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INSPECTION NC i ICE
Cite of Tigard Building Department {
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4111
4
r k�
Type of Inspection
Date Requested 9_ . ` "S _ Time– A.M. P.M.
^ddress _zS.-�.'-.- 57 ---!�_[.//4`�.., ' <_ Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
_ I
Presented to ._ I Approved
Inspector - — r*� —_ Disapproved
Date --
CALL FOR REINSPECTION
(DYES 0 ND
INSPECTION NOTICE
i
t City of Tigard Building Department
`E 12420 S.W. Mair St.
Tigard,Oregon 97223
Phone: 139.4171
Type of Inspection ---•-
� .
Date Requested Time___ A.M.— F.M.
address16V L !J �.���(J l�1 �Glf / r %0i:(—PermiL
/ r �
Owner -' —: C .�'. Lot
Builder
The following_¢uildi,ig Code deficiencies are required to be corrected:
I
Presented to _ --� ❑ Approved
Inspector __ _ ._ �Disapproved
Date
CALL FOR REINSPECTION
E fed 1 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
1 420 S.W. Main St.
Tigard,Oregon 97223
c Phone: 639.4171
Tye of Inspection
Type �---
Date Requested ~� Time A.M.—P.M.
I Address J —Permit
Owner &OU4 — Lot #.
� r
Builder - ----
Thlet following Building Code deficiencies are required to be corrected,
4tf.tea ;•�'
- •-w.,.�sae' �_ �r;-.t-�L- •��:.�
7 '
Presented to _ Approved
�Disapproved I
Inspector __—_ ._— ---- �I pp
Date
CALL FOR REINSPECTION j
YES 0 NO
}
Kw
jUW
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INSPECTION NOTICE
City of Tigard Building Department
j 12420 S.W.Main St.
Tigard,Oregon 97223
Phone. 639 4171 J
Type of Inspection /vim
Date Requested _ Time A . _P.M.
Address
Owner _. Lot
Builder_
The following Building Code deficiencies are required to be corrected:
1
i
Presented to Approved
Inspector __ ❑ Disapproved
f Date _ s'
M CALL FOR REINSPECTION
YES X 1 NO
BUILDING PERMIT APPLICATION TIGARD DATE_ !1!!�29.___�._"19 85 5395
1 HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ._
OWNER (; y r + B ADDRESS LOT NO._____ 4
--- -- _ _S9�►tr. t'4gW _ !%20 SW View Terrace _ --- iMujj?ae :!might__
WeAtlina 9706 CHITECT
BUILDER Sante ADDRESS P.O. B a 432 GINNER
_ _ _DESIt3NGR_
STRUCTURE RI NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE '❑ DEMOLITION
LY RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT_❑ GARAGE 1:1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ li—,�_ LAND USE ZONE X-7 BLDG.TYPE_5H FIRE ZONE _ PLAN CHECK BYHEAT Gas
---___—_ Goaetrtaet ai>r►�l: fa-�ily duelling M/attached gargge.
—— 4 Bedroom 3 Bathroom
_ [ruse Uesi�;►. iquir®d.
SEWERPERMITN 7§ A 1!_ 525
'OCC.LOAD FLOOR LOAD HEIGHT 20+ NO.STORIES 2 AREA 2995 NO.BEDROOMS 4 VALUE 94 00U.
BUILDING DEPARTMENT SETBACKS FRONT REAR
,— 2(j _ as LEFT SIDE !g RIGHT SIDE IS
Permit` IS.�(� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUI'.DING CODE, ZONING
Plan Check REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGFIFED THAT THE
,�6:�•75 WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIF=ICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 584•75 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND h EATING.
State Tax 16.bi) 5250•UU
Total 71)I*35
SDC- SSU(1.UG
By PDCNI J $15LI.OU APPLICANT ORAGEN�- /
Approved 4 _-- Receipt No. r Z 1 � +�/,�liy ��Jd�f r �l�.Z ' sm-6
ETX It ' ADDRESS —
R
I
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i
f
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DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
C/oa-—vPermitNa. A&
% -- N�-
Sough-in
Fixture
Final
HEATING
Contractor r,
Pittimit Nc.
Gas or Oil
Rough-in
Final
SEWEP
V4, Final
DRIVEWAY
Final
e-&" -Ala— -In Dralmalilp
grain)Final
Sidewalk
CUdr b 8 Street Final
Approach
a:iw-4. 5 1 E i—T r ANAL -T-L'M—P O—R At I Y CEPTIFICAT7CUPANCY
C ERT In C Xt E OC CU PA N-f Filial
Landscaping
7oning Final
BUILDING PERMIT APPLICATION TIGARD DATE 14Y 29 _._., 19 es 5395
FHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.
