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i:\records\microflm\tamets\buiIding.doc
INSPECTION NOTICE
C,ty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection — ---
Date Requested �— 2 2 F Time A.M.- X P.M.
Address I y H ( I vw ��� �` �� Permit #
Owner_ / Lot #
Builder -----
The following Buiidb•g Code deficiencies are required to be corrected:
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Presented
Presented to / _ ❑ Approved
Inspec• _ Disapproved
CALL FOR REINSPECTION
YEr, 0 NO
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CITY OF TIGARD 639.4171 fur inopectiom call 639-4115 5 915
BUILDING PERMIT DATL Narch 2b lg rib_
TAX MAP ._,_LOT NO, SUBDIVISION _.
OWNER Co. --- JOB ADDRESS _-.-__14411 SW Pacific iiibhway
-------T— ---.- ---. -i _ - -
BUILDER STATE REG.N0. EXP.DATE
BUILDER E PHONE
ARCHITECT----_.-_ -- _ - PHONE _ __------OTHER _-
STRUCTURE (7 NEW REMODEL Li ADDITION REPAIR MOVE 111 OTHER DEMOLITION
RESIDENCE Ij COMM EDUCATION IND F1 RELIGIOUS FI ACCESSORY 1 l GARAGE ❑ OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
2enaut modifiratian mat in riew lour LI vest 1:1111 iu� fra',se in ;L)C__
!mthroota--for ntor.a, a area.
_ i'lun►t,iti:: ::er�:it retil}ir�*�l.
SEWER PERMIT p
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA NO.BEDROOMS VALUE ODU
BUILDING DEPARTMENT, SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit_ _ THIS PFRMIT IS ISSUED SUBJECT TO 1 H REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plar Check_ 1tr.wU ` 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
PI.Cit.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax .84
—� —`-- - SDC-
Total 1 7.114G PPLICANT OR AGFN T
-- -- --�_ PDC#
Prepd, ra l l
8a1.Due
Wore Rec9lpl No. ADDRESS PHONE
---- --- -- Issued By—_--Approved By----_-_._—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor v ef
- - -- Permit No. L4S q 9 _
Rough•in
- ----- ----� - � - -- Fixture
--�—--— � Final �—
HEATING
-- - - _ -_ - Contractor
- -T — Permit No.
Gas or 011
Rough-In
Final
_---- - -- SEWER
— --- - - ------ Final
-- -__.-_ DRIVEWAY — —
Final
Stomi Drainage
(Rein Drain)Final
Sidewalk _T --
-- Curb d Street Final W
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY F,nal
CERTFICATE OCCUPANCY
Landscaping
Loring Final
CITY OF TIGARD 639.4171 5 877
BUILDING PERMIT DATErCt�_'.!_ 19' '
TAX MAP __-. LOT N0. -_—_---SUBDIVISION
OWNER----._- iWY rarugLB --__--_ JOB ADDRESS -J,4 ,11
i' & :� GnlitAtca - ',,est Linn N :)f� :
BUILDERDATE
-_-- -- -_ STATE REG.NO. ^--- __EXP.
BUILDER'S PHONE biu-bl�'.? -- --�r�-` `- �:anL� rt pry :ilioppin,• lat�Lrtr
ARCHITECT - PHONE------.-..---.-- --__.OTHER - -
STRUCTURE NEW 'LXI REMODEL IJ ADDITION REPAIR MOVE OTHER ❑ DEMOLITION
L1 RESIDENCE L COMM I ' EDUCATION iND RELIGIOUS ACCESSORY GARAGE OTHER LI FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
t.unbtruct i).irtiLlOn:;, 11 1 lucks ' 1'r i:c,ui , jau 1.,urcveL uixn,
rlw.,ban - to, :.t j,ur+iLc
SEWER PERMIT k i 1 •�. t'i 1't 1 _:. .'
OCC.LOAD FLOOR LOAD H_IGHT NO.STORIES AREA _ NO.BEDROOMS VALUE U,L U �
BUILDING DEPARTMENT-__ 1 SET BACKS FRO'IT PEAR_ LEFT SIDE RIGHT SIDE
Permit Ia.w) THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HER228Y AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICMBLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ch.Fire _ RESTRICTIVE COVENANTS. CON'rgACTOn AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-�— TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANUHEATING.
State Tax •0 t,
SDC_ r
Total u PDCM APPLICANT OR A-,ENT
Prepd. -- 1 r' -- ---
-- - Receipt No. ADDRESS PHONE
Bal.Due 1j.UU
Issued BY- App,oved By
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING-----r DACE
'3 Contractor
3 Permit No.
Rough.In
Fixture
Final
2 �/ �- _F= iuci_ _ c,��,�o,�PK�1»✓i �— HEATIN —
/
Permit o.
