12180 SW 127TH AVENUE-1 I
12180 SW 127TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection
Date Requested S Time � P.M
Address — Permit #fS—Y�6 —
Owner Lot
Builder
V U The following Building Code deficiencies are required to be corrected;
Presented to XApproved
Inspector _ ❑ Dlumoved
Dots
CALL FOR REINSPECTION
❑ YES C�5 No
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Inspection lune 639-41i=' 590
CITY OF TIGARD 639.4171 rig �2b
BUILDING PERMIT
TAX MO1--4AA .--LOT N6ipO SUBDIVISION _.
OWNEFf�ay b brigita Abbin&On^ _ — JpgADDRESS :ilk 127th Ave.
Byjoeconice1& -f 7 -- --- —
BUILDER _ ___ !7 e _ STATE REG.NO. _.jam___ EXP DATE 44-2pj4Z-----
BUILDER'S PHONE _ -. -- ,llatNu__L}�W J
ARCHITECT �•/ PHONE __._ OTHER
STRUCTURE NEW REMODEL 11 ADDITION C REPAIR C_; MOVE Ll OTHER F] DET IOLITION
�_I RESIDENCE COMM EDUCA1ION 7, IND RELIGIOUS C! ACCESSORY I I GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE _ BLDG TYPE FIRE ZONE PLAN CHECK BY HEAT
consttiruct addition tc) 8jrijc l,c,:,.i(; rFaidence for family room* over Karafia, al Per approved
plane and code reyuireoenta. Ijds permit is subject to aotlachad engineerts retort anti
requiretaentrr. No plbA. in bluff.
SEWER PERMIT p
OCC.LOAD FLOOR LOAD HEIGHT 20 NO.STORIES 2 AREA 11U0 NO.BEDROOMS VALUts'J�jtC UU
BUILDING DEPARTMENT `�`
iris 5E T BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-Tip:5 — - - -- ---
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BAILDING CODE, ZONING
11u.83 REGULATIONS AND ALL APPLICAr'E CODES AND ORDINANCES, AND IT IS HEPEBY AGREED THAT THE
Plan Check WORK WILL BE DONE. IN ACCORI ..CE 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 BLcSINESS
TAX PERMITS SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax — j
SDC-- _
TotalPDCN
`._ A.PPLICANTORAGENT
Prepd, twn,t
Receipt No 71 / ADDRESS PHONE
Bal.Due YF1N•15
_—� Issued By Appruved By_.__—_._._—
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor 1 B CS to S 27
vle
Rough in
rAG Fixture
Final
HEATING
Contractor
Permit No.
I Gas or Oil
Rough in
—�___- ----- -- - Final
I SEWER
Final
DRIVEWAY
Final
Storm Drainage
-- — --
(R-ain Drain)Final
Sidewalk
Curb b Street Final
Approach
BLDG.DEPT.FINAL CERTFICATTEMPORARY
OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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CITY OF TICARD 639.4171 DATE 2 _19 -
BUILDING PERMIT �y
.0. bob : ;3 1I; l l,,,ard UR 97223 TAX MAP ZOT NO. Sg 0r __SUBDIVISION _
UWNER_- U-oy__ �y /� �CD4,0PSOA1 JOB ADDRESS l 2/d'D .SLt/ /1� YJ �t/
BUILDER �i�iv°6�■ ��--:rri�W _ ?a� Co STATE REG.NO. /32 3 EXP.DATE _ � -F
BUILDER'S PHONE
ARCHITECT `� PHONE _OTHER _�..
SSTCT
RUURE U NEW I-1 REMODEL MIDDITION I7 RFPAIR U MOVE U OTHER U DEMOLITION
&-'RESIDENCE ❑ COMM ❑ EDUCATION U IND U RELIGIONS U ACCESSORY Q GARAGE U OTHER U FENCE
OCCUPANCY LAND USE ZONE -'-� BLDG.TYPErL FIRE ZONE !!t�PLAN CHECK BY NEAT10 dil
SEWER P MIT 1
OCC.LOAD FLOOR LOAD SIV HEIGHT�4 NO.STORIES Z ARE NO.BEDROOMS VALU
BUILDING DEPARTMENT SETBACKS FRONT 666LTSIDE RIGHT SIDE
F'srmlt ��� O TIIIS PERMIT IS ISSUED SUBJECT T8 THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGULAYIONS AND 4LL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Chock 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 iDOES NOT WAIVE
P1 Ck-Fin RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C-,TY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEINER,PLUMBING AND HEATING.
