FANS. . i0 TAPLC $ 44. 5,:3 )L H 02/2 /92
FURN ( 100i< . . :0 '40ODS. . . . . . :0 35PC $ 3. 43 JLH 0212,7/9x'._'
!-'-'IJRI\l ) -100K . . .-0 wnoDSTOVES. :0 PPRT $ . 00 JLH 02'/27/ 32
FLOOR FURN. . . . :0 CL.0 DRYERS. : 0 P115PC $ 1. ::'5 JLH 02/27/ )2
B9IL/CNr1 ( 3HP-0 OTHER UNIT •0
GAS OUTLETS:O
.JOHN GOFF
7715 SW 13EN1-ELWOCIDS
ilGAVD OR 97 '_'24
F11h on e #:
' -ntractor: ----------------- -------------
opur LOVE SORRENTO CONSTRUCTION, INC.
12bbfP SW ND ST.
BEA0ERTON OR 97005
Ph,.)ne #: 643-9602
Re -4 06SA4 ----------- -
14;:--.,. •71 T0TAL
this permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS ---•
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fot.tnd Insp Plumb Final
applicable laws. Ali work will be done in accordance with approved PLM/Under-floor Building Final
plans. This permit will oxvire if work is not started within 180 Plt.imb 'fop 01-it Erosion lontt-ol
days of issuance, or if work is
suspended 7f) than 180 days. Framing
taminq Ins
Tni1iIatinrt I
nsp
Ear Mittee Ei qnatI_()'et (
Gyp Boav-d Insp
Rain drain Insp
,i.ted By : W,--itpr- Line Insp
Cal I for- irispect ion -- 639-4175
crry nr 'ricnRn RECF--'IPT OF PAYMFNT RF[*,*ElPT NO. 3 9z,-i!4?3832
CHECK AMOUNT 3 106. 96
Nf-imc- SGRRENTO C.",ONSIRUCTICIN CASH nM[)IJNT 5 lb. 00
ADURFSS i IP'n!'50 SW FiFCOND PAYMENT DATE t 02 V'.':7 d9 e
BE(-)Vf�RTON, OR 97005- GI)BD*fVlSlnN yI I
PURPOSE OF' PAYMENT PMOUNT PAID F,I'R;VSE CIF P( YMENT AMOUtfl' PAID
N-G—T If--F-4-M, 60. 50 PLUMBINCI PERM
Aull-D PER 4. 68 PLAN CHECK FE
7735 SW GENTLIF. WCIOD"j OR
TW 46
'At. nMOUNT PAID
IT'S OF TG13125 BW 123 ilh J
PLNCK/RECT #CT 1 V.��D �Box a�397 PERMIT i+ -W S r�C✓U l f
Tigard,Oregon 97:27
COti1ti1rINl'lYl)GV '1,OPM1IEN'rDE►'ARTNII'N7 (503)619-4171 DATE ISSUED _—
TAX MAP LOT
JOB ADDRESS: -1?3 5GE���� w �a /
SUB: LOT: $_ LANJ USE:VALUATION: ���� vu - --
SPECIAL NOTES
0_WNER �-
NAME: _11�Hr�1 ls� �F REISSUE OF: -
� LAST REISSUE:
ADDRESS: —�7
FLOOD PLAIN/
SENSITIVE LAND:
PHONE. — —
CONTRACTOR Af PROVALS 9U I RED
LPLANNING:
NAME: —_�211�Z�
r��-t'n L�3�`:T RsL4� �
ENGINEERING:
ADDRESS: -L��._�- �'�-�--►''� _____ ,_..—__—.--------
q T FIRE DEPT: -- ----- -
___-_
PHONE: OTHER:
-------
� _Z -- -_ -
CONTR. BOARD #: _� _ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB; -- -
LIST/SUBCONTRACTORS:
— MECH: - _-_ BUS TAX: ---
CALCULATIONS;
ARCH ENGINEER
—�._� - - ----
TRUSS DETAILS:
NAME: __-_ ---- --
OTHER:
ADDRESS: -- ---- -- -
PHONE:
PROPOSED BLDG. USE: �—
COMMENTS: -
APP,:CANT SGNATURE -T-p,(j
Received By: _ I Date Received: _ =
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
--- 10-432 00 Building Permit Fees la
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit FQes 62
10-2.30 01 State Building Tax (5%) _ rG��''
Building
Plumbing 5-
Me c h a n i c a 1 Mechanical
10-433 00 Plans Check Fee �; � �j 7-):-
Building
Plumbing 1
Mechanical —+
10-230 06 fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees M
25-448--06 Institutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential Traffic, Fees
25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lied of)
TOTAI.
nm/3587P.WPF
I
I r
S.r
I CITY OF TU-;ARE) REU T PT OF PAYMENT RFC rE I PT NO.
