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INSPECTION NOTICE
City o 'rigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phore: 639-4175
Type of Inspection
Date Requested Z- Time
Address —`. —
r Permit
Owner --- - — - Lot # --- ---
Builder --- �__— —---The following Building Code deficiencies are required to be corrected:
s - -
Presented to � --- pproved_
Inspector _ Disapproved
Date
CALL FOR REINSPECTION
❑ YU ❑ NO
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P �7
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INS?ECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �' '
IF
Date Requested_ 3 Time _ A.M. P.M.
Address I- ��2 6, "1 Permit #
Owner �-'�. ' ` Y1 `.� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
c:
el.t'�t t h 1 GU r
17
l� �t,t ❑ Ap ed
Presented to
i
Inspector . L.--� +Diapprowd
Date
CALL, FOR REINSPECTION
[ "YES 1:1 NO
L
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ime A.M. P.M.
q ---
Address _ Permit
Owner - _ _- Lot
Builder ---------
T ollowing Building Code deficiencies are required to be corrected:
'' !� ���-7_'fZ.�,.r.--rr f�t��l cl-C��1.�---� „�c'�...�-,..�Q u.v _e•✓�.--
� V
Presented to I Approved
Insp�cfut —+,,�lf'�'� �4} Uisapprnved
Date
CALL FOR REINSPECTION
C' �fE8 ❑ NO
CITY OF r'IGARD PLUMBING LaZ SW HW alvd.
ww ompn ftowa*wt a cwww a owPERMIT � CR WW
b�f+muorlllrr�bf owflaN na alfbida
NaIM
PlufnbrnK►erm11 NI,.
A mmn caswoiion
1119 �2-,6, r•n ORS 1410 OUAN PRICE AMT
Job Tml Tal Map No. --
AddraN FIXTURES
LAI 910dt 81lbdvfNon —� --
Sink 7.50
MEMO 77, urns 7.50
4,.J t3» 1Sp Tub or TubtShoww Comb. 7.50
ShowerOwy - — _ 7.50
own9l, ZIP Water Ckmm 7.50 22.
Dishwa*hw - I --- 750
0fu
Garb"Disposal 1 750 75-0
Wao*y kAactww - ! 7 50 -7 S-r-)
Floor Dram _ 1 50
Maling ess Phone Wstw Heater Y 5050
OCcupant Z!p ---- Laundry Room Tray _ 7 50
Urinal 7,50
Otlhw%tunts(Specify) - 7500 -
y�._ 7.50
750
23P 7.60
MISCELLANEOUS
eii lkla Tax Ho sewer i M I00'_ 50 00
IN,, M,No S•wwgs.Addle.t 00_ � _v Wit)
-
3 4--)9 P WOW servk»t y 100' f!- 20 o ..
i heresy edmwb�dpr!flea l hors read This rrpplicallon,fes t»Intim*Wn Wales Swvioe ea.Ad&XD' 15.00 -
f wn ie *+o+f.filet 1 ao rsphMred wV k fm S1asa BdkWs Baud.and sAw S1rrm i Rdn Drain IIA.100' 30.00
les rw
havw a Sbb PlIfilfttO toww fw amban ON"ares Co.0arrwh ow as -- -
PMnbinp warts wN be done in amwdenna wNh apploslA provlskma of Clew- Storm A P-in Drain Addl1 100 1500_
Dom Rwbed Sb lubse Chepwj and 003 and.I plat' 006ea and that Moble Hr„s Spa* - - 2S 00
no Neto wp be wnpl0 e l union wwcl under ORS fps.(M exempt from — - -
Stab MOWWk^III ae 0M meson be" Sock Flow Pnw enlion
HOAI CPATAEM-1 hereby ow*fry I sm the oww of to property da Darton or Aj*4t ubon Dewe -- -- 7 50
8c rR»d abort.M whldkwallon 1 propose b nulla s pitimbinp Inatarallon for Any Trp or Waste Not
MY owm ust and*6 prltpwty Is mol behp omsiiucled tar soft.leire or rw A Comnsclad to a Fiat" 7.50
CaMoh Basin 7.50
of Exist. - - - 40.00 law IM
00.00 Par Mr
Aller of Pkm.tbin0 wfakh
an
Existing 15.00"on
Naw�orlRi1d.Addllon 5S OD rNn _
Dawdhe work news Ladditiion L) alI *Wn E] repair O djauim MOD /.S�-
P'llo p U04 of
blfrf�rllj or prwArty
"plow __ _ - T .. - Tom
/�M IIIlStN 0 f1111iIWO MM I t w aafufu0ron f11NeI1Md IS no con s-
��fted OW MAr E fto oft
f wwkIs a Nal11ewm*Mf lmdt1MA a s6�raonaA 1nr "�"w'w'w"
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INSPECTION NOTICE
city of Tigard Building Department
P.O Box 23391
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested
Q .� - 5- -/S Time A.M. -� 6P.M..
Aedress Z u � �- "'' -- -- Permit # 'O
0
Owner___ '�' C � Lot #
Builder -_---- --The following Building Code deficiencies are required to be corrected:
I
Presented toApproved
Inspector — Qisapproved
Date
CALL ^OR REINSPECTION
❑ YE• ❑ NO
W
AM
/ INSPECTION NOTICE
P ` np— City of Tigard Building Department
I P P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - ---
< <
Date Requested Time A.M.^_.P.M.
n -z. lr
Address � I I O ��' � Permit #ZG�2_.
