10570 SW NORTH DAKOTA STREET I
10570 SW NORTH DAKOTA STRFTi• -
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— Tim A.M. P.M.
Address _.
Permit >Ik��
Owner Lot ____
Builder
The folloveinp Buildinq Code deficiencie< are required to be corrected:
A —
i
Presented to CJ Apprtved
I
Inspector �J ❑ Ditapproved/
Date �-
CALL FOR REINSPECTION
0 YES 0 NO
CITYOFTIFARD B UT L.D I N 6 P E R ly!I T
C*—TWARD P 1H."R H T T #., . . .. .. .. . :: B U P"4 0—0 19 J
COMMUNITY DEVELOPMENT DEPARTMENT OR20014 VIRIM. PIL:*R1111 #. -. BUP90-0193
13125SWHWIBW. PD.Box 23397,Tigard,Oregon 97223 (503)6W-4177 J. DAIA:.' ISSUED-. 07/0,3/9 0
i L' ADI)KE�:)'n., [05/0 ::,W HulIII DAKOTA ST PARCEJIS134DA-03100
SUDDIVIGI011. .. ZONING: R-3. 5
DI-OCK. L.01'.
.......... ............ ........
kLISSUEi Fl_()OR AREAS EXTERIOR W A L L CONS 1'RU(*.:1"IOM
LOSS OF WORK. .DEIII I R 6 1.. . . . . 5f Ns S.. E W.
'T'Y r-*'E OF" USE.. . . :A SECOND. . . -. sf PR(PEC—l'
1Y1::'E OF:' (`ONS*1"
. .-5N 1 H 1:R 1). 5f N: 5: E W
O'CCUP'ANCY GRP. RJ 7"[)1 A L.-------- 0 f ROOF CONST: F I RE' RET?
OCCUPANCY LOAD,- E4A('.-)1:-Jv1ENT. f
5 A R E A S E R A 11-1)
GTO R. FIT". : fit GARAGE. . . C S-f OCCU SEP. RA*111)c
I RED
BSMT? 11 1H.,z z RE:'()D RE
H...C)U R L C)A D. . . . .. ps,f L1.F T- f t RGH'F f t F IN 13 P K L S11OK DET. . -.
I)Wl--,.l L T N Ci U lq 1.TS-. V R N'T . ft ft FIR AL-R11 HNDICS" ACC:
B F 1)R P1 G DAJ SURFACE-: PRO CORR- PARKING:
V A L.U E.
Rr-�ni,-irk.s:: Renic)vp a:l.l debris. One c.,0Ve-rr-(i pa-rk.inr
.1 SptAC'e I-, '('e CI Lk I'('C-C1 ....... C A-r P c)-11 t, t
be added L I i.A t e., clA t e.
-S
C A1.)l 111 L.L E.".R, type amc)Llnt b y (J zA t e 1:)
RT 15 F4C)X 62 C)AY111 $ 15. 7i JLM 07/01/90
P,R 11 T 1. . OH
SHEIRWOOD 0R 971.40 5 P,C 1 0 1
P f)(:)1-1 e N:
;:SONS
R I B 0 X 6P
S H F:,RWOOD ON 9'/140
1-11-lone 0. 1.5. 75 TOTAL_
R e rl 0. 03644
"TIONS
RE'UMTRU.1) INSPEC
This permit is issued subject to the requlatians c-ontained in the 4L3-�- :Ll><a�{a ......................
Tiqard Municipal Code, State of Ore. Specialty Codes and all other .......
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended for more
than 180 days.
.............
By :: .............
C.R11 fur inspection 639--41'15
II
:ITY OF TIGAPD PECCIF'T OF PAYMENT PE(. E'l PT NO. 202-17
CHEC"I" AMOUNT s 15.
NAME r Pilf-LEta t, SONG C0NTPASH ANOUN',AC'T(X*.l--,
PT 7, 9 0 X 62 PAYMEN f DATE
SUED 1%11 1 s ON
SHE RM)UP. 0 R, 97 J..4 1 .�570 NORTI-4 DAVDTA
')UNI' MENT AMOIAA-r r-"AID
FlUPFOSE OF PAYMENT* AMI. PA 10 1�'LJPPOSE OF PA'
CUILL."'Itf,16 PERN t 15. SI . BU It.D PE P
PF-MOLITION PERM 1
TOTAL AMOUNT FAI(, 15. ",".5
OFTIFA 13125 s.w HOP 97 PIAN CHEM AF'F'i.ICATION
P.O.Box 23397 PIAN (CHECK fCIIYRD
ng«d,Oregon PERMIT _
COMMUNITY DEVELOPMENT DEPARTMENT �soa�es9 ai71 i�
DATE ISSUED _--
`
'JOB ADDRESS:
i c �i C� ��, �ca '��' ..�.f -- TAX NF,P/ILJ►1,
SUB:
IAND USE:
_
VALUATION:
OWNER /1 SPEICIAL NOTES
NAME: I , -� ✓ _ - RF`=JE OF:
ADDRESS: - IAST REISSUE: -.
/ FI-)OD PIAIN/
SENSITiVF. IAM:
PHONE:-
APPROVALS REQUIRED
03M'RACPDR _ PLANNING: -- ---W- -
NAME: ` -144-v - 1 11 C'.INEERIJG: -_-_
ADDS: _ - FIRE DEPT
L OGIM:
PHONE: c1/1 .14-6-
RE?�iJII2FD
BUILDERS BOARD #: _ EXP DATE: -_ IXW/SUBCLNTRACIURS: -
BUS TAX: - --- ----_
ARC7i�NGINE ER C M.rIII&TIONS: -.._
NAME: - TRl S DET7iIIS: .--------
ADDRESS: _- on-ffR: �_--- -._---_ _--
IMONE:
SUBCOMMCIURS: PLLM: -� ----- _- MMI: -_-- �---
PERMIT ACCT I DESCRIM ION AMOkM AM3UMr PD. BAL. DUE
_ 10-432 00 Buildi-ng Permit Fees --
-_ 10-431 00 Plumbing Permit Fees -
10-431. 01 Mechanical Permit Fees
--
10-2' L, 01 S'tate Building Max (5$)
Building
Plumbing _
Mec _
10-433 00 Plans Check Fee -- - -� ---------__-.__ _._--
Building
Plumbing --___---
Mech
30-202 00 Sewer Connection --
_- 30-444 00 Sewer Inspection - ---_-__-- --
51-448 00 street system Dev Charge (SDC) _-- —_--_ -- --__�--
52-449 00 Parks System De-v Charge (PUC) � --•--.__.---- ------
31-450 00 Storm Drainage Syst DeV Cht`q (SSDC) _- ----___--- _-_-`
10-230 06 Fire
IUTAL _
RDC ,{
APPIICAATT SICNA'I1JRE - -------------------
Received By: _ -� — __-- Date Peoei,red:
ef/3587P.WPF