11100 SW 93RD AVENUE-1 11100 SW 93RD AVENUE _.
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INSPECTION NOTICE
City of Tigard Building Depaitment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of I,ispection -"� �r'�'' � —�
Date Requested
Time A.M._ P.M.
GL—
Permit #S,Z�� ^
Address /'�� +�
O-emer ___ Lot _--
Build,r
i he following Building Code deficiencies are required to be corrected:
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Pretented to _ .�J AppruveA
Instrector ��� -- [] DISSPI 'raved
Date
CALL FOR REINSPECTION
❑ YES ONO
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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 InspectionThe following Building Code deficiencies are required to be corrected: .`
Presented to Inspector _ `f ----------
Date
C4LL FOR RVAISPECTION
0 yts 0 No
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SUil-DING DEPARTMENT, T1GAR0 N?
PLUMBING PERMIT
holder of a valid Plumbing contractors license is hereby
Jut on ze�to ause plur'ih,ng wor4 a lerein not?d to bo installed in accordance with the plumbing code of
Z igard. Such installations require inspection by the City ljSpector vfho shall be notified not less than four
O hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. re
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Adds�.�! �-'I`
NUMBER OF � TOTAL
TYPE OF Pe"RMIT ITENIS F I: ON EACFI AIMMUNT �
Sinale Family-1 bit'-each --- ---___ 25L00
I C7uPl,`x–�irh 1 t7t:h u —_— _. _ 25.00
.;i
L_Additional b;itrroome–each _ – 10.00
_�ob�ta �om�rSaace–earh
15.00
IN; VIOUAL FIXTURECOfrM
C RCIAI
1 to SO Fixtures in 1 buildlr;L each _ _ 3.00
51 to 100 Fixtures in 1 building-.each ----_ 2.5_0
l 101 to 100 Fixtures in 1 building-each 2.00 ^I
701 or mare Fixtures it 11.50
1.50'.1 1 S C E L L A NE O U S
3§%v!r–Sarh additio^al 100 h.
Warnr Semite to buiidin —_ _--- 5.00 _
l—PERMIT <,d-16' 0---V For Plumbing Inspection Phone 6394171
Plumbing Contractor By
TOTAL ) RECEIPT NO. Issued By a _
PIJIL DING PERMIT APPLICATION TIGARD DATE _ ___ __ ls_____ 3097
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 14�-11t3
OR AS SHOWN AND APPROVED IN THEj MPAN l`WL ��S,YA IFIL NS. OWNER PHONE_
I`� '! LOT NO.
OWNER • "• 3 * r Ttli JOB ADDRESS 934 tJ SW ___ _ _ Lot A
_
ARCHITECT r
ENGINEER
BUILDER Saint) ADDRESS 9-370--'--)j uraenbwr g Rd. DESIGNER
STRUCTURE VNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL D FIRE DAMAGE ❑ DEMOLITION
L7*ESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [I PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[] FENCE
OCCUPANCY F` `' LAND USE ZONE R BLDG.TYPE "'M1� FIRE ZONE_ PLAN CHECK BY 214 HEAT_ g
L:unstrL.=r..t single fbmily dwelling w/attached garage. 3 dadrOOMS — 2 Paths.
CC CORREC'Tinri SHEET ATTACHED. v
SEWERPERMIT# 4-J.101 - li-70 x.00 429 sqoft.
OCC.LUAD FLOOR LOAD 40 HEIGHT 13 NO,STORIES 1 AREA 1212NO.BEDROOMS VALUE 1 . 000.
BUILDING DEPARTMENT_ SETBACKS FRONT 22 REAR 29 LEFT SIDE 16 _ RIGHT SIDE 1
Permit •�G a THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
9$ JQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 3. 50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax r 6LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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- yup; _ %400,00 ��, _ _�.
Total $291.06 / �-' t_ —rig-
By pl
PDC# A %100.0MPPLICANT0Rt.GE0
_
T [111,M � Receipt No. - �,
Approved ADDRESSy HONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
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�:4ContracctorN/ - rmit No. o`ough in
Rosi /gvq M _
n Fixture
4`�n- 4s d rw►�rs�- — -----
Final
HCATING
Contractor
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... Pernit No. �� w �./w ie•ti Off• _�
Gas or Oil
_—
R ough-i n _.—._.-
- Final
— i SEWER
DRIVEWAY
6/c Final —
Storm Drainer
(Rain Drain)Final
Sidewalk
--....-
-- Curb&Street Final T_--
_.� _ Approach —_ —-
BLDG DEPT,FINAL TEMPORARY -- -T-CERTIFICATE OC NCY Final
CERTIFICATE OCCUPANCY
Landscaping
—I — — Zoning Final � - �
1`.
CITY 'r�� ��D DATE
4._27_ _. 1990- q
Rull_DING PERMIT APPLICATION of
THE UN[''. hiSlu :r DhlLI`Jby APPLIES FOR AFERMIT FOR THF WORK IIEHEIN INDICATED BUILDERPHONFZME-9d;
OR AS SHCit%'N AND APPRO%ED IN THE ACCO:"•PANYING PLr.,tS AND SPECIFICATIONS. 0WNLF?F'Hrjt4F...__M______
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VNEF? i. .J �+C... - ic.)H?!?C_.7F:SS�J�J'�R/ pk-7woi% _— ___-____ __
ARCHITECT
rj [� ENGINEER
Rl CER i ..UVESS95 /.O .ifU __PESIGNER],-[,PAIR RENEWAL ❑FIRE DAMAGE FjD_MOLl ISN
RUCTZFQE V1IvEw ❑qt :+ �U::L ADDITION . � ] _ .--- ,.__--- ryry _.
C� %,AM ❑EDUCATu�F AL ]GOV'T ❑RELIGIOUS(�PATiU [j CAR PORT ❑GAP4GE I�JSTORAGEOSLAB LIEN:E
PLAN CHECK H" HEATH
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'EWER PERMIT oroje,
,�-WAIJ F �,p I #0 N'1 ')ft,q:FS AR A�2./,Z, NO @EOPOr NlS 3 v44VE S I DOd
BUILf' N i r c• '.�"'E N ,: 72- ,:'Aq 21 LEE' SIDE /G gIvHT SIDE
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-- ------ 1 MIT IS ISti,rEC) CI IU rrrE NEGULATFUNS CONI AINFD IN c*jE BUILDING CODE, IGN•Nk,
Fan Check '-ONS ANtJ Al L AF'P1.1r,AFitE t.tFnF.S AND ORDINANCES, AND IT IS E'EPEBY AGREED THAT Tt-r-
L SL io•?NE IN of L0F4['4%t:E WITH THE PLANS AND SPECIFICATIONS AND IN CG4AFLIQNGE WITH
"�_'IOtel 3�.�� 't.FCARtE CODES AND ORDINANCES, THE ISSUANCE OF THIS rERMIT DOES NOT W!kIVF
IIVE rm,�%ANIS CGN7PALTOR AND SUB CONTRACTORS TO HAVE CUP PENT CITV FIVS, ,
-te Tax .1t2 `iEPAR4fE {'FRMIrS RE lrti D EOR SEWER, PI U'ARING AND HEA71NG
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