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INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Mplo St.
Tigard, Oregon 97223
Phone 639-4171
Address_ �' �; `i .�' eo 'e-f dblt Permit Ok_
Type of Inspection
The foll&Ning Building Code deficiencies are required to be corrected:
42
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Presented to_ Inspeetoi -
Date —
C4Lt .rC R REIAISPEC7701V
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 839-4171
Address Permit #
Type of Inspecdon .r
The following Cullding Code deficiencies are required to be corrected: L.�
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Presented to Inspaeloi .�
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FALL FOR ArlEN 'IQN
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BUILDING DEPARTMENT, TIGARD NO.
PLUMBING PERMIT
3hoemaker's Plumbing --�
holder of a valid gilumo-" g contractors license ;s ne:reoy
authorized to cause piumbi.i� work as herein noted to be insta,ed in accordance with the plumbin, core o°
Tigard. Such installations require inspection by the City Inspector who ',na,i ;,e notified not less th4:. `our
1'4) hours prior to the time the installations are ready for inspection. CAY of Tigard Sus'ness License required
i'or aii contractors and sub-contractors.
Gwvvne- Macal Development Addrc7F 11'710 SW 84th ct . #3549 ,ja;e 2/12/81
—�—
NUMBER OF TO'.'nL PERMIT NO.'S
TYPE OF '�ERhtIT ITERIS FEE ON EACYi )L%IOUN7 i ,Office Use Oniy;
►zrs,4c.lyTi , I S
Silam Fnmily-1 bath—each 25.00
Dop:ox—Csch 1 bath unit 25.00
— A(At.omoi both.00ms—each 10.00 ,Q0 _
Vob.a Herne Specs—each 18,00
r„NDIV ;DUgL FIXTURE FEES
1 to ;0 Fixtu s 1n 1 bulldi —each3,50
.i1 '0100 fixtures fn 1 building—each _ 2•50
'J1 to 200 Fixture in 1 buildin
g—coch 2 00
. :0'. or more Fixtures in 1 building—each
M ;:,_CC>.&.ANEOUS
J%Jj KJi1d1 Sewer-1st 50 't.
Sewnr—each additional 100 ft,
_Wase• Seervice to bulidirg i r,00 '
— 5 fill
.a IYater Systems—etch ;x `t. 10.00` �
,SpecTvi:
p -- 40.00 for Plumbing Inspection Phone 6394191
�y� . 0 1Piumbir ! r
.LsY_b a•o � g Cortr:c:or 3Y
I 07A,. 41 .60 , R; CE,P; ,NO Issued By — —
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BUILDING PERMIT APPLICATION TIGARD DATE. -1/16/ dl 354c
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1HEWORY HEREIN INDICATED BUILDER PHONE _ 641-0776
OR AS SHOWN AND ArPROVED IN THE ACCOMPANYING PLANS AND SPEuIFICATICNS. OWNFR PHONE
LOT NO. 9=Nembah_�?e�k
OWNER �'�00a1 l7Eivrd1.CUT�3.,lOBADDRESS1471U t�
SW 4th Court ARCHITECT J — �'
ENGINEER
BUILDER same ADDRESS68!J0 SW 10ath: Bvtn DESIGNER Piarcy•-6!!rclsy__
STRUCTURE EX NEW U REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION i9
93 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT_❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE E7 SLAB❑ FENCE
OCCUPANCY _�` LANDUSEZONE- 8`7 BLDG,TYPE 5FIRE ZONE---PLANCHECKBY dvh HEAT--_$RS_
_Construct single Family duelling ii/attached rear ge. _ 3 Bedrooms 2 Baths. -
Rn—Issue of Permit #3529 1969;:, SW 84th Court
SEWERPERMIT# 23245 -• IA750.00 _ _ --garage Lilb 5Q. 1't-v-___ _
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 1453 NO.BEDROOMS 3 VALUI659 9 800.
BUILDING DEPARTMENT _ SETBACKS FRONT �23 REAR ' _l f':Fli 'IDE RIGHT SIDE . 9
Permit $207.00 1HIS PERMIT IS ISSUED SUBJECT TO THE REGJLATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AMD IN COMPLIANCE
21,1.OQ WITH ALL APPLICABLE COD4S AND OFDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTR!CTIVE COVENANTS. CONTRACTOR AND SUb CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—�
Stets Tax 4q,, ij.211 LICENSE SEPARATE PERMITS RE UIR!:D FOR SEWER,PLUMBING AI`JP JEATING.
{, CC�� SDC— $400,00
IJtal 5225. 28
By p1
PDC# 11 S100.OAPPLICA T OR MG-ENT _
�
Approved dWh Receipt No.
