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INSPECTION NOTICE
City of i igard Building Department
12420S.W. Main St.
Tigard,Oregon 97223
Phone: 639
Type of Inspection
Date Requested 77 J1 Time M. P.M.
Address 7,0, Permit
Owner Lot #
Requested M.
Builder
The following Build' g Code deficiencies are required to be correuied:
Presented to Approved
Inspector Disapproved
Datq
CALL FOR REINSPFCTION
❑ YFs D No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone639-4171
Type of Inspection
Date Requested 7 T:md— V- A.M. P.M.
-:1�4dress Permit
C-vier Lot
Builder
The following Building Code deficiencies are .equired to be corms rod:
�2L;2-0% z 4PQ log
L
Presented to ._..--- —��-- iP Approved
Disapproved
Date
CALL FOR REINSPECTION
t� YES 13 NO
INSPECTION NOTICE
i
City of Tigard Build ng Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171 ,
Type of Inspection
Date Requested � Time A.M._ �__P.M.
Address .___l _7� S G✓ r'� �- Permit #
r_
Owner-- — ---- ---- Lot # —
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _—_ Approved
Inspector a— ilii _ r_� Disapproved
Date ----� .6 — -- —
CALL FOR REINSPECTION
CJ Y!! J NO J
w w w w w w w
BUILDING PERMIT APPLICATION
TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR P PERMIT FOIL -It-iE WORK.HEREIN INDICATED BUILDER PHONE
OF44S SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO..-_-__
OWNER ;)Orwi.: hatcherJOB ADDRESS Dr. / _ --
BUILDER 'fitter f.renL 'lrxies ?(13 TMTJ„ 1 71*h iIi ! 18k tnih ENGINEER
ADDRESS DESIGNER
STRUCTURE �❑ NEW O REMODEL - ❑ ADDITION _ n REPAIR ❑ REN_EWAL _ 17 FIRE DAMAGE -0-DEMOLITION
EJARSIDENCE C7 COMM EJ EDUCATIONAL I-I GOV'T ❑ RELIGIOUS [I PATIO CAR POPE C] GARAGE ❑ STORAGE ❑ S�AB❑ FENCE
OCCUPANCY : _LAND USE ZONE - .--_.BLDG.TYPE FIREZONE f_ PI 4N CHECK BY _ HEAT +J
Cons >jnv 1e mail ' - "'welling S+ti smacT ocl t;FaO."7`r�s
SEWERPERMITM -- j ---- - --- - --
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO,BEDROOMS _ VAI
BUILDING DEPARTMENT_- BET BACKS FRONT-- -REAR - - LEFTGIDE RIGHT SIDE -
=----- _ _.. - _- - - _—__.__---_. _....�- ------
THIS --- -
Permit _ 1-1-RMIT IS ISSU�n SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL RPPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND URDINANCE.S THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUE CONTRACTORS TO HAVE ,U-1RENT CITY BUSINESS
State Tax -
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEF,PLUMBING AND HEATING.
— ---- SDG -
TOtal i5rilw".�.. r
PUCK APPLI AGS-NT OR AGENT - -
Approvers ---- -- - - _ Rerelpt No. _
ADDRESS PHONE
i
DATE
INSP. TYPE INSPECTION REMARKS PL14MINING DATE
6L,12--&! Contractor
Permit No. .3
LRough-in
lAture
0 tz,
Ag Final
HEATING
Contractor
f Pormit No.