GasorOil
Rough-in _
Final
SEW
Final
DRIVEWAY
Final ' IE
Storm Drainage
Sidewalk �^
Street Final
__
: ApproachBLDG.DEPT.FINAL TEMPORARY I=KATE OCCUPANCY Final
CERTFICATE OCCUPA
Lendscaping
- —--- -- .._.... - ------- Zoning Final
r-
CITY OF TIGARD 639.41717
BUILDING PERMIT onTE J I�l�___.._
TAX MAP NO. SUBDIVISION
OWNER --- - JOBADDRESS � � JrL (!i�/�(�
BUILpEf, / -- STATE REV.NO. (�7��1_--_EXP.DATE_
BUILDER'- ,HONE __S!1-�� t� � �1.��—_.��'T (.�/.1 �� tiU✓'K/ ��� �.t..r_ ��L.,
PHONE
STRUCTURE ❑ NEW LJ-IiEMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER C] DEMOLITION
❑ RESIDENCE Gj-mmm ❑ EOUCATIC 4 CJ IND ❑ RELIGIOUS ❑ACCESSC,RY ❑ GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY LANG USE ZONE BLDG.TYPE FIRE ZONE—PLAN CHECK BY HEAT
_,tyrER PERMIT 0
OCC.LOAD FLOOR LOAD HEIGHT O._,TORIE, AREA NO.BEDROOMS VALUFP�I~`
BUILGING DEPARTMENT SET BACKS FUN E LEFT SIDE NIGHT SIDE
oU
Permit -_ _--- THIS PERMIT I5(SSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE DUIt.DINO COpE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Pta^Chock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPI 33IFICATTONS AMD IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
rr-k RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSINESS
TAX PERMITS.SEPARATE PERMITS RFOUIRED FOR SEWER,PLUMBING AND HEATING.
SpC-
PPLK ANT OP AGENTReceipt NO. PHONE
---- Issued 8y _. -Approved By__-_
SSDC ` $
c � r ed
POC -
SEWER CONNECTION S 1Cle
SEWER INSPECTION S
�� ��•
J/ `
SEWER SURCHARGE_
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BUILDING PERMIT APPLICATION TI DA __ _- 19 _
THE UNDERSIGNED HEREBY APPL SES FOR A PERMIT FOR E WORK HEF�IN INDICATED BUILDER PRONE'+
OR AS SHOWN AND APPROVED IN THE ACCOMP PL N5 AND�SPE " 1=1CATIONS. OWNER PHONE —�_.-_--
LOT NO.
OWNER L'Jy 1C 'xralf I ,a,aJOBADDRESS
-- - t t: ----- - —__—
ARCHITECT
ENGINEER
BUILDER atQyern R ila ADDRESS 1 ,'.�:.�.1 +r•t-�_ DESIGNER
STRUCTURE _ ❑ NEW EIREMODEL U ADDITION_ 1-1 REPAIR 11 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑,,COMM ❑ EDUCATIONAL 7- GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ;..--2-2 LAND USE ZONEaha l%;, BLDG.TYPE 51: --FIRE ZONE---PLAN CHECK BY_- _ft'; W; AT=-._ =
1tiL 1lAra3y�te, •t?it: :',Ot{1fjg iu l._1'er_aj&Lvvew 21.11iti h 1.061, La+
'Toilet Area to bc: ocC[.,L:jAtu, _ �_ --•
SEWER PERMIT i!
OCC.LOAD FLOOR LOAD -HEIGHT--- NO.STORIES AREA NO.BED900,'AS VALUE 1.5U
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE BIGHT SIDE
Permit iU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA NED IN THE BUILDING CODE ZONING
REGULATIONS AND ALI ",P!'LICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 16 WORK WILL BE DONE. IN 4CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICAB;.t CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAVE
Sub-total 4 1 .I5 RESTRICTIVE CG'�r-NANTS. CONTRACTOR ANC SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEF;S
LICENSE.SENARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •''�'
SDC-
Total 4 A'.
PDC# APPLICANT OR AGEN 1
By
Receipt No. ADDRESS PHONE
Approved
DATEJNSP. TYPE INSPECTION REM Kg
PLUMBING DAIE
Contractor
Permit N,1.
Flough-in
14t Zile,
Fixture
Filial
HEATING
Contractor
Permit No.
Ga.or 0,1
Flnugh-in
Final
SEWER
Final
DRIVEWAY
Filial
Storm Dralnegs
Main Drain)Final
Sidewalk
Curb&$treat
Apprnich
DEPT6-c—ai—cy
IT CERTiFlz—NTE cupJ
CrRTIZ"CATE OCIZ;UPANCY Final
Landscaping
Zrning Final
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IN � ��
K - % _ MUNICIPAL CODE VIOLATION NOTICE
ISSUE TO:
ADDRESS:
CITY OF TIGA ,
-TELEPHONE NO.: - __. .--_ _ — DATE: 1.
