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12535 SW 128TH AVENUE-1 e �y . r,T r INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigord, Oregon 97223 Phone: 639-4175 Tyr of Inspection Date Requested Time A.1111�1117� P. — Address Permit Owner Lot Builder The fol:,Pwinq Building Code deficiencies are required to be corrected: ............... Presented to P-1woroved Inspector U Disapproved Date t CALL FOR REINSPECTION El YES 0 NO MF: CI 1AN1. CITYOF-TIFARDpI:j4M1'T- NO . MEOYI.1363 CITfb;7&kA1tD COMMUNITY DEVELOPMENT DEPARTMENT' 'GLIF 3:S -.'D: 9/ 6/8"� '3125S.W Haffllvd-P.0 Box 2339/,Tigard,Oregon 97223.(503)639-4175 PMT .NO 69113133 JOB ADDRESS : 3.25.35 SW 1.28fl-11 AVE: 'TAX MAI-'/L_ XT 2SI./W2300 SUB DE".LLWOOD L'T HK I-AND L15E : LUT STZE". : UT I--':M NO : NO: W014K (-LASS : AUDT'l ION FURNACE <100K A:EP HANDLA:*! <10 USEK 'T*YI--'E'. : STINIGLE I*-*RM1L.Y I-J.IRNA('.1E tOOK Ill- AIR HANDI R 10K C D NS'I* I'Y P E VN F 1 0011 FLJPNA('.1F-.. EVAP .('.',001 EP GIPP P3 HUWTE P Vr--N*r FAN VENT' VE:N1' . SYS1'1;-'M EILP/COMP <3HP 1-4(3('.)D NO . S1'OP1F-'S : P r:ILP/COMP 3-15HP 3'.NC 1 NIFKPA'1*01F4(DOM UWELL..UNITI-i : EILP/COMP 1!15-3011P '.I.N(-'1NE.*PA'rOP(U)M FUE:L. TYPE BI R/C(Jr1p PE-PAI:P UNITS MAX . INPUT HL 1:4 COMP 150+HP F: TPE OMPPS'? GAS I-'IPIN(., OUTI-ETS PPE:SS7 LOW PPF--SS'? NKMAIUS CA xi in t i n y woo,j mtove FEES : o PEPIM11, $1.0 . 00 V� 1253!11 iiiw IP.Hth Ave PLAN PEV1EW N F I i Q 1"la Cl ('.)r 97:�23 FIXTUPE.S 111114. 50 Fa 1+3NE: (503) 0,20-5085 STATE I'A 111 , 73 0 T HFC'R C 0 N T R A C T 0 TOYAL : JR1 1W.GETPT NO. This permit Is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations PF-:QLJIRE.D INSPEUT10INIS and all other applicable cedes and ordinances. and it is hereby ('.)'1'1-4EP* agreed that the work will be done in accordance with the plans and sn-,-:ifications and in compliance with all applicable codes and r-rd iances The issuance of this permit does not waive restrictive covenants Contrictor and subcontractors shall have current city business tax per-nits This permit will expire and become null and void if wort Isrot started within 180 days,orifwork Issuspended or abandoned It.. a period of 180 days any time after work has commenced It shall he the responsibility of the permittee to arsure all required inspections are requested and approved Perinittee Siqn,v *wood vtrivt-, Issued By SEPARATE PEI 'AITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE I i 1 { ,•rr_;,rl xo:e pr+g�, x nom;, :r• � ��F '�r� rtyr.. FS. Wr 1 BUILDING PERMIT APPLICATO coFY TIGARD DATE THE UNDER:IGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONE f OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE.I OWNER �. �+• 'awrst&r JOB ADDRESS 1.2536-' SW 1213th HOME ADDRESS ARCHITECT ENGINEER BUILDER some ADDRESSSS rr--�� -_-DESIGNER Y �_ STRUCTURE [:]NEW ❑REMODEL `^ DADD�IIT1ION rOREPAIR ❑RENEWAL_ FIRE. DAMAGE ❑DEMrO,LITION u RESIDENCE UCOMM DEDUCATIL .AL UGOV'T URELIGIOUS OPATIO ❑CAR PORT ❑GARAGE D STORAGE OSLAB UFENCE OBOND ❑MOVING _ DCONDITIONAL USE ODESIG.. HEVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_ �' LAND USE ZONE —BLDG.TYPE _FIRE ZONE_} PLAN CHECK B jnstrut.L IL11 611 kii.0ht•.in K11tie.j rst1:Jjt.jUT1 L,J �- --_ dwelling. All pur plmis & A"odr, Nil W-LUMIJING -- 9[f- CORRECTION SWEET AT'TALHED. _ --- 4 F 17 QU"QAD _._ FL 04H L4� __H�1�11iI __-_--_N0 5T_2� AREA SET BACKS FRONT _ REAR � B'JILDING DEPARTMENT d LEFT SIDE _RIGHT SIDE Permit — 32•00 `s THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED ON THE BUILDING CODE, ZONING Plan Check 16,110 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE t� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICA110PJS AND IN COMPLIANCE WITH Sub total 46.OLI ALL APPLICABLE CODES AND ORDINANCES. 7HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State.Tax 1.>: I.ICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING Total 91912A• By APPLICANT OR AGENT Approved f'L la H� ��i{u N�� ... ..... ...-... ... ... ,._. .. Tom...,,�..,.. - -. PNi1NF i DATE INS! TYPE INSPECTION REMARKS PLUMBING DATE JS yt Contractor 7X/1-1719 W�lf . 