15760 SW 88TH AVENUE-1 � v
15760 SW 88TH AVENUE
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ADDRESS /S 7 j�U PERMIT NO.
PERMIT CHARGE none
OWNER _ �a CONNECTION FEE —
PAID BY �� r
TYPE Of" BUILDING �r�/- DATE CONNECTED
SERVICE. RATE �J d INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF C["a"SECTION ASSESSMENT PAID
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
i :Alowing item(s) require correcting:
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)ate:1_-�"/ Permit No. --__--
Inspector
CALL FOR REINSPECTION
PLUMBING PEHIMIT
ho;der of a Valia p!umbinC contractors license ;s hcreoy
asthorized to cause piurnbinc work as herein noted to be insta-ed in accor,'ance with the p;umbin; node of
Tigard. Such installations require inspe;ion by the City Inspector who sha;l be notified not less than four
A� hours prior to the time the installations are randy for inspection. City of Tigard Business License reyu,red
for a;l contractors and sub-contractors,
Addres•zS SGC) N Date l i
NUVE::S OF TO"AL- I PERMIT NC.'S
TYPE 0"r P21w,tT lYc?,;i -- ON EACH AMOUNT I (Office Use 0-1:y)
AF,S,D .LTIAL
5.-�10 =n ni;L 1 bo:h—pncit �l r 25.00
1 bath unit 2:i,00
Ard.I.On,ii bathrooms—eujti 10.00
ti'cb.e Homs Space—each 16.00
;NDIVIDUAL FIXTURE FEES
1 to '0 Fixtures in 1 building—each, 3,CJ
6' to 'CJ Fixtures in 1 building—ench 2.50
SJ1 to 'OJ 'ixtures in 1 buVding—@a(ii 2.0
:J' o: acre Fixturas In 1 building—each 1,60 �—
Ai -S'-ELL.A,'J4Z0US I i
glower-1st 50 ft.
awrr—c ch additional 10.3 ft, i 10,00
'NOV$,t-vire to building 5.00
ft.
P. i'or Plumbing Inspection Phone 639.4131
Plumbing Contractor By —c�71
`G`A,. AC:4ci1�'; 11i0, luuQd By
1
l�► 7
CITY (1F TIGARD BLDG. DEPT.
12426 S.W. MAIN STREET
TIGARn, OREGON 97223
PHONE 639.4171
CONT'RACTOK:
Pursuant to Sectiork6) of the Uniform Building Code, the
following item(s) require correcting:
Permit No.
Inspector
CALL FOR REINSPECTION
X? 2342
BUILDING PERMT APPLICATION COPY T�t�ARD c,ATE -_ ---•. 19 703 -jU r
THE UNDERSIGNED HEPEBY APPLIES FOR APERMIT FOR THE WORK HERE114 INDICATED 13UILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECICICATIONS. OWNER PHONE
LOT NO- 4 1
OWNER .ianinr, UnatI . JOB ADDPESSItj 60 68th HOME ADDRESS ''610 Jtra Partar Ltrs ■IJytoo.
ARCHITECT
ENGINEER
BUILDER r,-I(fie _ ADDRESS 1--� DESIGNER _
STRUCTURE ❑NEW _ ❑REM_ODEL ADDITION C9EPAIR ❑RENEWAL [:)FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCt ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLPATIO ❑CARPORI ❑GARAGE ❑STORAVEOSLAR ❑FENCE
❑BOND C1 MOVING ❑CONDIT➢OVAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
OCCIJPANCY LAND USE ZONE ri-7 BLDG.TYPE 'N ___FIRE ZONEPLAN CHECK BY E TW _ HEAT
_(, ;t;rul:t sinylel family dwolllnW w/attachsc' garagia. Bodroom - 2 Bath,
S.- var Perta�lt -=17AtJ , ., �; x....00
—__ --_ �f� _.
QjQ-Q- QAD _.F_L=R_l4.AP____.-_`_HEIQ�±T.___. Q"UQI31 1 No.BEDH4)MS 3__CEli j_(J_ Ak(;
BUILDING DEPARTMENT SET BACKS FRONT 21 REAR 27 LFFT SIDE 2_1 RIGHT SIDE U
Permit _ S 177 r QO -- — — .--THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 0 REGULATIONS AND A_L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE 1N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 1N COMPLIANCE WITH
Sub-total 2 I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State T4 TENSE SEPARATWfERMI.TT PSOUIRED FOR SEWER, PLUMBING AND HEATING.
Total Cit'.,,"", �1
BY
APrl H ANI Y/H M; rt
Approved ; 4i t1 Receipt Ne _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
zo
�/ Permit No. S
Rough-in
Final
..ATING
Contrcctor /�
Permit No. /�O P /2-6F 7p
y Gas or Oil
Rough4n
Final J
SEWER w
rinai
DRIVEWAY
Final
Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIPICA'FE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning final