7978 SW CHURCHILL WAY 1 ,
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7976 SW CHURCHILL WAY
INSPECTION NOTI,-F
City of Tigard Building Department I
13125 OW Ball Blvd. Tiyard, Oregon 97223
Inapection Line (Rec-o-Phone: 639-4175 Busineaa Phone: 639-4171
Inspectionz
Footiny Plbg. Underslab Mech. P--,ah-.n Appr/Sdw,lk
Pound. Plbg. Top Out Gar, L' ie FINAL=
Poet/Bean Struct. San. Sewer. Framing -Bldg.
r'
Pcet/Beam Mech. Rain Drain Insulation -Plrunb.
Plbg. Und:,.floor Nater Line Gyp. Rd.
1
Date Requested: - / 11 —_YTLmat AM pM
i
Address: �/l ///����-�!' ✓.� !�?rigiC �C t�zL —
Builder:_
THE FOLLAMINC C0%tRB f0NS ARE tS(;r:IRED:
I
tnsneetore_ nate:.
ROM bIMAPPROVRD APPROVED ruRJRCT TO ABOVE
_Call For Reinsp.
INSP793T 9-1 gM91
City of Ti.ga:d Building department
131.25 SW Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-n-Phone): 639-4175 Sueiness Phonee 639-4171
i
Inspection:
Footinq Pl.bq. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Pont,'Ream Struct. San. Sewer Irani% -Bldg.
Rost/Ream Mach. Rain Drain ,--I
, iraulation fluor,.
Plbg. Underfloor Nater Lute Cyp. -Mach.
Date Requesteds_ ?Lowe AM _PM
Address a �l�c! ( �L_�L2�'�L.�..� . Prwlolt t,-!
Y
Du i l der a
THE FOLLOWING CORRs ION+ ARE REQUIREDs
Dates "'/
_fx APPROVED _ W DISliPPROVED APPROVRD sdij n TO AAOV—a'T"
!� _G11 For neinep.
INSPECTION NOTICE /
CIA--, of Tigard Ruildimq Department
13125 8.1 Ball Blued. Tigard, Oregon 972
SP23 i
Inspection Line (Rec-o-Phone)s 639-4175 Bunineas Phones 639-4171
Inepections__
Footing PlUg. Underel.ab Mech. Rough-in App-/9dw1k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer lraminq l -Bldg.
Post/Beam Mech. Rain Drain Tnaulation -Plumb.
Underfloor /l%ater Line Gyp. Bd. -Mech.
Date Requested:_ [T I / Ti10es Y—/ __AM/}-y��, PM
Addrese s
B j ldet:
MR FOLLOWING ODRRRCT16NS ARE REQUIRED:
Inaper[o ___ Date:_ .
'+�AP D DIBAPPAOV)<D APPROVED stlaiRCT 1'O ABOVE
_
—Call For Aainsp.
1
INSPECTJON NOTICE rK T I
City .f Tigard Building Dopartment r
1.3125 SN Ball Blvd. Tigard, Oregon 97223 /
Inspection Line (Rec-O-Phone) . 639-4175 Bueinoee ploier -3 •- �` _�/ ';
- --- --- -- dCrLl
Inspections s VU
_T
Footing Pl.bg. Underelab Mech. Pough-in Appr/Sdwlk
Found. Plbq. Top Out Gaa Line FINAL:
at/Beam Stru ran. Sewer Framing -Bldg.
t/Beam Mech. Rain Drain Insulation -Plumb.
.ac
r:bg. Underfloor water Line Gyp. Bd. --Mech.
c
Data Requested:_ rZ r T'me: AR ✓
Address: 7S- dC!�LI�[� Permit
B,u l.lder s �J
I'BE MLLDWI140 CORRLC`Y MS ARE RRQUIRED s
Inspectors
` xOVED DIPAPPROVID APPROVED SUBJRf'T TO ARM,
Call For Rainep.
li
CITY 01" TIGARD P,7r;PlPT OF PAYME'1\11RVCEIPT NO. 19 1.—2,08860
CHECIA AMOUNI' s 19c'. 16
NAIl a NEAL KEI.-.1—Y U 9314 AMOUN,r 0. 00
ADDRESS 80,(4 N. OLDERTA PAYME'N'T DATE a 0112 3.x91
SUBD I V I S T ON
7r,711 SW CVi,,JRCHjt..I- WY
POF','Ti-AND, OP g'7^1 7
PUPPOZif.: OF [:,AYME14T AMOt INT PP I D i,uw:,nsr. AF PAYMFNT AMOUNT r�,Ajj)
BUILDING PERM PI5T91 -0006 98. 50 WCHANICAL PE 1 C). 00
,.,T. BUILD PER 5. a8 PLAN C14E(.,K FE 6S.