ADDRE88 � PHONE
DATE INSP. TYPE INSPECTION REMARKS -a DATE --
`r,ntrac;
i.. Permit Na p� r•(U .Y%i7�� -
%Ltz. ^'(1 ' Gtd �i�t Rough-in
Fixture —
'li-J. Final `
H TING
i 9 �� Con tract � 6 (_ d
Permit No.
G*%or Oi.
Rough-in
Final
SEWER -'
Final 2_Zy -0
DRIVEWAY
Final
Storm Drainage
(Ruin Drain)Final
Sidewalk
Curb&Street Final
__
BLDG. DEPT. FINAL TITrMPORArY FICATE OCCUPANC'; CERTIFI�ATF_OCCUPANCY
I ( / Final
J� Landscapiig
� 2oninr final
BUILDING PERMIT APPLICATION TIGAR-0 DATE 19"' ICo 19 $1
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
ORAS SHOWN ANIS APPROVED IN THF_,",CCONI PANYING PLANSO S° W
ECIFICATIONS. OyE',; P'-1 NE
'J:":"lE? �AC�►�. EVV- CORPJuSAOORESS loo 5y $4I•�*c+. LOT D70.
ARCHITECT
.
C� ,11 ENGINEER
D-
Sul i.DEA J�LM'f a ADORESSI!�/�� �s �TJ 4el. DESIGNER - 1 Qr`Gi/.$ev-rA4ti
STRUC-TUBE NEW Q REMODEL Q AOOIT.GN ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE O DEMOLITION
_RESIDENCE C COMM ❑ EDUC.ATICNAL ❑ GOV'T Q RELIGIOUS Q PATIO Cl CAR PORT a GARAGE C STORAGE Q SLAE❑ FENCE
r{:CUFANCY LAND USEZONE _ai .-8L0G.TYPE �_-FIRE ZONE_ - PLAN CHECK BY HEAT_r'tgS T
- -- - = z .
SEWER PERMIT M JULA-ft-p
0:.CC.LOAD _ FLOOR LOAD �7`'O HEIGHT NO.STORIES -`�t',R�EA• q'�S� NO.BEDROO,,As YA--L24 l
BUILDING DEPARTMENT SET13ACKS FRONT REAR #3 LEFTSICERIGHTSIDE s '9
P^rmit 207.00 THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CGuE,ZOtJ.yO
Op REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AG::EEiI TYA-► i YE
Plan Check • WORK W11.1 AF OnNF IN ACCt7Rf1ANCE wim THE PLANS AND SPECIFICATIONS AND IN C014PIIANCE
ey WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT SMAIVF
S�5fatal / - CoRESTfIIC'nLE COVENANTS.CONTRACTOR AND SUB CONTaACTORS TO HAVE CUFIRENT CITf F,;j, c55
UCFNSE.SEPARME PEHMITS REQUIRED FOR S=wt;:,,=LUMaING AND HEATING.
�talB i ax • i
�, 2$ sac:
Total
POC11 APPUCANTQRAGENT
By
RP(,^Ipt No.
Approved AD�E98 " PHONE' -
1)C
Oc ?I 100 .
IE
WER CONNECTION S 726JWER INSPECTION $WER SUR-UTARCE .
Iz6o
mm�aPl e � R�J. 03
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City ®f Tigara Memanieal Permit NO. _
New Installation ED Replace E] Relocvtion E] Addition u Alteration DATE:
HEATING 11 nn
CONTRACTOR ��'1c1_ L.��.�i - a OWNER—L22 1/1:Q Zl 7 Yw t,hZtt ' dim,
ADDRESS P61&125 �lr h�; �. 7 JOB ADDRESS 4/7/,Q
PHONE APPLICANT.— 2, natl4ll�lll�L'th/'�a ��L —
it
Heat Input Rating(BTU per Hour) t/Ui noo _ Vent Size_ 5 Flue Sire
FUEL OIL GAS ® ELECT OTHER
17EM NO. iFEE ITEM NO. FEE
For Issur.oce of Permit SEE BELOW _ Each Air Handling Unit or Duct S �.em _ 7.50
New•up to & incl. 100,000 BTU 1 6.00 Commercial Hood System 7.50
New 100,000 BUT's & over 7.50 Qther Equipment Each 4.50 _
Woodbu„?ng Stove 4.50 1 Trip Inspection _ 4.50
Wall-Floor- Suspended 6.00 Air Condition Compre:sar • up to& incl. 3 N.P. 6.00
Vent System w/ran _ 4.50 Air Condition Compr�ez.wr 3.1 to 15. H.P.incl. 11.00
Reeair- Heat Cooling — 6.00
CITY-BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMI r ISSUANCE 10.00 Comments:
FEES
7�- STATE . (�� 1�.,��d RN,
I25G�PLAN CHECK '—
TOTAL I REC. 0 . _
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