9420 SW 74TH AVENUE v
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--- 9420 SW /4th Aven_e —
INSPECTION NOTICE `7
City of Tigard Building Departmbsnt.
13125 SW Ball Bival. Tigard, Oregon 97223 i
Inspection Line ,Rec-O-Phone): 639-4175 Business Ph 1 -4
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Inspection:_ �f _.�-- -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line NALz
Post/Beam Struct. San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp- Bd.
Date Requented: �- !�R — Time: AM / PM
O -
Address: � � ��I SGy � ' y� Permit #t: 1" 0/-?
Builder-_____/ 66/%"' ST/z, ----THE FOLLOWING CORRECTIONS ARE REQUIRED:
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InspectorJ J_ Date r -9 Z
APPnoVED DISAPPROVED - APPROVED SUBJECT TO ABOVR
Call For Rsinap.
RAM
C OF T'GARD BUILDING PERMIT
COMMUNiTY DEVELOPMENT DEPARTMENT �Cffyo"*AA)) PERMIT #. . . . . . . :
13' !6 SW HWI Blvd. P.O.Box 23377,T19Rd.O"Mon 97223(6W)639-4175
b. I TE ADD RE51-3. )4CQ1 SW 74ri-4 AV17 PARCEL: IS125DB--v')3 .0
SUBDIVISION. . . . : BOULEVARD HEIGHTS ZONING- R-4. 5
BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . : 15
RE I SSUE: FLOOR EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ADD FIRST. ;— : 180 s N: S: E: W:
TYPE OF` USE. . . :5F SECOND. . . : s PROTECT OPENINGS?--------
TYPE OF' CONST. :5N THIRD. . . . : s N: S.- E.- W:
OCCUPANCY GRP. :R.?. TOTAL------II
160 s ROOF CONST: FIRE RET? -
OCCUPANCY LOAD: BASEMENT. : of ARE=A BE P. R A r E D:
S'T 0 P. I HT. 15 ft GARAGE. . . : s f OCCU SEP. RATED:
[AS MT".) AEzz? - READ SETBACKS--------- REQU I RED------------------
FLOOR LOAD. . . . :4-0 psf LEFT: ft RGIAT: ft FIR SPKL.: SMOK DET. . -
DWELLING UNI–S: FRNT : ft REAR: ft FIR ALRM: HNDICP ACC:
BEDPMG,-. BATH,-,: IMP SURFACE: PRO COPR: PARKING:
VALUE. 4,i 2700
Remark= : additic,, of 180 sq. ft.
Owner : – - FEES
BEN TRACY type amo,.tnt
by date---
ate recpt
9420 SW 74TH AVE
PRM7 $ 38. 50 JLH 02/20/92 –
P."LCK $ 23. 03 JLH 02/20/92 –
TSTGAI'D OR 9.722-3 3PCT $ 1. 93 JL.H 021/20/92 -
Ption. #: 639-4171
Contractov-:
CONTRACTC)F NOT nN FILE
Pho-te #-. 65. 46 TOTAL
Req
REUUIRED INSPELTIONS
This persit is issued subject tc 'Fe regulations contained in the Foot/fol-tnd Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/beam Insp
applicable laws. All work will be done in accordance with Mechanical Insp
approved plans. This aersit will expire if work is not started Plm top–at-it Insp
within IN days of issuance. or if work is susoended for sort Fr--amxntj Insp
than 160 days. Vas Line Insp
Iiislilation Tnsp
Gyp Board Insp
Rain drain Insp
Dpi-mittee Signature : Final Inspection
Issl.ie(l By:
Call fo,.-- inspec-tion 639--4175
CITY LIF TIGARD RErUlPT OF PAYMENT RECEIP'l NO. :92-223525
CHECK AMOIJNT 625. 46
NAME s TRACY, IEN CASH #4MOUNT L. 00
RT)DRESS 0 9tF-'O SW 74TI,4 PAYMENT DATE
SUBDIVIGION
TIGARD, OR 972a3-
pt.)RPOSE OF FVIYMI"-.NT i MOUNT PAID PURPO-W OF PAYMENT (IMOUNT PA*'*D
138. 50 PLAN CHECK FE et5. 03
{31'. SUILD PER 3 . 9:74
TOTAL Piyklull;l 'AID 65. 4 to
PLAN CHECK APPLICATION
C11YOFTIGARD CMOFTWARD PLAN CHECK I
w`OMMUNRY DEVELOPMENT DEPARTMENT 0000a PER!a713V)$S1d"Z14,d (6w)630-4176
_ DATE ISSUED_-_ _
JOA ADr'�FSS: TAX MAP,fIAT��
Sur:_/ D�` oU4i& f/rr �A � LOT; _ LAND USE: -
VALIIATION:
SETBACKS: FRONT: REAS: _ LEFT:
,� c �� � _ -- -
HOBR CLASS: HEIGHT: / > TOTAL
DSI: TYPE; �- FLOOR LOAD. �� 1ST:
CONSTR TYPE: HEAT TYPE' 2ND: ---
OCCUP GROUP: DWELL/UNITS:_ _ 3RD:
OCCUP LOAD: NO BEDROOMS: �� --
NO STORIES: / NO BATHS: r GARAGE: _—
ne SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS UIRVA)
PLANNING: REISSUE OF: LIST SUBCO:�(TRACTOr.S:
ENGINEERING: LAST REISSUE: - BUS V.;
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS:
OWER: SEN I.ND.: r TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHFm
COMMENTS:
-- ------ --- -------------- - ---- -- Af1UtiTd7 ^ It;t::�3 7 PD. BAL. OIJE
PCU-11T .ii riOC:T N DESCRIPTION
(j 10-432 00 Building Permit Fees — "--
10-431 00 Plumbing Permit Fees —
10-431 01 Mechanical Permit Fees _
10--230 01 State Building Tax (5%)
Building
Plumbing --_ --�.—
v
Mech ^—
10-433 00 Plans Check Fee
nuiIding
Plumbing
Mech
30-207 0 Sewer Connection —
30-444 00 ;ewer Inspection -'
51--448 00 Street. System Dev Charge (SUC) — —"
52-449 00 Parks System Dev Charge (PDC) _ -
31-450 00 Storm Drainage Syst Dev Chrg (SSUC) -- - -
10-230 09 TRFD —-
10-230 06 WaShirxlton County Fire N1 (95X)
10-7.20 00 Amart./Wedgewood 10TAt
REC N
APPLICANT siGNnTURE i
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Re
c.aived By:
Date Received: � - 1 � 1
cn/3587P/18P
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APPROVED FOR CONSTRUCTION
CI„Y OF TIGARD
PERMIT N SITE ADDRr:SS 9' 20 Sw 7
BN DATE
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