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INSPECTION NOTICE
City of Tigard Biiil(ling Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
e
Date Requested Time--- A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Lode deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR R.&N-SPECTION
YES /No
BUILDING PERMIT APPLICATION TIGARD DATE _ ,�s `�i 4936
THE UNDERSIGNE-i)HEREBY APPLIES FOR A PERMIT FOR THE WORK FIE-REIN INDICATED BUILDER PHONE"
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ._
LOT NO. 65 .____.-
OWNER _ ;.s. Nultiora4l - JOBADDRESS 112Ua w`� a:rr ` , C [.
ARCHITECT
ENGINEER
BUILDER Lilir�,Ter. CorisGr. ` ADDRESS 8230 SW 162r.1 DESIGNER
STRUCTURE U NEW ❑ REMODEL ❑ ADDITION CI REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE CI COMM f_l EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE L] STORAGE Cl SLABEI FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _FIRE ZONE _ PLAN CHECK BY HEAT
titercwal of Persait 84011. to finish
For a:z _ .i.hwr iniunaatian lva1, an Per.-dt P4011 alse►.
SEWERPERMITM
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.BEDROOMS _ VALUE _
_ BUILDING DEPARTMENT
SETBACKS FRONT JREAR _ LEFT SIDE RIGHT SIDE
Permit pal -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND I( IS HEREBY AGREED THAT THE
Plan Check _ _ WORK WILL BE DONE IN ACCORDANCE WITH TH PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_ LICENSE.SEPARATE PERMITS RE=QUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax
Total 'U 1, SDC
PUCq ARPLICANT OR AQ VT Y"
BY
Receipt No.
4pproved t!TW ADDRESS_�__ -- �'-PHONE
ON
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
—A Contractor f
Permit No
Rough-n
Fixture
Fine.
HEATING
Cor 0,
Permit No.
P
—
Gas or Oil
F "'h
Final
SEWER
Final
DRIVEWAY
Final
—DI!,nage
Main Drain)Final
SldErvalk
Curb&Street Final
Approach
SCU-06. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
_]Toning Final
NEW
{
INSPECTION NOTICE
City of Tigard Building Department
12420 S.N. Main St.
I Tigard,Oregon 97223
Phone: 639-4171
Type of inspection
_ 1
Date Requested____ S �''� _ Time A.M. P.M.
Address
w__�•r /7
____. � Permit —
Owner---. — __._—___ Lot #-- -- --_•—J
Builder
{ The following Building Code deficiencies are required to be corrected:
IL
—•� .ate_._�,,,�-!�- �_r� 1'•' ,,.,�' _.—_____—�
Presented to —❑ Approved
Inspector � GDisapproved
Date
CALL FOR REINSPECTION
I (Z YES ❑ IMO
KACITY OF TIGARD Plumbing Permit
I Building Department �7 NO.
Residential [ Cc,-,mercial
New Installation [,�] Replace [I Addition ❑ Alteration ❑ Date.3-5-82
ILicensed
Plumber SHOEMAKER'S PLUMBING Owner ._— MAArynT. JI&V
CORP. __
Address _ P.O. Box 250,ESTACADA, OREGON 97023 Job Address 11205 S.W. Morszen Ct.
ti30-7728 Shoemaker's Plumbing -
Phone — _._..�_ Applicant __
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUES-CONTRACTORS
VITEM NO. FEE TOTAL ITEM _ NO. FEE TOTAL
Fixtures-Traps 10 7,50 Sewer:First 100ft. _ 30.00
Dishwasher _ 1 7.50 7.50 EachAddit.100ft. _ _ _ I_ 5A_0 _
IGarbage Disposal r 7.50 Fiector Pump -
Water Heater 1 7.50 7. 50 Water:First 100 ft. 1 20.00
_ :_0.00
Backflow Preventer 7.50 Each Ad_dit.200 ft. _ 15.00 —
_ Storm&Rain Drain:First 1001t. 30.00
_Epch Addit.200 ft. _ 15.00
I _ __ —_ y MohileHr,meSpace 25.00 -
Other(Specify): - ._ Rain Drain-Single Fam.Dwelling—'- 15.00
PERMIT FEE 117.50 Comments: _ —.---- __ __---_-_.-__--- ---- --------------__..-_.--._- --
STATE % 4.70
yleceipt No, Applicant r
TOTAL 122.20 �/ -�g �~ -�� '
Signature
-- — --- For Plumbing Inspection Phone 639-4171
I3UILQjI`1G PERMIT APPLICATION TIGARD DATE—_
fHCUND[HSIGNFD HF-i-11 BY APPIES FORA PERM I-[ FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS',HOWN AND APPROVED IN-THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE.----.