1,40L.LY & MARYP10t. ENIME:R
INSPECTION NOTICE, -
city of Tigard BulldiM Department(
13125 311 Ball Blvd. Tigard, Oregon 972Pr (16
Inspection 'L.ine (Rec-G-Phone): 639-4175 Business Phone: 39-4171
Inapection:
_
-"�
o�tinq Plbg. Uuderelab Mech. Rough-in Appr/Sdwlk
F
ound. Plbg. Top Jut Gas Line FINAL:
Post./Beam Struct. Sen. Sewe: Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: Q T Timet
Address: Permit
l
' Builder:_ �-i
THE FOIS.OWING COME NS ARE REQUIRED:
Date: L_
x APPROVED DISAPPROVRD APPROVED SUBJECT Tt) ABOVE
�Y Ca21 For Reinap.
III A STER V,1::R III I (
CITY OF TIFARD �cnYOF!ARD V,E_-RPIT1'
COMMUNtTY DEVELOPMENT DEPARTMENT 0007��
13126 SW Hall Blvd. P.O.Box 23397,Tigard,Orogrin 97223(503)M-4175 �)PTE ISSUED: 0 3. 5 j
F "iW CHURCHILL PAR','LL: P" 1 i ,'I'T"
U FJ 1)1 V 1(3)TO N. . . . . BUNT' PARK II ZONING:
LOT. . .
...... BUILDING
E 1,13 6 U E DI&A-LING LINTT'S. 1. BASLMIN1.. . . . . . . .. ..0 S-t
�.'LASS OF WORK. :ADD PEDRMSro FA THS.0 GARAGE::. . . . . . . . —.0 S f
CYPE OF USr..'. . . gSF FLOL)R REOL)TRED SETBACKS----------
TYPE OF CONST. :5N FIRST. . . . c28O sf L E F T. . 0 ft RI(3H') . .'O fl
')C'CUPAIq('..Y GRP. 'R3 SECOND. . . :0 f FRONJ « 0 ft REAR— :0 f
. . . . . . . THIRD. . . „ 0 f RE Q U I RE D
IETGHT. . . „ . . » . :1.(• T'0 TA L 12 8 0 S f' `3 M 0 14 F T)FTC
F T 0 RS.
I OOR LOAD. . — 3-140 pis f VALUE. . $.- 12880 PARKING SPACES- 10
Pnia-ri,.,t_-, adr1j,tic))-i to fimily. -room .i lid two Ued -roams
PLUMBING
5 T NK S. . . . . gO FLOOR DROING . . . :0 HACKV`L.OW PREVNTRS. . 0
I-AVATORTE' -.0 WATER HE.ATERG. . . :0 TRAPS. . . . . . . . . . . . . . ..0
U YJ S H f 141 E 1.""' . .. . .. .0 L()U N 1)R Y I R()Y S.. 0 CATCH D A 9 1,N13. Cr)
,.)ATE R (11 L()G U,T S 0 SEVER !..INE (f t) » -.0 UREASE" TRAPS. . ,. . . . . :0
OTSHWASHERS. . . . :0 WATER I-INE' (ft) . :(A 0 TH E I"" F I X T U R ES 0
A R 1?A(3L 1)1S1''-'» . . :0 RAIN DRAIN (ft) . -.0
WOSWASHINGWASHINGMACH. P) SF Rf1Ih1 DRA I N(G.. P)
MICHP1,11COL ........... F E E 43
IYI'-*IES--,-,-,,---------,------------ U 14 IT Iff PS, 10 type anIOU11t by date V
"GAS/ VENTS » c3 BPRI, 98. 1-:10
111OX THPUT:0 PILI VE1,11 FANS, » -0 BF11 c $ (414. 03
�'URN < 1001' 0 HOODS. . . . . . o0 B 5 P C, $ 4.. 93
0011, (A WOODS TOVE.S. t@ MPRT $ 1.9. 00
FLOOR FURN. 20 CLO DRYE.R'S. : (4 m P L C 01 4. '/5
003.L./C,III P < 311 P 4 H OTHER UNITS-0 115N, $ LA. 9 5
1391T OU I LE.TS:0 PAYM $ 2 16 J L IA 0:1.../1.5/91
Owlier.:
1401.LY AND MARY-PHYL. PALMER
i;W C'HURCHILI... WO'l
"'IL-IORV ('M
01iolic, "..
c)1,1. r A c'to-r
"K I.1..Y
1104 N ML.YERTA (ST
r,C)PILPIAT' Ok 9721 :
This pewit is issued subject to the, requiaticTis cv)rtaiped in the REQUIRED 'INSPEC-1 IONS . .......
