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INSPECTION NOTICE
City of Tigaf,1 Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address--__.___ -_ Permit #
Tvpe of InspectionThe followi-ig Building Code deficiencies ara required to be corrected:
Presentcd to _ Ins.sector
Date
CALL FOR RElwECTION
❑VES ❑ No
INSPECTION NOTICE _
City of Tigard Bididing Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address _ Permit
Type c. Inspection --
"he following Buildint C :e deficiencies are required to be corrected:
Presenrad ►o_ _ Inspector
Date
CALL FOR RF.NIL4°EC"1-1ON
0 NO
�esese>•a
cera tees en [MAMALM a r nes eee +
BUILDING ^ril NRTM'ENT, TIGARD Nn
PLUMBING i'MMIT
holder of a valid plumbing contractors licFr,se hereby
authorized to .' ^lumbing work its herein noted to be installed in 2ccordance with the plumbing code of
-i ioard. a,.jch i cns require inspection by the City Inspector who shall be notified not les- than four
(4') hours prior to time the installations are ready for inspection. City of Tigard Business I.Icense required
to: all contractors and sub-contractors Job
Q�,vnerl! Address_ �G- �� at`� _
NUM3ER OF TOTAL i
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT _
4TIAL All
_ Sing19 Family•-1 bath=each W_•_�_.__ A 25.00
1.4 1
Ou lex-Each 1 bath unit -_ ____25.00 f
Additional bathrooms-each _ —y _ I _ 10.00 — -t ��5'f
Mobile Home Space_each __ 15,00
INDIVIDUAL FIXTURES_ CQMfnEvRr=IA �_�_____-_ — - - -- w
1 to 50 Fixtures in 1 building-ear_h
2.50 ?
51 to 100 Fixtures In 1 building-ea_ch - __� -- -
101 to 200 Fixrures fn 1 building _ _ __� 2.00
201 or more Fixtures in 1 building--each __ _1.50
MMCELLANEOVg
Sewer_eieh additional 100 ft. 10_00_
'Nater Service to building
Other (Specify)!
PERMIT y�� V for Plurnhing Inspection Phone 639.4171
—t—_
4t. tare _ b ` Plumbing Contractor F
•rnrnl --�r�- ter-rGlt)T NO I4aueri Rv
r
/ _ ,,_el _ 3564
BUtLDING PEHMIT APPLICATION TIGARD DATE_...—_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED B' ILDER PHONE
Eli i �.1�i;sL1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OCWr O PHONE
OWNER IiUc� C�E�tI _��� ---JOB ADDRESS 99701 SLl ,Kdlii: G011l t
-- ARC .1TECT -
FNOWEER
BUILDEADDRESS 2131 SE 190th, Ptld. D.'•SIGNE9 Piercy-Be relay
E DAMAGE ❑ DEMOLITION
STRUCTURE [I NEW _❑ REMODEL ❑ ADDITION ❑ REPAIR C RENEWAL ❑ Fi _- ---
_ RESIDENCE Ci COMM ❑ EDU^A?TONAL C] GOV'T ❑ RELIGIOUS ED PATIO ❑ CARPORT ❑ GARAGE ❑ STOR: �E ❑ Si.ABC! FENS
'R?E'C81..DG.TYPE ��_FINE ZONE-._ PLAN CHECK BY dwI' _HEAT'_ gas -
OCCUPANCY _ft,�3•-.LANDUSEZONE 3 �,sdroo�s 2 Baths
construct single feTi dwsllin w ett$ch� d gsrr�ga _
SEE: CORRECTION SHEET ATTACHEM --
479_eQ.
SEWERPERMITN_ 9�75Q.DO
OCC,LOAD FLOOR LOAD 40 HEIGHT Id NO.STORIES 1 AREA 1659 NO.HEDROOMS �+ VALUEFI(J';� 00.
