8895 SW SCHECKLA DRIVE�I
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit #
Type of Inspection
The following Building Code deficiencies are requireu to be corrected:'L.:L
o",
Presented to ------- Inspectortr
Date
-------
CALL FOR REIWECTION
rl YES ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE-_ 19 60 3341
THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 297-193L
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
Lacher LOT NO.__24-
OWNER', ardin,lis stlund, JOBADORESS889U SIJ Schcckle Drive park Est;a_tr.
ARCHITECT —
ENGINEER
BUILDER same ADDRESS6650 Sld Laurel Leat/ LaGEbiGNER' Piercy Gartlsy
STRUCTURE 9 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ UEMOLITION
CX RESIDENCE ❑ COMM l_l EDUCATIONAL ❑ GOV'T El RELIGIOUS 0 PATIO F1 CARPORT ❑ GARAGE CJ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _�a�3— -LAND USE ZONE F2'? BLDG.TYPE ` 'JN FIRE ZONE ---PLAN CHECK BYi c1W11 at'F.AT -Q'1__
�. Construct sin gl® Pamil_y d_ti✓elling 6/atta,rhed ®g raga. ,3 Hadruoms batiht.
SEE CORRECTION SHEET ATTACHED.
SEWERPERMITM . s'•(ja 7��?JO.QO ��._-_..— --gt�asya-.-mil—�itt}. .�.�.--- —
OCC.LOAD FLOOR LOAD 40 HEIOHT 13 NO.STORIES_ 1 _AREA_131 i NO.BEDROOMS J' VALUES53
BUILDING DEPARTMENT SET BACKS FRONT 34 'REAR .16_ LEFT SIDE 10 RIGHT SIDE b 10"
Permit lilyb•0[] _ 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 97. A WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _292. a0 RESTRICTIVE COVENANTS. CONTPACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax q 7.80
sDc— u4UU.t11.;
Total F:30n. 30
PDC# 1 $100.00 APPLFCAN?ORAGENT
BYy 1
�Iwh Receipt No. --- ---- -- ----- --
Approved ADDRE 8 PHONE
DATE INSP. TYPE 111SPECTION REMARKS PLUMBING DATE
ContracWr
Permit No. 2362 y —'?'-/A( P
_ --- — ----------- Rough-in
w No
U tiT–
' Ji L , n p n)Ar Fixture
Final
HEATING
Contractor –s
-- Permit No,�7 4 .62�
Gas or Oily�Q Cj u
Rough-in
-- — Final
-- --- – -- SEWER
_._ Final
DRIVEWAY
Final
Storm Drainage
(Rein Dr sin)Final
+— Sidewalk
Curb S Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE 0CCUP1/y�'�CY Final
CEM'IF7CATECCCUPANCY
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGAR7 DATE,, I t9'�O 33o J
TH'"UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BJILDEA PHONE
0K,,,S SHOWN AND APPROVED IN THE ACCOMPANYING PLA(N�S��AN((11D SPECIFICATIONS. OWNER PHO,r=
lVA
�r1�ypss�lta►A� L� JODORESS es 4� S �tif'ik, a, LOTI:O, __
f—m fa
n x+11' ,Q
BUILDER �yleNvele4s� ADDRESS SG;� 7 V L"LeJ LM - DES!GGNER
STRUCTURE NEW ❑ REM_ODE'L =i ADDITION -2 REPAIR REPAIR ❑ i,ENEWAL _❑ FIRE DAMAGE ❑ D_E�.�pLI,1pN
RESIDENCE yip COMMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C PATIO ❑ CARPORT ❑ GARAGE C STORAGE ❑ SLAB❑ FENCE
OCCUPANCY K -3—LAND USE ZONE -R—,7—BLDG,TYPE Lu_FIRE ZONE /-- PLAN CHECK BY NEAT�E Se=-
_
SEWER PERMIT k ,2
OCC.LOAD FLOOR LOADHEIGHT �3 NO.STORIES _ AREA 3 /.Z NO.BEDROOMS 3 VP.LUES3 7l►O
BUILDING DEPARTMENT �-:T
SETBACKS FRONTREAR /rp LEFT SICE .20 _ RIGHT SIDE
P-3rmit L erg THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNG
(}rf REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Plan Check "+ ! Sa WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COb?FLIANCS
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE
nub-total ( RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SISta Tax 1,
Total SDC—
3o PDCIt APPUCANT pAGENT
�=►+ �
By
Receipt No.
Approved ADDRESSl PHONE
--
97L t,—
p
soc
froc -. -� # /00
;EWER CONNECTION $ 72-�
SEWER INSPECTION S ZG_
NEWER SUiJCHARGE S
xr . (�X30
e s ?6- S W �Qo.(�. lam. Loi".Z4 a"" W
. � - -- .
(oar R a..,..., .
i IX
A
3 K .2 5--6, ?'7
4 x 2-�ca 23
�P 1-7 x s 8
#
3 x ,2-cam
53, ?
ov
BUILDING DEPA%R IAIENT, TIGArD
` J PLUMISING PER.101'f Tf7
!
Ade4,)— X12 _—, ho;--.- 0 a valid p!urnbiny contractors licens,, is hereby
authorrzed to causa plurnbing vor'K as herein noted to I'e installu,I in emordance with the plumbing codes of
Tigard. Such installations require inspection by tha City Impector ,,,0o shall be notified not less than four
(4) hours prior to the time the installations are ready for irispection, City of Tigard Business License: required �
for all cohtractors and subcontractors.
0wrer D "
NUm3i;R OF TOTAL y PERMIT NO.'S
TYP£ OF PERMIT ITEMS FEF ON EACHAMOAMOUNT (Office Use Only)
I: L r S
Simi,! Fail -1 ba'h-emch !25.00
Ou ler-Each I bath unit 25,00
Addidvnal_b_r.h_rnumj-a.:ch _ 10.00 IO
Mobilo Nrrr!g spzcd 4ach 15.00
INDIVIDUAL FIXTURE FEES
I t0 50 CI!Itu ,f; In 1 bu�i)ir.j-d;Ch+_ _ 3.00
• —' T
51 to 100 Fix•tl+a; i.1 1 buildir.-_�,icti _ 250
� r3
.. _.....c
101 m 2�0 FixnneY 'n 1 bilil�;r• 2 00 --- - -- _--
°I --
201 or"1014 Fix_�re. in 1 Suii,li iq-a_!_ch_`__ — 1,50
L?,
011 I s c E L -. -- -----
NE0US - -- - - - -
8ui!dir;Sd.ver�lit SJ ft. 10.00 ^__-�-- --
S,±wer-etch ad:i:ionel 100 ft. — - ------ -
-
i. 6Varar 5arvic,. t0 byildir,a - 5,00
Privat3
Otho• l5�Vn�ar±_.-,1;3t4rr; eieh 10 ft.
.._.___.�— w _ 10-.
00—
PE R,'•,11'r ---- yd rIIJ For PJur.f';rr 639.4 171
ASeace_ �J 1 Plumbinn Cuntracto�By / ilLL'Pc.t�l
AL 'Y/, / p— RECFIIl 'T NC. Isa::�tl 6y �-