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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested _
r}�� Time A.M._ _.P.M.
� h
Address __ Gz`� '�' 4-<Permit # -----
Owner _ _._—_ Lot # --
Builder __—_— ---- - --
The following Building Code deficiencies are required to be corrected:
-47�7`�-
J r�
1-01
swd—
w
Presented to I__i Approved
Inspector _. -' '� �. Ij Disapproved
Date
CALL FOR REINSPECTION
L;eYES ❑ NO
INSPECTION :40TICE
City of Tigard Buildin(Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date. Requeste�d-2_ ~14 F-)c Time
Address / ���i,,2SL� Ak L Permit
Owner.- 7� �1�4 - -- —- —�- Lot #— —
Builder
The following Building Cede deficiencies are required to be ,;orrected:
Presented to _ �� Approved
Inspector, / _ _ _- --- disapproved
Date
CAL', FOR REINSPECTION
YES Ci NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
'Tigard,Oregon 97223
Phone: 639-4171
Type of hispection
Date Requested Z Time A.M. P.M.
Addi-ess ----
Permit
Owner —------- Lot
Buiidcr
The following Building Code deficiencies are required to be corrected:
.dQ
Presented to Approved
Inspector Disapproved
D Ite
CALL FOR REINSPECTION
Q-1 YES ED No
I
1
CITYOF TIVARQ No. 0626
12755 S.W. ASH
P.O.BOX 23397
Date
TIGARD, OR 97223
Cn R 1
Name 111,
Address
Lot 1Block/Map Subdivision/Address q2 -SCJ
b 1
Permit N's Bldg. ;j��' Plumb Cash _ Check �—
Sewer 71qOther Other Rec. By
Acct. No. Description Amount
10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees _
10.431.601 Mechanical Permit Fees _
10.230.501 State Bldg. Tax
10.433 Plans Check Fee
10.435 Other Licenses & Permits _
30.443 — Sewer Connection S" ,
30.444 Sewer Inspection
24-448 Street Syst. Dev. Charge
25.449.610 Parks I S at. Dev. Charge _
25-449-620 Parks II Syst. Dev. Charge CAO_w
31.450 Storm Drainage Syst. Dev, Charge__
10.430 Business Tax
10.434 Alarm Permit
10.227 Bail
10.45_5- _ Fines -TrafficlMlsdlParking
10.230- — CPTA Traffic/Misd/Vic. Asst.-
10.456 Indigent Defense
30.446-401 Sewer Service/USA �V j
30.446.402 Sewer Service/City
31.447 Storm Drainage
40.475 Bancroft Prin. Pymt._
40.471 Bancroft Int. Pymt.
10.451 Other Charges for Services _
I
_ TOTAL
DEPT.
BI)ILDING PERMIT APPLICATION TIGARD DATE_ Notwwkker S ,e + 5082
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANS SPECIFICATIONS. OWNER PHONE _
LOT NO. 56 _
OWNER iCai� S};;,erC1i8 _ JOB ADDRESS �i$60 Sin, yanuo Gue!ek Urive_. _ colgii Ct@ek fL _
---A. 1y ARCHITECT
ENGINEER
BUILDER Sawee ADDRESS 2 } 4 $1 iaV. 11vY.�s DESIGNER
STRUCTURE 4_NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
RESIDENCE [] COMM 1=j EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Cl SLAB❑ FEI4CE
OCCUP'NCY R--3 .LAND USE ZONE lt�7BLDG.TYPE _ S FIRE ZONE—PLAN CHECK BY BCR HEAT—k;&8
--- -C' nstruct sin le family 4wellitiLw/att cherigarage.
^�--
Re-issue of of Perm-It #5079. Notes All walla with in 31 of property line to be
1 hour con#truction Z Bathroom 3 Pedruom
SEWER PERMIT# 279911 Carage 425
_OCC.LOAD FLOOR LOAD 40 HEIGHT 12'—b"NO.STORIES_ 1 _ AREA 1212 N0.EEDROOMS 3 _VALUE 49,600.
BUILDING DEPARTMENT SET BACKS FRONT 11} REAR 15 LEFT SIDE 8 RIGHT SIDE 1!
Permit _ 263.OU — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40*00 WORK WILL BE DONE IN ACCORDANCE WITH 'HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 323.01 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 11.32 LICENSE.SEPARATE PEFMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
_
SDC— 45Ut1.U!
Total 334.37 11 150.00 ----
PDCM APPLICANT OR AGENT -
By Cz SSW. 250.00
Approved BCH--]Receipt No. + '� ADDR 88 --- PHONE
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DATE INSP.I TYPE INSPECTION --^REMARKS _ PLUMBING + ` I DATE
Contractor • o ,
Permit No.
Rough-in
00.1 Fixture
Final
HEATING -
Contractcx
Permit No.
- - --
Gas or Oil
;O ---
Rough-in - -- — ---
\ - Final - ----- —-
SEWER
Final DRIVEWAY
Final
---- - -^
Final
Storm Drainege --
-._____- IRain Drain)Final
Sidevual k —�—
,— Curb&Street Final
Approach -
13LDG.DEPT.IrINAI TEMPORARY QERTmEATE OCCUPANCY
CERTIFICATE OCCUPANCY final
ILandscaping -- `—
Zoning Final