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CITY OF i I(3ARD
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PERMIT NO..t .Z 1L- SITE ADDREE
t1TLE DATE
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INSPECTION NOTICE �
City of Tigard Building Department
12420 S.W. Main St
Tigard, Oregon 97223
Phone 639.4171
Address_.— -- -•' __� Permit #
Type of Inspection
The foliawkig Building Code deficiencies are required to be corrected: . i
Presented to _- Inspector
Date --- -•__CALL FOR REIMPECTION
U YEs [I NO
1gl' �•' 9R � � `iii M R' 91d
IF48PECTION NOTICE
"''ity of Tigard Bulling Departmeni
12420 S.W. Main St.
Tigard, Oregon 9?223
Phona 639-4171 hrmit
Address CSU
Type of Inspection ---_ ----- --—�f—��.f=' — T- �'. -�,:;::",_.%: .�i•,
The follow"ng Building Code deficiencies are required to be correctzd: _ Lam_ �..,.. ,C :- ✓�: '`=tom
i
_ ..—y'..-�M.we•"f���w,,�.s � 'G;..G.��^"y. �..t'' "L.r�1.^v�_Y'l_— �__--.- z.L_' -.edL.!
,r -e ,
Presented to _^-------_�-�--� Inspector
Date ,4.. f
CULL FjOR REIASPECTION
Q dEB rJ No
ns- 1� itt esfW pw Fiv pr
v
BUILDING DEPAR_I 01hoM I,
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
iuthorixed to cause plurnbing wot-k as herein noted to be installed in accordance with the plumbing code of
-Tigard. Such installations require inspection by the City Inspector wno shall be notified :'lot less tt.-n t:,ur
(4) hours prior to the time the installations are ready foction. City of Tigard Business License required
for all con ractors and stab-co"ntr inspe
-rractors. -4- 333 .1— �,'+�� 3 ;)-,
Address S r `* 'Ll.� _
� NUMBBER OF-- -- TOTAL PERMIT NO.'S
.�--� TYPE OF PERMIT M _ I ITEMS - FEE ON EACH AMOUNT (Office Use Only)
H E S 1121_N T_ 1 A�___-_- _ ..
SIn91e Family 1 bath-each _-----..-.. -- — 25.00.--
Ou ler-Each i bath unit w� 25.00 - I'
•ldditional bathrooms--each __- _ __�-- t0•00 C)
_ylobile Home Space_eanh �- 15.00
INDIVIDUAL FIXTURE FEES
1 to_50 Fixtures In 1 building-each 3.00
51 to 100 Fixtures in 1 buildin --each 2.50
101 to 200 Fixtures in 1 building-each 2.00
201 or more Fixtures in 1 building-each _ 1.50
MISCELLANEOI)S
Build) Sewer-1st 50 ft. 10.00
Sower-beech additional 10.00ft_ t. 10.00__
Water Service to building_ 5.00 J r Q O -
Frivete Water Systems-each 100 ft. ._.Y �_'^ _�-�— 10.00• ____�`-_.- �-`_-__ I
Other (Specify):
I
PERMIT c) Fug °hfmhi;ry Inspection Phone 633-4171
3H',State d Plumbing Contractor By
TOTAL . 00 W2 EIPT NO. Issued By
Emig �
BUILDINi;z PERMIT APPLICATION TIGARD DATE______ s__''' 3332
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1,413- +U2.40
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0. 32 "' G 1t�CTC
OWNER 4..c:IIGTt�p JOBADDRES3l5aki•`a ,SLIE1�1tt1 Placa _ _iICT _ Park EBtatea
AR'' TE
E' .INEER
BUILDER i r Crest', Homes ADDRESS 203 NE 17th,Hillsboro DEaIGNER
STRUCTURE— LTJ NEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EX RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T '] RELIGIOUS ❑ PATIC ❑ CAR13ORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY a—S LAND USE ZONE R-7 BLDG.TYPE i,9 FIRE ZONE_'---PLAN CHECK BY dC HEAT_ Electric
T I ,>ingle family dwelling w attached garage, 3 bedrooms 2 baths.
