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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit
Type of Inspectior.
The following Bui;ding Code deficiencies are required to bo corrected:
11-
_6
—5fe
Prr t anted to Inspector
Date
CALL FOR REIAVECTYON
❑ YES 0 No
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PRUNE 6394171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require coi*recting:
ia,( AC 2
Date:_;L--. Permit
Inspeelti
CALL FOR REINSPECTION
BUILDNC DEPARTMEKT, TIGARD �T
PLUMBING PERMIT 1�
---a t !s---f-Lu-a1—� h,,ide- of a valid plumbing contractors licanse is hereby
authorized to cause plumbing wor 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 le.,s than four
;4) hours prior to the time the installations are readv for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner-- /--1 �/� _ Address.--------_ lU. 1-11Ah !1t D.te�_�.
NUMBER OF TOTAL PERMIT No.'s
TYPE OF PERMIT ITEMS FEE ON EACH Ah1OUNT
(Office Use Unlyl
Single Family-1 bath-each 1 T 25.00
Ou lex-Each 1 bath unit _ _ 25.00 -'
_ Additional bathrooms-each i 10.00 (�
Mobile -tome Space-each 15 <
INDIVIDUAL FIXTURE FEES -
1 to 50 Fixtures in 1 building-each 300
51 to 100 Fixtures in 1 building--each 2.50 --`-"`
101 to 200 Fixtures in 1 building-each -� 2.00
201 or more Fixtures in 1 _building_-each 1.50
MISCELLANEOUS _
Building_Sewer-1st 50 ft. - _ 1000
Sewer-each additional 100 ft. _ 10.00 _
Water service to building 5.00 g,
Private 1Nater Systems-each 100 ft. 10.00
I Other !Specify); -
r PERM;T 446.d0 For Plumbing Inspecoin Phone 639-4171
u
3.5 State `14PU--w Plumbing Contractor By
TOTAL l J ! - RECEIPT NO. Issued By
nr
r
wjuwk�w
F_
BUILDING PERMIT APPLICATION TIGARD DATE_ / / '19 3047
THE'..'.NDER:yIGNED HEREBY APPLIES FOR A PEPMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE Ei4E-E3 36�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO._ 2-9 - Eierea _
OWNER McKay ;: +mos1 Tn.':JOBADDRESS 9 .80 SLl 6arreft St.
ARCHITECT
ENGINEER
BUILDER _ samo ADDRESS 14L) `'1E Shannon, 1ilsbrDESIGNER
STRUCTURE XNNEW ` ❑ REMODEL _ ❑ ADDITION ❑ REPAIR - ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EX RESIDENCE ❑ COMM CJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 11 CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FEN:"F
R-7 uwN
w OOCUPANC� Y- " LAND USE ZONE BLDG.TYPE — �_FIRE ZONE PLAN CHECK BY HEAT
Construct single family duelling w/etLachsd garage. 4 Bedrooms » 2 Baths. f
SEE CORRECTION SHEET ATTACHED.
SEWER PERMIT# gr - -
OCC.LOAD FLOOR LOAD it HEIGHT V NO.STORIES I. AREA i b 4 4 NO,BEDROOMS 4 VALUE 61 r 900
BUILDINGDEPARTMENT SETBACKS FRONT ?In HEAR LEFTSIDE 2f! RIGHT SIDE i
Permit _ L11•ClO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS rONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY 4GREED THAT THE
Plan Check _ 105- 50 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A,JD IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO H. VE CURPENY CITY BUSINFSS
LICENSE.SEPARATE PERM11 S REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4; 6,44 �4LwU„UU
Total S324.34 SDC - _
PDC# " S j(3 f}Al ICA NT OR AGENT
Bv_ P 1
Receipt No. :j
Approved ADDRESS —�— ---- ------ PHONE
F
I
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
e,5 — Permit No.
LW a�� f��r�O
•T Rough-in—�.—_
Fixture
,�iZv;Y•—�' _ .�.e C�►� -- — Final
HEATING
ply OK Contractor
y-2y-W p A Permit No. 1776e 7
Gas or Oil
Roughan
�-- — Fiml
—— SEWER
---- _— -- --- — Final 3 S-_ kV �s-K
DRIVEWAY
-��,------- - ---__------- Final
Storm Drainage
(Rain[train)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICTE OC Final
CERTIFICATE OCCUPANCY / ._g�)
Landscaping
Zoning Final