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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. blain St.
Tigard,Oregon 97223
Phone: 639-4171
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Type of Inspection
Date Requested —�G ;L___-- Time A.M. P.M.
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Address �!1� �^ �� =�� Permit #
Owner Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to _ _ _ ,LnJ Approved
Inspector
LJ Disapproved
Date
CALL FOR REINSPECTION
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
. _ Permit
�: — -----
Address_...-_---_—_.
Typb of Inspection
The following Building Code deficiencies eni required to be corrected: -
Presented to ----
Inspector -------
Date
CALM. FOR RENvSPECTION
0 yrs NO
`s. BUILDING DEPARTMENT, TIGARD
PLUMBING PERNuT N°
2 a. holder of a valid plumbing contractors license is hereby
aut mired to cause plumbing work a Herein notNd to bii inst.111'-d in accordance with the plumbing code of
T igard. Such installations require inspection by the City loip°ctor vjhu shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required r
for all contractor's and sub•contrzictors.
.� Job
Address �"� {� �- f a . _
NU-MaFn OF TOTAL
TYPE OF PERMIT _ ITEMS F:F OSI EAC;FI AD.9QUNT
Sinafe Family-1 bath-each _ _ - 25.00
QuPL`x-Cath 1 bath_unit _ _ _ 25.00 ,a
Additional bathrooms-each -, 10,00 _ -
1
Mobile Home S ace-enrh _ � 15.UJ
INt]IVI0Ul1L FIXTURES COf�MERC,lilt.
1 to 50 Fixtures in 1 buildic -each
S1 to 100 Fixtu•es In 1 building_ea^.h
l 101 to 200 Fixtures in 1 buildin -each ^ 200
701 or more Fixtures in 1 buildlnyLeach _ �� 1,g0`~� -��
l M ISCEL.LANE0US
sewer-each additional 100 h.
Water Service to building,-�,_ SOU 8-
PERMIT � For Plumbing Inspection Phone 639.4 71
1 4,9;State p Flumbivg Contractor By !`
I _`roTAt_ g_ RECEIPT NO. ttsued By
BUILDING PERMIT APPLICATION TIGARD DATE ,ts309 ty
TI PF UNDEF;";C;NED HEFIEDY APPLIES FOR A PERMIT FORTH EWCOAK HEREIN INDICATED BIJIi.DER PHONE
OR AS SHOWN AND APPROVED IN TKE A jOMPAN W(yC� LA IFICA�i JNS. OWNER PHONE
,��1�1ve MS M LOT NO.—
OWNER
� i . i Ilt:. JOB ADDRESS �J.�'�� "W ,._.. __ _-�
Lot A
ARCHITECT
CNGINEER
BUILDER =1am9 ADDRESS 9370 12W GTeenburg Pd. DESIGNER
STRUCTURE VNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ^_❑ RENEWAL FIRE DAMAGE ❑ DEMOLITION
n'tIESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY «"LAND USE ZONE ' ___BLDG,TYPE —FIRE ZONE - PLAN CHECK BY �' HEAT_ a
Construct sinrjle family dwelling u/rattached garage. _ � <.uc rOclma - 2 Baths.
'SEE (CORRECTION SHEET ATTACHED.
SEWERPERMITM " 1161 -- S705.00 1
OCC.LOAD FLOOR LOAD 417 HEIGHT L4, NO.STORIES l AREA 1212NO.BEDROOMS 3 VALUE:;:,1 0O0.i
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE 1.6 RIGHT SIDE
Permit _'!3C THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREB`,' AGREED THAT THE
Plan Check 94. SO WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OPDINANCES. THE 'SSUANCE OF THIS PERMIT DOES NO7 WAIVE
Subtotal _ r' F� RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Slate Tax
LICENSE.SEPARATE PERMITS REQUIRLD FOR SEWER,PLUMBING AND HEATINQ:•
�. ..�'-
S40111 C1
T
otel
To -- 1.0 PDC# 'i $I000 OLP
LI` CANT(1g AGEt --
Approved (.11.Ir1 --- Receipt No. �•�� �� / .�__ _
ADDRESS -RHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBt IG DATE
S'C N/• Contractor 't
3–/1•Sry Rl�iw �— ----- Permit No.
Rough-in
Fixture
Final
-
•h � Ew• �Vw'�/� OI a _—.—.--_ HEATING —
6-� Contractor
`•�' /; A �Llt1�'r O�Ci-- Permit No. � -
� Gas ur Oil
Houghin
-- ^^ SEWER
Final ----
._.._.__
DRIVEWAY
Final A
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
e Curb&Street Final
------- – ----_---
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIF+LATEOC NCY Final
CERTIFICATE OCCUPANCY _---- -_..... ------
Landscaping
Zoning Final
0
BUILDING PERIJIIT AFi�l_iCATION " TIGARD [SATE �' ' ��7 '
THE UNC!', H`.It.°JfDHLI IBY APPLIES FOR APEPMIT FOR THE WORK It[HEIN INDICATED BUILDEaF��NF`t�'/�GA.�.._
OR AS SHC .','; AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Oa:NLI1 r'F+r,,�E_-�_A___AA._'_• _
4NERLOT NO
�/A�i.rL ,., JCtB �ri�:_,7ES5 .7 �/ I�!0• w► .✓'�,--- --•--._.-_._..�_-�G•
ILDE14Q -_—-�-�
- ARCHITECT
C�A Q� 6 ENGINEER
I �_•'moi t,�:ves5
10 l IIIWWW��uu DF'JGNER_
sw
RUCTURE �' EW L (IADO1IION I, .PAIR ]RE 4AL ❑FIRE DAPAAGE t JCS'-t'�LI'I:N
Ec1OENCE (:]CCIM.Mn;^uC�T QL I ]GOV'T 0"IFLIGIOUSL]PATIO UCAR PORT ❑GAPAGE ❑STORAGEOS_AB DIEN E
n1 CIG frPc y PLAN CHECK I, ,� HEA.T-,.
.2
iEWER P E h i'1 I T ot,P+jG 7 .2A _
;C_LQ4p t'k I , , U IgHT / NU $I;,WS I HSA J2.iz, NO $EDR001, 9 VAI.IVE JAI d00
_. EIUILC"N'; Ct :In YEfl «.: FHJNi Z2. ':°'AR 2q LE I- SIDE /G �?I:,•11 Sr[ /�
ermlt
- - - MIT IS SLIP IFCT 10 THE HFGULATIONS CONTAINFD IN fi-IE SUILOING CODE, ZGN
Ian Check A s� F, SUNS AND At L APPLICAPI.t t.UDrS AND ONVINANCES, AND I IS HEPEBY AGREED THAI THE
-, - BE 0"'NE IN W'to(4('LtiCE WITH THE PLANS AND SPECIFICATIONS AND IN COI PLIANCA WITH
1
,:'7-total �j$ f� { 'LICARLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOLE NOT MAIVF
ivE rm, %ANIS f LNIRALTOR AND SUB CONTRACTORS TO HAVE CURPENT CITY E3'JSINE$f-
,ie Tax I Ate' t SEPARATE PEHMITS PI`r•'IptD FOR SEWER, PLUMBING AND HEATING
otal _ .nt �• byes
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MC -- --(-.OU
3DC - L /OO
if WER I ' ' i ION x0'80
iEWER I N5PE CT ION $
iEWER SUHCHARGE
,omment Is
0 110
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