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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested=1�'�+� lime A.M. P.M.
�,�
Address 1 —.Gtr/_./u� '%�� Pennit #_� •z—
Owner _ _ Lot # �_
Builder_
The follov.;rrg Building Code deficiencies are required to be correcteJ:
'resented to Approved
Inspector _ _=2�— U Disapproved
Date
CALIOR REINSPECTION
C7 YES il NO
INSPECTION: NOTICE
City of Tiqwd Buii, Department
12420 S.W. iin St.
Tigard,Oregon 97�23
Phone: 639-417 1
Type of Inspection
Dote Requested Time A.M.Z:'/�P.M.
Address --Z Permit
Owner Lot
Builder
The following BuiAing Code deficiencies a.,- required to be corrected:
---j4
Presented to Approve.'
Inspector Disapproved
Date
CALL PbR REINSPECTION
E-1 YEI W 140
M
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of I.*ipeation
IDate Requested Time A.M._ P.M.
Address _ _ _ t
�/�5 S4._ C� ��• Permit #_-�
Owner Lot # —
Builder ...---- U11LL 4} - ------------ —
The following Building Code deficiencies are required cto�be corrected: /
i
Presented to -- ----_._---- ( Approved
Inspector &`-r_— ----- L.I Disapproved
Date
CALL FOR REINSPECTION
EJ YES 0 NO
INSP7,;TION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Photie: 639-4171
Type of Inspection
Date Requested-- 13 Time A.rv...----P.m.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required tc be corrected:
Presented to Approved
Inspector Ll Disapproved
Des ir z3
CALL FOR REINSPECTION
YES ( NO
- am 0
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 9727.3
Phone: 639-417.
Type of Inspection
Date Requested %3 ` 'gam Time_ _A.M._ P.M.
Address _ � '7
-��� -'��� a-'- 4it>!'c'GB.E Permit
OwnerLot #_
I
Builder
i
The following Building Code deficie• are required to be corrected:
I
i
i
Presented to [ Approved
Inspector _ __ �'� .•� ___ Disapproved
Date
CALL FOR REINSPECTION
�' YES ❑ NO j
Ww
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested ►� A.M/2 P.M.
Andress i'e i ;-2 _
'� '�c>.'� � �"•. .c��Permit
t-
Owner_ Lot #
Builder -�--
The following Building Code deficiencies are required to be corrected:
/9
r
Presented to Approved
Inspector �f �> Disapproved
Date
CALL FOR REINSPECTION
YES ONO
i,
i
BUILDING PERMIT APPLICATION TIGARD UAI _. 4333
THE LINDERSIGNED HEREBY APPf_IES FOR A PERIAI f FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS,AND SPECIFICATIONS. OWNER PHONE_—
NO.—i4 . 'tAZfJ@� COL��
OWNER 00n 1orLs tette 1'euilc110BADDRESS o'"s s.W, ',ran!y!lA :fit. LOT
Portland U217 � 140r;Sgett
B ILDER , Sq;ae _ ADDRESS P.o. %ox 19574 DESIGNER
STRUOTURE 1:3 NEW U REMODEL_ 0 ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O_DEMOLITION
LY7 RESIDENCE ❑ COMM C] EDUCATIONAL F-] GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE _ (4=5 BLDG.TYPE��°' FIRE ZONE—.----PLAN CHECK BY _ T`� HEAT
,.Onstuuct Single Fa ml ly i:n+ell in',, v,llattached Karam..
See correction nhet?t att.Acttecd„ _-- Redrpane —
lin thR
SEWER PERMIT# 5'it'1
—_u',araSn G(M) -- -
OCC.LOAD FLOOR LOAD 4(" HEIGHT I 1 NO.STORIES I AREA 1 1211 NO.BEDROOMS 3VALUE 49•rU0
BUILDING DEPARTMENT SETBACKS t RONT Z REAR .'_U LEFT SIDE RIGHT SIDE ►S
Pei rr,It THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREFD THAT THE
Pla 1 Check ' WOnK WILL BE DONE IN ACCORDANCE WIT4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
��F WITH ALL APPLICABLE CODIES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE :URRENT CITY BUSINESS
1 ,
State tax LICENSE.SEPAPATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
294.92 ^ SDC—
Total
PDC# A-h IC'ANT OR AGENT
Y 1 Ole
�
Receipt No. -'�� � r�� j V lr
Approved ADDRESS r ' .1 PHONE
DATE INSP. TYPE INSPECTION R[MARKS PLUMBING DATE
Contractor
Permit No.
