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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St,
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
iL
Date Requested Cj ' Time _. A.M. _P.M.
Addro,ss —
,Q,1 _ H �r K �, Permit #. —
i-•'-�-
Owner _ Lot #
Builder —�
Too, following Buildinq Code deficiencies are required to be corrected:
Presented to _� / `--.- Approved
Inspector ' C—/ __ ❑ Disapproved
Date
CALL FOR REINSPECTION
0 YES D1 NO
IN
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection .-- --- —
_
- `� - r. Time A.M._ P.M.
Date Requested
permit # — -
Address
�j Lot
Owner ____ -
Builder .�
The following Building Code deficiencies are required to be corrected:
I
I
Approved
Presented to �
/�/ ❑ Disapproved
Inspector --��
Date
CALL FOR REINSP CTION ,
❑ YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: G39 4171
Type of Inspection -- _
Date Requested–__—_ ime A.M.
a —'Permit #�-
AddressS?—_'
Owner __ _____ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __— _ Approved
Inspector Disapproved
Date __ — 7f"/
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department 111
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639 4171
Type of Inspection
Date Requested Time A.M. P.M.
Address 'yJU—i Permit
� 9991
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
DateDate
CALL FOR REINSPECTION
YES 0 NO
F(:
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223 s
Phone: 639.4171
Type of Inspection C--,±
—
Date Requested-__— 4ime X AS.".. _P.M.
'Address _ ==r' �' , Permit #--
Owner __ ___ Lot # -2-
Builder Builder
The fol:owing Building Code deficiencies are required to be corrected:
I
I
Presented to _—. Approved
Inspector _ _^� ❑ Dlapproved
CALL FOR RF,IN_�S(PECTIGN
ED YES L NO
BUILnINU PERMIT APPLICATION TIGARD DATE -�i?r.il _5 _ ,,_n4 _ . 4788
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEREIN INDICATED BUILDER PHONE 652-3615 _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOB 1 1c:I� JOB ADDRESS xj"— SW Scbeckla Drive _._-- _--- Sc:heakla-.XtrC�—�
7- ARCHITECT
ENGINEER
BUILDER
yq;.�. ADDRESS —_-DESIGNER
STRUCTURE 5i NEW ❑ REMODEL ❑ ADDITION L-1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
�.l RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS CJ PATIO D CAR PORT ❑ GARAGE ❑ STORAGE ❑ SL! J FENCE
OCCUPANCY 1t_3_LAND USE ZONE -'4.t'1LDG.TYPE FIRE ZONE—__._PLAN CHECK BY --MIK HEAT G&A
Construct sin-je taylly dVLg-j- ltd-�/attached karmue_ —
3 iledruu,i s B.iti,ruutu
SEWERPERMIT# r-h504 (:rrr ve. 414
OCC.LOAD FLOOR LOAD /4:, HEIGHT 211 NO.STORIES IAREA_1_1�1U N0.BEDROOMS ] VALUE
BUILDING DEPARTMENT _ SETBACKS FRONT RE .R LEFT SIDE RIGHT SIDE
Permit 34'+,t)U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS .:ONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 226.35 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
Sub-total _ �i.5.115 RF:STRICT:VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13.116 LICENSE.SEPARATE PERMIT';REQUIRED FOR SEWER,PLUMBING AND HEATING.
_ SDC— /
--.
Total 5rlu.hI 7 - --��- I
By l:h! PDC#i1 1th1.ul1 PPI1CAf1 ENT/
Receipt No. _ _-- -- —
Approved tick ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS -- PLUMBING DATEA-P --
= _— _-- '--� Con tracto
Parmit No.
Fixture
Final
-- HEATING
Contractor
1�rt_ p Permit No. � L�a�
Gas or Oil
Rough-in
Final -
SEWER
—e -�----- Final v
-- --�-- ------ DRIVEWAY `
— - -- --` --- Final
Storm Drainage
(Rain Drain)Final
Sidewelk
Curh&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARYCERTIFICATE OCCUPANCY Final `
CERTIFICI.TEOCCUPANI;Y I
Landscaping
Zoning Final
i
Bu i I d Perm i t No
Location .
Datev5
Certification of Registration
With the Builders Board'
doing business as (dba) ,
_ am registered under the provisions
of 0 S Chapter 701 Oregon Nomebuilders Law) .
My Bui;der% 4oard Registration Number is ...
My registration is in full force and erfect and expires on
BUILuiNG PERMIT APPLICATION TIGAH:) DAT[--
THE
AT[____THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Tf iE WORK HEREIN INDICATED BUILDER PHONE `�
OR AS SHOWN AND APPROVED IN THE:,CCONAPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
JOBADORESS���L �l� •� �`' �'� L^ —
ARCHITECT
J D' ENGINEER
ADORES DESIGNER ___
BUILDER __ '
STRUCTURE NEW _❑_REMOD_EL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ ❑ FiRE DAMAGE ❑ DEMOLITION
[: '-R IDENC£ ❑ COMM 0 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS CI PATIO ❑ CARPORT ❑ GARAGE G STORAGE L:I SLAP,❑ FENCE
OCCUPANCY �- _ LAND USE ZONE('S - ' SLOG.TYPE3 '�_FIRE ZONE P'AN CHECK BY
------ cJ �- -&A.r w
SEWER PERMIT M '2 G�1 7 h_'_
_�
OCC.LOAD FLOOR LOAD �/�% HEIGHT NO.STORIES �y'S NO.BEDROOMS VA.LY {,�
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFTSICE RIGHTSIDE
P-3rmlt _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON?NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TPE
IPIar,Check _ .� � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
u
�S,
WITH ALL APPLICA9L£ CODES AND ORDINANCES. THE ISSUANCE OF TNIS PEAMIT DOE° NO WAIVc
total RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI1 Y BLIGINLSS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;hate Tax — SOC—
PDCN KP—'KPANT OR AGENT
Total BY
Receipt No. ADDRESS � PrtONE
Approved � ~l
sac
Pot✓ - / <� .�rCN e K 'T L1 Z 2 d,
SEWER_CONNECTION S — 4y- OV
ti
`;EWER INSPECTION $ �- $^�- • 34c2. �6
SEWER SURCHARGE
Ila rA4.. A� �. k�►E f! 77.2 ?i
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CITY OF TIGARD-12420 S.W.MAIN -TIGARD,OREGON 97223
RECEIPT
DATE: �-� -" AMOUNT: $ o?�'• X
_DOLLARS
NAME: _ L CASH:
ASHH:�
ADDRESS:
_ — M.O.:
OF�
FOR: ACCT. / PERMITS SURCHARGE AMOUNT
SEWER BILLINGS 40-364 S
BUSINESS LICENSE 05-331 --
PLUMBING PERMIT 05-332 _ S —
MECHANICAL PERMIT 05-3,32 •------
BUILDING PERMIT 05-333
SEWER CONNEC ION 40-363 -
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366 —
PARK DEV.CHARGE #1 30-367 —
PARK DEV.CHARGE #2 30-368 -
ADJUSTMENTS 05.362 —
Yf _ --
100
'•t-0_ � TOTALS/�"�3 S � _S I
RECEIVED —
PERMIT NUMBERS ASSIGNED:
Number Amount Numb Amount Numb Amount
--__-_ s_ _ _ _ — s---- RECEIPT, •
16581