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INSPECTION NCTICE
City of Tiga-d fluilding Depart nent
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Z S� _ Time A.M. _P.M.
Address / � [ �JPermit #__ _-1�.L
Owner_._ :'_ot
Builder_
The following Building Code deficiencies are required to be corrected:
Presented to _- yJ Approved
Inspector -- _ _ yy __. _ Lj Disapproved
Date
CALL FOR REINSPECTION
0 YES a NO
WW
R
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97221.-.
Phone: 639-4171
``
Type of Inspection
Date Reques*,-d `����' �3 Time� A.M. F.M.
#
Address _ __ `aL 17Y—
Permit
Owner i Lot #
Builder—
The following Building Code deficiencies are required to be corrected:
Presented to C� Approved
Inspector � (�_ ---- _._ 7r� Disapproved
Date ---- z /— '5' �
CALL FOR REINSPECTION
YES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Crey,-,n 97223
Phone 639-4171
Address
Permit
Type of Impectinn
The following Building Code deficiencies are required to be co
rrected:
--------- --- -------
Pr—ented to Inspector
Date
CAU FOR REhWPFrM,-)N
rj YES rl NO
I �:JILDING DEPARTMENT, TIGARD *T
PLUMBING PERMIT Lv
holder of a valid plumbing contractors license is hereby
authorized to cause plumtying worx as herein noted to be installed in accordance with the plumbing code of C
Tigard. ;)uch installations require inspection by the City Inspector who shall be notified not ie-,s thatl four
(4) hours prior to the time the installations are ready for iospectior.. City of Tigard Business Licens+t required
for all contractors and subcontractors.
Owner_ ,G Y.�4 �1�s ;%>�G���>G'I(� Address '/�' .5cc' LS �-
NUMBER OF TOTAL PERMIT NO.'S
—
TYPE 'M PERMIT ^TEMS PEE ON EACH ` AMOUNT (Office Usn Unly)
ttES1DENTIAl_ _ moi_ _
Single Fanil --1 bath—each ?L.00' o�—
Duolex—Each 1 bath unit 25.00
Addition:.! bathrooms--each _ � __ 10.00
Mobile Hame Space—each 151.00 —_—
INDIVIDUAL FIXTURE PEES
1 to 50 Fixtures in 1_1 7.00
^SI to 100 Fixtures in 1 building--ea:h 2.50 _
101 to :00 Fixturas in 1 building—each — 2.00
201 or mnre Fixtures ' building—eacP 1.50
MISCELLANEOUS
Building Sewitr-1st 50 ft. 10.00
Sewer—each additional 100 ft_. ____.10.00 _
—_W_ater Service to building -- 11.00 _ — —
Private Water :i sy 1s2 s—ta0 100 ft. —10.00__
Other Mopclf ): — --
PERMIT for Plumbing Inspection Phone 63.9-4171 /
i
State /.� ' Plumbing Contractor Oy I
TOTAL. RECEIPT NO. Issued By _ —�
!�
i
BUILL)ING PERMIT APPLICATION TIGARD DATE _ 191 3576
FHE UNDERSIC. 4 E HEREBY APPLIES FORA PERM I F FORTH E WORK HEREIN INDICATED BUILDER PHONE 628-1
OR AS SHO'vVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP SHONE
OWNER ldartlitl & i, USt L1114OBADDRESS L-Jlla ;iW Uuth Avenue LOT NO.>>c SCh.. . .
ARCHITECT
ENGINEER
BUILDER SaMe _ ADDRES`, 911� E lsa . , Newberg DESIGNER Knights Bldg. Desitin
' I
STRUCTURE _ LXNEW C', fiEMODI:L ❑ ADDITION _❑_ REPAIR_- ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL L GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ R-3 .LAND USE ZONE t+7__BLDG.TYPE`'N FIRE ZONE !! PLAN CHECK BY 9h I MEAT__ is ••
Construct ainglg M family dwolling w/atta♦chaad garagn. 3 Bedrooms 2 UathsJ
SEC CORRCC aDN ATTACHED.
