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12040 SW LINCOLN AVENUE L-1 L-1 LJ.Lj"v j L-1 Lil u� •4• SW LINCOLN v L� Y y IiY r I A lw' 1 1, • I � 7z INSPECT.!ON NOTICE City of Tigard Budding Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 '4�.-- 4 1 Type of Inspection Date Requested-_1 4 Time P.M. r., . -707 1,4.) i.4r%( Address -1. �_h Permit FOwner Lot # Builder The following Buil-ling Code defiJencies at,? required to be corrected: Presented to _- _ Approved Inspector Disapproved Date CALL FOR REINSPECTION [-I YES U/NO t � Iso City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :_—__— i (`V, . DATE: H ji =/ 76 DATE ISSUED ..__L_1_ :.riAe'NERS NAME : __rSu`A __ F r ­ Z ADDRESS' .--. ; - (-, Y u CONTRACTO<< c- 0. z k w �� TEST : Air LJ, Wote•❑ , Visual ❑ , Laboratory [] i RESULT' Approved ❑ Disapproved C Pending U C� ec9 Iry m G�Nc.,26- �j INSPECTOR r DATE C'p1E: Attoch supplemental tesf dot be►et0 I 'i z zsrz > Lit i U z I I zr3az F w QQw � i� $ an z Cl W� 4oY / w to pW ]7r V' ft OO C.1 NrN R 0 O1 W U l..I • > � y ,ZOQ l� li Z W Z w U z jw ° O QZ.. O ¢ I W W H a W 2 �V. L w I n o rNo _ aa Z N I N W m Q W CII w� t zrF I Z N > d a ►x O 1 w LL1 OI w 0 0 U 1, Q O w Q Cl W 0. I T. WzLLLLZ L a 2Q OZoZ I ^ Q m a 0 c, uj d wow 2 Z Q -1 se W 0. 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Q 0 [l_ Z < w 56 Q -1 a C) 7 7 O u ui C_1 Z N U U, 0n x 7 Z cm cl 71 a U d r Z 1 11 Q. j 1 O1 Om C I t U C. �' u l C I a u E `� �' o ° s t •.. 17 BUILDING PERMIT APPLICATION o TMARD DATE 1&27-769+� THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13WI-DER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO OWNER ]ohn Fri, JOB ADDRM12040 SU Lincoln HOME ADDRESS ARCHITECT Pick i;�ils�n ENGINEER BUILDIER .ADDRW DESIGNER _ STRUCTURE f�❑NEW REMODEL CIADDITION ORE-PAIR _ ❑RENEWAL ❑FIR-tE DAMAGE ❑DEMOLITION ❑RESIDENCE GCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPA-110 ❑CARPORT ❑GARAGE GSTORAGE❑SLAB CIFF.NCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS Q� UPANCiY---_.L<,N SE?ONE _BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT_ ;nater 7,i7�mit l_ _ely_winum patio CuVfar all t,vr s - � r-THRU, 11itinuin Awniny ;Q, InSopiection to include all ranchorn connection . Q.QC.LOAD FLOOR LOAD _ HEIGHT NO,STORK_ AREA N0.BEDROOM __VLf►LUE 500 00 BUILDING DEPARTMENT i SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit — - —� -"� — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check _ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH TtIE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RCRTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Statr Tax •1s LICE:iSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Tc,al 5.1 J By — APPi,ICANT OR AGENT Approved l 7U Receipt No AGOARSS— - --- — . ...r ,..Y+:.w..iww.�-.-�-n:.,:nr.•::,s.rr..,WnWi..::r•- -....,s..::.._�..-,.,::��YMiWMi4r.liiaN.+ :..,,.....,+....us.w.l: "'_.".`���aYr+�»:s,...,;:a.:. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contra,:#or Permit No, Gas or Oil Final SEWER Final DRIVEWAY Fioal Storm Drainage — V1 . a— Drain) Final Sidewalk curb&Street Final Approach BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping andscaping Zoning Final ro u I cr Lr w kc) 4 E E \ fi �^ 5 41-1- aj � s fir= - :Aj. ir On Jill if! En t1b Cf) Q. it IL Im CL XE uj ui Is I Jill QJ), ®r) -r --...._-...-..-.......-.�-...,.�....�....--,rover-a�..nonM�-v.r�a.nw►"w�:�r�...r,. ,,.r.,r....--.-►-.-,.........,._. .-...-_ , .. CITY OF BUILDING PERMIT APPLICATION TIGARD DATE "8 19 fi5 N° 0266 TI - UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE---.__-_,-._ _�_ Q,VNER John Frazee ADDRESS 1 2040 S+',9 Lincoln BUILDER PHONE Terry OmastrlllI ENGINEER BUILDER ARCHITECT DESIGNER STRUCTURE EINEW ❑REMODEL. ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUSOPATIO [:]CARPORT ❑GARAGE ❑STORAGEIOSLAB [:]FENCE QBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY_—' LAND USE ZONE IR-7BLDG.TYPE---FIRE_FIRE ZONE - PLAN CHECK BY t�r& HEAT rono4ruct brick firep1mcs OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE ll�Q _BUILCING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit a. .1_O - - — — _' -- THIS PERMIT IS ISSUED SUBJECT TO Tf E REGULATIONS CONTAINErl :,'q THE BUILDING LODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CUA S AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH . '#ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THt ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total l•I 1 BY rfa — APPLICANT OR AGENT Approved Receipt No. ADDAIESS III a INC -- -- -- — �PTYPE�IECTION +[ �;� PLUMBING __-_ DATL DATE INSP. �_ - 'ontractor Permi No. — � - _ Rou h•in Fixtur. -- - - Final — ---- HEATING Contractor Permit No. Gas or Oil -- �- - Rough-in -�- Final _ - SEWER - - — --- Final DRIVEWAY Final Storm Drainage (Rain Drain) Final ' Sidewalk ✓z+Street Final _ ch3LOG.DEPT,FINAL CERTIICATE OCCUPANCY CERTIFICATE OCCUPANCv Landscaping Zoning Final i I .,. .,.a..,w.r...,....,f-r�+..�..er....*�wn.:':+�e.r..i.�,esr^AM►..•rr#�'y!c1MalA1. •Irr+..r ...f,w....,.•,..,., •,w�••paew4r'�''Mr.+�Mtw�+--'+�'!!r�a.lr�w1►i'•• . ►-6 ILIYy AR BUILDING PERMIT APPLICATION TIGARD DATE 22 7-2 Is 76 N° U 0 1 0 THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ OWNER Juhn rrazes ADDRESS 12040 5, . Lincoln _ BUILDER PHONE tuner ENGINEEII BUILDER ARCHITF CT DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION CIREFAIR URENEWAL ❑FIRE D/MAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE Ci STORAGE❑SLAB ❑FENCE MOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LJCOUNCIL APPROV=D ❑SIGNS OCCUPANCY_ LAND USE ZONE —BLDG.TYPE--. FIRE ZONE` PLAN CHECK BY __ HEAT... gawp« Roof _— This is a duplicate for our records OCC.LOAD FLOOR LOAD HEIGHT —_� NO.STORIES ! AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAP LEFT SIDE RIGHT SIDC Permit a. _ --- -- _.— -THIS PERMIT IS ISSUED SUBJECT TO TI4E REGULATIONS CONTAINED IN THE BUIL'JING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF-,Y AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONV AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE 18SUANG2 OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB C10JTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State "t LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By ----- ------- APPLICANT OR AGENT Approved Receipt No. – — --A ADDRESS I DATE N4SP. TYPE INSPECTION REM^.-,,KS PLUMBING DATE • `�.� �-� _ �r» Ll�� contractor _ Permit No. Rough-in Fixture Final HEATING Contractor _ Permit No. Gas or Oil —_--- Rough•i n— --- _ Final SEWER _ Final DRIVEWAY Final Storm Drainage (Rain Drain; Final Sidewalk Curb&Street Fina' A roach BLDF.DEPT.FINAL s TEMPOPARY CERTIFICATE OCCUPANCY Final OCCUPANCY Landscaping Zoning Final crry OF TIGARD 12420 S. W. Mein Street TIGARD. 011FOCH 91213 APPLICATION FOR BUILDING 111.MiT New Construction Demo 1.1 s h Addition Remodel 0 muve ZONING DATE ISSUFD X- BUILDING PFRMIT BUILDING FEE No. DATE REVEIVED-- PLAN CHECK fly VALUATION OTHER TOTAL 4'�-RECEIPT No. TWO SETS OF PLANS Apn PLOT PIANS MUST BE FURNISHED WITH APPLICATION LOT 1 MAP CENSUS TRACT JOB Architect or Addre ;s-..- Phone— Owner \_I,*? Address_ Builder ­S0. Address Phone BUILDINGUSE Single Res. Multi Ren, <nJ Comm. El Industrial[] OCCUPANCY GROUP-----..-- No. of Stories— -- Total Area of Lot— Type of Construction I It III IV &) Floor Area B 1 2 Set saAst Frcnt- ---- Back-­­­ L.Side- R.Si Private Sewer Pipe Sewer Septic T Water get-vice Pipe Si:O 9 r%� Sewer ch Drywall❑ Street and Curb Reqii i rem.n Driveway Width_ —No. of Parking Spaces­__­_ _ __ Sf.PARAT&­JW-AtT8 REQUIRED FOR 9FWFI( AND PLUMBING SPECIAL INFORMATTMI ADURESS ALSIGAKU / J ( 111.) FIELD CHECK BY -DATE­ 7 PERMIT AlIPPOVED It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Ore(jon, anti that the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. f giik-u.r .2-10'f&INI)p 11 Ja--n-t­--- i � WRI W ■ w W_x RIM i -_ 2%ddress .,1�U_�Q-_�r�"��-1-- Permit No._ _____Z of Occupant—.— __ Pc*mit charge O Off_ Connection fee- ------ -- Paid by---- -- — — .-.-- — _— - �' 1 Date connected— Type Type of Building- 1/- �� Inspection fee---- Service ee_-_Service Irate Paid by Date__._—_-_- ContractorAssessment__-- ---_ Paid. -_- Size of connection _ 1. I i