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INSPECTION NOTICE
City of Tigard Suilding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_____ � �' 'rime A.M. P.M.
Address ��a GGAPermit � _A_._�—
Owner,_ J —_ r Lot #_ —
Builder # L l�1.i�vwtc— ZJ
The following Building Code deficiencies are required to be corrected: i 1
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Presented to ------ ----- -- --,-�--..._...—_-- I I Approved
Inspector — ---__ _-- -----------._-- — I-i Disapproved
Date
CALL FOR REINSPECTION
C7 YES ❑ NO
CITY OF TIGARD Plumbing Permit
Building Department No. 3 ', ' 3
Residential ❑ Commercial f
Now Installation [] Replace C, Addition N Alteration [jDate / "-Z1 7
Licensed 7 1�
Plumber _ ,,;� i_.�..r, .t,����.�.��,�� --- Owner _.. �� a ,'rc4 AA
Address - f! ? ✓ i�
~�-t '��,� -� Job Address�� ��-' �GR,,c.ti -y � �*•�•�� _
Phone rL, .�y S S:A- Applicant
CITY BUSINESS LICENSE REQUIRED FOR ALL. CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEC TOTAL
Fixtures-Traps _ 7.50 _ Sewer:First 100 ft. _ 30_00
Dishwashor 7.50 Each Addit.100 ft. 15.00
Garbage Disposal 7.50 Ejector Pump 7.50 _
Water Heator 7.50 Water:First,100 ft. _ 20.00 _
Backflow Preventer 7.50 Each Add+t.200 ftL — — 15.00
Storm S Rain Drain:First 100 ft. 30.00
_Each Addit.200ft. 15.00 _
Home Space 25.00
Other(Specify): Rain Drain-Single Fam.Dwelling 15.00
Comments _�� =.*,. ' 1�(�=Z •'*�
PERM.i T :EE
STATE 1 os (vv Issued By) - - -- - - --
r,e., Receipt No. 1' Applicah
TOTAL 1 Signature
For Plumbing Inspection!'hone 839-4171
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j INSPECTION NOTICE ►�
City of Tigard Building Department
i 12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
a I
Type of Inspection
Date Requested 9' 8,a Time -A.M. 3 P.M.
AddressC!-,e_.
Permit
Owner _— --r✓r�+-- �=.�d Lot # _
Guilder
The Following Building Code deficiencies are required to be corrected:
- I
Presented to ss Approved
Inspector ----- .r�'" ` _— __-— -- -- Disapproved 1
Date --- --- �r
CALL FOR REIN ECTION
YES NO
`F
I-
. , _. _...
BUILDING PERMIT APPLICATION 11T TIGARD DATEOF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED �BUILDER PHaNF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF69 _,,,�5�'�
OWNER o 3i'.IC t ,�, LOT NO.
E
JOB ADDRESS ' 1. p. I '?,.,` !'a1?:.i.t S r
HOME ADDRESS
BUILDR I
AFFcH—IT ECT
ACIDNESS ENGINEER
STRUCTURE ❑NEW ❑RE'MODEL -----— - - DESIGNER
_ _ QADOMTfUN ❑REPAIR_ ❑RENEWAL DFIRE DAMAGE
____ O lJ E M D L I T I O N
❑
RESIDENCE ❑COMM ❑EDUr_ATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND _❑MOVING ❑CONDITIONAL USE---- ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY `— "--------=--..—
LAND USE 20NE_ J JN_BLDG.TYPE_ FIRE ZONE
PLAN CHECK BY HEAT
i"kid 1,e ;:, n L2 c "S"ng w[t l±a t l� :t* - LOC I LAdin g garage 201X 46, rsp All
pe
QCC LQAQ._ 20060,
EICtliI__ NQ�L4P1E ,AREA } �`Q,1ij
BUILDING DEPARTMENT
SETBACKS FRONT 4k REAR
Permit 32•00 _ LEFT SIDE RIGHT SIDE
P'an Check THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINL;
!�• REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
Subtotal • WORK Wll.l. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI'ICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
State Tax I 26 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total
8y
APPLICANT CIN A4i N I �-`--`—'—"----
ApProved ---- ---- —
Receipt No
DATE INSP. TYPE INSPECTION REMARKS -_ PLUMBING DATE
Contractor
Permit.No.
Rough-in --
_Sz3/-7 9 _ Fixture
---I� Final
.�!A_t'A Q _�°A//tet R14 A r A 44.1 T/y� �' HEATING
-�=��� _,���-y'�, ��_ Contractor
Permit No.
_r
_ Gas or Oil
�� -- Rough-in --_
---- -- Final
---- SEWER
y Final------ -
-- DRIVEWAY
- - Final ----------
Stonh Dra!nage Y
--- -_f _-. --- _ (Rain Drain)Final.
Sidewalk -
- Curb&Street!:Inal
_ Approach --
— BLDG. DEPT.FINAL TEMPORARY V CERTIFICATE OCCUPANCY --
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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