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INSPECTION NOTICE
City of Tigard Buildinj Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-41;5
<
Type of Inspection
Date Requested Ti a A.M. P.M.
Address Permit
Owner
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
RApproved
Inspector DINWoVW
Date 17
CALL FOR REINSPECTION
F-1 YES L7 NO
W W v mat w[ V w►
r> P.O.wx 2a:97
!
CITY OF TIGARD PLUMBING � L31Z SH W1 BI.W.
/Applicants mum hold Oregon Registration to conduct a plumbingPI~,RNI IT fiiii-4175 97223business or must be property ownerloperatrx not hiring outskle help.
—�
NN
� Plumbing Permit No.Addmas
( (R9 8'M21-010 QIJAPI. PRICE .
v.lb Tax W Map.No.
Address - FIXTURES
Lot NockSuldrvlabn --
Sinfc / 7.50
mm �U
as or nae ss lavatory - - 7.50 •60
Tub or TubtShower Comb. % 7.50 ILI
ai W Address Shower Ckrly _ /~ 7.50 7(-Lz)
OwnerCky/ to --- Zip Water Glosel---- - 3 — 7.50 22 ��
Dlehwaaher / 7.50 7,
Garbage Disposal .! - 7.50Ir 17
hi
WasngMactune 7.50 r. r•5C'
Name ----- ---- -- {
Floor Dram 7.50
mg
-r.—ss — Phone WatwHeatel -- 7.50
Laundry Room Tray 7.50
Occupant City/State zipUrinal — _ 7.50
Ottw Fi hx"(Specify) 7.50
7.50
0 W / rPWW7.50
50
/
MISCELLANEOUS
ax No. Sewer 1 at 100 - ---- -_ _3000 00
�— Sew«-sa Addu.100' 15.00
Water Sam 1 at 100' _ 20.03
I hao
sbv actT wled a.hat I have read Ilia appNoatioI that"Wo nW". WaM►Ssrnwas.AddL ^ � —_ — 15.00
ghnan M oorraQ Isai 1 ,rsgilAw wNf1 I»StsM 9uAd"9wrd.Off:WW Sion"&Rsln Drain 1 at.100• X0.00 -
hsys a State Pkxnbing ken@*stat to masao yhrsn ars 0m, Ian M - —
pkrmbirp work wQ bo done in accordance wit,s;.acetas.ixv4 iarw d Orv- Sk)rn t Pidn Drain Add4.100 15.00
gon%viand S-AftAn Ctrapum a,7 and eel and sFp.oaws 009..and VW WAS Flom.SON* - - - 2500
no h*will be arrrpraysd untiess kcanaad urvlw ORS On (I 0"-,.r —
Simi@ reglairso piasss Ohne reason bobw). a"POW Proveroon
H0WF0%?*:RS-1 hereby owlftll NM 1 am Irr owner 01"propsny do- Davbs ur M#4'ok4lon DOba 7.50
sorlbsd saboaa;0~1-0m a I propoaa b rsrrsra s pk+nrbMlp ItaMsllsnian lar Ann T►ap or ft"Not
wa)I llawl use ane I+la pn,i ft M not damp awWmcfsd for SMALL Maas or neat Oor noftd to a Re" 7.50
calk"Boom 750
WW of E"./krrnb q --40.00 Par Hn {
— -- _ - --- - --40.00 Per Hr
AIW.of Pkmt* «all+
on CAN% I(i.tb min
Al/iF� TUiiE Now BMW or sold.A&Won am min, _
Z.
Nicx�r�xk Alar(] �dliwon❑ fibWallion(7 n1l ❑ 15.co
E3tIlIMIp U"of
blimpO or Pr oP«b
vom L �
IRA
lIl"lo �
. +11Mwi1�la>rat ► 1. '
Date lasued _ _
I
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �o T-_ 4- '�+--�
Date Requested S ' Time A.M. X P.M.
Address x ��� C---r Permit
Owner _ Lot #_
Builder
The following Building Code deficiencies ara required to be ccrrected:
Presented to _.__ ❑ Approved
Inspector _. Disapproved
Dat.
CALL PPOVREINSPE,CTION
YES ❑ NO
INSPECTION NOTICE
P
(%ti- City of Tigard Building Department P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ------
Date
-_-Date Requested —_ .s I 04
�( Time A.M.--P.M.