Slate Tax
SDC--
Total - - _
_ �# At PLK;ANi OR AGENT
Pnpd.
Receipt No. ADDRESS - - --PHONE-
Ba1.Qus
Issued By —Approved By_
SDC ---
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SCWER CONNECTION /G7,F ► -`�' E" #
SEWER INSPECTIONGk,
EWER SURCHARGE S
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ADDRESS Zg`4t l � PERMIT
PERMIT CHARGE none
OWNER CONNECTION FEE 5'AL)
PAID BY cads CCS
TYPE OF BUILDING ,�,�,.�i�r,*_ DATE CONNECTED
SERVICE RATE 11 INSPECTION FEE �S _
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CONTRACTOR c, lm I .AIf,1`Q — k`)U5 :,(U- �1 PAID B
` Y a�.✓i//iu0i.�ii ; _ DATE
SIZE OF CONNECTION �� _� ASSESSMENT __ PAID _
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YY OF TIGARD Ive
OREGON
• 0158
Owner:.. Herb I��rissette •--.. .......Permit No..................... ... ,
h Building Address........1218U S.W.
127th Ave.
........... ............................ 3
Certificate is hereby given this.... 24thday of.....October . 19.,75•., .
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(: that said building may be occupied and J!
\ K ' that it complies with all requirements of
the Building Code for the City of Tigard,
,
-'� as approved by the Tigard City Council............ .........
DU Iding Inspector `
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WILDING DEPARTMENT, TIGARD
NO. 0031
PLUMBING PERMIT
holder of a vapid plumbing contractors license is hereby
authorized to cause plumbi work as herein noted to be installed in accordance with the plumbing cede of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. Ci V of Tigard Bus' ess License required
for all contractors and sub-contractors. /,w/; �� � --
Owner Addre `___ _
NUMBER OF� —! TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Lite Only)
RESIDENTIAL _
Single Family-1 bath—each 25.00
—Duplex—Each 1 batt unit 25.00
Additional bathrooms—each _ —__— 10,00
_Mobile Home Space—each 15.00 _
INDIVIDUAL FIXTURE FEES
1 to 50 Fixture#In 1 building—each 3.00
51 to 100 Fixtures in 1 building—each 2.50
101to 200 Fixtures in 1 building—each 2.00 —
701 or more Fixtures n 1 building—each 1.50
M ISCELLANEOUS
BUI_ kfiI Sewer-1st 50 ft. _ 10.00
tech additional 100 ft. 10.00
Water Service toot building_ —_— --___ --- 5.00 -- —
P'Nne_Water Systems—each 100_t.----- ----- 10.00
Other IS if - . ..
PERMIT y���9 For Plurnbing Inspection Phone �F•A 631-N 7/
% State j Plumhing Contractor By
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OTAL �;" RFCk lI'r NO. Issued BY
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City of Tigard
i 1VSPECTION REQUES T
for
INSPECTION TIMEPERMIT NO. :�'1����
DATE ' ---,Z DATE ISSUED ,—_-L-,!
