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INSPECTION NOTICE
City of Tigard Building Department
P.() Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ,� �
Date Requested Ti m� C P.M.
Address — ��Jy� d ����. --_—_ Permit *1!/ 7y 10
Owner ___ __- Lot # f
Builder
The followinq IRnilding Code deficiencies are required to be corrected:
Presented to
Approved
Inspector __ Disapproved
c'e:d f 21 9
CALL FOR REINSPECTION
❑ YFa 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 y
Type of Inspection (V�G�
Date Requested _._— l -- rime . _ A.M.*-)--P.M.
1�5.�-te'
Address _-_--�O�%�(.� _ __ Permit
Own _' 'i s y� -7-- _ __ Lot ---
BuildcThe following Building Code deficiencies are required to be corrected:
r
Presented to __ ___ f ] Approved
Inspector ..;1 _ _ —� �_� Disapproved
Date --
CALL, FOR REINSPECTION
C7 YEs 0 NO
MF CHAN I CAI IL M I I'
Pi,:*j;4m*rr NO ME090355
CITY OF TIGAR® CMAX0 L)6*-1*r-.: TLJM-IEE)�
COMMUNITY DEVELOPMENT DEPARTMENT
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13125 S.W.Hall Blvd,P.O.Box 23397,Tigard.Oregon 97223.(603)639-4175
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This Permit is issued subject to the regulations contained in Title 14
of the TMC, Stale of Oregon Specialty Odes.zoning regulations
and all other applicable codes and ordinan,qs. and it is hereby
,agreed that the work will be done in accordance ,lith the plans and 1:1C
specifications and in compliance with all applici,'lle codes and -- :I N
ordinances. The issuance of this permit does not wai,-restrictive I 1 114111.
covenants. Contractor and subcontractors shall have cu,-ent city
husiness W Permits This permit will expire and become null and
void if work isnot started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permitteeature 0, 3J.14:431"A."ll 'TON 039.....1I r!.; __J
Issued By
SEPARATE PERMITS REQUIRED FOR W011iv, OTHFP THAN DESCRiGE-En ABOVE
rel ;ser mar is ntr
P,I UMBING Pl;.-'-*1:4M:I:Y'
CITY OF TIFA RD PEA:M
IT NO . : 7ALS90553
CITY0 TWIND r.wrii- P*3/
El"Y
COMMUNITY DEVELOPMENT DEPARTIAENT ORFOON 1:441:11 PMT .NO . J9041190
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oragon 97223.(503)639-41'15
SW KENT !Yy'
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This permit Is issued subject to the regulations contained In Title 14
IPIKA) 1INISPEECTIONS
of the TMC, State of Oregon Specialty Codes,zoning regulat ons AD
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and FIO r & F.
specifications and In compliance with all applicable codes and WA'11 i:A:4 LTNI';�'
ordinances The issuance of this permit does not waive restrictive IPM-8 . 1,(:111:43t.)T'
covenants Contractor and subcontractors shall have current city 1:4 A'11 N 1)P Al N
business tax permits. This permit will expire and become null and F: I.NAL
void if work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
gnat
Permittee onat>e
- CAL.I., 1' LIP J*.N!:&r-.:(.,T 1 ON
Issued Ely
SEPARATE PERMITS Rt."OUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CA
CITY OF TIVA RD
CITY O�FTWA RD NO . : BIJ890/490
COMMUNITY DEVELOPMENT DEPARTMENT 011001"!
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon!,7223.(503)639-4175 "A, 0011Iii: 1!ii sul.".:D: 3/23 111 89
NO 1990,114-100
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This Permit is Issued subject to the regulations contained In Title 14 P E.C,Ef 1.':,1, N0 .
of the TMC. State of Oregon Specialty Codes. zoning regulations ••••••••»••••••... ...........
and all other applicable codes and ordinaticus. and It is hereby
3'.NS PU"C 1 :1.ON
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive I. OUNDA TON WAL-L. WAIN 1:11PAJIM1
covenants Contractor and F.�.ibcontractors shall have current city & I:A::'(-)M WATEP L..'I.NL-:.
business tax permits This permit will expire and become null and UNI)EIP'61. off (.11AY APPP(Alt �-.)w
void if work Is not started within 160 days,or if work is suspended or 1` :1 NAL
abandoned for a period of 180 days any time after work ties
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
-
Permittee Sinature I ON
Issued Ely- -J
IN 639.-1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CITY OF TIGA RD11:71:4111:71:11:71:41"111':� � N(J . : GE090556
.lTY0fTWAltD DNI iii: '.I*.';;G)tA*-:D : .5/PJ/019
COMMUNITY DEVELOPMENT DEnARTMENT CE 090/190
13125 S W.Hall Blvd,P O.Box 23397,Tigard,Oregon 97223.(503)639AI75
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This permit is issued subject to the regulations contained in title A I .I.L.INS
of the TMC. State of Oregon Specialty Codes,zoning regulatiors P(:)t JG,j I I j')
and all otlier applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and
specifi,jotions and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business too pt rmits.This permit will expire and become null and
void if work is not stnrted within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee 5 -net
CAI..( FOP J N 1:3 Pli:UTTON &,49-11. Ir-A
Issued By - ... -11 - --1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C ITY OF T I17A�� ^'� PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT � � p� PLAN CHECK y "� "�_��
13125 S W.Han Blvd.,P.O.Boa 23397,Tigard.O . `� PERMIT y �, (cl
q Rgon97�J,(SQ31639y�175 9 �+ DATE ISSUED 2`�( f�j
JOB ADDRESS: r/A/1/c'S�i�(),j /�2/ 1 1X MAP/LO I- f,545 / /✓d
SUR. LOT: 4rLAND USF:: /z PJ
----__— VALUATION: _` 7ZZL _
OWNER SPECTAL NOTES
NAME' /)")r JI ,f`,�y\ h��.c ;�� REISSJ: OF:
ADDRESS: EAST IZEISSUE:
_ FLOOD PLAIN/
_ SI-NSITIVE. LAND: _
PHONE: _
APPROVALS REQUIRED
_CONTRACTOR PLANNING:
NAME: .3v5,5g ENGINEERING: --`-
ADM''_0S: FIRE DEPT
OTHER: ------
REQUIRED
RE
PHONE: �..� lv
- L�(D — ITEM: Q_—_--
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS: -- �('�
PERMIT y ACCT y DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
ff'0 10-432 00 Building Permit Fees y71_
CSS 3 10-431 00 Plumbing Permit Fees 132,
U.55 i 10-431 01 Mechanical Permit Fees ,1015o
14-230 01 State Building Tax (5%)
Bu i Id i ng )'.
Plumbing :;•G.3
Mech _ e 3 2 /.
1(1--433 00 Plans Check Fee
Boillli.ng
PIumbirig
Mech __ /0• / -
'���SS(, 30-207 00 Sewer C:onnecLion
30--444 00 Sewer Inspection �_ o
51--448 00 Street C:yst.em Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PD(:) a _______� _ :•5U
31-4')0 OO Storm Drainage Syst De..v Chrg (SSDC)
10-230 09 TRFD
10-230 06 Washington County F ire yl (95X) -
10-220 00 Amar•t/Wedgewood
APPLICANT SIGN TURF
Received By : _ ----- _-�� c._�-- Date Received: _
cn/3587P/19P - --