OWNER ._��Qi._�.) 1. � QI>pQADDRtSS IQ42�861 � ► �.aC� --- e.------- Y � ��---
Wetlinn 97r1frMACHITECT �
GINEER
BUILDER Same ADDRESS 8.0. BOX 432 DESIGNER
STRUCTURE —1Z NEW ❑ REMODEL _ ❑ ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE fl DEMOLITION
CIRESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T LI RELIGIOUS ❑ PATIO O CARPORT U GARAGE 0 STORAGE ❑ SLABD FENCE
OCCUPANCY –-AMI–LAND USE ZONE . Mn7 BLDG.TYNE —SN FIRE ZONE__-. PLAN CHECK BY HEAT Ga!
Ccs—nstruct single_fami Edi! 11iw/attached rige' ----� T -- -
- 4 Bedroom 3 Bathroau
--- True& desiAn uired._ _ ---
•--SOJVER PERMIT# 36 s�
OCC.LOAD FLOOR LOAD 40 HEIGHT 20+ NO.STORIES 2 AREA 2995 NO,BEDROOMS 4 _VALUE 94.000
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE_ RIGHT SIDE III
Permit 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 269.75 _. 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 6U.75_,-- RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,P UMBING AND HEATING.
State Tax _ 16.60 UK $250.00 f
----
Total 701.3_5_ SDC— $500.00 n ( If t?:�-L,.�
_ ______--------.—
PDCM11 $150.00 LICINT OR AGENT
BY-- CZ f� V 144%j/l/h I, 97oft<1
R �-
Approved E� Receipt No.��d 1 ADDRESS
I
e
I
r
BUILDING RECEIPT
NAME: C � 1 1�2 � ���r----_� DATE '
I
ACCT, k DESCRIPTION AMOUNT
10-432 Building Permit Fees $
10-431-600 Plumbing Permit Fees $
10-431--601 Mechanical Permit Fees $ ��-
10-230-501 State Buildi.nq Tax
10-433 Plans :heck Fee
30-443 Sewer Connection (20X)
30-202 Sewer Connection (80X) s
30-444 Sewer Inspection
51-448 Street System Dev. Charge (SDC)
52-449-610 Parks I System Di>v. Charge (PDC) S _ "/---`"-'-
52-449-620 Parks II System Dev. (PDC)
31-450 Storm Drainage System Dev. Chrg (SSDC)
10-230-505 I'RFD (95X) s
10-478 TRFD (5X)
10-230--506 Washington County Fire M1 (95X)
10-478 Washington County Fire M1 (5X)
tO-220 Amairt/Wedgewood ;
TOTAL
(hs/1214P)
-
BUILDING PERMIT APPLICATION TIGARD DATE,—_._._ 19 ��)
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INUICATED ��R PHO E 'a_-5----
OR AS SHOWN AND APPROVED IN THE AGCOMpANYING
PLANS SP CIFICATIONS. T NO.21"
JOB ADDRESS Q ARCHITECT
OWNER 7�4s.1- 1 f.4i�n,,,�
97oe�T DESIGNER
NGINEER
BUILDER Z y� �_ ADDRESS _
STnLICTtIRE
'KNEW O REMODEL _ O ADDITION ❑ REPAIR __(..� RENEWAL ❑ FIRE DAMAGE DEtdf.?LI►
r^ (] PATIO [] CAR PORT ❑ GARAGE ' STORAGE ❑ SLAB❑ FES
RESIDENCE ❑ COMN ❑ FOUCATIONAL Cl GOV'T ❑ RELIGIOUS
FIRE ZONE_`— PLAN CHOCK BY c T
OCZLIPANCY _ IJ1N0 USE ZONE BLDG.TYPE
SEWER PERMIT IT ([
��..� (�3(p
AREA pZS NOBEDROOMS 7 VA.L -
OCC.LOAD FLOOR LOAD � ! HEIGHT�a + NO.STORIES .
BUILDING DEPARTMENT SET BACKS FRONT ti
REAR j LEFT SIDE RIGHT SIDE
portnft THIS PERMIT K ISSUED SUQJECT TO THE REGIILATIONS CONTAINED IN THE BUILDING CODE ZOt
/' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERGaY AGREED TY.AT
PIa�CMck 2�' 7� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFItJ1.T10NS AND IN COtdPUA
�'— WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF TH!S PERMIT DOES NOT W,
ISuSlolal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU51f•
LICENSE SEPARATE PERMITS REOIIIRED FOR SEWER,PLUIdqItlG AND HEATING-
;SIStuTax��• �� U
Total U I ApMJ(,ANT OR AGENT
--_ P17CA
BY NO.p _— ---- —
Recel t RKTNE
. AOQRE55
ApprovedM
snc
POC
a
SFUER CONNECTION S
SEWER INSPECTION s
SEWER SURCHARGE s
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flu iIding Permit No.
Location
Date
Certification of Registration
With the Builders Board
£ f doing business as (dba) ,
1,,7 am registered under the provisions
ORS Chapter 101 Oregon Homebuilders Law) .
fly Builders Board Registration plumber is 692 31
My registration is in full force and effect and expires on
f
ig atu e '
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Reqitested. Time A.M. P.M.
Address
L.,22AZA,) . Permit
Owner Lot
Builder
The following
Building Code deficiencies ai a required to be corrected:
2�
7
Presented to _ ❑ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES 1:1 NO