12200 SW MAIN STREET 12200 SW MAIN STREET
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INSPECTION NOTICE
City of l igard Building Department
12420 S.W. Main St.
Tigard,Oregon 972.23
Phone: 639-4 •71 '
Type of Inspection -------. / -----
Date Requested (� Time_G��•M•----P•M•
Address .+ -� �—La Permit #
Owner_— _
Lot #_�
Builder
The fol owing Building Code deficiencies are taquired to be corrected:
_I
i
i — -
I
2•,�.e+ LEieF +"o ssE' Bu. r� G•--os:ry
i
jc "r '
Presented to _
r1, Approved
Inspector f Disapproved
7 /• 1
Date
CALL FOR REINSPECTION
BUILDING PERMIT APPLICATION TIGARD DATE _ ° .'_ is_ - ' 5644
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE " r;� _OR AS SHOWN AND APPROVED IN THE A COMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
OWNER ;..i,. CroperL).us JOBADDRE42M 13,9m ;i LOTNO.__...._. 2j __
ARCHITECT
x eu broers 1.9799 A. Rednond iw. ENGINEER
BUILDER _ ADDRESS oregg" Git y "Al4b DESIGNER
STRUCTURE ❑ NEW EX REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ Firm DAMAGE 0 DEMOLITION
❑ RESIDENCE F_KCOMM EJ EDUCATIONAL C7 GOV'T [J RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE G SLAB❑ FENCE
OCCUPANCY _�— LAND USE ZONE � BLDG.TYPE � FIRE ZONE._PLAN CHECK BYE HEAT _
Construct tenant modificationknon -structural) per approve' plans
SEWER PERMIT M
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES / AREA '_+�a, 1 NO.BEDROOMS VALUE $4500
BUILDING DEPARTMENT SETBACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING conE, ZONING
i2.SJ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
21111.20 WITH ALL APPLICA3LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
• LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 2.t►2
SDC—
Total lU5 5 +
PDCM APPLICANT OR AGENT
By
Receipt No.
Approved A60RE88 PHONF
4•
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
CO-0-19"
Contractor
r,179 PRrmii No.
-�- Rouph•in
Fixture
Final
Contractor
Permit No. 'jgpg'
Gaf or Oil
Final
SEWER
final
DRIVEWAY -
-____—
Storm Orainagn
(Rain Drain)Final
- � r SideNw:lk
Curb&Street Final
Approach _
�BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERT IFICPTE OCCUPANCY �O �D�3
(J(�_ Landscaping
Zoning Fina'
s
.fxtlwYfsM�d'aA.uw.a...�:,.�,y.;'yR.,`7..,�..-,e:��..r.a:*�`,.:s�yr.y�tf,w.,.�.p..„y,,.. •_
- .....a-n._.,.r• , ,, ...,..-,,.,.:.Rq"+nfPMf;ii•at�lrf lJl,{tf .�r. "W"AAi♦
CITY OF
BUILDING PERMIT APPLICATION TIGARD DAT":_�_ Ory 197ff r
TI-IiE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ _
i�cjv l;clilityrta �dA'JU ':. ,fi. 0,18 1. :;t.
OWNER ADDRESS BUILDER PHONE
]wnor
ENGINEER
BUILDER _— AR I .CT _ _—_ — DESIGNER
STRUCTURE []NEW REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _ ❑FIFIE DAMAGE ❑DEMOLITION
[3RESIDENCE ❑COMM ❑EDUCATIONAL GOV'T NRELIGIOUSEIPATIO ❑CAN PORT ❑GARAGE []STORAGEDSLAB ❑FENCE
❑BOND ❑MOVING CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCI; APPROVED ❑SIGNS
UCCU_PANCY——J1NP USE ZONE BLDG.TYPE FIRE LONE_ PLAN CHECK BY HEA1___�
!JCt oproT I. t . 11., �� . _,ion= w ! , pa -i- ,waccardIng to
P ans. r. c n .�r� re uCl umes FuIT-T7:j.*,unsibility If worW stai,too
prior to obtaining cin ona se Pervilz
OCC, LOAD _ FLOOR LOAD HEIGHT NO.STORIES /%REA VALUE
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE. RIGHT SIDE
Permit 14000 -- -_�- -- ---
THIS PERMIT IS ISSUEn SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND At L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T141S PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 State LICENSE, SEPARATE PERMIT'S REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Bv
— ----------Y"'-----------_- APPLICANT OR AGENT
Approved Receipt No
...t. >x.. Un.t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractorx+
Permit No. C, --S/,F17
.-- aC Z*Iu--444-� .c�
� Rough-in
('C Fixture —
Final
_ HEATING
Con Tractor
Permit No.
-- Gas or Oil
Rough-in '
--- — Final
-- -- __—_�— SEWER --�—
FinP.l
DRIVEWAY
— Fir al
--- -- ----------- _ _
]ISto m Drainage
— :::— �d
----- _ (Rain Drain) Final
--- — - ------ ------� Sidewalk
Curb&Street Final
A roach
BIOG.DEPT. FINAL 7EMPORAFlY CERTIFICATE OCCUPANCY -`
CERTIFICATE OCCUPANCY Final
Landscaping
Z�r.ing Final
■
CITY OF TIGARD.