8EWEQPERMITk 23260 = S7!!&JIL__ ___ IEiI- Cie 52A gc�_f __
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO_STORIES 1_ AREA l l`)4 NO.BEDROOMS VALUF3,j9,
BUILDING DEPARTMENTSETBACKS FRONT 22 REAR 17.5 LEFTSIDE [;� _ RIGHT SIDE 7
Permit 4187.00 'HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 7HE BUILDING CODE, ZONING
RUGULATIONS AND ALL APPI.i;ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 93- 50 WORK WILL BE DONE IN AC',ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL. APPLICABLE COVES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT (NAIVE
Subtotal _ 2t3D,aQ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEcS
state rax 4y 7.48 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 6281.98 sDc— $400.00
By pl PDC# 11 S l G O.qQ APPLICANT OR XdENT
Receipt No. .�_.__ --
Approved dl�h AbDRE98
PHONE
i
AL
DATF. INSP. TYPE INSPECTION REMARKS PL,UM!!.:iG I DATE:
_ Ccn tractvf'
Rough-in
y./�p. Fixture
-,� Final ----
HEATIN3
Contractor
Permit No.
7•_ cc _
Gas or Oil — --—
Rorgh-�--- -- --
Final -------
1 SEWER
Final
�/� DRIVEWAY
L Fi fel
Storm Orainagr
(Pain Drain)Final
Sitniwlk
Curb&St eat Final
Approad
ELDG. DEPT.IrWAL TEMPORARY CERTIFICATE OCCUPANCY i
ICtiRTIFICATE OCCUPANCY Final
/\ / J Zoning Final
WWI
BUILDING PERMIT APPLICATION TIGARD DATEAd", �,s 1573
THE UNDERSIGNED HEREBY APPLIES FOR A PERM I TFOR THE WORK HEREIN INDICATED BUILDER PHONE
ORAS SHOW',At4D APPROVED IN T'HE.,CCOty,PANYING PLANS,PND SPECIFICATIONS. OWNER PFiOh�
�Q 1�� � LOT L tC
— -•cR
taxi 1 41 A a � DRESS /.f 1 0 ^����G_ —t fir
s
11 11 ARCHITECT
SUILDER 94 toe _ AODRESS��'"1 S4. Obew6d'vDESIGNER
STRUCTURE V NEW _ Cl REMODEL ❑ AODIT!ON =I REPAIR __❑ RENEWAL ED FIRE DAMAGGF CFC DEMOLITION
Y—
RESIDENCE COMM O EDUCATIONAL ] GOV'T C_RELIGIOUS Ci PATIO 171 CARPORT Cl GARAGE Cl STORAGE [] SLAEC FENCE
. C C,uFANCY - —LAND USEZONE _BLDG.TYPE .E _ FIRE ZONE__ PLAN CHECK 6'f HEAT.
e liaS�lY1�Gt1 IVsl a a-s YAK --- —
SEWER PERMI'>•a
OCC.LOAD FLOOR LOAD *� HEIGHT 13— NO.STORIES_— AREA Il��T NO.BEDROOMS VPJLUJI aj
BUILDING DEPARTMENT SET RACKS FRONT 2,Z PEAR 42.S W LEFT SICE 22 _ RIGHT SIDE 7
/Q
N^mit _ /8J DO THIS PERMIT !�" ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THED
6UiL0iNG CG�.E;ZOPa..a.]
I
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ,AND IT IS HERESY A.G:?EEA THAT TKE PIanCheck _-` WORK WILL BE DONE 1N ACCOP,CANCE WITH THE PLANS AND SPECIFICATIONS AP4D IN COt.iPLIAVOS
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FERIAIT DOES NOT WAIl;c
Sub-total 2 'Bd• s� RESTRICIIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRE�aT Cm, EUSINESS
7• 48 LICENSE.SEPARATE PER%iTS REOUIREaO FOR SEWER,PLUMBING AND HEATING.
Mata Tax
SDC--L:mjled �
PDC# APPUCI.':T OR AGENT
Receipt Nu.
ADDRESS PT10NF.
oc - vo
oc - -
EWER CONNECTION 7�
-)EWER INSPECTION $ Z�
3 E W E R SURCHARGE s r
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