CMEC IA AMOUNT s
NAME % SORRE:NTO CONS TRI.J(:.T'lON CASH AMOUN"C a IM
Full)RF04�3 t I E,13 SW SPCOND POYME NT I3wrr a o6,/o6/9c
BE.AVE:RTCiN, OR ri0aD J U I fy 10 N
t
i'
PURPOSE: OF F'F4'YMF-.NT AMOUNT Pn I U f"l..Mi'Uf'3E OF PAY ME W AN11UN T VIA I D
I
i
1
1
T EYC'(a1_. AMOUNT PAID _ ;ti::. 7 5
1
I
MECHANICAL
C11YOFT11FARD CrIYOFTMRO PERMT*V
(;OMMUNITY DEVELOPMENT DEPARTMENT mom Et-MIT ##. . . . . . . : MEC91-0105
Cil
13126 SW HW1 Btvd. P.O.BM 23387.T4pM,orggon 07223 (603)6394176
- ltAYP-o !Iqfflo'ttf�-
�-, iT*1 ADDRESS- 2 7735 SW GENTLEWOODS DR PARCEL.: 2SI12CA--v-1600
ZONING:
,3 U P A)I V I S I ON. . . .
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .
CLW.--;S OF' WORK. . sNEW FLOOR FURN. . . . s EVAP COOLERS:
TYVI'E, OF USE. . . . : 3F UNIT HFATERS. . s VENT PANS. . . -
OCCUPANCY GRP. . I R3 VENTS W/O AP L: VE14T SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/CiiMPIPCSSORS HOODS. . . .. . . . .
FUEL. 0-3 HP. . . . I DOMES. INCIN:
: /GAL5'/ 3-15 HP. . . - s 0011111— INCIN-
MAX iNPUT: 100000 BTU 15-30 HP. . . . REPAIR UNIT1,13-
Fi0E DOMPERS'?. - t 30-50 HP,. . . - WOODSTOVES. . '
GAS PRESSURE. . . 50+ HF'. - - - CLO DRYERS. . s
NO. 01--' AIR HANDLING UNITS ()-HER UNI'rS. -
-URN ( 100K BTU: 1 10000 CfM ! OUTLETS. :
URN ) =100K B'W: > 10000 cflyl :
emarks :
---------------- FEES
)UHN GOFF tv pe '1kMolint by date
re
13b SW GENTLE WOC'DS OR PRMI $ 16. 00 PL-1- 06/24/91
PLCK $ 4. 00 PLL 06' 24/91
IGARD OR 97E'24 5PC T' $ 60 PLL. 06/i=-.'4/91
hone #-. 620-5921
LIMATE (-.ON7POL HTG K A---C
-,315 NW 26TH AVE
,ORTL.V4ND OR 97210
,hane #- f:;-.'c3---4393 $ 20. 80 101f)L
tPLJ #. . : 62196 PEUUIRED INISPECTIONS
"his verlit is issued subject to the regulations contain" in the Final Inspection
rigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. Ali wor4 will be done in accor,ar^v with
.-oprovid slant. This persit will empire if work is not sLz:-ted
Within IN days of issuarce, or if work suspended for sort
than 189 days.
jtty, p Sign.Rt .ire ; \_�Ui= ,/Z' % �—J _
Call fov- inspection 639-4175
eee a>.
