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(� INSPECTION NOTICE
�A( 7_M City of Tigard Building Depart.,nent
P.O. Box 23397
V-�-i Tigi rd, Oregon 97223
Phone: 639- 175
n
Type of Inspection
Date Requested ____ _— Time_ __.A.M._ _ P.M.
Address �J� ___7� 1 ��.�-tom _._ — Permit
/".
Owner_�..-- — �--- �_—._..� Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _____ _____ _ FTApproved
Inspector _ [] Disapproved
Data
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigaro Building Department
P.O i3ox 23397
Tignrd, Oregon 97223
Phone: 639-4175
Type of Inspection
DAte Requested Time A.M. P.M.
Address Permit
Owner Lot
Builder —
The following l3cilding Code deficiencies are required to be corrected:
j
Presented to Approved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
0 YES (a NO
CITY 01" TIGARU PLUM BI N6 1,3121> "M Hal 131%xd-
Applicints must hold Omgoo Registration to conduct a plumbingPERMIT Tigard CR 97223
busines:o must be propertyne
Owr/..�perato not hiring outside help. 639-4175
Plumbing Permit No .J
Address (�(�
Job 2 ( t_�`11.`,C_ r1—_ ORS 814.21-W QUAN. PRICE AMT Y
Tari Lot Map.No. -
Address
C __---- - FIXTURES --
AA FAocY SutxWskxz
7.50 7.w
dir. nr nsrne Lavatory _7.50
L_\ Tub or TutvShOweo /_ j L
Au in T
, ress---` ..],--- — r Con* 7.50----
Shower Only / _ 7.50 7 ()
Owner / late -- --- -- z� -- WaterCbsel - - � -_-7.50 L 2
_ -----_.._--- Dishwasher l 750
Ptrone Garbage Disposal 7.50
Name Washing Machine --- - �- 7.50 - �N-
Floor Drain 7.50
ring ress WalerHeater 1 7.50 l�n�
OccunanlCityiStala zip --- Lawdry Room Tray --- 1.50 _ --
Urinal 7.50 _
-- ) __ Other Fintures(Specity) 750 -
ess J 7.50
7.50 _
Contractor CMy/State �' zip ---�_ 7.50
MISCELLANEOUS
T City Tains Tax No Ssww 10 100' _ 3000
tWdos ----`-31 is Pkmrbwsmus Llc--W Suwsr•u.Addit 100 — — 15.00
(Residential) —� Water Serykie 181100' / _ y 20.00
1 retry -*now edge that I hsvo read tills ii;Mll•albn.diad the"ormetier: Water Ser*w sa.Ad(kt.XOr ( 15.0_0 -
gt~is owed.IIw I am r*QWwod wM the sista Builder's Hoard.arra also storm!Rain Drat ,tri.100 30.00-
have a Suede pkmll*V Iioanse,that to numbers gtven are voted.that all -
041-bing w.lrk witi be"w ki a000rdance with appk*)Ie provisions of Ore- Storm R P�Jn Drain Adds.100• 15.00
gon Review' !ahA„CI`W*N1447 and O93 and appiloable codes and that
r.j help will be en Mobile Home Space 255 00
0
Stab r ��ur►�ess Ncwu*d under ORS 643. IM exsntpt hoe ___
sgbtrstion_please give reason below). Hack Flow Prwwtbrxr
W'*AEEOWNERS-I isareby ow*Ihat I am the awrnrs of Ow praprty ds• Device or Anf4h iltrhon Device 7.50
arxbed above,at wtlldr locetlon I propose 10 mad:'*c,AW*V InsttaMatlon tows Any Trap or Wash Not _
my own use and this properly Is not bekV ci nstrw red for sale.base or rwrl Ca WWKbd 10 a RXWM 1.50
C,.iah Hahn 17.50
i� -_.—_...._ ..– _._. -__..___�.__._.__--..--- •r -
knp.of Exist.PtumtxV 40.00 Per He
/_ ---- - ---- Spamelltr Requested Inapecklorm - 40.00 Per Hr
Alter of Pkmbktg wM6
.n E,d.tw+g 19 - — 15.00 min
VE Sf(3NATURE nsle New Bldg or Build.Addition 25.00 not — 1
L[ 1I1 su a fanul 1
DssaiLv wo* rww O tliddition p afWatbn U —repair f7 dwedluq15.00
be done _ reekk"isi n non•re etttlal(-I
Exk"use a
OA6*p or pworty
Tk%pwrr18 beoonletl nail and woo if vom*w 0onetrslol on aurwMad ianod owe 1
111ar1osiy nMMt1 ISO drowim p oviskuDow or wait M ati (wit ed-0011d0rrd for
a ps+10c1 of 180 AI1ys M any one talo.w"*Is p
BPCt3tAL ppNOff10NA— ,
De" lesuect M _f
BUILDING PERMIT APPLICATION DATE "luut / _ 87
6642
THE UNDERSIGNED HEREBY APPIJES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 62')-•6167
OR AS ShOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OJAINER PHONE.
OWNER JOB ADDRESS • 1�TJ784r-�rMFA$
J --
- — - - 14711 Ni. Merwood 1'JXn. ARCHITECT
ENGINEER
BUILDER }'''""' ADDRESS Sllerwc►od, OR 97041 DESIGNER
STRUCTURE_ IJ�NEW F1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEW_AL 1 1 FIRE DAMAGE ❑ DEMOLITION
0 RESIDFNCE F1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS E PATIO ❑ CARPORT [.-.; GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _-_ LAND USE ZONE __&4,5_BLDG.TYPE __-��—FIRE ZONE _.PLAN CHECK BY _ 1''++Y Y HEAT_
Cor -,4 rmt mingle family dwelling w/atteached pirige,-all per approve I plana. --
5u}-jpct to 95 axle, Itciaaue ri! QB712_ --- -_------ �� _
SEWER PERMIT# 13349€ ( 10u) 3 baths, 10 traps, garage area 426
OCC,LOAD FLOOR LOAD 40 HEIGHT 'n NO.STORIES_2 AREA 1974 NO.13EDROOMS -1 VALUE 133,!?f?fl
BUILDING DEPARTMENT SETBACKS _FR_ONT REAR 30 LEFT SIDE (: RIGHTSILE If)
Permit y 3"'20f)
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES PND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check !WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL ATF,iCABLE CODES AND ORDINANCES. IHE ISSUANCF OF THIS PERMIT DOES NOT WAIVE
Sub-to'ai RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICEN.�E.;, PAAl TE PERMITS REQUIRED FOR SEWER,PLUMBING AND tLEATINQ.
State Tax
-40 0(I SDC-
By -40
Total _ PDC# 1',40,00 APP CA A _-_-T - JI
.
Appr�red 3 $ Receipt No. - �_
:,�`s`� 7 ADDRESS � PHONE
s� .� a i■r is � r w
DATE INSR TYPE INSPECTION REMARKS PLUMBING DATE
7—/7-62l .� �Y _ Contractor �.39'� r.2-1 � 7
Permit No.
Rough-in
--
" ri%LUfe
Final -- -
-+ _ / HEATING
Contractor 7
V Permit No.
Gas or Oil —
[__I�� Rough-in
0K _ Final
SEWER
Final
' DRIVEW/'.Y
— --�_— Final
Storm Dra;naga
(Rain Drain)Final
Sidemlk
Curb&Street Final
�V Approach
—BLDG.DEPT.FINAL TEMPORARY CERTIFlCATE Of ,UPANCY Final
(CERTIFICATE OCCUPANCY _--
` i-- Landscaping
toning Final