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INSPECTION NOTICE
Citv of l igard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address — -----�� _ :� a _� Permit
Type of Inspection
The following, Building Code deficiencies ore requivea to be corrected .__� .'fir%='✓ �, t i,.�'
_ M .
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Presented to �- _. �_ Inspector
Date L
CAL!_ FOH REIIUSPFGTION
n YF's u NO
W W
I t+ BUILDING DEPARTMENT, TIGARD NO.
IOHN E. P11:R[!�;,i1RD1 181NC, IIiC. Pj
P. R bQX 129 PLUMBING PERMIT
NE,YBERC, ORKOii 91132 , holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard, Stich installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installati ns are ready for inspection. City of Tigard Business License required
for all contractors d sub ntractors.
G Addres
Owner.���� 1
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) i
E$)D E N 11A 1 __ _.._S
'a Family-1 beth-each 25�OU
Du lex-Each 1 bath unit _ _ 25.00 _
Additional bethrooms-each 10.00
Mobile Home Space-each
INDIVIDUAL FIXTURE FEES _
to 50 Fixtures In 1 building-each .00 1
61 to 100 Fixtures in 1 building- each 2.60 _�_„ _ -...•--
101 to 200 Fixtures In 1 bullding-each _ 2.00
701 or more Fixtures in 1 buledinp each �� 1,50
MISCELLANEOUS
9ulldingSawer•-13t 50 ft. 10.00 ---i
S:? ►.r—ea
wch additional 100 ft. 10.(X)
---
_W_eter Service to bulldl 5.00 -
_�—" 10.00
Privets Water Systems-each 100 ftp
Other IS If : Al,
PERMIT l bi Inspection Phone 699.4191
9r. Stete�°� _ -''`(p • � Plumbing Contractor By
TOTAL IPT NO, Issued By -
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BUILDING PERMIT APPLICATION TIGARD DATE-__.._ C ,19'j" 321f
THE UNDEASIGNEG.IEhLBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE i i9`J1 1
OR AS SHOWN AND APF')OVER IN THE ACG')MPANYING PLANS AND SPECIFICATIONS. OWNER PHOE
pB•Lo
LOT NO. f3 d�•���
_
OWNE '~t•r Me�adotibrook Or '.ve
R LI<i L.e 5;• t.Ll• JOB ADDRESS •S',�4VI 0 _
ARCHITECT
rime N�lAI� 15300 Std 110th FNGEER
BUILDER ADDRESS L---SIGNER
STRUCTURE Q NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE C] STORAGE ❑ SLAB❑ FENCE
OCCUPANCY !'"1–_LAND USE ZONE �–'—BLDG.TYPE . � FIRE ZONE PLAN CHECK 81' ._ "f HEAT
2 story_4—plex condominium (d "B" units) -allper plans and t:ude.,�
8 Bedroom& A bathi*
SEWER PERMITMd
OCC.LOAD FLOOR LOAD 40 HEIGHT 2 J NO.STORIES Z AREA 3bL"U NO.BEDROOMS VALUH _' v
BUILDING DEPARTMENT SETBACKS FROWE. PLAN9iEAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU IT IS HEREBY AGREED THAT THE
Plan Check •' _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�— wlrH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 4 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMIT S REQUIRED FOR SEWER,PLUMBING AND HEATING;.
State Tax 4 1.2•t:0
Total 5495.11 $960,00t)— SUC— •00 v t
- - ewcs Z t 24 0.0 NT OR AGEN
By FTWI --. _ `
Approved ADDRESS
PHONF
1 i
W of
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
w !_ Fixture
/ Q Final
3- by ---
CHEATING
lam S •—� -� � Contractor � �
c Permit No.
•'' Gas or Oil
Rough-in
Final
—— SEWER
Final
— _ - — DRIVEWAY J —
— _ Final
Storm Drainage
(Rain Drain)Final
-- -- Sidewalk
—` --�~ Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC NCY Final _
CERTIFICATE OCCUPANCY I (��I �,
t_anduaping
Zoning Final
BUILDING PERMIT APPLICATION COF TIGARD OATS N 3�'►�
"HE LINDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONRI�; q--610 I
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNER PHONE '
bg7 G� AA LOT
�}Q
�h�lA�d ROME ACfDRESS
GR "r n AJOB ADDRESS ARCHITECT
ENGINEER
SER ����_ ADDRESS 1 ei3 d� S �L� _-�22 DESIGNER
•ICTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR _❑RENEWAL ❑FIRE DAMAGE _ ODEMOLITION
{
INCE ❑COMM ❑EDUCATIONAL_❑GOVI ❑RELIGIOUSOPATIO ❑CARPOR'7 _OGARAGE ❑STOFIAGEOSLAS ❑FENCE
�]pnNp ❑_ _MOVING ❑CONOITIONAI USE ❑DESIGN REVIEW ❑COUNCIL APPROVED_ —❑SIGNS
'.CUFANCY LAhTYPE FIRE ZONE PLAN CHECK BY_ __ �—� — —
— � � — ,_ HEAT�r_I-'E�a
D USE 20NE —BLOC. _
,k
QIE Z. AREA70ir N -5jj;IRQQmL-moi- VALuf .—
_ -E�UILDING_DEPARTMENT l^y� SET BACKS YFRONT •�Cr/ l� �-_ / —LEFT SH7t RIGH'( SIDE 3_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian Check ����7J, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TME
WORK WILT BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
,ub total g� tALL APPLILABLE CODES AND CRDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--- pESTRIC7IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
t81f Tex � ' LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.> Q` ^
'oral ��a
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QAPLCANI Op AGEN
sppravrd Receipt No. " . j� L".r • '>�s
--� ACE)RESS
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