CITY OF TIGluaPiVIL(.;I-�ANICAL PERMIT ` ' //
13125 SW,IIALT, 111,VU. I'enitil111h,
P. Or BOX 2.3397 - - - —_
1 tl (I'G e, nescriplion
T I GARD, OR q 7 2 2 3 Table 3A Mbsr,a:':e1 Code - OT Y PRICE AMT
(503)639-.*115 1) Permit Fee -0- -0- 10.00
TNWneulOevek,t,rno/nl — 2) SupplentenlalPerrnil - - 3.00
Job Addross Furnace to 100,000 BTU
AdOess ' 1) incl,duels 6 vents 6.Oo
7 7_SW_6`�l�T LL_c.k11�_ - --- -� e.-—
Tax Lot Idol,No 71 Furnace 100,000 B TU 4 7.50
lot Bloch :nhlivblon incl.duels&vents
Name(or name of bushms.) Floor Furnace
13) incl.vent 6.00
- ----Mailing Address f4wne Suspended heater,wall hrater
Owner �) 6.00
-'i • r- _nr floor nu•unted healer
��-�<v" ��'�'Tb•E���S �� ) -. Vent Rel incl.in - -
City/Simla till
'T% 6 A E _ C)E'Z' R.Iz 5) appliance pe►nlit 3.00 -
Name for name o busif rrcsrj nepair of he.Ilfnq,left fg.,
f GG 6) cooling,abserplion unit -� 6.00 -
Mnlnng- 6G� o,;�•?�-- Boller or comp t 3111'
Occupant r 7) .unit to to 31100 BTU 6.00 10,06
12.E 3 5- UeATt-E aU D& absorp
Finite( . cam -- -
Chy/sinte tq, 6) p to 31 If-151 IP
_T l - A absorp.uftil to 50U,000 B TU - 11.00 _
Name 9) Boller or comp 15.30 NP
C--Lt LAI-1a __-.CcsNT�� ahsorp.unit 1/2- i million - -15.00 -
Mailing Address "Phone` 10) p to 30-50 I'll"-'- Boiler or corn
-� absorp,unit 1 .1.75 million 22.50
Contractor =�1�-- A_S&..2 6 AM JZ Z-:3-,r939 '- Boller or comp to 50 Hf'
City/State til, p
1 i) absorp.unit 1,750,000 B I 31.50
strafe ne0slrellon No. City Pus.Tox No. Air hnndling unit to
12) 1l/mocrM 4.50
Mr handling unit
I hr•mhy arkr,owlnfge that I have read Ihb a1q,Ncntinn Ihnt Iho hdormallon given Is 13) 1rJ,000CFM �) 7.50
mrrect,that I am the owner or autl,critM agent of Il,e owner,flint plans subrnl8nd are In
("nplim"will State laws,Ihni I am registered with the State Rullders•nonrd,flint Ill- Non portable
rnnnber given Is rnrred.(if exempt from Slate reglubnllrn,plensn give inn^.en below) 14) evaporele cooler 4.50
Vent Ian connected
to 1-single duct 3.00
--- Venlilollon syslefn not _
1�) included fn appliance pennil 4.50
Hood served by
.r-, ` _ 17) mechanical exhaust 4.EA
Algtftilure(owner or ag/edit) Ute Uotneslic type -
Describe work EI addition t_1 n17rinitnrt ( I repair (_"I 18
) Incinerator 7.50
lobe done _residential Uj will iw1drnlinl I_) Commercial or industrial
Exisling use of -�_- -- 19) type incinefator - 30.00
building or properly Other i.e.,woodsiove,waltIr
Proposed use of _ - -" , 20) heater,solar,clothes dryers,etc. 4.,0
building or property _-�__ 2.1) (IRS piping one to four outlets 2.90 -
Type of fuel- oil (:� natural (as I I Ill(,.r: - - - ---
1 I I electric (_1
22) More than 4-per outlet
THIS PERMIT TIECUMES NULL AND Will IF W0I1K 0!1 CON --------- - SUB-TOTAL bre_
STnUCTION AUTIiORIZED IS NOT COMMENCED WI1111N 160 5%SUnCHAnOE
DAYS, On IF CONSTRUCTION Oil W0)11K IS St1 SPFNI)FD On PLAN REVIEW 25%OF SUB-TOTAL
AGANDONED FOR A PERIOD OF 100 DAY!;At ANY 1IME AFI En
WOnt<IS COMMENCED. _ TOTAL W.
Special Conditions
--- -- - Dale issued_ _ -9 9� by' C�� _
i
i
• I'd
;A141) NE I"EYR'f OF PAYMENT RECEIPT NO.
CITY OF T I t. CNE.C1< AMOUNT
CASH AMf_it.INT x �• ���
,JE�Mk, CLIMATE. CONTROL, INC. F?AYMFrNT' DATE s 06/2,4/91
-r � UE ''�
ADDRESS 3..� ._�1NW c_k•TN NVEN 9tJF1DIUTAION
P!ORTLA,110, OR 9'72iQl-- 77:55 SW 1'.ENTI..EWOODS
i �
Ft.�wF`ll E
OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PATI? I5
Mi''C:NANICAL.-H'E MF*C91 -1 +`5-..__._ __1h. 00 $.-j. BUILD PER
(.)N CHECK FE 4. 00
l�
t tt t EiL AMOUNT PAID Be B0
air P+wiMIKA
ti` � , ,ars�_ ��� �n.�� �n�� ;r.�(xn '����► ,�"��"'� ; "��� , $ ��Ir�)
Rmmv
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INSPECTION NOTICE
City of Tigard Building Department
I 12420 S`.W. Main St.
Tigard,Oregon 97223
Phore: 6394171
Type of Inspoctiopt //----
/2 i S�- ' T'rmA.M. P.M.