OWNERS NAME ,* w]04azga
ADI)RESS: /.27 _.r�
CONTRACTOR
TE ST .* Air p, Woter Visual ❑ , Laboratory ❑
RESULT: Approv , Disapproved ❑ , Pending
,,SKETCH:
< ' ri.,t.p-.,
I ECT'OR DATE
[OTE: Attach supplemental test do:a beret]
a 'rw esr ear �r
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : ' " PERMIT
DATE : � Z/-71 7,)_ DATE ISSUED:_'_
OWNERS NAME . _
f.UDRESS : /S/�`y J�v /P ?,rA
CONTRACTOR
TEST. Air ❑, Water p , Visual ❑ , Laborotor,. J
RESULT: Approved ❑ , Disapproved ❑ , Pending [j
ISKETCH: ��. r �� .� . .'.. Gr,►r �r 4p'r. sL
�•48 -�_..p'R3'�r_._�tj_j_ 1 iv rr�w•MN c�
Q�l 1l'1�? F ay4/C!►Cols Ute �P
k-/'
I INSPECTOR DATE
I [N(,'f Attach supplemental test data herst3
City of Tigard
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I NS,r,EVrriON REQU E ": •, I
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IN8PECTIQN TIME' —Ai"—
• F . -S NAME :
A UL)ISE3 17-07
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TE � -ler[j , visuu
RESULT: sr- i , ,` D
ShC $ t4S� —II-7,t
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•per : G
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME X--oy ND's PERMIT 140- : -
DATE: 3 /L3/*75 DATE ISSUED :--L-.Z-
OWNERS
SSUED :_L.- --
OWNERS NAME : 11444�(;, �sr —
ADDRESS: 2 ' �'v c' 1
CONTRACTOR : 61 ild
TEST : Air Q, Water 11 ,
Visual �, Laboratory Q
RESULT: Approved M. , Disapproved Cl Pending ❑ i
SKETCH: r' I
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INSPECTOR DATE
IN-OTE : Attach supplemental rest dote berPto,
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Cite of Tigard
INSPECTION REQUEST
for
! INSPECTION TIME : PERMIT NO. : _
I DATE: I 127ES. DATE ISSUED:._.L .L
OWNERS NAME : rQl- dAxwraZ
ADDRESS : 12J kc G- ;t7
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CONTRACTOR ' _.
TEST: Air O, Water �,, Visual 14 , Laboratory p
RESULT. Approved Disapproved O Pending
SKETCH*
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INS ECTOR DATE
EN OTE Attach supplemental test data heret]
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""`v"-` +fir. '.^rw�cgw'wer.w:�µc•RgrW,,s:,•. 4WROW:1RW? AMP-,"T".'eqF/1rV1-V1w*- __,.,+V., 'W"
CITY F
BUILDING PERMIT APPLICATION TIGARD DATE__ 19_ N° 0158
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINJ P�ANS AND SIPECIFIGAT ONS. OWNER PHONE
OWNER Aerb M01i8Gfji• ,rs ADDRESS 1216L` • 17 ' ; h AVD. BUILDER PHONE
ENGINEER
=LDER _ •)1jner ARCHITECT DESIGNER
STthUC'fURE ONEW ❑REMODEL ❑ADDITION ❑REPAIH ❑RENEWAL ❑FIREDAMAGF ❑DEMOLITION
D RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT [:]GARAGE [:]STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY —___LAND USE ZONE t-2BLDG.TYPE _FIRE ZONE— PLAN CHECK BY I f 1, HEAT Wj'
----9;onstrU.t 1100 sq. ft. frame dwelling according to approved
plana -- attached garAgp -- no basement
OCC. LOAD FLOOR LOAD 40 lb HEIGHT NO.STORIES 1 AREA _ 11100 VALUE
BUILDING DEPARTMENT SET BACKS FRONT HEAR �" LEFT SIDE RIGHT SIDE '
Permit 111. 00
" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 13UILDINIG CODE, ZONING
Plan ChecI, 1a.OU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recorr!.ng ALL APPLICABLE CODES AND Of1DINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State , LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total •
B
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APPLICANt OR AGENT
Approved J Receipt No.
ADDRESS - - ��PHONIF
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor f,,r-4 Q
�) Permit No.
.6S _7 1� li _� Rou h-in
eiN car of Fixture
le ► j�l� �iy.. �l✓�. Final
a s L /t•AVIJd�CL►�"`, �_ HEATING
2I9h1� �13��®XOs �1
Contractor.-y `,�eJ•
Permit No.
Gas or Oil
A/t5p!!2:Ty 4� Rough-in
��(_7G�.s�►-t r�4r Final - -
��L�161�---. -------
SEWER
Final
DRIVEWAY
Final
Storm Drain ci
(Rain Drain) Final
Sidewalk �'�' V
Curb&_Street Final _
Approach_
- LG 3.iJ-7•
BLDG.DEPT. FINA1. _ TEMPORARY CERT ItICATF OCCUPANCY Final
CIF RIIVICATE OCCUPANCY ---
/ Landscaping
i/ Zoning Final
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