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9460 SW CENTER STREET
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __._'� •�"" --_._...---.-----.--_---
Date Requested__//__'' —_ /- Time A.M.._ P.M.
Address _5�51 -y�e�- - __ Permit
Lot # -----_,
Builder _ w The following Building Code deficiencks are required to be corrected:
?resented to ___ ____-__-_�_ , Apl+roved
Inspector — ------ — Disapprr,ed
Date � ---- -
CALL FOR REINSPECTION
[] YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Tvoe of Inspection
Date Requested- Z— e- Time--- A.M. P.M
Address Permit
Owner 4 Lk��7 Lot #
Ecilder
The following building Code doticiancies are required to be corrected:
el 6-
0
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES ONO
BUILDING PERMIT APPLICATION TIGAR[) DATE_ "^ r.jhk _ is 5590
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-41,71 —
OR AS SHOWN AND APPROVFD IN THE ACCOMPANYING PLANS AND SPEGIFICA i IORS.. OWNER PHONE
OWNER "!'Lrr In JOBADDRESS 9460 SW ('enter Ct. (A85-3574tQT'Jt10 '.� _ -
ARCHITECT —P*
BUILDER _ �i�r.�e -- --,ADDRESS ,:.1-qC _- -- ENGINEER
- DE51L3NER —
STRUCTURE O NEW Cl REMODEL D ADDITION 1-1REPAIR LlRENEWAL U FIRE DAMAGE (l_C EMOLITION
❑ RESIDENCE COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ___LAND USE ZONE '"�" BLDG.TYPE _ "'`_FIRE ZONE_---_-,PLAN CHECK BY HEAT _
l.io Construct Pntic cove: *ler tirpro-e4 ;,1A,
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT 4kj NO.STORIES I AREA '75 NO.BEDROOMS VALUE
BUILDING DEPARTMENT .111� ----_ -- - —�—` —
SETBACKS FRONT REAR_ ' LEFT SIDE * RICHT SIDE
Permit 1�•i THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
12.35 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HFREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION`; AND IN COMPLIANCE
11.35 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIIJESS
•7V LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
----- - --- SDC -
Total 32,11 C.
-- - - - - PDC# APPLICANT OR ADEN —
�t;bi Receipt No.
Approved ADDRESS
DATE INSP.—TYPE INSPECTION REMARKS n
PLUMBING^� DATE
}
Cow ..:tor
I Fnrmir No. -----— I --
—7— ' (F ixture
Final
vv HEATING
_—_-- — - -- �j Contractor —
Permit No.
v— — Gas nr 011
Rnuph•in
_-
Final —
SEWER
Pinel
DRIVEWAY
r Final
Stam Drainage _
�— (amain Drain)Final �-
-- ---- 5 ds 'Ik )
Curb S Street Final
Approach
MILDG.D T.FINAL TEMPORARY CERTIFICATE OCIULMANCY Final
CERTIFICATE OCCUPANCY
Landscaping
M Zcinino Final
PERMIT TO CONNECT
Tigard Scini Lary District
Y �
DATZ
PERMIT N9 708
PERMIT IS GIVEN TO
OF
TO CONNECT A _ •.�-
TO THE SYSTEM OF T';;ARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DFSCRIRED PREMISES UNTIL CON-
NECTION IS MADE AND INSPFCTION Of CONNECTION HAS BEEN COM-
PLETED.
PERMIT !FEE PAID $... .........................TIGARD SANITARY DISTRICT
-- ---- - - -----
CONNECTION INSPECTED AND APPROVTD
DIa a perint:dLiit
I
7 � b
Address � '�/Ct 0 -S4,Aj. Permit No. i' b
Name of Occupant
P Permit charge_
- -------- ___ Connection fee `J 6
------- ----- -- Paid by ��.� 107 /✓ �N►-�-
Date ^onnected
Tyre of Building -"• Inspection fee
G'U
Service Rate Paid by Date /G
Contractor _ Assessment._>t�
rr
Size of connection � -
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APPLICATION FOR SEWER SERVICE
The iindersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulaticns and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from tirae to time when due and before such charges become delii,quent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers. , 7
APPROVED BY /j_ "ner �/ -
upe-intendant
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
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