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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-x:171
Type of Inspection
Date Requested_-_._��-' -�'—�� _. Time __ A.M. �'—_P.M.
Address !��rJO_S �b�// .� �_ Permit
Owner 1� � -� __ Lot #
BuilderThe following Build-ng Code deficiencies are required to be corrected:
Presented to Approved
Inspector �T.;, a L] Disapproved
Date
CALL FOR REINSPECTION
0 YES kt NO
l3
BUILDING PERMIT APPLICATION TIGARD DATE____ __,ls_Bl 3737
rHE UNLFRSIGNED HEREBY APPLIES F00 A PERMIT FOR THr WORK HEREIN INDICATED BUILDER PHONE 639-6751
OR AS SHOWN AND APPROVED IN THE ',%�COMPANYING PLANS n ND SPECIFICATIONS. OWNER PHONE
side P
OWNER Putt; uluor6 -- JOBADDRESS 13dUC� LOT NO, 12—Creekk
SIS 118th Court
ENGINEER
BUdLDER Classic IIgmB jtpprOU. ADDRESS12335 SU AAnn Court DESIGNER Pierce Barclay
STRUCTURE 044EW ❑ REMODEL U ADDITION �— ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS L1 PATIO ❑ CARPORT C= GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY H"3 _LAND USE ZONE _17-3--BLDG.TYPE5� FIRE ZONE_r__PLAN CHECK BY kh HEAT._ Q_
_ Construct single feTlil_Y_gwpl?�inq_/attachad gage+ 3 Bedrooms t: baths,
SCE R'R CORRECTION SHEET ATTACHED.
__--- Re-ISSIJE of Permit #.3269 Ann Court)
SEWERPERMITM 23345 — S750.00 _____- —.-----y rrasje 472—@a. Pt.
OCC.LOAD FLOOR LOAD 40 � HEIGHT 14 — NO.STORIES 1 AREA 1533 NO.BEDROOMS 3 VALU$Ul�500•
BUILDING DEPARTMENT SET BACKS FRONT 311 REAR �I FFT SIDE U. !j RIGHT SIDE 23.5
Permit $211.00 ^ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINU CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS '-IEREBY AGREED THAT THE
Plan Check IO.f3O WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
'WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1HIS PERMIT DOES NOT WAIVE
Subtotal 2 c l+00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUt D FOR SEWER,PLUMBING AND HEATING.
State rax ►; 13.46 '
SDC— 5400.00 �
Total 2 29. 4IBy Pi.
— PDCk I 2100.00 APPLfcANT OR AGENT
�1ieIT Receipt No.
Approved PHONE__ ---
DATE IINNESP. TYPE INSPECTION REMARKS PLUMBING / DATE
Contractorer
�h�
Permit No.
Rough-in ----
Final — — - —
(� HEATING — -
Contractor
Permit No. c;2
Gas or Oil
Rough-in
I 9
SEWER
Final --
DRIVEWG'.
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
__ Approach
MPO
BLDG. DEPT.FINAL TERARY — CERTIFICATE OCCUP NCY Final
CERTIFICATE OCCUPANCY L
e/ Lend caping
7_oninq Final
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phune 639-4171
Address Permit
i rd .W� �- _
..___.—.. -" - --�
Type of Inspection —_. -=-- _—•—__ --<- _ �._ -__ .
r,r
The following Building Code deficiencies are required to be corrected, _.
- --- � YAr -- y
Presented to , __ __ Inspector -
Date
CALL FOR REINSPECTION
D VES n NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address Permit
Type of Inspection ---
The following Building Code deficiencies are required to be corrected: �'' _ `�• �-r _ ! - - .a �*
3
Presented to Inspector
Date
(.ALL FOR REMPECTION
YES ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE 1991
THE UNDERSIGNED HEREBY APPLIES FOR A PERM IT FOR ThE WORK HEREIN INDICATED BUILDER PHONE"'_�•_!/
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND,$PECIFICATIONS. OV,NER PHONE
JOB LOT N0.�
l �-�c!� _
ANCHITECT
C� -� — - � ENGINEER
aA6DRESS DESIGNERBUILCEq G NV
STRUCTUREX NEYV ❑ REMODEL _❑_ADDITION :-:1 REPAIR C3RENEWAL ❑ A!ftOAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL
'7 GGOVV7 C RELIGIOLUS ❑ PATIO ❑ CAA PORT ❑ GARAGE _C STn-IA E ❑ SLASr FENCE
G�Gii'rANCY ,LAND USE ZONE -� BLDG.TYPE tif`�._FIRE ZONE PLAN CHEEK BY HEAT
c)l
�1, J
rL a e-
OU
Re�sd4 64.m01+* 12(oq W Am h C4.) 2-
SEWER
SEWER PERMIT III y
OCC.LOAD FLOOR LOAD HEIGHT ¢' NO.STORIES AREA/"3 NO.BEDROOMS 3 VALU;_61/j501�
' BUILDING CEPARTMENT
�. SETBACKS FRONT 30 REAR^$(p_ LEFTSICE _s:.f� RIGHTSIDE •,j�3.•�
IFormlt ���•�� ThIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CO'-E, 7DP;-!4n
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
I931:inCha_ck , 1>14& f0 A00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONiPLiANCE
T WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEFUMIT DOES No' WAIVE
SruGtotal 00 RESTRICTIVE COVENANTS. CONTRA(,TOR AND SUS CONTRACTORS TO HAVE CURRENT CITY 8U5INES5
R p d. LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
tate Tau • 1!1 p 7
Total I
pDC# APPLICANTORAGENT
By
Receipt No.
Approved ADDRESS PPiQNE
nC _ S 400
_oC - s #
EWER CONNECTION
'EWER INSPECTION ZS
EWER SURCHARGE s
5.11.81• Ply°�' �+��a�, ,.
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, C� y. of ' o rd Mechanical Permit NO.
L Relocation Addition Alteration L DATE:
New Installationtg HAplace _
HEATING II II tt
OWNEHCONTRACTOR �h ►��ADDRESS 5`'1 ,ll^ 10108 ADDRESS 1� �� :�A�
PHONE i�'��`i(�� APPLIC/ANT__- — v --
Heat Input Rating(BTU per Hour) __i1='. s=--- Vent Si Flue Size
FUEL OIL C] GAS ELECT �Jv OTHER
ITEM NO. FEE _ ITEM NO. FEE
or tsstiance of Permit _ SEE BELOW Each Air Handling Unit or Duct System 7.50
New-tip to & incl. 100,000 BTU 6.00 Commercial Hood S stem 7.60_-
New 100.000 BUT's & over 7.5_0 Other Equipment • Each4.50
Woodburning Stove______ 4.50 1 Trip Inspection — 4 50—
Wall-Floor- Suspended 6.00 Air Condition Compressor • up to&incl. 3 H.P. 6.00
Vent System w/Fan , __ 4.50_ _Air Condition Com ressor 3.1 to 16. H.P.incl. 11.00 —
Repair Heat Cooling _ _ 13.00_ y _ --
CITY BUSINESS LICENSE REQUIRED BY ALL CONT RACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE r 10.00 Comments: —------
-- ---- ---
-- (J
FEES
SUB-TOTAL
% STATE Issued By
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