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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_ Time__+_ A.M.---P.M.
Address Permit
Owner Lot
Builder
The following Building Cod", deficiencies are required to be corrected:
Presented to
O' ed
Approv
Id
Inspector U Disapproved
Date
CALL FOR REINSPECTION
El YES O'NO
am
BUILDING PERMIT APPLICATION TIGARD DATE _ MaYll 13 19__S5 5366
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE .W-1. 1k-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-631-51t12—
LOT
HONE._631-51112__IAT NO. _--_T—r—
OWNER Carl Lierman JOBADDRESS 998U SW Garrett
T]Bard ENGIiNEERT
BUILDER JCO Builders ADDRESS 13585 SW W-Anut DESIGNER _
STRUC_T_URF. X NEW L.1 REMODEL Ll ADDITION ❑ REPAIR ❑ RENEWAL Ll FIRE DAMAGE ❑ DEMOLITION
C3:RESIDENCE C; COMM Cl EDUCATIONAL 1-71 GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[] FENCE
OCCUPANCY - M3 __LAND USE ZONE _ F(-7 BLDG.TYPE __5�_.FIRE ZONE PLAN CHECK BY _ FT_HEAT- Baa
Construct single family dwelling !djattached &avtge.
2 Bathroom 3 Bedroom
SEWERPERMITN Not* - ERiRtitlg Garage 44U
OCC.LOAD FLOOR LOAD 4U HEIGHT Ib+ NO.STORIES I AREA 1398 NO.BEDROOMS 3 VALUE50aU00•
BUILDING DEPARTMENT SETBACKS FRONT -_ ham_ REAR_ Q f LEFT SIDE `12 RIGHT SIDE 80-1j"
Permit ti3•UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS hEREBY AGREED THAT THE
Plar.Check 411.00 WORK WILL 9E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO&PLIANCE
WITH AL( APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 32.3.1 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LlgEEN$E.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.32 �9L .00 for In6pect.iun on S;vwe
SDC- $5 Ut:. !U ,
Total 334 .:11. —
r__ -- PDCB lI $150-U0 AP LI ANT Ad,NST
By P1�1 .— Receipt No. A D �_'�i_` v./)_! � ✓
Approved _� _ / D�'' PHONE
NG
DATE INsp.1 TYPE iNsprcTioN REMARKS
PLUM; A
'01,1111, " /
DATE
5-22 /
r A EVAJ
Perm it
Rough-in
Final
contracto uLiIS�'M/
ermi 40. r/
Gas o'Oil
sEWLR
DfAVEWAY
1 'nal
,no
Storm Drainage
(Fiaii Drain)Final
ISidevvelk
Curb 81 Street Final
BLDG. tiEPT.FINAL TIE?,IP6WiRY CERTIFICATE OCCUPANCY rival
CERTIFICATE OCCUPANCY
Lamccisnaping
I Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE Aff il 19 ,,9 65 5321
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILl7ER PIIUNE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _63�-57b2
OWNER Carl Liernaa JOB ADDRESS 4_980 SW 014111trett LOT NO
ARCHITECT V
ENGINEER
BUILDER SAM ADDRESS SW-M T _ _ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C] PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ___LAND USE ZONE _--BLDG.TYPE FIRE ZONE- --PLAN CHECK BY _ HEAT
Demolition home at abo" address. Sewer litre Sewer_lire at property- lirw. _
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES _ AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT V REAR LEFT SIDE RIGHT SIDE
Permit 15.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE HUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS IND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 15 o RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
.6� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC--
Total 15*60
— PDC# A PLICANT OR AGENT
By '
Receipt No.
Approved 6Tiibj - --------
ADORMPHONE
1
C1
C� 11 r II t. , Permit No. '
Address �`� C. �7.1 . �- C� t. s �_�,,
Permit charge ,2
Owner s5 iln�rr '� ��s 4-4d ,_, 'L I Connection fee`
Paid by
Type of BuildingDate connected_ // /_2-6 9
Service Rate Inspection tee_
Contractor Paid by —Date_���
Size of connection Assessment Paid
I
f
i
I
i
PFIRMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1 194 DATF. - -
PERMIT 1S GIVEN TO
OF
TO CONNECT A r
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $..................................TIGARD SANITARY DISTRICT
By
CONNECTION INSPEC'.E,D ANI) APPROVED
Date__ __--_ _ _ _ Superintendent
I