-"`— J 1-2---�-A 7 6 RIGHT SIDE
(- BUILDING DEPARTMENT SETBACKS FRONT �� REAR LEFT SIDE
Permit 21y.0Q THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND A'L APPLICABLE CODES AND ORDINANCES, AND IT IS HEP,ERY AGIIEED THAT THS'
Plan Check 109•. 50 WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANIX
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI i GOES NOT WAIVE
Subtotal 325•a0—+ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFbS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWEti,PLUMBING AND HEATING.
Statetax 41, U,76 %400.00
SDC-
Total3 3 '�'6 pDCM 11 w 10 0.0 h APPLICAN_T0 R AGENT
_- -By d w. Receipt No. ----- -- -- —
1 ADDRE98 —
Approved
DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
--- Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contract
Permit(11
17
Gas or OF
Rough-in
Final
SEWER
Final ---4-..J"*
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidevalk
Curb&Street Final
Approach
DEPT.FIN/.L Finhi TEMPORARY CERTIFICATE OCC NCY
CERTIFICATE OCCUPANCY
Lanuscapif)q
Zoning Final
t.
All
BUILDING P RMI"T APPLICATION TIGAP0 DATE .&1_� 19�
THE UNDERSIGNED HEREBY APPLIES FOM A PERMIT I;OR Tt iE VVQRK HEREIN INDICATED BUILDER PHONE,-<--5'2
OR AS SHOWN AND APPROVED IN THE„CCOM.PANYING PLANS ANO SPECIFICATIONS. OWNER,PHONE
A LOT NO._,r�'-5-
JOB ADDRESS
ARCHITECT
ENGINEER
BUr_,LA x•:DESIGNER f Qt�,e{• $�4,r eRy
STRUCTURE NEW 0 REMODEL _L❑_AODITIO_N ❑ REPAIR C1 RENEWAL _❑ FIRE DAMAGE _❑_ DEIAOLiT1ON
RESIDENCE [ COMM ❑ EDUCATICNAL 7 GOV'T C'i RELIGIOUS C PATIO ❑ CARPORT C.7 GARAGE. G STORAGE ❑ SLA20 FEN E
iaCC OFANCY LAND USE TONE r•�BLDG.TYPE: �•�!—FIRE ZONA'�"_-FLAN CHECK BY HE}�T
O _ - ---_ -- -
�e g� �� MI� .�•�wdl�f n w/0-
SEWER PERMIT N Q te'
GCC.LOAD � FLOOR LOAD /� HEIGH f �@ � NO.STORIES �_Y AREA (p f 49 NO.BEDROOMS VO.1.0a
BUILCING DEPARTMENT' .2Q REAR .2k t-EF-i SIDE G RIGHT SIDE /2
_ SETBACKS FRON_�
c _
L`=rmIt _ _�"•r 7•d THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THS BUILDINC CODE, 70u,NG
!
/U • �n PEGULATIONS AND ALL APPLICAFLE CODES AND ORDINAHCFS, AND IT IS H£FiEBY AGREFD TY.AT 71-.E plan Check 'I WORK WILL BE DONE IN ACCOP.IANCE WITH THE PIANS AND SPECIFICATIONS AND IN CWAPLIANCE
WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVc
Sub fatal I �.� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSIT:ES5
LICENSE.SEPARATE PERMITS R_QUIRFD'-OR S=WER,PLUMBING AND HEATING.
�tatB T;vt
�7 SDC--
Tot a!
_ PDC# APPLICANT OR AGENT
By t
BReceipt No.
PPr,_oved �.1 _ ADDRESS
;D C - --
?DC - �
;E-2ER CONNILCTION $ 7.2a
*EWER INSPECTION $
;F-*WER SURCHARGE 5
I
..�
09 ,� cP Rte o�aQ. •z� T t "2G
s
jot. .
I
agar Aque6-
WO - (pC ftvt ss-`x 2ca *7 76
20 X #40
11-6 is 24- 27L
r? et$
10-40 )c •t� G4
33. '50 G, o
20 x Za 420 _
.4 �, lq.aa qi /or
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