9410 SW MARTHA STREET 9410 SW MARTHA STREET
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Pho-ie: 639.4171
Type of Inspection _
Date RequestedTime —_A.M.--X P.M.
Address _ i Permit # r
Owner_ — _ — Lot #—
i Builder
i
The following Building Code deficiencies are required to be corrected:
1 �' �'•
I
1
Presented to
❑ Approved
Inspector
Ins Disa pproved
Date
CALL FOR REINSPECTION
I_,,� YES ❑ NO
i
INSPECTION NOTICE
City of I'gard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
P ne: 639.4171
Type of Inspection
Date Requested._.__._._ Time__ A.M.__=—__P.M.
Address �_ ✓._ Permit -
Owner -_ Lot # _
Builder
The followin Building Code deficiencies are required to be corrected:
T��il-d'C�t..e
16
r7(X1
l'T --------�
Com' a.-=�_-�-f a+►-w,. _� •�"/��
Presented to n Approved
i
Inspector _ - —� —_ _ /iP] Disapproved
Dete
_ CALI, FCJR REINSPECTION
• 2 YES ( Tl NO i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
i Type of Inspection
Date Requested Time A.M. P.M.
1
I
Adress !VZO -_5 A
41 Permit
Owner Lot
The following Building Code deficiencies are required to be corrarte.l:
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
FJ YES RI No
A
}
BUILDING PERMIT APPLICATION TIGARD DATE4770
THE UNGERSIGNEG HEREBY APPLIES FOR A PERMIT OR THE WORK HEREIN INDICA'rED BUILD[R PHONE 61.U-1416 r
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN ',PLANS AND SPECIFICATIONS. OWNUP PHONE
LOT NO. 1 L)—
OWNER
)OWNER _ + � �Qr JOBADDRESS y9410 SW ft the St. _ Y.Y���1Bt�u 6# . xI
ARCHITECT
•1:i,1 arae 97223 ENGINEER
BUILDER , 54we ADDRESS 132701 Sj ne"Y. Lid. DESIGNER
STRUCTURE U NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE U DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL L7 GOV'T 0 RELIGIOUS ❑ PATIO I^' CARPORT ❑ GARAGE U STORAGE ❑ SLAB El.FENCE
OCCUPANCY _ =3 LAND USE ZONE _�•i"ZY1'_ BLDG.TYPE ._. —_FIRE ZONE PLAN CHECK BY
ron,struct Iain,,je family _1.veltinl; w/attached rarage. _
e'eov_—_ _ _ 3 Bie d room 3 Se t h romi
SEWER PERMIT
OCC.LOAD FLOOR LOAD 4u HEIGHT lut- NO STORIES AREA (l#41# NO.BEDROOMS :3 VALUE fh5,0(j .
BUILDING DEPARTMENT SETBACKS FRONT ,~ REAR LEFT SIDE ' RIGHT SIDE
Permit 321'• )u THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 2 I'll 11 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
yrs I•s'U 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
~� 13. 1 l _ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total _ 32
_--- _---
PUG# 1L I(1U.(' APPLICANTORAGENr
By (:H
Receipt No.
Approved EF'Tw ADDRESS PHONE
DATE I I Sp. TYPE INSPECTION REMARKS PLUMBING DATE
Contirnctolqprgj���-poy/
41-13 W
Perm
i,Nu.
Rough-in __
Fixture
Fimil
----HCATING
Contractor
Perm
Solo"
Rougt-in
Final
SEWEIV
DRIVEWAY
lFinal
Storm Drafrinjo,
(Rain Drain)Final
Sidewalk
Curb&Street Final
ppr-ach
ELM DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
i.ERTIFICA"EOCCUPANCYT—
LandSLPPiflq
Zoning Fivol
Building Permit No.
Location
JLLI
JAL
Date
Certification of Registration
With the Bu4lders Board
I' -► 1 . 11 /(� doing business as (dba) ,
of'ORS Cha�iter 701 9' � am registered under the provisions
F 01 Ore on Homebui erers Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
Wa
Iture
z,
r
o wm ra w
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 0UIL0ERP40N�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OvMERPItONF _—_--
LOT NO-
N E P
O_NEP %jtj,� `lIJALg. ,-� J013 ADDRESS � ���"""�t�- � � ��YLd(.. Gi,•yi���.
ARCHITECT
ENGINEER
677 OESIGVERALLILOZ ._ ADDRESS c� Lin
STRLICTLIRE__ KNEW URfMf1DEL_ —_❑ADOIITION - URc'P:,IR CJRENE':IAL C]FIREDAMAGE CISLAB
Xri IL�E^ICC CICOM.M DE000ATIONAL CIGOV'T EIRELIGIOUSLIPArio ❑CAR PORT—LJGPRAGF_ C]SC]
TORAGE SLAB C]FEf,
CCCQP.\f_t:Y grl_L /1
ANO USE ZONE. -1fP 0G -,.-1_DTYPE S� "FIRE ZONE— -PLAN CHECK OY �7-4 HEAT_—`_
SEWER P E R f 1 I 7
— 4—9;.C_Ld;�? F„QQ.R LOAD L-/ (LhIEIGHT _A (/ .SEDROCINIS�AUJEO�
S�HU;IN4 OEPAR TMF-NT
SETBACKS FRONT tLv � REAR 9 LEFT 510E � RIGHT a1pE�Z
_alt^ THIS PERMIT IS ISSUED SUBJECT TO TAE REGULATIONS CONTAINED IN THE BUILDING COOL, ZON
1'r arl Check .Z•I Zj Z-l> REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT i
r--- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W
S.1ti-tDtdl �M� ��p ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN
`'7ate Tax I 3 /Z, LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER. PLUMBING AND HEATING.
_ SDC
Toni _ I SS"y,3 Z _
PDC#
APPLICANT OR AGENT _
�IAppruvud , Receipt No.
�nngF55 MON
SOC - S �4o o
PDC - ffi # / °U jU° h
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE
Comments : _—