Date Requested 1-___ I--, -
Andress
- _ ermii
Lot
�Owner_------ _—
Builder --- --- l ------ I
The following Building Code deficiencies are required to be corrected.
ki
� ��^1r�y7- "•"L C-%tea"'-'�! �.-y^'_��.
-L�e—
.,n. -- -- — ------ -
O.pproved
Presented to ___ _ .--_—
Inspectoo _ -- ,ry __ —_-_ Ir Disapproved
tf,,4LL FOR REINSPECTION
( ] YES 0 NO
Y
3UILDING P`RMITAPPLICATiON TIGARD DATE 4119
THE UNDERS;GNEU HLREP( APPI IES FOR A PERMIT FO; 1 HF WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Con;;t- :x ,; �. LOT NO.
-JOB ---- ��
-- _
- --- --
ARCHITE�-'7 - -�
BUILDERENGINEER
ADDRESS en t 1 r? �'TnudBESIGNER
STRUCTURE �f_1 NEW O REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE` i DEMOLITION
❑"RESIDENCE ❑ COMM 'J EDUCATIONAL ❑ gOV'T ❑ RELIGIOUS C] PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE 14_ —' -- — —•
—_ --BLDG.TYPE _FIRE ZONE— PLA_N CHECK BY HEAT--..-I „1„ I',YnilY Owe11inq !40atta�h�:l �Trr:,�� — --- -----
SEWER PERMIT# ----T` r" j 4 1
OCC.LOAD FLOOR LOAD - --
HEIGHT ' NO.STORIES AREA NO.BEDROOMS VALUE
r_El'ARTMENTENT T SETBACKS FRONT _ REAR---�LEFT SIDE— RIGHT SIDE _
PermU�% THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
Plan REGULATIONS AND Ail 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
1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-tRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State -- SDC— `'' 400.Totall;•' :'yBy1 PDCMl!)Cl•�PLICANTQRApF-NApproReceipt No.
_ ADDRESS PHONE
1
i'
DATE INSA TYPE INSPECTION
�- -- _ — R'E'MARAKSA — PLUMBING
�AC
DATE
iI V�� Contracto
Alt � 40
�J►�
Permit N� ;�Z/ -
Fixtwe _
Final
HEATING
Contractors ••�
Gas of Oil
-.--- ---..— ---- Rough-in kV
-- -- -- - — Final 2B�1
-------- - .NLWER
- Final
-- -- -- - --- ------ DRIVEWAY
-- -- ------------- -__._�.— — Final
i - - -- - ' — .-^----^
Storm Drainage
,— —- .s— R. -----u---_—v- (Rain Drain)Final
Sidewalk
-- ^— Curb&Street final
--- — ---- ---- APProach
rli T. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final --
,CERTIt1CATE OCCUPANCY - ---
Landscaping
Zoning Final
i'
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DUILDiNG PEPMl APPLIC^TION TIGARD DATE-bA_ �__.__—,19_ og_
THE UNDERSIGNED HERt_81' APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE mlCCONIPANYING PLANS AND SPECIFICATIONS. OWNER,PH NE _
/�, Ah LOT NO. _
O'1JNER -A/ tJ flvit am-sr JOB ADDRESS/ I I� la
ARCHITECT
ENGINEER
BUILDER DRSS ���O DESIGNER >AVA
l—
•— -
STRUCTURE NEW ❑ REMODEL Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
KRESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS Cl PAT!O ❑ CAR-30RT ❑ GARAGE ❑ STOF AGE ❑_SLAB❑ FENCE
OGGUPANCY -R--3—.LA N DUSE ZONE_ BLDG.TYPE• ".—FIRE ZONE=_PLAN CHECK BY7_—HEAT
SEWER PERMIT N ----- — —& ��
OCG.LOAD FLOOR LOAD #60 HEIGH' Z NO.STORIES 2_ AnEA.20(0NO.BEDROOMS 4 VALIJ_�X000
BUILDING DEPARTMENT SET BACKS IONT ;l/ REAR /7 LEFT SIDE RIGHT SIDE ,Z
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAiNED IN THE BUILDING CODC ZOH!N3
-- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT iS HERF3Y AGREEL7 TYAT THE
Ian Check _ 23,2. WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
~ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVt
Subtotal —_S7d!?� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURR:NT CITY BUSINESS
LICENSE SEPARATE PERMI-S REQUIRED FOR SEWER,PLUMBING AND HEATING.
jStata Tax
SDC—
Total --_-- -- --------- ---
---- '— PDQ APPLICANT OR AGENT
By
Receipt No. ---- ----- -
Approved ADDRESS PHONE
SDC -
PDC -
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE $
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