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INSPEC'CION NOTICE
City of Tigard Building D#.partn,r,rt
(� P.U. Box 23397
Tigard, Oregon 97223
Phone:639-4175
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Type of Inspection _.—_
Date Requested.---_-...__ .�� 7 Time A.M. P.M.
Addresss1 Azl ' Permit
Owner_ _r — _—. Lot # �—
Buildei - ----
The following Building Code deficiencies are required to be corrected:
P Psented to Approved
Inspector __ - C`—--- — LJ Disapproved
CALL FOR REINSPECTION
1 YES , ) NO
L
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Date Requested -- Tlme_�— A. .P.M.
t / 24
Address .. �� '�"�'��`-� — Permit #�_L
Owner— _-- __ Lot
Builder --- — --- ------The following Building Code deficiencies are required to be. corrected:
Presented to ------ _____ Approved
i Inspector _ —_. — Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23387
Tigard, Oregon 97223
Phune:839-4175 p
Type of l ispection .- --- L ti AX-0 74t-
Date Requester Time +"'_:A.M. P.M.
Address Permit #►-•' S
Owner 6L� Lot #_
Builder
W, following Building Cnde deficiencies are rege;red to be corrected:r.r ALL- y'ra z-4 _A,� c1'sc
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H r N.1 C-:., ( I N r QF
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. —..___•�/`� Fav v��'_—.C.: ���-.: C�
Presented to _— Approved
Inspector - e - �-
a ----- Ll Disapproved
Date
CALL FOR REIMPF,CTION
❑ YES KNO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection l
Date Requested___. TimeA.M. P.M.
Address _ �(� Ir x� Li1 _ Permit #
Owner "Q9.1 Lot
Builder---- ---- C�The following Building Code deficiencies are required to be corrected:
- I T )` /L L 140-T o
Presentirl to _ _ .--.__-- —._. Approved
Inspector Disapproved
Date ---- -- ---- �
CALL FOR REINSPECTION
❑ YES 110�NO
tot inspections call r,39-w1
CITY OF TI�uARD 639.4171 5945
BUILDING PERMIT
UATEApri l,__ _198b_...
U,prla►d, Inc.
TAX MAF LOT NO. 4 -__-SUBDIVISI0N1'"g_--],,
OWNER JOB ADDRESS EII''�L 5'a Penn Court EutaLea
BUILDER aaW- A—J1626 SW Corbett. land US r9_ lUl STATEREG.NO. 436j� EXP.DATE 10/'211,66
BUILDER'S
BUILDER'S PHONE
ARCHITECT _ _---——_-__Aj,&*_-M&116Or4i - PHONE. .224-9164 OTHER
STRUCTURE NEW REMODEL f I ADDITION I.1 REPAIR MOVE 1 OTHER DEMOLITION
I1� RESIDENCE ❑ COMM EDUCATION IND RELIGIOUS r' ACCESSORY GARAGE I OTHER FENCF
OCCUPANCY -LAND USE ZON04•- BLDG TYPE FIRE ZONE_—PLAN CHECK BY 'SL'i HEAT
ConaLrurt gingrle family dwelling rr/attaches �-,r1ra; . � 411 }�� cx,,�,�,z ,�v�u , len>►. --- — --
SEWER PERMIT# uaru.;e 'IU/ 3 hatli
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO STORIES , AREA14 lU NO. BEDROOMS I VALUE4S UcJ,,
BUILDING DEPARTMENT _ SET BACKS FRONT ,-
- -- REAR LEFT SIDE RI(,H SIDE
Permit _ 17ki•5U _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONT,4INFD IN THE BJILDING COPE, ZONING
W1.03 WORK
AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEVEBY AGREE THAT THE
Plan Check -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO VS AND IN Cl.MPLIANCE
T WITH ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE (,URRENT CITY BUSINESS
II.14 _ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR S_WER,PLUM6!NG AND HEATING.
State Tax .;._11C 250.1.),
- - --
Total 4 7U.6 7 - soc— SUU.UU
— PDC# 1 150.00 APPLICANT OHAGENT
�-
Prepd. IUU.UU
Rocelpt No. �� An�gE$8 PHONE
1921.Due 370.61'
- -_ --- Issued By,.._- Approval 6y
DATE INSP. TYPE INSPECTION REMARKS Y PLUMBINGw DATE
`(,/ Conua�tcr l�-�uj (:�� 3C? �/- !��
Pormh;Nin.
