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12145 SW 92ND AVENUE 12145 SW 92ND AVENUE V r) 1-4 INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Ma,n St, i Tigard,Oregon 97223 f Phone: 639.4171 r Type of Inspection _/_ -96 L 41 Date Requested__�(J cr I- 3 Time ✓ A.M._ P.M. l Address 1 ( AJ rC� , Y� / Permit Owner �rr"7t,t Pp �.[i _ _ Lot # Builder _._ u 2y C v►� 3 r �; The following Building Code deficiencies are required to be corrected: `yy�j� Ej1 i �l Presented to t— LIY��pproved nspecmr ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES 0 Mp W w1wim Ili Ibis C, tY OF TIGARD Plumbing Permit Building Department N0. _ Residential eJ Commercial [� New Installation ❑ Roplace Addition [E] Alteration ❑ DateZ2--mac. Licensed Plumber Q- Owner Address ..—_. ,_ Address Jo dd ess .?. V-5 4,, _�� ..: eYA2 Phone .... -'s ;'.=- ' `✓2 2,1 Applicant .------_- ------__—__.___ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUS-CCNTRACTORS _ ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fixtures-Traps 7.50 Sewer:First 100 ft. _ 30.00 Dishwasher_ 7.5(. —� Each Addit.100 ft. - 15.00 Garbage Disposal V 7.50 _Ejector Pump - - 7.50 - Water Heater _-ci�,.2, _Ad _ 7.50 _ Water:First 100 ft. 20.00 Backflow_Preventer 7.50 Lach Addit 200 ft. 15.00 _ Storm&Rain Drain:First 100 ft. 30.00 Each Addit.200 ft. 15.00 ^ _ Mobile Home Space - 25.00 Other(Spsrd ft -� Rain Drain,Single Fam.Dwelling 15.00 PERMIT FEE Comments: B STATE A.,, % Issued- -- -1 ' Y -- -— ---- Receipt No,...; „ice._ Applicant TOTAL z-,!r .�„_ � --Signature For Plumbing Inspectiun Phone 639-4171 BUILDING PERMIT APPLICATION TidARD DATE_.'eC- 1G 19 '� 4268 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATE:C DUILDER PHONE 535"4~g1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _LU-301u'__ LOT NO. OWNER :a•<�1" '_ I� C i,_lX;«C:ul JOB ADDRESS Salem 9 1301 ARCHITECT BUILDER Cowan & Sons ADDRESS 1-7,10 ?Tam)ton N.F,. ENGINEER DESIGNER STRUCTURE ❑ NEW E3='REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C' FIRE DAMAGE ❑ DEMOLITION D RESIDENCE Ll COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE i_1 STORAGE ❑ SLAB❑ FENCE OCCUPANCY _-----LAND USE ZONE '` BLDG.TYPPE �—_FIRE ZONE---PLAN CHECK BY � HEAT_�____ i f: cut roof for Solar water heater ,jane;l s --- SEWER PERMIT# OCC.LOAD FLOOR LOAD _ HEIGHT N0,STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit .15.00 THIS PERM[1 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check — 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 Subtotal 1 •L7i7 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWP"L)JING ANDHEATING. State Tax •5L Total ] 5.60SDC— t�,tv _ PDC# APPLICA IR AGENT .By ' i"Al Receipt No. Approved A_ '! ( ! ADDRE8A - pHON � t -DATE INSP. TYPE INSPECTION_ REMARKS PLUMBING DAjE --- ( Contractor t.+OCvCL't ,Z3 ✓`-J1�[_h Permit No. Rough-in Fixture —-- -- Final -- _ - EATING Contractor - -`^- Permit No. Gas or Oil - -- _.�—— Rough-in --------- ----- _ Final -�__- SEWER Final DRIVEWAY Final Storm Drainage _ (Rain Drain)Final Sidemi k Curb&Street Final ____ _ Approach BLDG. DEPT.FINAL_ TEMPORARY CERTIFICATE OCCUPANCY 1 cl'RTIFICATE OCCUPANCY Final Landscaping }' `� -- Zoning Final i CUILLIHNO r- LnIVII ' r-�i I L_luil-\ I Ivl'i W- PIZ - THE UNDERSIGNED HEREBY AP?LIES FOR APFRNII ! FGR THE '-NORK HEREIN INDICATED DUILDERPNOtJI-S�iS -Y7� OR AS SHOWN AND APPPOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF':•r.Orjn:c - 40� l� LOT - �7`d/fJEP __ JOS ADDRESS /2 l 5'J` �c% �r1�•2-�'o ARCHITECT ...' ENGINEER nUl�_D.T'2y� „�.+_ -L �' y:�,a.L•� 1DDRESu_ 7 �./ -y,Q.r�.�.. "�. DESIGNER r-� STRUCTURE _ I�NEWWRE".1nCEL_A �❑ADOITI011 - ❑REPAIR` ❑RE`JE`:JAL FIRE DAMAU DOE-MOLITL (�VTtESILIENC'l GICOrtr.t ❑EDUCATIONAL ❑GOV'T L,.IRELIGIOUS[]PATIO OCAR PORT ❑GARAGE ❑STORAQE❑SLA3 ❑FEN CCCLPAr;CY LAND USE ZONE��'" OLDG. TYPE-z:2:--V—,FIRE ZONE�G PLAN CHECti: HEAT / Si_UER PERMIT I•I SHT �'� NO STORIES 6f3EA NO BEDROOA15 ,� VALIIF , dIJ'LQIIv; DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Pcrr-...t _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULAIIONS CONTAINED IN THE BUILDING CODE. ZONI I I'IaD Check �I - REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 (- --jt'-- ViORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN Cw,-.PU4.NCE V; ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA j -�— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB C0'ITRACTORS TO HAVE CUPPFtJT CITY BUSIN f�zat2 Tax �I . LICENSE. SEPARATE PERMITS RFOUIRED FCR SEWER. PLUMBING AND HEATING. S D C PDC APPLICANT OR AGENT A ,-tece pt No SDC - P D C SEWER CONNECT DN $ SEWER iNSPEr_TIbN $ SEWER SURCHARGE �$ - - 4 Comments i i Address J G/�yL_ p Permit Name of Occupant_ Permit charge Connection fee_ ; _Q _.—_ --—- Paid by— s — - — Date connected—3 60 Type of Building 49 Inspection fee Service Rate._ G _ Paid by /�� Date Contractor- �r�r Assessment_____ Size of connection_ _ _