Owner_ ti rL^ u G� _ Lot #
Builder _ ---.- --------_---
The following Building Code deficiencies are required to be corrected:
Preconted to __. _ -_---_ 1 Approved
Inipector _ (� ,9 Disapproved
Data _ t
CALL FOR REINSPEC770N
❑ YES 1-:1 NO
CITY OF TIGARD 639-4171 l ) r ; 6692
BUILDING !'ERMIT DATE
TAX MAP !U.148D LOTNO. 35 SUBDIVISIOe-`I—' Z" 1
OWNER—r'a �+ic� is — - JOB ADDRESS .0926 ICU 118th CL. _ _--
BUILDER `£![TR^—�__—.. STATE REG.NO '_6177 —.FXP.DATE__7/7437
BUILDER'S PHONE
ARCHITECT PHONE _--OTHER
STRUCTURE r NEW Ll REMODEL ADDITION ( , REPAIR MOVE !_1 OTHER `-' DEMOLITION
RESIDENCE COMM i -1 EDUCATION IND RELIGIOUS ACCESSORY GARAGE o1HER LI FENCE
OCCUPANCY LAND USE ZONE s BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
LU
SEWER PERMIT M T�EIf]{1 7rh� ti�g T� ty jg= h4- cp 44r
OCC.LOAD FLC OR LOAD 40 HEIGHT ' NO.STORIES ' AF4 A NO.BEDROOMS _S VALUE
BUILDING DE PAR 'ME NT f SETBACKS FRONT .2(j. REAR /)" L EFT SIDE RIGHT SIDE
Permit i7�J•1t_ THIS PERMIT 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 116.15 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
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
Stele Tax
-- (-40.5.1. SDC— volrl.00 -
_._
Total — PDCM PPLI' ANT OR AGENT
10f).01) 1'ci(l.i►(7
Prepd. _ '
—
Bel.Due Receipt No. ADDRESS --------- PHONE -- -
'��•�� a
— --- ---- I::auedBy_— Tarr .—YApplovedBy
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-
-I _ Contractor,'
Permit No.
�Q Fixture
Final
HEATING
Contractor yt�J ell
��
—p—,L�� Permit No. YZ
-ALL ' t^J K / Gas or OII
1- t
—10'LcRouph•in
Final
SEWER
Final
-- DRIVEWAY
—
Final - —�—^
S'orm Drainage
(Rain Drain)Final T
— Sidewalk -
--- Curb R Street Final
Approach --~
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
i
1
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i
i
t'oorIvs ec-1 FLAN LHELK NO. 3� /2-
for inspect ions call 639-41.75 PE�/RMIT NO. (V �_�
CITY OF TIGARD 639-4171 DATE 7- � IY—�� �7, 77
BUILDING PERMIT suoolvlsloN
P.O. Box 23397, Tigard OR 9722 TAX MAP LOT NO.
rc JOB ADDRESS d A6 _ C-
OWNER r V[ , L, �!� 1- � � -� 7
BUILDER L� STATE REG.NO,_.4.—.—L--1— L---.zxe.DATE
OUILOER'SPHONE `5
C.-.o Il0 PHONE,
C -� OTHER
ARCHITECT
❑ ADDITION (3REPAIR O MOVE O OTHER L) DEMOLITION
STRUCTURE &EW 11 REMODEL
RESIDENCE ❑ COMM C) ECUCATION C1IND ❑ RELIGIOUS. C)ACCESSORY (3 GARAGE ❑OTHER C' FEN E
OCCUPANCY LANG USE LONE✓BLDG-TYPE ., rY _FIRE ZONF PUN CHECK BY IOAT
Construct single fami I dwei I Ino attachh -d n -- —
Snh�s t to 85 code - - --
SEWER PERMIT#3_3 7 9 -(I du) ", ba the_ A; t r4 aaraae_area V Y Q
;Z&4 4 NO.STORIES "Zr� AREA ' NO.BEDROOMS VALUE p� E'u�,!
OCC.LOAD FLOOR LOAD � U HEIGHT _
BUILDING DEPARTMENT SET BACKS FRONT 7U REAR /A LEFT SIOE -9� , RIGHT SIDE r
Permit 7THIS PERMIT r,ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE aUILDINQ CODE, ZONING:
REGULJAT10N5 AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Ptan Chock � WOIRK WILL EIE DONF. IN ACCORDANCE WITH THE PLANS ANC SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEAT1NQ
State Tax
Total Q J I SOC APPLnANTORAUtNT .`
PDG ; D� (�� IQVL4, &dd'R
Prapd. t' V vpe? /
c Receipt Na.�f DRESS
Bal.Due J ..�� , Approved Br
I a sued 8 �.�..�---
SSDC ----
SOC RECEIPT b
PDC - DA1'E PD.
5CUE R CONNECTION S � � AMOUNT PD.
SEUER INSPECTION S
SCUER SURCHARGE S
'70 17
:�mrl�ente: L
r:.
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO.:
PLAN CHECK APPLICATION DATE RECEIVRD: 7-0 /1-7
P.O. Box 23397, Tigard OR 9721.3 P/C DEPOSIT PAID:
This is to certify that the attached Z- sets of plans have been submitted for pian
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition.
PROPERTY OWNER: �CiYI�OIC � OWNER'S ADDRESS:
+ CONTRACTOR: � TELEPHONE: �' .2
JOB ADDRESS: I 1261/09y2_ LOT NO. 6 MAP:
DESCRIPTION OF WORK:
Approyals Required SPECIAL NOTES
O Planning Dept. 9 Reissue 9 ' 3` 59 31r
OEngineering Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
OOther O Other
Items Required
OList of subcontractors
OBusiness Tax
Calculations
.,•�:,�w l}e�g�apr. .
0 Parking Plan
T-andscape Plan
t
'It her
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