8740 SW REILING STREET 8740 SW REILING STREET
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!NSPECTION NOTICE I+
City of Tigard Building Department 1
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested
G,/� L�= Time_ A.M.��P.M.
Address – ZZL2 � '� Permit #
Owner - __ __ Lot #
Builder — —The following Building Code deficiencie- are required to be corrected:
i
1
Presented to Approved
Inspector ___ J [-1 Disapproved
Date
CALL COF,ffVS ..C,TION
F-1 YL. rJ NO '
i
Rift DING PERMIT APPLIOATION TIGARD DATE ,tlfrust 23
TH i UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _z
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER I JOBADDRESS _ scherk _ Par
I uu,�sl.Stl� d San_ 8761; lr ,� .,�_ - 1 _
,-'4v311wuod ARCHITECT
ENGINEER
BUILDER 5aue _ ADDRESS Ikz 3 YJVX__ ¢jDESIGNER
STRUCTURE UNEW ❑ REMODEL ❑ ADDITION 11 REPAIR ❑ RENEWAL C1 FIRE DAMAGE CJ DEMOLITION
1j RESIDENCE ELI COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k-9 LAND USE ZONE k"d►!5 BLDG.TYPE _ 5N FIRE ZONE_ PLAN CHECK BY N HEAT
----------Construct since 1,mi3y dwellin wjattacl,�ed gatrr� e. ---
Re-lossue of Permit #5115
Z bathroom
SEWER PERMIT# 28529 Gera a 526
OCC.LOAD FLOOR LOAD 411 HEIGHT If- NO.STORIES I AREA 1-153 NO.BEDROOMS 3 VALUE 57,000-
- - - —-- -_ -- ---- _ --
— BUILDING DEPARTMENT _ SETBACKS FRONT REAR , LEFT SIDE RIGHT SIDE is
Permit _ 304.UO_— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4L'.0(r WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 344.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LIGE SE.S♦~PA /1TC PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12. 16 b.,++, 'e!. U.�r(i
Total ----356.16 SDC— $500.00
By (.4POCII.t $150.UU APPLI ARTO E T +
f
PrCli Recelpt No. AD R SS — -- PHONE
Approved
DATE INS . TYPE INSPECTION--_ _REMARKS j PLUMBING DATE
t No.
C),
(Z!2 Fixtuit
F trial
HEATING
k,"it Poor
Promit No.
GO,,or Oil
Final
srwKR
Final
DRIVEWAY
rine)
Storm Drainage
(Amin Train)Fins'
Side MIK
Curb&Street Final
App, :h
CURTIFICATEOCCUPANCY CERTIFICATE OCCUP C Final
Lrndocar.ng
Zoning aminal
THE UNUERS!GNEO HEREBY A►•?LIEiS VOR APERhl11 I OR T11L yVUIiK HUILIN INUIL-AILD 13UILULHr�Iorl
-yo:17
OR AS SFIOWN AND APPROVED IN THE ACCOMPANYING PLAMS AN SPECIFICATIONS. OWNERPmxIr _
LOT IV0--_7�
J'.VWE )019A DOR E 55 " A CHITECT
ENGINEER
ADOREii ��__ �'" S 4 G �- DESIGNER
iTsiUCTU_RE _ ) rNEW OFlkh1nOEl OADOITION _ORcP^1_RORENEVJAL OFIREDAMAGE , 00E.-An-LIT
G'RESILI[NCC ❑COfLAI 1JEOUCA71UNAl OGOV'T ORELIGIOUS CIPATIO OCAR PORT,OGARAGE O STORAGE OSLAa OFEI
L CCI:P 1(,•sY _- LAND USE 20NE_ _ OIDG.TYPE �N PLAN CHECK 9Y �rC'� HEAT G -
CONS'1'Kl�''T cTntfL ti ►:nniTly nw�:1.i.3N(LW/A'I" AG LD GARAGE- _
_DATHKOUM BEDKOOM
SEUER PERMIT crZ �' _ _ Garaae .A.
i
4S.�.1.9�p FLOOR L•O4D Y' HEIc►1T /� ) NO STORIES / AREA/3.f--5 NO.BEDROOnI; t- VALUE
�Y ci1)ILOING OEPAR TMENT SKT BACKS F'TONT L REAR � /� LEFT SIDE c� RIGHT SIOE /
THIS PERMIT I; ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z7ti
wx Q REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THA T
1------- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGhLPUAN,.F V
$tJ7 LD(dl I n "7/ LO ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W e
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSK
r`'st+! Tax I �� LICENSE. SEPARATE PERMITS REDUIRF.D FOR SEWER. PLUMBING ANL HEATING.
Tutal SDC —
/>t PDC#
APPLICANT UR AGENT
ApprovM I -Z°L Recelpl No
l..—
S.D(• (SCOrn �~
PDC
SEWER CONNECTION $ .�
SEWER INSPECTION
SEWER SURCHARGE $
Comments : ---
1
Bu i Id i rig Perm i t No.
Location __$'7,�0 .Su/• .
Certification of Registration
With the Builders Board
doing business as (dba) ,
am registered under the provisions
of ORS apter 701 Oregon 11 ilders Law) .
Ply Builders Board Registration dumber is
Ply registration is in full force and effect and expires on
gnature '
BUILOING RECEIPT
DATE
NAME:
AMOUNT
AOCT. M DESCRIPTION
10-•432 Building Permit Fees
10-•431-600 Plumbing Permit fees s —
10-431-601 Mechanical, Pernit Fees f
10-230-501 State Building T4x
Plans Check Fee s - �ruv
LO-433
30-443 Sewer Connection (2.0X)
30-202 Sewer Connection (80X)
30—A44 Sswer InsiwctiG"
51-445 Street System Oev. Ct►arg% (SOC) s ^�
5Z-449-610 Parks I System 11ev. (merge (PDO) f —
52-44S-•620 Parks II System Oev. Charge (PD(',) s
11-450 Storm Drainage System DQv. Chrg (SSDC)
10-230-505 TRFD (95x) s
10-478 TRFD (5x) s
10-130-.506 Washington County Fity N1 (95x) :
113- 'le Washington County Fire 01 (Sx) f __
1q}-Z20 Amart/uedgaw+ood s
TOTAL. : "f- =/e
(he/1214P)