P 0. Box 23557
12420 S. W. Main
Tigard, Oregon 97223
February 5, 1976
Mr. Russel Auctin
Building Official
City of Tigard
Tigard, Oregon 97223
Dear Mr. . Austin:
I understand that in issuing me a Building Permit to
install partitions in a building located at 12200 S. W.
Iain Street., that I am proceeding at my own risk and
that City of Tigard assumes no responsibility in my
obtaining proper Conditional Use Permit:
Ver truly your. ,
Roy McIntyre
BB63 Commercial St.
Tigard, Oregon 97223
will .Ilr � aw � .o Iw aAr I�Ir
i
CITY Of
BUILDING PERMIT APPLICATION TIGARD DATE 19 75 N° 0437
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE XOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--------
OWNER
HONE—__ —___OWNER "isrtrude-41""mIWI ---.--- ADDRESS _.����� ��I�� FIS 1,� BUILDER PHONE_ _
ENGINEER �^ —
BUILDER 01,111o3i I
ARCHITECTCIRENEWAL
DESIGNER
IUI _
STRUCTURE ®NEW U HEODEL QADDITION ❑REPAIR RENEWAL _❑FIRE DAMAGE DEMOLITION
Q RESIDENCE OCOMM CEDUCATIONAL�E1GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE 1:1STORAGE SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED JSIGNS
OCCUPANCY_ LAND USE ZONE_.._ BLDG. TYPE._ ,FIRE ZONE— PLAN CHECK BY_ HEAT
U CIF 1,° I.. AND IN RFASMASLY SMOOTH
"XTION
OCC, LOAD m FLOOR LOAD HEIGHT _^ NO_STORIES AREA VALUE
BUILDING DEPARTMENT__ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chp•k REGULATIONS AND ALL APPL.ICAr'-LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORD\NCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. 'i HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CON7iiACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANC) HEATING.
Total
By
.—.. `--- APPLICANT OR AGENT ----- - --- ---
Approved Receipt No.
ADDRESS __�-- ----- ----- - ---------------
Pi i.INE
1
w iw w ■�eI r. .. � a
DALE INSP. TYPES INSPECTION REMARKS PLUMBING
Contractor
Permit No.
�— —_-�— Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
_ Gas or Oil
Hough in
- Final
SEWER —
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Firal
Sidewalk
Curb&Street Final
_ 4pproach _
SLOG.DEFT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fioal
1-3ndscaping
Zoning Final
1- / - -v
Address Permit Noe ' bx
6,119 Permit charge
Owner '1)U'31_cN , Y Connection fee
Paid by
Type of building_ ( ; , ,. Date connected
Service rate Ado,, ) n 13 Inspection fee /a
Contractor Paid byDate
Size of connection_ Assessment_ Paid��
w w
r °
Address .� CY Z' sQ i��• X11 = Permit No.
Name of Occupant_ Permit charge
� u
Connection fee
i
h A21� h��`� �f1'_'/ Paid by1 — --_
Date connected �4 U
Type of Building_ (:)4-a , " _..- Inspectie:. lat.—
Service
re,_Service Rate_ S` (✓' ___ Paid ;or Date
Contractor 1-4,U ,l Assessment Paid��.
Size of connection
w w w w w raw nw w w w
THL UND`RSIG.NED HEREBY APPLIES 1,0H APERAIII F011 'I'L wUI(R "L1IcIN INUILAILU W
ONER,.'HOflr
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO ' -3
XYNEP f�t,L7 f�' r�rt -)09AOOt7`SS i• ARCHITECT
.,,,IVI A'E ENGINEER
OESIGNER
STnUCTURE _ANEW �RckinOE:. JAOCI TIO^I []nCPaln ❑REIVEIYAL 1.If1AE DAlAAGE ❑OE:./Ol1T
rl T1ESIgE"lCC CO?.- OEOUCATIONAL �JGOV'T ❑RELIGIQUS 0PATIO UCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FEI
PLAN CHECK BY H - -
,. OLOG TYPE_
9CCI.PAr.LY_ _NO USE ZONE - - --- —�
— - r f11-'4�:�- )i.Cil _1'E./-•1,(���•- ---
_ /f���� \�"a1.t:Ti4_'�� 'rd�i i r /����"L•L/:.=".T l��Y��.—.11a.C�- vn�1��u
SEWER PERf'1I7_Tr
A15
=_L95 __ FLOON 1 nnQ �- H
SET BACKS FRONT -` ��--------__—
SUILOING DEPARTMENT --
�c 7
�
THIS PERMIT IS ISSUED 5UB.lECT TO THE REGULATIONS CONTAINED 1►t THE BUILDING COOS, ZO►.
I-.Rn ryeCk �� �� Is REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT
WORK,WILL ISE DONE IN ACCOROANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE M
ALL APPLICABLE CODES AND ORDINANCES_ THE ISSUANCIE OF THIS PERMIT DOES NOT Wr
_ I
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT Cl R
o sisi Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
------ �� SDC -
Total I / _ t_�.
t^ DDC#
a'< APPLICAN' TOR EN_ n
AFpruvM ' Recelp; Nu. /l.�' �rj d�a �(( k'�l• fi'ir}{n L`rc, '7 . rtr-a7Y6 .
,n..atssv f PHONIE
SDC (Storm
SDC
PDC_- —
SEWER CONNECTION $
SEWER INSPECTION 5
SEWER SURCHARGE $ �.
Comments : ^y� _