15960 SW 74TH AVENUE ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-C-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_
Footing All lbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. _Uech.
Date RequeetelsTim, PM
Address: iit 1:elV
Builders
THE
�FOLLOWING
�CORRECTIONS ARE REQUIREDs
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Inspector;- —___J--------- - Datss y`
APPROVED - DISAPPROVED APPROVED SUBJECT To ABOVE
___Call For Reinsp,
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : LAUF-194-0045
13125 SW Wfl Blvd.—,igard,Oregon 97223*6199 (503)639-4171 DOTE ISSUED: 02/16/914
PARCEL: 2SI12DC--01200
SITE ADDRESS. . . : 15960 SW 74TH AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK'. . . . . . . . . . LOT. . . . . . . . . . . . . :35
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-
CLASS OF WORN.. :DEM FIRST. . . . : s N: S: E: W:
TYPE OF' USE. . . :SF' SECOND. . . : S f PROTECT
TYPE OF CONST. :5N THIRD. . . . - -,f N- S: E: W:
OCCIJPANCY GRP. : R3 TOTAL---------: o S f ROOF CONST: FIRE RET? 2
UCCUPCINCY LOAD: BASEMENT. : Sf AREA SEP. RATED:
STOR. : HT. : ft GARAGE. . . - sf OCCU SEP. RATED:
BSMI ? - MEZZ?: REOD SETBACKS----------- REQUIRED----------------- - -
FLOOR LOAD. . . . - psf LEFT. ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: Ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMF., SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Remarks : DEMOLISH OLD HOME -- SEPTIC TANK ABANDONED SEVERAL YEARS AGO. MUST' BE
FILLED & INSPECTED. VACANT' SITE TO BE GRAVELED.
Owner-: FEES
ACKERMAN/WATHEY type amol-knt by date r-ecpt
IC-075 BW UPPER. 140ONES FERRY RD PRMf $ i::5. 00 JH 02/16/94
5PCT t 1. 25 JH 02/16/94
TIGARD OR 97224
Phone #:
Lontr�actor --------------------------------
NORTHWEST LANDSCAPE INDUSTRIES
160751 SW UPPER BOONES FERRY RD
TIGARD OR 97224 -----------------------------------------
Phone #: 6B4-1450 $ 26. 25 IOTAL
Reg #. . : 5314
REOUIRED INSPECTIONS
'This permit is issued subj,ect to the regulations contained in the Pi.imp/Fill Septic
Tioard Municipal Code, State of Ore. Specia?ty Codes and all other Final Inspection
applicable laws. All worlq will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 180 days.
r-m i t t e e S i g t i 1-t r e
s .ted By:
Call for inspP, tion 639-4175
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(11Y (it fi;W?D — FWAA 11:11 ('IF PAYMENT RECE I Vl* No . :94--r-1441111P
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ��(� U S W 7q AVE ,
Subdivision: Lot# Office Use Only
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Valuation: landc/Rec
Permit # _
Owner: Q-1CNA0.10 AkE��aAi /:rAMF,S WATN�I
Reissue of
Address: /(0 ?S— S. W . ut'1ZA (sOoNCc tr,Oct Y 210, Map & TL#
_t_T6 Ar�'tD
Phone:
//'' Approvals Required
�'O_'s � FST—/�/_S�
Planning
Contractor: /V021-f4weS7- LA^.,QS6AP06 r_&JOcA -1-1erk Engineering
Address: !CSD 7S S W Ln►O, C>00AJES r tC-Y ►ef'), Other
_7-rc a;�✓� ; cpo_
Phone:
Items Required
w s — �8y-iYSc-
Contractor's License # 7 (/ � 3v-"
u '4 Subcontractors
(attach copy of current Oregon license) Tniss Details
Subcontractors: Other
Plumbing: _
Mechanical:
(attach copy of current OR Contractor's l icense)
Arch ltect/Engineer:_ +_
Address:
Phone: _
COMMENTS: ,fiLCi (�
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt, Pd. Bal. Due
Bldg. Permit (BUILD) _
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) _
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercirtl TIF (TIF•C)
IndustriaLTIF (TIF-1) !_
Institutional TIF (TIF-IS)
H
—� Office TIF (TIF-0)
LO Water Quality (WOUAL)
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Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: