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INTTPRcT ONNOTICE
City of Tigard OulldiM DepartssrsM (�/
13125 on Ball Blvd. Tigard, Orogon 97223 _�
Inspection Lina Rec-O-Phoneys 639-4175 Business Phone: 6 -4 71 1
inspection:-
Footing
nspection:^Footing
Plbg. Underelab Mech. Rough-in Appr/sdwlk
FINALS
Found. Plbq. Top Out Can Line
-�Past/Beam 3t-ruct. San. Sewer Framing g•
s
Post/Beam Mech. Hein Jrain Insulation -plumb.
Plbg. Uuder!loor lla'.er Line OYP•
Bdr -Mech.
_ Times 1 PM
Date Requenteds Lt--�--�-
Address:_L
Builders _
THR 7OLI.ONIIIG RRXCTIONS ARA: RBQUIRSDs
----------------- /
APPROVRD DTSAPPROVRD APPROVED SUB.TRrT TO ABOVR
Call For Reinap.
I
c
INSPECTION NOTICE
i City of Tigard Building Departeent
13125 SSI Ball Blvd. Tigard, o'--egon 97223
_'-�(:spectl.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect Lon.'__ _--
Footing Plby. Underalab Mecb Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer !Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requeatodt /o' — Timet AM PK
Address:
Builder:,
THE FOII,OWING CORRECTIONS ARE REQI'LAED:
Inspectors Dates gz
APPWVrD DISAPPROVtb APPROVtD SUBJBCT To AW N
Call Per Minsp.
CION OF TIFA RD BUILDING PERMIT
C11YOFTWARD PERMIT #. . . . . . . : BUP91 -0158
COMMUNiTY DEVELOPMENT DEPARTMENT 0111000 /
131'25 I!> •s`SW HWI Blvd. P.O.Pam 2339.',Thud,Oregon 97223 A 7 1 DATE ISSUED: 07/17/91
SITE ADDRESS. . . : 14720 SW 100TH AV PARCEL: 2SIIIBD-00320
SUBDIVISION. . . . : PEMBROOK HEIGHTS ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10
REISSUE: FLOOR AREAS-----•------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :AL.T FIRST. . . . : sf N: S: E: W.
TYPE OF USE. . . :SF SECOND. . . : sf PROTECT OPENINGS?--------.--
TYPE OF CONST. :5N TH I RD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL-------: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOR. : 1 H t . : 14 ft GARAGE. . . : 5f OCCU SEP. RATED-
BSMT?: ME Z Z'': REQD SE"f BACKS---------- REQUIRED-
------- --------- --
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 1500
Remarks: making car-port making into a garage i
Owner: -----__._---•--..__._ __. __________.______.._ -------- -------- FEE ;
MR AND MRS SLEEGER t%ppe amount i:v date recpt
1472:0 SW 100TH AVE PRMT $ 25. 00 JI_H 07/12/91 215318
PLCK f 16. 25 5 :,LH 07/12/91 215318
TIGARD OR 97224 5PCT $ 1. 25 JLH 07/12/91 215318
Phone #: 684-4082
Contractor: ---------------------------•----
ROSS TAYLOR
6740 SE 76TH AVE
PORTLAND OR 97206 -----_------------------•----------------.
Phone #: 774-1009 $ 42. 50 TOTAL
Req #. . : 57725
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable lay All work will be dune in accordance with Final Inspection — — -
approved plsns. This permit will expire if worth is not started
within :BB drys of issuance, or if work is suspendei for more
than IAP
Permittee Signature:
I s l u e d B
Call for inspection - 639--4175
PLNCK ►CECT #
CIr T ILI Ileo awd. I /
r OF TICARD PO Box 73397 PERMIT #
COMMUN11TDE ELOPMENTDIPARTMENT Tlprd,Orcgon97L'3
(503)639-4171 DATE ISSUED
JOB ADDRESS: _ IJ ()o _ TAX MAP/LOT s/ �l r��l j l 0
SUB: (l�'�r G� !c f/F'� yh�a LOT: �/ C' LAND USE: --_-- _
VALUATION:
OWNER SPcCIAL NOTES
NAME: ��/c' � �/�s _� /2. REISSUE OF: _
ACJRESS: --��_�O__ -51-61/ �QO / —_ LAST REISSUE:
- - �T��/Z/� �C'leFLOOD PLAIN/
PHONE: (74 — �_-_g� _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ �C'OS� �, �/'� PLANNING: -
ADDRESS: _ 6 7 y U Si1 �� ENGINEERING:
2-20 FIRE DEPT:
PHONE: _ `72 e� -- 10 0 l OTHER: -&-_ L� c�^--_---
CONTR. BOARD #: EXP DATE: y
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS:
MUCH: _ BUS TAX: —_�_--_--
ARCH ENGINEER CAI.CUI-ATIONS:
NAME: _ __ TRUSS DETAILS:
ADDRESS ._-----__-- OTHER: _
PHONE: _ - ---- ---- -- --
PROPOSED BLDG. USE: �'/`���/a0, ri•/TO tTl)/(-"/16�''' —
COMMENTS:
APPLICANT SIGNATURE
Received By: Zlr'I' Date Received:
iiia. iilf fiiit !alA�. #F lif �'
^EI:MIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. .CUE
$c, c71-SY 10--432 00 Building Permit Fees S G�' , •���
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 2-
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee �' Z
Building
P1 u:nbi ng _
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Comme•,•ciil TIF Fees _ —
25-448-04 Industrial fIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448--01 Residential Traffic Fees
25-448.05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
y � r
TOTAL iti t _
nmj15871'.WPF
CITY OF TIGARD RECEIPT OF PAYMENT RECE I PT NO. 91-.2'153 18
CHECK AMOUN T 42. Ski
NAME; : owwA"mR PORTLAND GARAGE CASH AMOUNT 0. oQv
ADDRESS t DC OK SERVICE PAYMENT DA,rE 07/12/91
6740 SE 76TH AVENUJE SUBDIVISION
�,ORTLANU, OR 97i?qff,- 1472.0 SW iowrH A VE
PLIRPOSr-7- OF PAYMC.NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT F.',AXD
Rui—L iTfRU —P,F-R m 25.lbo PLAN GHE`rK FE *7-24R 16. a5
ST. BUILID PIER 1.
YA
To*r(4L- AMOU',T PAID
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