8985 SW REILING STREET 8985 SW REILING STREET
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INSPECTION NOTICE
Citv of Tigard B-jilding Department
12420 SA. Main St.
Tigard, Oregon 97223
Phone 639.4171
Addresspermit # y_
._,_..._-.--_...___.__. --- ------ .--
Type of Inspection
The folluwing Building Code deficiencies are required to be corrected:
Presented to inspector
Date
t 4L FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
'Cigar,', Oregon 97223
1-hon-i 639-4171
Permit
Address
Type of Inspection
The following Building Code deficionclas are required to be corrected'
Presented to inspector
Date
(ALL FOR REINSPECTION
YES ❑ NO
ESUILDING DEPARTMENT, TIGARD
N9
n' PLUMBING PERMIT 1\
L0 'q� I & ACS,, �� holder of a valid plumbing contractors license is hereby
authorized) to cause plurrihing work as herei 1 noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City.�of Tigard Business License required
for all contractor's and sub-contractors.
Job
0wner_L,_L, r :1_UCL r+ t-'tl y�ic'� �.vv Add es��l�_ ��� ��; _ ��Date 8 - (3 -S C,
NUMBER OF TOTAL
L TYPE OF PERMIT ITOMS FEF ON EACH AMOUNT
IR;SIOENTIAL -
Sinale Family-1 hath-each _.._ _ 25.00
l0up1Ax--Each 1 bath unit 25.00 �J
Ad liti�!+al bathrooms-each -_-� _� 10.00
l vab,la Home Space-each ~15.00 ;
IN01VI0UAL FIXTUpfi9 C0�1�1ERCIAI __ E"
1 to 50 Fixtures in 1 building=each
!_91 to 100 Fixtures In 1 building- ach 2,50 _
101 to 200 Fixtures in 1 building-each _ 2.00,- _ r
20or more Fixtures in 1 buiidiny-each 1.550 J
1_11SCELLANE0U5
Sew!-each additional 100 ft. �— 10.00
Water Service to building 5,00 _. )
t PE FUMIT ll�; (nl For Plumhint3 Inspection Phone 639.4171
I Cyd State ? Plumbing Contractor By
I -TOTAL C RECEIPT NO. Issued By
i
r
BUILDING PERMIT APPLICA-1 ION TIGARD DATE__.��_? 19 GLS 3279
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ZAa"7,1r0_`�
OR AS SHOWN AND APPROVED IN THE ACCOMPAILYING PLANS A14D SPECIFICATIONS. OWNER PHONE
LOT NO. 4.- cheCk ��
OWNER ;,ill Godwin JOBADDRE_SS Slid Dleilinq_ tri nt _gg
nstr. CO. 9IrlOORE ?) i70 Sid G_reenburghd. DESIGNER K(11 ht's i�jl_ JexiUBUILDERL2adwin
tt
STRUCTURE_ DNEW _❑__REMO_DEL ❑ ADDITION ❑ REPAIR L RENEWAL ❑ FIRE DAMAGE C DEMOLITION
MMESIDENCE ❑ COMM ❑ EDUCATIONAL D GOVT ❑ RELIGIOUS LJ PATIO IJ CARPORT 11 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY L4--3 —LAND USE ZONE " l BLDG.TYPE :_-FIRE_ ZONE_ _ PLAN CHECK BY �dwh HEAT Et
Construct single family dwellim� w/attaChad garage. 3 0edrooms -,ethe.
SEE CORRECTION SHEET ATTACHCC'•
SEWERPERMITM 21962 — t.750.00 }W..�.�y.�f' ,__._—__� —
OCC.LOAD FLOOR LOAD 40—HEIGHT 12 N0,STORIES 1 ARFA 120;i NO.BEDROOMS VALUE�4b,700.
BUILDING DEPARTMENT THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,SETBACKS FRONT i 7 REAR _LEFT SIDE _ 14 RIGHT SIDE _
Permit a�i84•�� _ E, zoNING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 92.001 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 ;"OT WAIVE
S_ub•!otal 276.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax e't 7.36
PDCMIj IUl1•�U
Total $;�03• r,fl
By P1
---- 1 00,0 C0VL CANT OR AGENT_
C)t!fT Receipt No. --- _.... ----- — -----
Approved ADD E i.;-NF
DATE INSP. TYPE INSPECTION RaMARKS PLUMBING DATE
- r
Contractor
74
Permit No.
•�. W sl t r'�eA�'[
b �_--�M%A+��►�
Rough-in
OA Fixture --
Final
HEATING
,�a Contractor
Parmit No. 19;,P /U,fU
1 -vi0 I IVA U _ Gat or Oil r-
/
Rough-in
- -- — Final
SEWER
Flnel Q AL1r,
DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
—� Curb&Street Final
Approach
BILM DEPT.FINAL TEMPORARY CERTIrICATt OC-'lP CY Final
CERTIrICATE OCCUPANCY I l ,YI _ -
Landscaping
Zoning Final
..-__.. .. .... w•♦ .L..• ..+.....`. r..w.w ..,ri+r.r. +..v-r1^+..�� _.....�+r .r..--+..w ...«r+.w.w..rw- .....
BUILDING PERMIT APPLICATION TIGAR:) DATE
THE UNDERSIGNED HERE-BY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDI ATFD BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCCOMP`E''j�P���NNS AND SPECIFICATIONS. OWNERPHONE
�1'l .�(� LOT NO.SL� oSc -F
OWNER I l �° a GC(�1 f1 JOB ADDRESS - --
^ � AN6NFK-OT
BUILDER d lv, .f171� LTO.�v1G.ADDRESS Y10 .DESIGNER N A� 1 '.lesIoM
�' T—�
STRUCT1IRE NEW Cl RrMO;)F-L ❑1 ADDITION ❑ FFcpA1R ❑ RENEWAL ❑ FAE DAMAGE ❑ DEMOLITION
RESIDENCE F� COMM ❑ EDUCATIONAL ❑ GOV'TT❑ RFI :GI01IC
PATIO ❑ CAR PORT (:1 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY- LAND USE ZONE�_�_BLDG.-TY E 5_ —FIRE ZCNF 3 PLAN CHECK BY�HEA Gas
�D21
SEWER PERMIT tali
OCC.LOAC FLOOR LOAD �O `HEIGHT NO.STORIES AREA OjiI O.BEI)R0 gMS VALUE�� ,aO
-SUILCING DEPARTMENT SET BACKS FRONT r REAR Z� LEFT SICE ZZ RIGHT SLOE /O
P•irmit I ,aD THIS PERMIT IC 'SSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZCN!N3
C� REGULATIONS Al D ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT IHE
Plan Check I I z'e� WORK WILL BE D)NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
(qWITH ALL APPLi('ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
Sut�-total �. rf(q, 00 RESTRICTIVE CC TENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY susil':LSS
LICENSE.SE;dPATE PERMITS RLOUIREF'FO)R SEWER,PLUMBING AND HEATING.
State Tax • - r, 31a
soc � �
Total
--
- i - 3�� .�____��.�r_
PDCJ1 APPLICAN i QR AGENT
By
Receipt No. AOnRE55 PHONE �^
Approved
Soc - - --- 400
PDC - $ ___ -__-- # /o�
SEWER CONNECTION $ 7Z-y
SEWER SURCHARGE
;Z 570
Co ,nsnts . RBGdC. 7-/O $0 IJ Tum -(�= G ;t -- —
f 11s� 33_3�6& _ - -
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I..,ok's-U" 14. Poe. 4"d
20 x 3 6 44D
.2 x
co ;3
33.E 0, -Z�z7
20 x ,21 42-0 18,180
o