Co 4v 6w,nar —
SEWERrERM!TM
OGL.LOAD FLOOR LOAD 40 HEIGHT 131040.STORIES 1 _AREA 1:;91a NO.BEDROOMS 3 VALUV 3 r '-?fj.
BUILDING DEPARTMENT SETBACKS FRONT REAR 2 7 LEFT SIDE 12 RIGHT SIDE 10
Permit l:a.C)0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODs, ZONING
REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 •L�LI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub total 322'.5C? WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTNICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATF PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax —*-t
•l"�(1
Total • SDC— �.-•
Y
PDr'M TT 11GC!•FSA 9—T AGENT-By
Approved hC i Receipt No. C,9'0
ADDRESS PHONE —
t
I
M
DATE INSP. TYPE INSPECTION -_ REMARKS PLUMBING DATE
�� - -- - -
Contractor
-T+ +^� --- '-� -- Permit No,
- ou S� 8-Z7
U lC -- Rough-in
G
- ^�U CI T Fixture
Ift f-it Final
HEATING
Contractor
Permit No.
'- Gas or Oil
------
-- -}- --- - - ------------------ Fina'` - -_ __-�
_ SEWER
-- - --- ------ - Final
- ----- .— _- �- _-_- DRIVEWAY
Final
Storm Drainage
Main Drain)Final
-- - ----__---- ------___-- Sidewalk
Curb&Street rinal —�
___ _ _ Approach —
13LM DEPT. FINAL TEMPORARY_ _ _ CERTIFICATE_OCt]iJl' CY
CCRTIFICATE OCCUPANCY Final
Landscaping
Final
. 4 - - - -
BUILDING PERMIT APPLICATION TIGARD OATS_
THE UNDERSIGNED HEPEDY APPLIcS FOR A PERMIr FOR THE WORK HEREIN INDICATSD BUILDER PHONELO�C1'^�_�_
OR AS SHOW ! AtN'C APPROC �'ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH E
OWNER L /`F �QQ, JOB.,,,)DRESS LOT NC.- — V--
ARCHITECT
�i� / GBUILDER I+� t0s ' ra" E
STRUCTURE V''9EW ❑ REMODEL AOOI I ION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PAT!O ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _-,LANDUSEZONE A`_1___BLDG.TYPE FIRE ZONE- "'—PLANCHECKBY __ HEAT
.t-rr:-�S_!t. Li IG� �d.:^��✓���w.��'.-"7'i._��L�l�.�..�L- _�yy�-_---_�SL��_ �J --
SEWER PERMIT M
_OCC.LOAC FLOOR LOAD HEIGHT /= NO.STORIES hRE�! !'I 40.BEDROOMS - � VALUE;';
BUILDING OEPARTMENTSETBACKS FRONT REAR j LEFT SIDE RIGH''. SiOE
P!;rmit �. ` __tl THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TIfE BUILDING CODE,ZONING
REGULATIONS AND j'.LL APPLICABLE CODE°. AND ORDINANCES, AND IT IS hERtBY AGREED THAT THE
Plan Check / WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICA'OONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal �� - J RESTRICTIVE COVENANTS. CONTRACTOR AND 5UB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR Sr:WER,PLUMBING AND HEATING.
State Tax •
SOC- '� "0 r-
Total / �` �� tL
pU(;# APPLICANT OR AGENT
lay
Receipt No. ----- -- - -- ----- -----
Approved 1. ADDRESS PHONE
soc - # y°O •G
°u
PDC - 3
�____.A1 Ao
SEWER CONNECTION $ `J.-2s'
SEWER INSPECTION $ a !'�"
SEWE!q SURCHARGE $ ')l a
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corrrlents ;
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