Address Q 4r I Sr 0 r Permit #fir'
Owner- - - I �Mw1 r.� e F.L- — Lot #--
Builder ---
The following Building Code deficiencies are required to be corrected:
I
Presented to _�— �� Approved
Inspector _
pe —.__-------- ----------._ Disapproved
Data C5• �-----------
CALL FOR REINSPEC77()A'
C7 YES [A NO
CITY OF TIGARD 639-4171 'r f 1 6693
BUILDING PERMIT DATE, .—f 9
TAX MAPt�__LOTNO. — j�_SUBDIVISION
OWNER JOBADDRESS �_ �,{.1`'•Jr7 ,yw. 1�_B �l C;:� —
BUILDER STATE REG.N0. EXP.DATE—_7�?d1f17
BUILDER'S PHONE
ARCHITECT __ PHONE __ OTHER
STRUCTURE r, NEW REMODEL ADDITION REPAIR MOVE OTHER DEMOLITION
1-1 RESIDENCE L_) COMM EDUCATION IND RELIGIOUS ACCESSORY L1 GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE EAG.TYPE LrJ FIRE ZONE PLAN CHECK BY HEA T
i1!'1�r' `CY:.� C�f?".)�.�.w!1�' '/�t,1:iG:.'�3CY� rT�.i�!"�• 0��..g4i7C.it. _ �t..�'V)S3. y.?litljC(':i: bra
SEWER PERMIT q LL .I
OCG LOAD FLOOR LOAD 4F? HEIGHT
7(? HEIGHT NO STORIES AREA NO BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR , LEFT SIDE RIGHT SIDE
Permit _ 4:.r THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS ANU ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1 HAT THE
Plan Check 40-010 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 _ RESTRIC c COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- TAX PERL. .S.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.i f, SDC C 25U.ou
TotalAPPLICANT OR AGENT
T
Prep
d, r.
_ ___
d._ ,._--T!_—._--- __....__
Receipt No. ADDRESS -^ PHONE
Bal.Due
--� Issued By Approved By
� s ■r � � et �
9W7i7
DkINSPTYPCTION REMARKS PLUMBINGDATE
Contractor Permit No.
Rough in
Fixture
Final
d-= � — HEATING
7. Conlractoi
l(L 7i1.�, Permit No �17.y S 1171d'?
— -- Gas or Oil
Rough in
Fin it
— `SEWER
Final
DRIVEWAY
--- ------- --- --- Final
Storm Drainage
--------. _ —__ ,— -�— (Rain Drain)Final�_--
- -- ---------------- Sidewalk
-------- Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
I andscaping
— ---. Zoning Final
i
w
i
4
Wo�lcshP�� ,
PLAN CHECK NO. 3(p
for inspections call 639-4175
PERMIT N0.
BUILDING
CITY RO 6J9 4171 ` 7 ,1 ID -- �4/� ,
PERMIT DATE ! � � �/V
P.O. Box 2339 Tigard OR 9 223 TAXNIAP LOTNO. f%?L SI;DUtVISION
OWNER__ '� rC JOB ADDRESS ��/ 1 C
BUILDER —_ / _ STATE REG.NO. J 1 ,2 EXP.DATE '712 /
BUILDER%i PHONE
ARCH4"ECT�.�L/� �7 1-1'y'L� PHONE 12—S s / �G OTHER
STii-URE NEW ❑ REMODEL ❑ ADDITION ❑ IIEPAIR ❑ MOVE ❑ OTHER L) DEMOLITION
ESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS. ❑ACCESSORY ❑ GARAGE U OTHER O FENCc
OCCUPANCY LAND USE ZON[ �0 BLDG.TYPE -SLY_FIRE ZONE PLAN CHECK BY4t ttEAT �-
Construct single family wellin —
Slit -'
SEWER PERMIT e,. '(I du) �j baths, �_� traps cam;aae area _
OCC.LOAD FLOOR LOAD HEIGHT ',�V NO.STORIES Z' AREA Iy f& NO.BEDROOMS VALUE b4Q
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
rPZ1&n�LCh*Ck
�r "' 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
(/ WOAK WILL BE DONE AIN ACCORDANCE' WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH AL.L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
IL F" RESTRICTIVE COVENANTS"CONTRACTOR AhD SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE55
TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER.PLUMBING AND HEATING-
State Tax _� �" 55x'
SDC- _
Total APPLOCANTORAGENT - - - -
Prepd.
-- --- r RecelplNo ADDRESS --- rr. rrl
Bat.Due
Issued By. pt)"ved By
55DC --
50C - A v c
RECEIPT #
PUC - 11
J DATE PD.__ -
SCWER CONNECT 101 5 � ) AMOUNT PD. !t —
SEWER INSPECTION S
SEWER SURCHARGE S
0mment0 - ---
WHIL YOU RE OUT
Phone—
TELEPHONED PLEASE CALL
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