1 ��r�,�`� Permit No. 1.17 �LJ+-� r' Rough-in L!f�77 �. �ti Fixture — — L7-27-74 Final HEATING Contractor Permit No. Gas or Oil Rough-in Final ^� SEWER �_--- — Final � e DRIVEWAY — — -- Final_ -- Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final , — ----- ----- �Approach BLDG. DEPT.FINAL TEMPORARY ^^ CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final i DIN PERMIT APPLICATION `O"y TIGARD GATE . .�•Z._. 19_- ,• . ���� BUILDING THF UNDEHSIGNED HEREBY APPLIES FOR 0,PERMIT FOR THE WORK HEREIN INDICATED :',JILDERPHON OR AS SHOWN AND APPROVED IN THE �,CCOMPANYING PLANS AND SPFCir IC. TIOPIS OV.NLFtPH.ONE�_7M �+ � 1 �r I�L.OTNO..._�Ltd.-_. .gJSt ypD /_I /{�,^��/� � �R JrJE AODF�E55 /rig "7�� 'S `-V � � ��`� OWNER t6L_Ll�et=- F- _ _L-_._ -_ _ ^- __ -- ARdwTECT �- --- - - 7 F.NG:NEER BUILDCR &MTC. ----.- - -ADf)GtE'S __ - __- _ .. .._.-. - --- .. DF"IGNER -- -- S_T_RU� .''RE ��NEW _ _❑REM110EL X-DOITION-� l...JREPAIR ❑ al - QFIREDAMAGE n( ' +OU �. RESIDENCE CICOMM FIEDUCATIONAL ❑GOVT OFIFLIGIOUSOPATIO IJCARPUNT 0GARAGE CISTOHAGEC75 . •• L)'`N, 7 nt OG TYPE�a`�—FIRE 7ONF PI -IN CHECK Br. NEAT Ori �PA�JC`' 1\" LANDU.s o_E � - 1` .. _ .,_----• _� ��� _=-__._-- -- - [>ytr� /D'x /E'v=�" 1��'fr.��•._.a+IDd.__.r1d4J��'�-t'o•.�.. .� 2�Y5'�i'�' _s.i��ay�� --- _... __ -- I lq pet- tuo SEWER PEFMIT-- ��// r�CC L06D Fti 7V HEIC,HT /�. -NO STOF?IES f AREA/97 NO BEQ90Q4:S D- v�l '_lE _42.$ -- SUILOING DEPARTNIENI [SACKS FRONT REAR EF: SIDE FSI OE /v F'+ RMIT IS ISSUED SUBJECT TO THE RFGULAII011S CUNTAINED IN THE BUILDIKI, C30E, ZGh Plan Check /�j . AND ALL APPLICABLE COfIFS AND OPDIP.ANCES. AND IT IS HEPEBv /.GREED MAi �.-..�__.J •r DONE IN ACCURUANCE YVI iI-, THF, PLi+NS :,'�D SIEIIFICATIGN5:.N0 1N L'G'�1°LI:N([ ! L aIFLI< <•AI-E CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES ,nT TgIC'fI',,E COVENANTS, CONTRACTOR AND SUB r0%TRACIORS TO HAVE CURRENT CITY I'll, .TP Tl% f J� �NNE SCPARATE PERMITS REOUIRED FOR SEINER PLUMBING AND HEATING Total l , .;Z - I W _ APPLE(-ANT OP AGENT �Approvr-d - A rlr'A F Sc- bMCJNE SDC -_ PDC — - — SFIJE k 01MI C T ION _ SEWER IN5PLCT10_N / SFWF.R SURCHARGE $ ________. Comments: CITY OF BUILDING PERMIT APPLICATION TIGARD DATE_ _�__, 19 N° 0214 THE UNDERSIGNED HEREBY APPLIES FOR APERMI a` FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER ADDRESS BUILDER PHONE ENGINEER .BUILDER ARCHITECT DESIGNER [j DEMOLITION ❑NEW ❑REMODEL ❑ADDITION C1 REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION (i�"yFtESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELiGIOUSOPATIO ❑CARPORT ❑GARAGE j©STORAGEMSLAB [:]FENCE ❑BOND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS i OCCUPANCY-_______.LAND USE ZONE _BLDG.TYPE FIRE ZONE_ PLAN CHECK BY____ HEAT----_-- 7 yt ✓ �•; ligA�. QCC, LOAD - _FLOOR LOAD ------------HEIGHT-- - - NO.STORIES AREA VALUE BUILDING DEPARTMENT SET E�CKS FRONT REAR LEFT SIDE RIGHT SIDE ---- - ------ ----------------_— Permit -- — —'- THIS PERMIT IS ISSUED SUBJECT TO THE 7EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODE; AND ORDINANCES, AND If IS HEREBY AGREED THAT THE �–� -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE CIF ICA"IONS ANO IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THS PERMIT DOES NOT WAIVE RESTRICTIVE COVENLNTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SE^ARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total By ------- --- - - ----- --- ------ - -----�" ----------- APPLICANT OR AGENT Approved Rec oilit No ADDRESS IN DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Draina e (Rain Drain) Final Sidewalk Curb&Street Final Approach BLOC.DEPT. FINAL TEMPORARY CFRTIFICATt OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final r I Address Permit No. Permit change Owner /,, aConnection fee Paid by type of Building_ Date connected Service Rate ((0 3,,a -i Inspection fee /r contractor Paid by Date 3i.ze of connection` Assessment Paid _ J R PERMIT TO CONNECT Tigard Sanitary District PERMIT N° 1248 DATE PERMIT 1S GIVEN TO �-T _ � _�G �►vy� OF TO CONNECT A— -- -__.. -- -- ------------TO T21E SYSTEM OF TIGARD SANITARY ^' 'TRICT AT_J S�_ ,3 — THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAIb TIGARD SANITARY DISTRICT ............ CONNECTION INSPECTED AND APPROVED Date -_- -3upe1!lntet�dent