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INSPECTION NOTICE
City of Tigard Building Department 1
12420 S.W. Main St. i
Tigard,O,egon 97223
Phone. 639-4171
Type of Inspection
Date Requested -3Time A.M.— P.M.
Address �-t ��•� Ca- '2 Permit
Owner Lot # -7
Builder
The following Building Code deficiencies are required to be corrected:
Presented to . __ __ Approved
Inspector /l/( — — J Disapr 1-cved
Date -_--
CA U FOR REINSPECTION 1
Y E s F1 NO
� S
I
INSPECTION NOTICE
City of Tigard Building Department i
I12420 S.V; . Main St.
I Tigard,Oregon 97223
Phone: 639-4171
Type of inspection
— PC, 5 d ?, �3
Date Requested �� i» G-/� Time A.M. P.M. 1
Address - -_ 42'z IV Permit
Owner _ Lot #
Builder
The following Buildin Code deficiencies ar requir d to U rected:
.1f-I..� 1. J % ' ••rs-^�. � C, ✓ Z. ...S J Vim.
—�_ ate-*,.__ � - �.c,•
Presented to ��� Approved
Inspector _ [ D Disapproved
Date
CALL FOR REINSPECTION
❑ YES J NO
Tigard Building Department
639-4 17 1
MANDATORY INSPECTIONS
1.) _FOOTING- Prior to pouring any concrete.
2.) FOUNDATION- Only if:
a.) Wall has steel reinforcement and/or
b.) If Wall is over 6 ft. in height
3.) POST b BEAM- Subfloor plumbing d mechanical. prior to placementJ of any dec!:ing.
4.) PLUMBING ROUGH-IN- All water. waste b vent piping. �njh, TYllh df-cultA.
5.) FRAMING or COVER- Prior to insulation.
6.) INSULATION- Except blown in.
7.) CONCRETE FLAT'WORK- Driveways, sidewalks, Carage Floor 6 Basement Floors,
prior to pouring of any concrete.
6.) WALLBOARD NAILING
9.) FINAL INSPECTION- Prior to_any OCCUPANCY.
I^
I
I
45
BUILDING PERMIT APPLICATION TIGARD DATE_"` J _._—.,19 "s 5
THE UNDERSIGNED HEREBY APPLIE£ FOR A.PERM17 FOR HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPAN"ING PIANS AND SPECIFICATIONS. OWNER PHONE —
LOT NO,. 12:' rr�7.1L�;t
OWNER Pfrlie DeV. ':O. JOB ADDRESS 12745 SW 128tty Ave.
-- -- --- ARCHITECT
ENGINEER
BUILDER 5 8� ADDRESS 10151 %l garbur. Alvd. DESIGNER )azinic
STRUCTURE 13 NEW ❑ REMODEL ❑ ADDITION q REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[*RESIDENCE ❑ COMM ❑ EDUCATIONAL f,1 GOWT [7 REL631OUS ❑ PATIO Li CARPORT ❑ GARAGE L] STORAGE 11 SLABI--] FENCE
OCCUPANCY _ K-3 `LAND USE ZONE —7—BLDG.TYPE `►�1 FIRE ZONE A — PLAN CHECK RY _ '1 HEAT
Coastruct single family dwellinn, w/:attached —
se,- correction sheet nttacbei'. 3 badronna ?. bAths
SEWER PERMIT# ..-) 4 1 (R^th ject to i,ercm t r'..� tmaragn 415 --
OCC.LOAD FLOOR LOAD �'i' HEIGHT 12 N0.STORIES ' AREA t4 ��` NO.BEDROOMS t Vr 111E '3. 100
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit — 355.01` THIS PERMIT IS ISCUED SUBJECT 'rO THE aEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7�(1. 5 REGULATIONS AND ALL APPLICABLE COLES AND ORDINANCES, AND IT IS HEREBY O.GREED THAT THC
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ANJ ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 585 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
14.
4 ?(I LICENSE.SV?PARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax SDC— 40U.tj(1
Total 599.95 —
PDCM T 100*00 APPLICANT GR AGENT
By dm'
dMt+h Recelpt No.
Approved (*'`fr' AODRESd —�----FH—ON
PHONE
DATE INSP. TYPE INSPECTION REMARKSPLUMBING DATE
p. AR'
ontractor
s✓
rmit No.
ough-in /30_'
Fixture
t— F lal
7— ��� — HEATING
C tractor I j�
d t rmit No.
---�-
Gas or Oil
-- Rough-in
i incl
-- SEWER
Final ---
- DRIVEWAY
Final
Storm Drainage
(Pain Drain)Final
"— Sidewalk
Curb&Street Final _
Approach _
BLOC;.DEPT. FINAL �I TEMPORARY CEkTIFICA7ti
OCCUPANCY Final
(CERTIFICATE OCCUPANCY
II Landacapfnq
Zoning Final
�► w w w w w w �r rw
BUILDIING PERMIT APPLICATION TIGARDDA,TE_
,
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN iNDI"ATED BUILDER PHONEZ� fO0
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP IFICATIONS. OWt-4El1 PHONE —�---¢
♦1 (� LOT NO, �PJdJfdtZ (�
OVJNER ` yb-% 1A G qQQ B ADDRESS I� T� ---
�yQ ARCHITECT
ENGINEER
BUILDER »1 `Q. ADDRESSie Stu F>d,r- 3�w�, DESIGNER 4,
STRUCTURE T(NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL. ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE (3 COMM 0 EDUCATIONAL ❑ GOV''T ❑ RE,IGIODUS ❑�PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENGF
OCC,.UPANCY LAND USE ZONE k- BLDG.TYPI- ��FIRE ZONE=_PLAN 1-10 t3Y^ Y__HEAT _
13 lie w
M
SEWER PERMIT N
UCC.LOAD Fl.00R LOAD _HEIGHT NO.STORIES /� AREA l f7jr NO.BEDROOMS VALUEoi.)
BUILDING DEPARTMENT SETBACKS FRONT 44P REAR LEFTSIDE 7, RlGHTSIDE 9..5
htf mlt 1' •56. vejTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 611ILDING CODE.ZONING
-- r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ��•7. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANA AND SPEC9fICATIONS AND IN COGIPUANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sui}total —� �f• RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-1 o LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING:
State Tax
SOC R �
— �� f,'Q J
Total � 's _�._i! ------ ------------
PDC# APPLICANT OR AGE
8Y ,
Recelpt No.
LApprow9d ADDRESS - - PHONE --_-^--
—
Lo—0
--
SEWER CONNECTION $ �2,
SEWER INSPECTIOiwoe-ro
05
SEWER SURCHARGE $ �- cl 4v �' � '
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