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INSPECTION NOTICE
yCity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection e _
Date Requested 1 7��/7 Time _ -- A.M.--P.M.
Address
r--- — _ Permit
Owner.
Lot
Builder.
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector [� Diss
pproved
Date
CALL FOR REINSPECTION
C7 YES [ANO
WAleff R� -Vi ssr IAds sss!
ilvarrt;I iuty tvu I lGt
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
/ Phone: 639-4175
Type of Inspection "v/
Date Requested Time
-_ A.M._ _.. P.M.
Address _ Permit #
�. _
Owner G� `__ _._ Lot #
Builder — —The following Building Code deficiencies are required to he corrected:
S-
_.1<�
_-
Presented to _
Inspector
Disapproved
Date
CALL FOR REINSPF.CTION
0 YES U NO
CITYOFTIFAFATI,I DTN(., P.039:[r'
RD PERII N(J. : U0539
CITYOFTI6A0
01100104 DA'TE: 3:15SUED: 3/1029/09
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 PHI' .NO . 0 9 0.05 3 9
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1,01 VAL.WAI'TON : 111 57 ,227 SEA'DAIL.K5
IUNT : E20 PEAP: 6
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This permit is issued subject to the regulations c,,itained In Title 14
of the TMC, State of Oregon Specialty Codes.zon,iq regulations .1 NliVIE1,I LONI:i
and all other applicable codes and ordinances, and I, Is hereby SKWI,.:A
agreed that the work will be done In accordance with the pi,is and I I)I INUO I JA IN WALA- FIATN DWAYNS
specifications and in compliance with all applicable codes and f, & DEAM W A11.I
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
I.-)N 1)E:W5 1-Ali) ("I.ITY APPWA-1,15W
business tax permits. This permit will expire and become null and
void If work Is not started within 180 days,or it 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 approvied
'I AIJON
Permittee Sl nitiiII'
Issued By I- OP,
SEPARATE PERMITS REQUIRED FOR W0.n1'r'% %GTHER THAN DESCRIBED ABOVE
CITY OF TIGM RD PILPMIT NU. : !A-`.FJ90'7F-25
CITY OF TIIF��RD
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COMMUNITY DEVELOPMENT DEPARTMENT 0111110IM-11,111K ISSUED: 3/29/89
13125 S W Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.J503)639.4175
c 374.56
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This permit Is issued subject to the regulations con')fined in Title to 14EGEIP'T NO , 0 3 2 S -
.............. ...........................................
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances, and it is hereby D 3.W5 ON5
agreed that the work will be done in accordance with the plains and !I )l It
specifications 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 tax permits This permit will expire and become null and
void it 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
Permittee gnalureture
Issued By (11 1 1 1!I: 1 .1 ON I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PIAMWENG PERM:T
C11Y CIF TIGA RD aAmv PEPWI I" NO. F-1-8907r.2.3
COMMUNITY DEVELOPMENT DEPARTMENT 011111160"
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)6394175
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This permit IS issued subject to the regulations contained In Title 14REXLlI:
" , 'A'T NO
.................. ........ ...... ...... ............
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby I
agreed that the work will be done in accordance with the plans and 1"11 E., i INDE:V"!;AAW
specifications and In compliance with all applicable codes and &
ordinances The issuance of this permit does not waive restrictive W(i 1*1*;*1'4
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and I()I"I(A.)T
void If work is not started within 180 days,or If work Is suspended or 14161A r.)1:4A'.I:Nt3
Abandoned for a period of 180 days any time after work has F .1 NAI,
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested And approved
Permit a Sii nat
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Issued By 639 ell 75
SEPARATE PERMIT'S REQUIRED 7OR WORK OTHER THAN DESCRIBED ABOVE
MIE(*.'HAN I CAI PEPM11'
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Cf. .Y�� ����RD CITY,OF T167ARD
COMMUNITY DEVELOPMENT DEPARTMENT 091GON [)A'T'E: 3 Of PIP 89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)63 j-417S
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This permit is issued subject to the regulations contai,ied in Title 14 NO
of the TMC. State of Oregon Specialty Codes, toning regul,.itions ................
and all other applicable codes and ordinances. wid it I-; hereby
agreed that the work will be dome in accordance with the plans an. I-Alii I. 1NU
specifications and In compliance with all applicable codes -!nd P(HI I ti 01.Fom
ordinances The Issuance of this permit does not waivp, eiii tj N
covenants Contractor and subcontrac�ors shall have current city
business tax permits. This permit will expire and become mull and
void 11 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 10 Mum
all required inspections are requested and approved
Permittee Sig ature
Issued ByI I I T1 T—I i T�T I I i I I,I N 639 •11 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
.ar Jnr .w +ter nnr .a we vow �
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CITY
OF TIG RD PLAN CHECK CffYOFTWA PLAN CHECK M .-
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT y
»1z5Sw.i4,nena.,P.o.Box 2339r,naaJ"I,OmVw,9rm,(5o3)s:99A1rs DATE_ ISSUED
JOB ADDRESS: L��,' / �[,(� /i_�'I) 6 i AX MAP/LOT , S/-/V RL3 a i) ell
SUB: JI`_� '7__ _
—2,1�l�i7 LOT: -2,1LAND USE:
VALUATION N
OWNER _ SPECIAL. NOTES
NAME: s2 �_ _ REISSUE OF: _
ADDRESS: LAST REISSUE:
FLOOD PLAIN/ -
SF'JSITIVE LAND:
PHONE: � ------ ------ ___
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: FIRE DEPT
OTHER:
PHONE: _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ _ _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:VJ
—s - PARKING PLAN:
LANDSCAPE PLAN:
PHONE: -- - OTHER:
COMMENTS: r — --- --- --
PERMIT y ACCT y DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
_>> 1.0-432 00 Building Permit Fees �U w ,
01iu i," 10-431 00 Plumbing Permit Fees SU �_ i �• S G�'
y;A 7Z �! 10-431 01 Mechanical Permit Fees ,S()
10-230 01 State Building Tax (5X) y,p/ off
Bu ldirig /-J" 3 .)'
Plumbing ka&.3
Mach _ 4=1 u_3
10-431 00 Plans Check Fee
Building !,/U "4
Plumbing
Mech
10-207 UO hewer Connection �,-
30-4,14 00 Sewer Inspection
51--44a 00 Street Syst cpm Uev Charge (:I)C)
52-449 00 Parks System 11ev Charge (PDC) S U �
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _-2-} p ,25 Gi
10-230 09 TRFD
10--230 06 Washington County Fire y1 (95X) -
10-22.0 00 Amart/Wedg(%w0f)d
TOTAL
APPLICANT SIGH ATURr-
Received By: Date Received:
cn/3597P/18P
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