VIOLATION OF TIGARD MUNICIPAL CODE-CHAPTER-_ SECTION(S):
TITLE DEALING WITH: _____._ ______�_.___�__ %, f .= '�• ' �''"
NATURE OF VIOLATION:
1
LOCATION OF VIOLATION:
1 .?
SPECIFIED TIME FOR VIOLATION CORRECTION:
THIS IS A W A R N I N G !! IF THIS VIOLATION IS NOT CORRECTED WITHIN THE 1 IME F,PECII IED ABOVE,
THE CITY WILL INITIATE LEGAL ACTION.
REMARKS: - - — - ---- - - - ---- - - - —
PRESENTED TO: _ — --_—__.- - -_..---- -._--__ -- BY: _
CODE ENFORCEMENT OFFICER
12755 SW ASH AVENUE, TIGARD,OREGON 97223 (5c,3-639-4171)
WHITE: BUILDING DEPARTMENT YELLOW: RECIPIENT PINK: FILE
7
CITY OF TIGARD 639.4171
BUILDING PERMIT DATE
TAX MAPLOT/N,O, SUBDIVISION
OWNER _ ..1BADDREbS
BUILDER STATE REG.f4'-j.r ._EXP.DATE
BUILDER'S PHONE >v 7 3 �� !
ARCHITECT _ _ PHONE OTHER
SIPUCTURE O NEW ,REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE D OTHER ❑ DEMOLITION
❑ RESIDENCE 'COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS CU ACCESSORY ❑ GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY _ LAND�UrSE ZONE BLDG.TYPE _ FIRE ZONE PLAN CHECK BY HEAT
01. 7;Z?
SE!NER PERMIT M
OCC.LOAD FLOOR LOAD =-V HEIGHT-t NO.STORIES AREA_ NC' 0EDROOMS: VALUE
�- BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ 6 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDING CODE,ZONING _
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HER.?BY AGREED THAT THE
Plan Check �U '/10 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITh ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THI: PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRK;TIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AN")HE,ITING.
Slate Tex y
IV SGC--
24L APPLICANT OR AGENT
PDC/
Prapd—
i Receipt No. ADDRESS PHONE
8a1.Du
Issued By Approved By__
SSDC --- $
SDC
POC
SEWER CONNECTION $
SMR INSPECTION $
SEIJER SURCHARGE 5
Comments:
.------
THE UNDERSIGNED HEREBY APPLIES FOR ACERMIT FOR THE WORK HEREIN I D 7I F_Rf'"OfJr l/'
OR AS SHUYN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ovrNER?HoNF
�P LOT N
'�'.VfJEP
JOB ADDRESS
CHITECT
N G NEER
ACJ!7E:i, ViLf�LlL� J J _
]YRV:.iUR� _ ❑ JNEW _.__ lk'!�1f10E1 ❑AUDITION — ❑FlcP:.;Fl ❑RcNE'NAL [:]FIRE DA`AAGF ❑DE.'dOLI`I
f_I RESIDE^K:iCQMM DEUUCAT-ONAL OGOV'T ❑FIF.LIGIOUS E,.J:'ATIO [:)CARPORT ❑GARAGE ❑STORAGE QSLAU ❑FEN
CC�a'PAr;Cv ANO USE ZONE z` BLDG.TYPE _FIRE ZONE: PLAN:CHECK BY, C�!`- — HEAT—
_
SE_UER PERMIT
.y ;3
2C5�Iil�PE_.t. Q_U- AD- - HEIGHT '—tj�LYTORIES AREA NQ,��QF�OAtS VALU
_i1lLf`IN:'� DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE _
r:
I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED :" 7:IE BUILDING CODE, 20N
I Y:3': beck _ ) /� 7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT .S HEREBY AGREFO THAT I
I------ •- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGMPLIL.NCE VK
i$'1ti•totdl I ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR A140 SLID CONTRACTORS TO HAVE CURRFNIT CITY BUSIN
!7;at+! Tax I LICENSE. SEPARATE PERAtITs REGUIRFD FOR SEWER, PLUMBING AND HEATING.
irI --_2, -- SDC
or
I 1 1 pDC#
Fey APPLICANT OR AGENT
Appravr-d Receipt No.
l_ rinriFss PHONE
SDC -
PDC = #
SEWER CONNECTION $
SEWER INSPECTION S
SEWER SURCHARGE $
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SOY A.HODGE3
2875 S.W•VALE=.COURT
LAKE OSWEGO,OR 97034
(503) 638-7482