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INSPECTION NOTICE
City of Tigard Builcling Department
12420 S W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection C-
Date Requested Time--A.M. a— —P.M.
Address — 12� Permit k_ -
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
0
resumted to El Approved
Inspector [A Disapprover'
Dale
CALL FOR REINSPECTION
RYES 11 NO
CITYOIr TIVARD
September 17, 1981 WASHINGTON COUNTY.OREGON
Mr. hill Beeker
Tigard School. District No. 23J
13137 SW Pacific Highway
Tigard, Oregon 97223
Dear Bill:
Please be advised that at the regular meeting of September 14, 1.981,
the Tigard City Council approved the waiver of building permit fees
for the Student Project at 9375 SW Millen Drive. Plumbing and
Mechanical Permits will be required. The City Council felt this a
worthy cause and a beneii.t to the community.
Sincerely, yours,
(\ Xf'll
Ed Walden
Building Official
EW:lw
- 12420 S.W. MAIN P.O. BOX 23197 TIGARD, OREGON 97223 PH: 639-4171 - -
...,..�....w�rrxeyR.0 ._.,.._..12 W.Y.:..Ll.a' }. a... ., , „ -.w.0 '• " 77777, oTpir
i
13UIL.DING D21"ARTMIENT, TIGARD FC
PLUMBING PERMIT
._.._.�, holder of a valid plumbing r_orttr.actors license is hereby '
authL+nz-�,' to cause plumbi work as, herein noted to be installed in accordance with the plumbing code of
Tigard. Such insta'lations require inspection by the City Inspector wl)o shall be notified not less 'han four
(4) hours prior to the time the installations are ready for Inspection. City of Tigard Business License required
for all contractors and sub-contraactorss
/ � f1Job r ,
Qwrvl Address _ Date_
`
c NUEIER OF_ TOTAL. ~_
TYPE OF PERMIT ITEMS FEE ON FACl1 AMOUNT
Sin21e Farn!1j�'i bath--each 25.00 ----- --------
Duplex_Fach 1 bath unit
Additional bathrooms—each
Mobile Home Space—each 15,00
INDIVIDUAL FIXTURES(COMMERCIAl. _ ---- --
_1 to 50 Fixtures in 1 buildin,—each 3.00
51 t0_100 Fixtures In Lb
101 to 200 Fixtures In 1
201 or more Fixtures in 1 building—eacfi
1-11SCELLANE0US
Sewer—eaeh additional 100 ft. r—
Water to building
PERMIT � �,o For Pkrmbing Inspection Phone 6394171
4 o State �!I Plumbing Contractor By X
TOTAL % RFGF'IPTb:n �
A
BUILDING PE RMITAPPLICATION TIGARD DATE__ _ __. 19 3888
THF UNDERSIGNED HEREBY APPLIES FOR A PERK, T FOR THE WOR',HEREIN INDICATED BUILDER PHONE -
OR AS SHOWN AND APPROVED IN THE ACCG)APANYING FLANS AND SPECIFICATIONS. OWNER PHONE
OWNER 1 1C;• :Ciltlil:.lr.C"a'2XE'd08AD RESS + j l mi" br a _—Eat&tan t
ARCHITECT
ENGINEER
B I�LDER 'Tigard flProgn-.,1 ADDRESS 13137 Sl Pacific Hwy DESIGNER t'i 'rG'Y"T's z'r.1:
STRUCTURE M NEW ❑ REMODEL ❑_ADDITION _ !-7 REPAIR i7 RENEWAI. ❑ FIRE DAMAGE _❑ DEMOLITION
I3• RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE U STORAGE ❑ SLAB❑ FENCE
OCCUPANCYLAND USE ZONE R-7 _BLDG,TYPE --5.!L—FIRE ZONE—,-,,:— PLAN CHECK BY d6P 2 HEAT _lXdi�_.
construct single thril- 11weill.,tj ,,i/attachod ciarwiv. ?_Tinilroors
SEWER PERMIT# t ` ) l ^. � t'TaT.tir'c; 5n ,
OCC.LOAD FLOOR LOAD I'' HEIGHT l • NO.STORIES AREA 1 7 1 F, NO,BEDROOMS VALUE
BUILDING DEPARTME'JT SFT SACKS FRONT REAR I LEFTSIDE RIGHT SIDE
p � SUBJECT TO THE REGULATIONS `----`-_ --: __-
Perrnit -4' . T'IIS I ' RMIT IS ISSUED SUPS �"ONTAINED IN THE BUILDING CODE, ZONING
RF GUL,iTIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY !GREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVI_NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 00 .n rr t
Tota_ PDC# ,t APPLICANT OR AGENT
By
P,ecelpt No.
Approved -- A,{ ! ADDRESS_ PHONE
.r.
DATE INSP. TYPEINSPECTION REMARKS PLUMBING TATE
Contractor 7
v
9 ^--- 1 Permit No.
Rough in -
h/ I .
Fixture
Final _
HEATING
___-4ye
Con -tractor _ K
--- - Permit No. y8;t �6.6T
- Gaa or Oil
r
Rough-in
Final
-- -- --- SEWER
Final
DRIVEWAY--
Final
Storm Qrsinagl!
(Rain Drain)Final
- — — Sidewalk
- Curb&Street Final
Approach
BLDG. DEPT.FINAL TETIPORARY - CERTIFICATE OCCUPANCY Final
CERTIFICATE OC CU PANt:Y
Landscaping --
7J Zoning F nal
ea�sr��
• • ... . . �9 '..yew w;'i� L1�.L
+ 3—
BUILDING PERMIT APPLICATION TIGARD DAT is
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORN;HEREIN INDICATED BUILDER PHONE G 26-420
OR AS SHOWN AND APPROVED IN TH E Ar."0t,�IPANYING PLANS AND SPECIFICATIONS. OWNER.P ON
64 ADDRESS J �' !FQ/'���'�% LOT NO-
_ :T.'
�T QQQ �jJ� ��++ D u-._ ARCHITECT n
BUILDER °i"`e-- � 5 p�4ESS 131 J f �. DEGIGNER �'1+84ty• q��,I01y
STRUCTURE NEW Cl REMODEL Cl ADDITION ❑ REPAIR_ ❑ RENEWAL ❑ FIRE"DAMAGE [I DEMOLITION
RESIDENCE C COMM ❑ EDUE 1 i ,I. ❑ GOV'T Cl RELIGIOUS ❑ PATIO CI CAR PORT ❑ GARAGE Cl STORAGE Cl SLAB❑ FENCE
Ah
OGGUPANCY LAND USEZQ.4E SLOG.TYPE _FIRE ZONE r PLANCHECKBY CHEAT
SEWER PERMIT K -
OCC.LOAD to '=LOOK LOAD ?b HEIGHT NO.STORIES AREA I �O NO.BEDROOMS 3 VALUk'��0�
tP-3rBUIL DING DEPARTMENT SETBACKS FRONT REAR �1� LEFTSIDE G•s . -
miRIGHTSIDE J—
t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SU1LDINU Cri 7E,ZON!NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRF.EJ TFIAT Ti.2
PlanCyecl, WOR!. WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C1.)NIPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRPAIT 0017S NOT WAVE
"UkYtota: RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT GiTY BUSINESS
_ LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING %00 HEATING.
Stam Tax 1�
Total SOC — if 1 a
"-- —" PDC# APPLICANT OR AGENT �1
Bir
Receipt No. -
Approved ADDRESS PHONE
50C ��.JL— 400
moc _ 3 D
SEWER CONNECTION
SEWERINSPECTION f � _
'DEWER SURCHARGE S
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