12185 SW 126TH AVENUE:�r12185 SW 126TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W Main St,
Tigard, Oregon 97223
Phone 639.4171
Permit #
Type of Inspection 74
The following Building Code deficiencies are required to be corrected:
Presentan to _ Ins,ertor
Date.
(ALL FOR RPAIVYMON
Cl VES ❑ NC
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sections) of the Uniform Building Code, the
following item(s) require correcting:
✓Jr.F;.nom.
•r
-,G^ Permit
Inspect6�_._
CALL FOR REINSPECTION
BUILDING PERMIT APPLICATION TIGARD DATE ._ l 14r� �s 79 301,7
THE IJNDERS!GNED HEREBY APPLIES FOR A PERM11 FOE; i riE WORK HFREIN INDICATES BUILDER PHONE 6 )(j-1 '19
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAI IOND. OWNER PH91NE 6-3T-.4 ,
LOT NO.
OWNER ICAV, JOBADDRESS 1216b SW 126th
ARCHITECT
ENGINEER
BUILDER West'sJ.de iticimUdelerS ADDRESS 1255: SW Summercreat DESIGNER
STRUCTURE ❑ NEW CJ REMODEL E�ADDITION L1 P'oAIH ❑ RENEWAL O FIRE DAMAGE ❑ DEMOLITION
❑';RESIDENCE ❑ COMM f 1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE_❑ SLAB❑ FENCE
_ -
OCCUP".NCY _LAND USE ZONE R- BLDG.TYPE . J 1+1�-�FIRE ZONE_3 PLAN CHECK BY DIA-1 HEAT �
Expand family rOOM & kitchen for ex.ietifcj Single family rIWmlli�nc ,
per lone and code.
SEWER PERMIT N
OCC.LOAD FLOOFl LOAD 40 HEIGHT 11 NO.STORIES 1 _ AREA 347 NO.BEDROOMS VALU911 I, r,000.
_ BUILDING DEPARTMENT SETBACKS FRONT -- RFAR 1lt l FFT SIDE RIGHT SIDE _
Permit »'I'U•00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
QQ.�n REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
12�.��� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
•20 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax '
SDC -
Total °i.-en `'— _ %'' •----- _
--
By pl PDC# APPLICANT OR AGENT
_
- (Jl t11 T Receipt No. ADDRESS
FEW on=
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
EWA
Contractor ----
c L - Permit No
Lt
C tit'' V�l Flough-in —
C � o-c . Fir.ture
_(• Final - ---~ -- -
HEATING
Contractor
+ Permit No.
Gas or Oil
Rough-4n � - '--
FinalSEWER
Final Final
--- DRIVEWAY
Final
Storm Drains"
(Rain Drain)Final
Sidewalk
Curb&Street Final
Aptxoach
BLDG.DRPT.?INAL TEMPORARY - CERTIFICATF OCCUPANCY
{CERTIFICATE OCCUPANCY Final
Landw:aping
Zoning Final
NIMM111! asuwlt4tsi4SI INWtl+witlWlgil►«..+xatw.
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T IGi�`�D DATE �
BUILDING PERMIT APPI l. .4 TION uF � ,9 `y
THE UN(`; HSILINfD HLPEBY LPPI_11.5 FOR APERMIT FOR TI'! ':'LURK HEHEIN INDICATED SUILDERPHONF�U�,/v'��./7nQ_
OR AS SHOIVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 00.-NLF' ,'`--J, 439 -r5;wS
^, L.O T NQ 3&
ARCHITECT
NGIGNER
RUCTURE L] Elf (]Flt4ti�0E� aDOITION ��I•. 'AIR ,]RENEWAL ❑FIRE DAMAGE ODEMOLITI )N
— .
ESIDENCE EIEDUCAT":LNG, 7GOV'T ❑R'-LIGIrTUsI�rAilO Ll,:ARPORT ❑GAPAGE ❑STORAGEL]SLAB ❑ktN:E
XUPANC° n I r`c j F;.., /�)NF - PI •'�N (Jr t
�x1�AM� �1�2n0 Ci e•,, ' - a><�s i°N� g ale P60114° wr1IP
--
'EWER PERMIT �t // .. _
'-C-WAP -i ra I ��. r, �r :>t,.k; rs / AR. AJ#7 . NO 50140 V0'uE/ .110 _
J5UILP-'9'; C r I ' ; �, )N i �' AR . LEI-' SIDE nIGlT SIDE
e mit— -- � �
--- — 'AAT IS I!.YIFD bLIHIFCt IU 1HE RFGULATIONS CONTAINFO 1% 1-F PUILDING CODE, TON NG
Ian Check I !�C(�, [IONS At", All APPI.H.AFIiF I IIrl�S AND ORDINANCES AND IT IS HEFEBY AGREED Tk..T THE
���� i L BE IIV1JE IN 4
flL1HC4ti`'E WITH THE PLANS AND SPECIFICATIONS AND IN CCMPLIA.NCA V.ITH
on-total /z� -LICARI_E CODES AND GHOINANCES, THE ISSUANCE OF THIS PERMIT DUES NOT VIAIVE
-- --- IVE CrIVF%AN1S (GNI Phi TOR AND SUB CONTRACTORS TO HAVE CUPPENT LI 7Y BV51',4�:•
. ,IP. Tax 3, 20 APARAIk 1'FRMItS Rel-wIRED FOR SEWER. PLUTABING AND HEATING
otal I /z 0
Jol,,i,r1 /� Pom
I 4,oLtve4--sv� i�5*Jf- o�f�lm-P,
�pprovFC � _
.a NE
)DC - -
iFWER i 1 PN . _ ..--
'EWER INSPECTION
iEWE.P SUH -HAHGE __--
;omments : "otTS. 1,2-lo?-n ,,�. Sol70o0 --- - -
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PERMIT TO CONNECT I S7
Tigard Sanitary District
PERMIT N9 1299 DATC
PERMIT IS GIVEN TO
✓' .
OF'
TO CONNECT A
TO THF SYSTEM OF TIGARD SANITARY DISTRICT
ATTHIS PERIAT M11ST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .........TIGARD SANITARY DISTRICT
By fit.'� ✓;•
CONNECTION INSPECTED AND APPROVED
Superintendent
i
Address /o1/X ��� /.?l�Lct_ Permit To , /V29
Permit charge.
Owner J. �
Connection fee ,*5'o
Paid by
Type of building Date connected 19 To
Service rate Inspection fee_ /0
Contractor Paid by Date
Size of connection Assessment______ Paid