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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Pibg, Top Oui: Insulation -Elect.
j
Post/Beam Strutt, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Cas Line Appr/Sdwlk
Reins.
Other:
Date: &fd -4 � A. P.M. Entry: —Address:
Tenant: -- Ste: MST
BLIP:Con/Own: MEC:
PLM:
ELC:
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Jar
6
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
I --
Insp., tor: Date � .T Y
--
j ,; AP OVED . _DISAPPROVED/CALL FOR REINSP, CF C
i
CITY CSF TIGARD
DEVELOPMENT SERVICES BUILDING; PERMIT
13125 SIN Hall Blvd.,Tigard,OR 97223 (503)6394111 PERMIT #. . . . . . . : BUF'9G- 0539
DATE ISSUED: 10/10/96
PARCEL: 1 S 13,5AC-04400
SITE ADDRESS. . . : 08930 SW OAK ST
SUBDIVISION. . . . : ASHUROOK FARM ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . : 14
REISSUE: FLOOR AREAS---------- F_XTERIOR WALL CONSTRUCTION-
CLASS OF WORK. EM FIRST. . . . : 0 sf N: S: E: W:
� s
1 TYPE_ OF USE. . . : SECOND. . . : 0 sf PROTECT OPENINGS').—
TYPE
PENINGS-,.__-____-___.___TYPE OF CONST. :SN . . . 0 sf N: S. E: W:
OCCUPANCY GRP. :R3, TOTAL------..-- _: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: ..
STOR. : 0 HT: 0 Pt GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ? : REBID SETBACKS._._------
FLOOR LOAD. . . . : 0 ps f LEFT: ili ft RGHT: 0 ft F I R SPKL.: SMOK DET. . -
DWELLING
ET. . :DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP AGC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
1 VALUE. '6: 0
Remarks: Demolition of SF dwelling. Septic to be pumped, filled or removed and
inspected. All. debris to be removed.
Owner: - -_._..__._.__.__._.____.____.____.__---__ ______..._.______.___.__._-- FEES
BONES CONSTRUCTION type amount by date recpt
3508 SW 209TH F'RMT 4 25. 00 JDA 10/10/96 96-285O38
ERPC $ 8. 45 JDA 10/10/96 96-285038
ALOHA OR 97007 ERPC $ 8. 45 .JDA tO/10/96 96-285036
Phone #: 6119-5682 EROS 4 2,6. 00 JDA 1.0/1.0/9 6 96 .285038
! SPCT $ 1, 25 JDA 10/10/96 96--285038
Cont;r,act or,:
ALLIED DEMOL_I TT ON COMPANY
940 NW DUNBAR AVE...
TROUTDALE OR 97060 ____.________._--_--•-•___-•- --_-- -- -___..__._...
Phone #: 665-1125 69. 15 TOTPL
Reg #. . : 1. 17c:65
REQUIRED INSPECTI�JNS
This pet-sit is issued subject to the regulations contained in the Pi_Imp/F•i 1 1 Septic _
Tigard Municipal Code, State of Ore. Special.!, Codes and all other Misc. Inspection _-
applicable laws. All work will he done in accordance with Final Inspection _-
approved plans. This perait will expire if work is not started
within 180 days of issuance, or if work is susl.:nded for more
than 180 days.
Permittee S i g n a t i_I r•e :
I s s i-1 e d B y
Call frlr- inspection - 639-4175
- Lo 003/003
r^TTV OF TIGARD..
12:24 ?.5503 884 %97 CITY OF TIGARD •' -,'• .•• • ,
17002/003
•
TIrARDResidential BuildingPermit Application Plan Chock
By
W HALL BLVD. New Construction Additions or Alterations Recd e
Dr OR 97223 Single 1=amll Dei Date to P.E. io y
) 639-4171 Y Detached or Attached nate to P.E.________
Date to DST
Print or Type Permit*
Incomplete or Illegible applications will not be accepted called________
Name of Prolecl
Job I Nama -
Address Site Address
Architect mailing Address
Na e city/State
✓1 Zip Phone
OwnerMoiling Addreu Name
CI /State ZIP Phone Engineer Mailing Address —
Name City/Stele
--Zip Phone
General _
Contractor Mailing Address Describe work New O A tido of O Alteration O Repair O
��
to be done; �N
City%9tati z!p Phone — 'yp'e of Uso --
Oregon Const. Cont. Board Llc.# E . Date Type of Constructjo1 r ^i
Attach Copy of xp
Current CUT Business Tax or Metro� Occupancy Clasr P;
Ucensea ExP• Date
)w r, 1,X Name Will It a sprinklered?
If Yes, separate FLS plena and Yes C3 Nop
e !kation to be submitted
Sub- Mailing Address Number of Stories
- ---------
Contractor � � ��� -
' ? u Proposed Use -
C�/State n�
tp G 6 -' Previous use — -
re o t on r
Attach Copy of ,L� cC _°, Exp, a to
Currant US Hess ex or --
�`-� I Valuation $ l
LIC gas , otro xD, ate
_ Nama - ! NEW CONSTRUCTION ONLY:
Plumbing 13uildin�t—1 C-) `
w:
Sub- Mailing Address Unit r 85 — —--_"- sqo,[f f
Contractor ArM or units
.
City/State Zip � ----------- _____--
Phone Pi - ----
Attach Copy of
Oregon Const. Cont. Board I_Ic# Exp.Date -
p � ^�
Currant Plu"Ihing I Nu,
Exp. Date WIII the electrica!Sub- cora
ntctor wire for sll restricted r
Licenses ene
Installations? Yt3S No
COT Business Tax or A4etry* Has the Subdivision Plat record I r
Exp. Date NYes Nc
Nama — I,�ereby or owledpe that I h ,
eve read this applica , that the
ti-
Electrical Information,Ilven is correot, that I am the owner or authorized agent or
Sub- Malling Addrtaa -._ rate laws.he owner, and that plans auhmitted are In compliance wth Oregon
M
GQIitrBCtor r/ Slpn--Ur e of Owner/Agent _
CityrState ,+ 'Date
Zip Phone Contact Person Name — �c�
Oregon Const.Cont. Board Llc.N ��v f /� Phone �k
I Attach Copy ofExp. beta
''_
FOR OFFICE USE ONLY:
Current Eteotrical Lic #
Licenses Exp. Date I I !I
COTBu`—
sinea8 Tax or Metra# -
Exp.Date
datslsfaPPdoe
510 P03 OCl 07 '96 16:36
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Jobs L __ -�" �rw! is'oImbQi S.l�S. «:.. •...,:..:...:: >
Checked By
---.. Dace Page
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P I G. POYME,N'I kFlL+.I PT 140. a 96—x.8!!50
► HEC,K NMl7Ui'J 1" 6 . '1."
NAME* a A1"1_[i--O ►):41UL.X ( 1 ON 11"O MANY i:;A!iH AMOUN I" p1� ttlG'
f lol)PES16 a :40 MW 010 IPAR 1411 1 a�1'rhlfr I�1 L)N t k_ l• 10/ f,
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1~:AUS IlN ITU1_, NMI I t 'r F'= P6. 160 Ett0111;)11.1 la 11-wl..
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