LOT NO.-
OWNER IS ADDRESS 7
ARCHITECT
ENGINEER
BUILDEd ADDRESS DESIGNER
STRUCTURE 0 NEW Ll REMODEL C7 ADDITION REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT0 RELIGIOUS 0 PATIO L,' CARPORT El GARAGE 0 STORAGE E] SLABLI FENCE
OCCUPANCY LAND USE ZONE ___R—l(kLDG.TYPE FIRE ZONE PLAN CHECK By HEAT. .....
T)_,' I1? faily tlwellin<,_ r:h f I rk-,r`c:
of Porrit !14(w,.!
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT NO,STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTIv1ENT _- SETBACKS FRONT REAR sc LEFT SIDE Pt HT SIDE
Permit IHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY IAIGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH AL1. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC—
Total
PDC#
By
qeceIptNo. lot Ar)t)RFSS
Approved ,,,',
DATE INSP. TYPE INSPECTION REMARKS PL:MBING DATE
ZI
Permit No.
Rough-in
z
Fixture
Final 19
t HEATING
Mow,
Vt.9-2434
Permit No. .2 6.c)0 ZZRZ 7-1/-VZ �
Gas or Oil6-
-Hough4n --
Final
dI Final
__s 2--22-
DRIVEWAY
Final
4�
Storm Drainagp
Main Drain)Final—
Sidevalk
Curb AStreet Final
Approadi
BLDG. DEPT. CERTIFICATE OCCUPANCY rival
CERTiriCA,rF OCCUPANCY
i
- - �-
BUILDING PERMIT APPLICATIGN TIGA-iD OATF�s�A
THE UNDERSIGNED HEREBYAPPLIES FOR A PERM!T FOR TliEViORK HEREIN INDICATED BUILDcR PHONE I` d
OR AS SHOWN AND APPROVED IN THEACCOM,!'NNYING PLANS AND SPECIFICATIONS. OWNER PHONE
/�. hk
_� S _
LS _JOBADDRESS �! O (`—'CJ
L R
ARCHITECT
aD ENGINEER
BUILG'c"A ?a!n AD_ DRESSCL►WO� Q5 �+z'-�►�'--• DESIGNER ------_
STRUCTURE — NEW ❑ REMODEL _ Cl ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIREDAMAGE O DEtAOL.ITI
IRESIDENCE ❑ COMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C7 GARAGE G STORAGE ❑ StAB❑ FEN
CX;GOFANCY LAND USE ZONE 11[_____BLDG.TYPE FIREZONE PLAN CHECK BY H T•
�•i�swe- o �iF�a. rr I
*" oya � II'? 5'30 E-O& Vlaces• �
Ar4i6»yc_
SE'NER PERMIT M
OCG.LOAD FLOOR.LOAD HEIGHT .�Tt�' NO.STORIES .Z AREA •2`� ! NO.BEDROOMS _ VALUt
BUILDING DEPARTMENT— SETBACKS FRONT REAR Jr& LEFT SIDE_« _�HT SIDC- 33,
P^_rmit _— 0 .� THIS PERMIT IS ISSUED SUBJECT TO THE REG
11lA.T10NS CONTAINED IN THE BUILDING CGDE,ZOP1'1
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY P.G:EEJ TY,P,T T'.
Plan Check �_ WORK lA Ill BE DONE IN ACCOP.DANCE WITH THE WEANS AND SPECIFICATIONS AND I`I COfdPLIAt!
�-- WITH ALL, APPLICABLE CODE'S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI
I sub lata! RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BU:SItii
f G•',y UCENSE.SEPARATE PERMITS RE01'1RED FOR SEWER,PLUMBING AND HEATING.
Scaf s.Tax I�
SDC OF
' IlTotal s qA PUCANT AR AGEIaT • i
PDCN
BY -- _-- ��___.�--— — _—
Receipt No. ADDRESS PHONE
`Approved
Roo____
jf
EWER CONN£CT!ON 5 77Y-
EWER INSPECTION
7aEWERISPECTION
EWER SURCHARGE S
•„mncn4C+ RIuaP ��•3� 81 __ ____ __-_-.___--._-�-._