— Rough-in
�� Fixture
Final
tzs
Z- �'� H Ov�I� Jry!'� tr-rte _ HEATING
Contractor 44AA-zP
Permit No.-,L O
— s i:?oughdn
— �— -�— -- Final
SEWER - ---
Final,-�.'_. ---
DRIVEWAY
Stcrm Drainage
- �— (Rain Drain)Final —
Sidewalk
Curb 8 Street Final — - -
-- —— ------•- Approach ----
BLDG.DEPT.FINAL CERTFI EMP OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
r J 7 Zoning Final -
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'ITY OF TIGARD 639.4171 DATE 2 19Ae—
BUILDING PERMIT
TAX MAP ._ LOY NO. ,��dlJ9aWs �
OWNC -4 1NJ , JOLA ADDRESS I l�o�l SOI N iGtj .i cloaOf
PAJILDER t2tVLAW0, STATS REG.NO. . 3- � -7 -EXP,DATE 10-el I -ek
BUILDER'S PHONE _LfL``,��L_sC.�,� /� -
ARCHITECT��C�IGNO MA-9Go!"C LA-L/ PHONE L �/ OTHER
STRUCTURE NEW Cl REAtOD�COO L Cl ADDITION El REFAIR 0 MOVE U OTHER Cl DEMOLITION
PRESICENCE ❑ COMM C7 EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY (J GARAGE O 0101111101 ❑ Z:EN(:E
OCCUPANCY= LAND USE ZONE BLDG.TYPF. '4�FIRE ZONE PLAN CHECK BY ;��dL..,.NEAT
SEWER QERMIT A
OCC.LOAD FLOOR LOAD HEIGHT f NU.STORIES .0 AjREA 1 I ci NO.BEDROOMS VALUE q Cir c-)
BUILDING DEPARTMENT SET BACKS FRONT , ) REAR t F LEFT SIDE I RIGHT SIDE
P/nnll THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE COrieS AND ORDWANCES.AND IT IS HEREBY A13REEJ THAT THE
[Piant�eck �� WORK WILL BE DONE IN ACCORDANCE WIT!I THC Pt ANS AND SPECIFICATIONS AWC IN C0I/Pt1ANCE
_ WITH ALL APPIJCAILE CODES AND ORIIINANCF-%. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
H.CIL F" RESTRICTIVE COVENANTS..CONTRACTOII AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMRB.SEPARATE PERMITS REOUTAED FOR SEWER.PLUMBING AND HEATING.
Slate Tax i�
SOC--
Totd AP-ICANT OR AGENT
-- POCS
PTepd. / 0 J
Recelpt No. ADDRESS PHONE
sal.Due ..,?� � 'J- G
Issued By.____ approved By
SDC --- $
0c
[(LcL
EWER CONNECTION
EWER INSPECTION S
EWER SURCHARGE:
mm e n t e r w -----
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WA
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CITYOF TIOARD No. 12260
12755 S.W. ASH
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2 /
P.O.BOX 2:1397 Date
TIGA ,OFl 97223
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Name
Address
Lot Bloc
klMap Subdivision/Address
Permit H's Bldg. Plumb Cash Check
Sewer Other Other Rec. By!)
Acct. No. Description _ Amount
10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees _
10.431-601 Mechanical Permit Fees
10.230.501 State Bldg, Tax
in-433 Plans Check Fee , )Q
30.443 Sewer Conner#Ions
30-444 Sewer Ins e,:tion
51.448 Street Syst, Dev. Charge
52-449.610 Parks I Sy et. Dev Charge _
52.449-620 Parks II cyst. Dev. Charge
31-450 Storm Drainage Sy_st. Dev. Charge _
10.430 Business Tax
10.434 Alarm Permit
10.227 Ball
10.455- Fines -TrafflclMisdlParking
10-?"s0 CPTH TrafficlMisdlVic. Asst.
10.458 Indigent Defense —
30.122.401 Sewer ServicelUSA
30.122.402 Sewer Service/City 30%
-jo—I 23 Sewer SevicelClyMalnt__ _
30-125 Unmatched
31-124 Storm Drainage
40� ancroft Prin. Pymt,
40-47-1 Bancroft Int. Pymt.
TOTAL 16-6. vU
02111T.
^1Y3 _ '700
PE'AM1T 11
_ BUILDING RECEIPT
NAME: DATE: �/• 'Z- Fs
ADDRESS 6 LUT # & SUBDIVISION N E;
ACCT. 11 DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-•431-600 Plumhing Permit Fees $
10-431-601 Mechanical Permit Fees _
10-433 Plans Check Fee $
10-230-501 State Building Tax
30-443 Sewer Connection (20%) $
30-202 Sewer Connection (80%)
30-444 Sewer Inspect.on
51-448 Street System Dev. Charge (SDC) $
52-449-610 Parks I System Dev. Charge (PDC) $
52-449-620 Parks II System Dev. Charge (PDC) -
31-450 Storm Drainage System Dev. Chrg (SSDC)
10-230-.,05 TRFD (95%)
10-435 TRFD ( i%)
10-230-506 Washington County Fire N1 (95X) `b
10 -y35 Washington County Fire N1 (5%)
10-2.20 Amort/Wedgewood
'TOTAL
(Separate Check for Leron Heights $150.00).
(hr/1214P)
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : Z " —
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: d
This is to certify that the at;:ached 2-� sets of plans have been submitted for plan
check pursuant to the Oregon Structural. Code and Fire & Ljfe ,Safety Code, 7- edition.
PROPERTY OWNER: La"Lz'; 2 OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: 2 ,7- -S 2-6
JOB ADDRESS: ��/' �vr� [��. LOT NO. & MAP:
DESCRIPTION OF WORK:
I
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
`J Engineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Required
OList of subcontractors
OBusiness Tax
�:) Calculations
OTruss Details
OParking Plan
OLandscape Plan
OOther
COMMENTS:
City o igard Building Department
BY:� 4.1