Oil
Rough
Final SEWER
Final
DRIVEWAY
Final
Storm Drainage
C'Isin Drain)Final
Sidewalk
Curb&Street Final
I Approach
-----------
BLIx.1, UEPT.F1*4AL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lan4scaping
Zoning Final
BUILDING PERMIT APPLICATION TIGAP:) DATE-4Y___._�- 19.83
THE UNDERSIGNED HEREBY APPLIES FOi7 A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVE'D IN THE ACC'ONIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE d0
0.1NEac T LOT NO.10/ .LCID
lo—"JAI) 1che JQB ADDRESS �� ��,/ Al l&` 'Loi ., k�wfr�1 aN
ARCHITECT/� 1
8UILOER �C./n'L +�N1Q4 ! ADDRESS*2p3 Ape 17 jV�//sem�3 DESIGNER 4%pi _
STRUCTURE WNEW ❑ REMODEL _❑ ADDITION _❑ REPAIR Cl RFNEWAL 0 FIRE DAMAGF. ❑ DEMOLITION
--`RESIDENCE ❑ COMM ❑ EDUCATIONAL 1:7 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE ❑ STORAGa r] SLAB❑ FENCE
lS,A_ LAND USE ZONE _._BLDG.TYPE _ FIRE ZONF PLAN CHECK B'l T�� HEAT__
04+
SEWER PERMIT I rZ Sr 7�� ��,_i�p
OCC.LOAD FLOOR LOAD _HEIGHT NO.STORIES tFIEA�:�IW40.BEDROOMS 3 V011 I
BUILDING DEPARTMENT SETBACKS FRONT a / REAR 7_f LEF-I SIDE ,'r.3 RIGHTSIDE /,2
Permit to THIS PERMIT IS ISSUED SL1fl.lECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE.ZQN!NG
,. RECUI_ATIONS AND ALL APPILICABLE CODES AND ORDIUANCES, AND IT IS HIEREBY AGREED THAT THE
Plan Chock Za WORK WILL BE r)ONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COTAPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE oSSUAOCE OF THIS PERMIT DOES NOT WAIV-
Sub-total u RESTRICTIVE COVENANTS. CONTRACTOR AIJD SU i CONTRACTORS TO HAVE CURRENT CITY BUSINiSS
/ LICENSE.SEPARATE PEWAITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ 40
rSGC— xy
i..Total — � � `y a /fie i$_
PDC# APPLICANT OR AGENT _
By
Recelpt N-,
Approved ADDRESS PHONE
SDC - _60
PDC - —. /CSO w�� AS
'
SEWER CONNECTION S v, t�4 '2�1Z
10 S,If
SEWER INSPECTION _S 35-
SEWER
y SEWER SURCHARGE S
Pat 22�� P
je� - 2y oo _
so
CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223
RECEIPT
DATE:- 7— �� - � _AMOUNT: S_1Q3. 5-O
1-2- DOLLARS
NAME: .. o
CASH:
ADDRESS:
M.O.:
N Of
POR: ACCT. # PIRMITS SURCNAROI AMOUNT
SEWER BILLINGS 40-3h4 _y S
BUSINESS LICENSE 05-1231
PLI;MBING PERMIT 05.392 $
MECHANICAL PERMIT 05-332
LUILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365 _
SYSTEM DEV, CHARGE 25-366 w
PARK DEV,CHARGL 01 30-351
PARK DEV.CHARGE #2 30-368 _
TONING ADJUSTMENTS 05-362
rorALs
RECEIVED BY (S�8610114121):
PERMIT NUMSE
Numbor Amount Number Amount Number Amount
RECEIPT 0 8 9 O P
C2
BUILDING PERMIT APPLICATION TIGA-:) DAT
THE UNDERSIGNED HEREBY Ai�Pl_IcS FORA PERMIT FOR THE WORK 1-12-90N INDICATED BUILDER PHONF.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFk,. TjONS. OV'7NER PNONC= �—
/� LOT NO. 2
RKAZEBFF r''AR`.1/ LJOBADORESS 9��3� SUIS KI►wlp�Or-lt _ lam;' til T<3/�J
ARCHITECT
S(t) ENGINEER
?UILCER �— AOORE55 5"7 O_ �, - AP%f !�,Q L4D. DESIGNER- leaxt6ecp.