1.?�C�1� a�G f�.. Rough-in
Fixture
e.Kel 9, . Final
3-.2 i4-R✓' '� .'r Q."—,� -- Contractor Ni6
Permit No. D
Gas or Oil 7�
'i-- -
Rough-in
Final —�
SEWER
Final ,3. ;Z.7 1+.� .
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sklewelk
Curb&Street Final
_ Approach -
BLDG. DEPT.VINAI_ �� TEMPORAR_Y CERTIFICATE r7CCUPANCY
.ERrn*ICATE OCCUPANCY
Lands- ping
Zoning Final
t3 IT 47
BUILDING PERMIT APPLICATION T,GARD DATEi(f, ._( _ -19-ft- 6
THE UNDERSIGNED HERi-BY APPLIES FOR A PERI'A!T FGR-mE WORK HEREIN INDICATED BUILDER PHONaW-16-6
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED PH NE _
�rfLOT NO.
UNNE. gM _13*____
H •�rb��_
BUILDER 0wr►A-0 ADDRESSRD l �7.2�4 DESIGNER
/�awi9:�
' +�- — -
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL [1 FIRE DAMAGE ❑ DEMOLITION
(� RESIDENCE COMM ❑ EDUCATIONAL dG-OV'T ❑ RELIGIOUS C1 PATIO ❑ CARPORT C] GARAGE ❑ STORAGE C1SLAB❑ FENCE
Cx__Gu�' L�
ANCY �C-a_LAND USE ZONE - , _- BLDG TYPE _y N_FIREZONF ^ PLAN CHECK BY
onwt -Vftlp 11-u�XIA'r63
!► �� -- -- -
SEWER PERMIT M — --- QV•A. ------
OCC.LOAD FLOOR LOAD#0 HEIGHT NO.STORIES AREA vNO.BEDRCOMS VA.LU �
BUILDING DEPARTMENTSET BACKS FRON A REAR Z O LEFT SIDE Z RIGHT SIDE
P^rmi. A 8 _0 bb THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COD;, 70u:"1G
Ti REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF3Y AGREED TPAT i HE
Plan Check „ •o fff2tEM WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
r WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIV.
Sutrtotal -� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BuSl Esi
/,• �� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:.�tateTax •
SDC -
Total -- _ - --- - �-_.
rDG# APPLICANT OR AGENT
By
Receipt No.Approved ADORE!3 - .-— PHO•, E ---
J
SDC - ,—, .�— 1 1 a.� ,i� . ,rxQ• �.�`f.SZ (�pc}"� Qy�iS
SEWER CONNECTION $ Q 02____
3,v kb •
SEWER INSPECTION $ _
(SEWER—SURCHARGES
-
- 9.8•gt. lok 14 AW 00 smosm lli� J�vvc"�o c c W" SVA41 441�
Arye
Lam!- 41-
1 ( 4+ Qe xl-o Vf 4t sop C>
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rivo-
20 co
6K G`3 °a
6 4t7
eel. a 00
wt " /��. •;Lox 28 l l zo
20 400
3-
y; 90
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1
CITY OF TIGARD—12420 S.W.MAIN--TIGARD,OREGON 97223 +/
RECEIPT
UA1E: C� d ---.---AMOUNT:$
llel"r� — LLARS
NAME:
ADDRESS: -
�'�j � M.O.:
0 OF I�
FOR: ACCT. N PERMITS SURCHAROI AMOUNT
SEWER BILLINGS 40-364 $
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332 $_
MECHANICAL PERMIT 05-332
BUN DING PERMIT 05••333
SEWER CONNECTION 40-363 �?T11,5,u'D
E
SEWER INSPECTION 40-365 /D 5.0eo
SYSTEM DEV.CHARGE 25-366 412 •40
PARK DEV,CHARGE #1 30-361
PARK DEV.CHARGE#2 30-368
ZONIN
TOTALS
RECEIVED BY:
PERMIT NUMBERS ASSIONID:
_Number Amount Nu of Amount_ Number Amount
LCXE U/ 7- yL
G / �� �
27a $_��� _�
� .27Jj 5__40_i� it
S RECEIPT #
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