--
Tigard Mimicipal Cad.c. State of Ore. Specia'ty Codes and all other FC0i;/f0LMd Insp, mpelialilical Filial
,mlicablp laws. All cork 11 be done in ACCOTdAnCt With approved PO S t/Ef e A"I S t I'Lt C."t PU i I d J.riq r i-IAI
aljn,a. This pervit will expire it work is not started eithin 181 Post/Beam VlechAii L-rar_4icm Cmit-ral
lays of lijuanco, if work is suspended for 0 than 91 Mprtialiica 1. Inv3p DrAill
1':,c!r.m 0 Trm.tlaticm Irisp
• Gyp Ecia-t,d I r s p
.................... Raiii drair, Iiisp ....... ....-___........•
ct e(I B V 2 ........ .......
im3pipt.-tiari — 639-417..';
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972.23
Phone: 639-4171
f
Typa of Inspection
Date Requested i Ti A.M. P.M. _
Address ��-- Permit
//
Owner �... _- Lot #
Builder
The following Bu;lding Code deficiencies arf required to be corrected:
a
Presenter to Approved
Inspector __- [_� Disapproved
Date
CAL ' NWYN.I.,
NN
t _
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223 {
Phone 639-4171
Type of Inspection
Date Requested AV 17 Time A.M. P.M. I
Address �Q
Owner Lot #
Builder
The following Buildinq Code deficiencies are required to be corrected:
�— '1J r►'2..�L-- .er
d
Presented to r] Approved
Inspector _ Disapproved
Date G 7" ..�
CALL FOR REINSPECTION
XJ YES ❑ NO
INSPECTION NOTICE
City of Tiga,d Building Department
12420 S.W. Main St.
Tigard,Oregon 9727.3
f Phone: 639-4171
Type of Inspection
Date Requested
_ Tifiad' A.M. ` —P.M.
L!��
Address2 Permit
IOwner _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to _ Approved
Inspector — /_ ❑ Disapproved
i
4 Date
CALL FOR REINSPECTION
C7 YES ZNO
BUILDING PLRMIT APPLICATION TIGARD DATE . __ _x.11.. t�—�35-- 539
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOI, HE WORK HEREIN INDIC'/`,i ED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIrATIONS. OWNER PHONE
LOT NO.
OWNER Ja 1 ' 1CC-- JOB ADDRESS jylti ;iW Ghurr_itt _`r,. ___ bomi eark ---
- ARCHITECT
ENGINEER
BUILDER Sam ADDRESS Y.O. Box 33291 DESIGNER
STRUCTURE 'F.NEW , ❑ REMODEL ❑ ADDITION
El ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
�AtSIDENDE SONO ❑ E600A� NAL-n GOVT [-IRELIGIOUS ❑ PATIO ElCARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1"1 LAND USE ZONE R-12 BLDG.TYPE 5N FIRE ZONE PLAN CHECK BY D HEAT
Goner.ruct_�an�le family dwelliu _v_Latk;�cheJ
3 Bedroom 2 bathroom
SEWER PERMIT N Garage 4 73
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES I AREA 164 NO.BEDROOMS 3 VALUE53 ojou.
BUILDING DEPARTMENTSET BACKS FRONT 20 REAR �,; LEFT SIDE 5 RIGHT SIDE
Permit 292.E THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
v REGUL.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERBY AGREED THAT THE
Plan Check 189.8() WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONb AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 48 1•8u RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT ORS TO HAVE CURRENT CITY BUSINESS
i LICE E.S P,ARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax II00b
SDC— $50U.OU
Total 493#4b -
-" - PdCN 1.1. 4 ISll.UU APPLICA-RTORAGENT -
By _ Cz
Approved
BCk Receipt No. AD—D-per F„JNE
JL,ATE (NSP. TYPE INSPECTION REMARKS
1- t - -- - -- PLUM G DATECfl.^I'ifC ill
__ _
P9rr•. N..
jfixture ----------
Fins
_ HEATIN)G -- -
Cor,
Permit Nc
b-rtS-
Gas or 00
p'ugh•in
—
/ Final _
SEWER
--- DRIVEWAY -
-r IFineI -- _-- -
-
�j IRa n Dram)Final
SSidevwlk
Tc.-1b C.Street Flnal— -
fiLOG DEPT.FINAL ! w ! � 't'a
TEMPORARY CERTIFI[A OCCUPANCY
C":RT:�"ICATE OCCUPANCY � ";nal _
11 I L.andsccpin9