9455 SW MARTHA STREET 9455 SW MARTHA STREET
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INSPECTION NOTICE
City of Tigard Bui ding Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 6j9-4171
10
Type of Inspection
Date Requosted Time-,�'—A.M.---P-M-
-7
Address PermitLW
Owner
i Builder
The following Building Code deficiencies are required to be corrected:
7
Presented to Approved
Inspector ------ Disapproved
Date
CALL FOR REIN PECTION
YES j NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Pho ie: 6 9-4171
T�-pe of Inspection
A.M.Date r-.c-iiested- Time AP.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are requirec to be corrected:
-4e-
,
e 2::ie--Loc e5
Presented to Approved
Inspector Disapproved
Date
CALI, FOR REINSPECTION
❑ YES /-J NO
INSPECTION NOTICE
City of +'iyard P Iding Department
1247.0 S..,-.Main St.
Tigard, Oregon 97223
Phone: 639-4171
I
Type of Inspection -
Date
� z Date Requested �
1-7 Time A.M.x_____P.M. �
Address _._���_ �� ��� `!iu[. �.y— Permit
Owner — _ Lot #
I
Builder
The following Building Code deficiencies are required to he corrected:
I
Presented to 99 — Approved
Inspector v i_� Disapproved
DateCALL FOR FOR REINS C7'10N
F1 YES NO
��s
i
BUILDING PERMIT APPLICATION TIL,ARD DATE �r �4_._._ ___,19_�._ �708
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA rF_D BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. �. nNER PHcyfi
No.____
OWNER 10" i(11.G1— JOB ADDRESS 9455 S.W, 3KRIIIA K.tULAND EST. ItL(:r TNO.___.__—_-�
ARCHITECT
ENGINEER
BUILDER Sault! ADDRESS 13270 S.W. W)UNES 1 FRRY DESIGNER
STRUCTURE D NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR C7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT [❑ GARAGE D STORAGE 0 SLAB❑ FENCE
OCCUPANCY ►t-1 _LAND USE ZONE cL_A.,.�BLDG.TYPE __S SSL_.FIRE ZONE __PLAN CHECK BY j&W__HEAT
C014STRVIC T 9 LN(;U YAHLOY WELLM; W/A'TTACKED GARAGE 3-BED
1t1;-tSSilli' 4366
SEWER PERMIT# 26499 C:AkA(;I% 464
OCC.LOAD FLOOR LOAD 41) HEIGHT 20 NO.STORIES i AREA 1234 N0.QEDROOMS 3 VAI I IF 6090 U
BUILDING DEPARTMENT _ SETBACKS FRONT I j REAR 34-7 LEFT SIDE -3 RIGHT SIDE 0
Permit 311*(W THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
ya REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A;REED THAT THE
Plan Check 40*oO WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
35J.Ut) WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal Tax RESTRICTIVE COVENANTS. CONTRACTOR ANC, SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
State Tax
--. 12.52 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
__ - soc- 4U0
305.S� Y
Total Wu Il
- -- PDC# APPLICANT OR AGENT -- -- �-By
Approved Receipt No. AD—DREN __ _._� PHONE- ---
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-2 344
Contractor
Permit NO.
Rough-in
All Fixturit
(2
Act— - ------ Final
HEATING
Contractor
P-j!nit t No,
A
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
I(Rain Drain)Finel
Sidinvalk
Curb&Street Final
Approach
RLDG. DEPT.FINALTEMPORARY CERTIFICATE OCCUPANCY Final
CZ-1TIFICATIF.OCCUPANCY
Landscaphig
Zoning Final
,uilding Permit No. 4Kd,
Location - —
,401 /.� "iVEi% r r
Certification of Registration
With the Builders Board
n )e .JM4 doing business as (dba) ,
' _ am registered under the provisions
of ORS Chapter 701 Oregon Flomebuilders Law) .
My Builders Board Registration dumber is
My registration is in full force and effect and expires on
gnaturre
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUI!DCRPHON��`=�
(jr, AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OvrNElTr1wot1r _
LOT 1110 .L
JOB ADDRESS MC.r-�h�.
ARCHITECT
// ENGINEER
�-1 ADDRESS 162 20 3,-P. , Ccnr£j �e/� DESIGNER
STRUCTLIRE____ EW UFlEtiInCEL ❑ADDITION - CIREPAIR_ ryL_1RE11 'NAL L-15-REDAMAGEDDEMOLITI
CITftESIL�E^ICC ❑CO11.M ❑EDUCATIONAL C,GOV'T L.IRELIGIoVs LIPATIO ❑CAR PORT ❑GARAGE ❑SrORAGE QSLAB ❑FES
LCCUPAf_:Y 2-a_LAND USE ZONE y.5 130LOG.TYPE -C---&_.FIRE ZONE_ PLAN CHECK BY—z" HEAL'—G
�-- r
SELJCR PERMIT
LQ FL09N LOAD —_to E!E! HI� NO.Sr RIES a' AREA X13 iNO.BEDROORIS rJ VALUE
SIPLQING DEPARTMENT SETBACKS FRONT' DO REAR LEFT SIOE S RIGHT SIDE
_'2Z / — — — --- -- -- --�
THIS PERMIT IS ISSUED SUBJFCT TO T14E REGULATIONS CONTAINED IN THE BUILDING CODE, ION
I r 9n Check y v REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1
(—'-- 'OAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W
_. ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
S.I. •totdl s
--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPMENT CITY BUSIN
�
at+! Tax I Y ` S LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.�=----
Total S DC
I �a �� PDC#, OU
r
LfAPPLICANT OR AGENT •-
I AGpro-.M Receipt No
I� .nr+RF55 �jvE —
SDC -
POC - # 1/00
•SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S
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