STRUCTURENEYV [] REMODEL J AOOITION REPAIR RENEWAL 0 FIRE DAMAGE CI DE►AOLI�ION
RES107IVC= (_ CC%I.M ❑ EOUCATICNAL 7 GOWT�C RELIGIOUS L� PATIO C CARPORT 0, GARAGE Ci STORAGE L'' SLAPCI FENCE:
i%C.iirANCY R-� LANG USE ZO?�E 1_ �`! SLOG. TYPE ._ FIREZONF��----�� PLAN CHECK BY
,o,,�(Q K 'ly Vie• t'� w� e Caja e,
FIEWER PERMIT M
ICC.LOAD FLOOR LOAD O HEIGHT I�,;_____NO.STORIES_ AREA46, ':;,.BEDROOMS -. VFL UE5 ,2 Q p
BUILCINGDc?LRTM.ENT --� SETBACKS FRfVT Z[a REAR (_'"O LEFTSICE S. Sr�RIGHTSIDE `�.o
'THIS PEPMIT' IS 155U'c0 SUBJECT TO THE REGULAT10f':S CONTAINED IN THE BUMIML; CGDE,70FZ: 4�,
e/t 3 Sv FiEGULATIG�S AND AL1_ APPLICABLE CODES AND OR01 :r.rJCEI AND IT IS H>RE3Y A ;;EF TKAi i'HE
�!;n Check WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS A?:7 SPECIFICATIONS AND IN CO'.PLIANCS
-'� r� ITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THl5 PEgp:IIT DOES NOT W
JaIV.-
Sub-total 10'so TRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTAACiORS TO HAVE CURRENT CITY BUSINTSS
LIC SE.-EPA RATE PEq.MITS REQUIRED FOR SEEWER,PLUMBING AND HEATING.
state Tax g 126
Tota. _ SOC— '*, I C��` 4-4 0 9Q¢. _
PE) IAPPUCANT OR AGENT
lily _ �.
�! Receip:tN o. DRESS PHONE _
lApprovc.l
c"WER CONNECTION 5 7;�.� V
_WEFT INSPECTION S
-WER SURCF'ARG� S —
12 5—v
m m a r'1� C • �k��'`'�� L� �Ql _--,�1�n.� 11 X112�L E/�i Ci�.`�L4/���. /+�/h l�/�c��/�/1 __I.�«/�'i
�r w� � s � s•Ir � �
BUILDING PERMITAP:ILICATION TIGARD DATE -_y_- r`____.__,�h 1__ 3776
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6. a-636
OR AS SHOWN AND APPRO`I --D IN THE ACCOMPANYING PLANS AND SPECIFICATION• OWNER PHONE
LOT NO.
OWNER Kazebee/Mar ;hall J03_A_DDRESS 9E91') SW --
ARCHIT T
ENGINE R
BUILDER "ame ADDRESS `aW'n l'1 '.:'" --"- ESIG R Kazabsia Marshall
STRUCTURE 1 NEW ❑ REMODEL L, ADDITION ❑ REPA}R J1 RENEW ❑ FIRE DAMAGE ❑ DEMOLITION
"RESIDENCE ❑ COMM ❑ EDUCATIONAL 17 GOV'T Ll RELIGIOUS ❑ PATIO NCARPORT GARAGE rI STORAGE ❑ SLAB FENCE I'
OCCUPANCY ¢r' LAND USE ZONE "' BLDG.TYPE ____!_"�L_FIRE ZONE. - PLA HECKRy_—duh HEAT--
-- Construct sin le family dwelling W etas b-_ci {. e. N 3 Bedruons 2 loather,,_
SCE CORRECTION SHEET AT ACMED. —_ _
--
l; SEYERPERMITN23�t?4 -_ 9750. 00 — - T_S�__v �, -
' OCC.LOAD FLOOR LOAD 410 HEIGHT NO ` ORIES l AREA 1443 NO.BEDROOMS 3 VALU#�9*200.
----_BUILDING DEPARTMENT SET BACKS FRON 1 AR a0 LEFT SIDE RIGHT SIDE 20
Permit _ $207.00 THI8 F=RMIT S ISSUE tUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
""""' - -� REGULATIONS ND AL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan C �3. C'u WORK W:LL BE ONE I ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
----+..----- WITH ALL APPLI BLE ODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ a_0. ]0 _ RESTRICTIVE COV- A S CONTRACTOR AND SUB CONTRACTORS TO HAVE CUnRENT CITY BUSINESS
LICENSE.SEPARATE . MITS REOUIRED FOR SEWER,PLUMBING AND~:EATING.
State Tax 4` 6.23. #'.JU.0U
Total $318.78
P[�Cq 1 1
By pl 00. NT�`
APPLICAR AQENT
,T . _.-.._______-_-
Approved dWI Receipt No �p�,ggg PHONE
/4- K
z l )e
� x 3 i8
.''4 K 33�� go4
Z2G-(" 143
2 (7 34.
1463 � 3�.�a ��� 44q
Z z x Z 4S 4- Ls i Q do 19
ss,
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