11950 SW BURLHEIGHTS STREET-1 Uo
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INSPECTION NOTICE
City of Tigard Building Department
f 12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
tj
Type of Inspection _ �i k-Q //
Date Requested_ At,Z'`_ 3/'�Z Time-100 A.M.._ P.M.
Address �.hU SGt_) D '1 — Permit # 5 U -
Owner _ Lot #_
Builder------- — A:;
The following Building Code deficiencies are required to be corrected:
1
i
Presented to [� Approved
Inspector / �,' JLl Disapproved
Date
CALL FOR RF,INSPF,CTION
F] YES I-F NO
BUILDING PERMIT APPLICATION TIGARD DATE._.EQ-1- !r —,19 1 3905
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE `146-67L
ORAS SHOWN AN[ APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER bayid Pf2ender JOBADDRESS 119",() ''.44+� ixl[�Gxs•.1ti9_
ARCHITECT
ENGINEER
BUILDER JaMicA F;AlLier ADORESS ! !} i.4d* wtel;ut4. DESIGNER
STRUCTURE ❑ NEW ® REMODEL ® ADDITION IBJ REPAIR ❑ RENEWAL G FIRE DAMAGE ❑ DEMOLITION
I:i RESIDENCE ❑ COMM C] EDUCATIONAL ❑ GOV'T ❑ RELIGIOUb ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R-1 `LAND USE ZONE —_BLDC.TYPE _`;SL.__FIRE ZONE – _PLAN CHECK SY HEAT
SEWERPERMITM y,lumblw. PoruArg irt,,i
4 `
OCC.LOAD FLOOR LOAD_ HEIGHT _ NO.STORIES _AREA 12U NO.BEDROOMS VALUE 20#000
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit--- c��,aC _ THIS PERMIT tQ 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 4 r, _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN, A°JD SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 131 Au RESTRICTIVE COVENANTS. CONTRACTOR AND SUP, CONTRACTORS TO HAVE CURRENT CITY BUSINESS
i
State Tax 3•E'i LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
- SDC–
Total _ 14 1066,
PDC# APPLICANT OR AGENT
Approved Receipt Na.
t
s'
•M';``
It
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r
Contractor
Permit No.
Rough-in V
Fixture
Final
HEATING
Contractor
Permit No.
Goa or Oil
Rough-in
Final
--_ -
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Dram)Final
Sidewalk
Curb 6 Street Final
Approach
OLDO. DEPT. INAITRTEMPORARY CERTIFICATE OCCUNA `-
CETIFICATEOCCUPANCY � Final
Landscaping
Zoning Final
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : /4 ' f_T PERMIT NO. : __.
DATE : /-' //3/�3 DATE ISSUED :— / Z
OWNERS NAME .- le-k-s siO 't'lic ��lC%cs _
ADDRESS:
CONTRACTOR :
i EST : Air U, Water ❑ , Visual ❑ , Laboratory ❑
RESULT: Apnroved ❑ , Disapproved ❑ , Pending J
SKETCH:
Tt �CGC4i sT+ 'r,7ry„� Nvwir3s�2.
&0X,
c�NSPE C,TOR DATE
TOTE. Attacn suppiemental test data berela]
CITY OF TIGARD 1
Iwe & W. Abb sh*w
TIGARD. ORROOM 9Nlt d vfi
APPLICAT.LG:T FOR BUILDING PEPMIT
NeM Construction ❑ Demolish L t A�llition ® Remodel More❑
SOWING_ pD DATE ISSUED 12ZI 73 _ BUILDING PERMIT
DATE RECEIVED BUILDING FEE S 23,UQ No. 73-286
BY PLAN CHECK $ 11 50
_�— - �- OTHER $ .23 1% state VALUATION $ .Qoo&
TOTAL $ 34.73 RECEIPT No.3
TWO SETS OF PLANS AND PLAT PLANS MUST BE FURNISHED WITH APPLICATION
4 IAT iM` MAP / CENSUS TRACT JOB t_
Architect or Rngineer
Address Phone
Owner Steve Annus
Address 11950 S. W. 8uilheights Phone
Builder Westside Remodelers
Address 12555 S. W. Summercrest Drive Phone 620-1298
BUILDING USE Single Res. ❑ Multi Res_. ❑ _ Comm. ❑ Industriall.J
OCCUPANCY GROUP No. of Stories__I — Total Height---- — Area of Lot _
Type. of Construction I II III IV V Floor Area B 1 Iqn 7.
Set Backs: Front Back-— L.Side R.Side__
Private Sewer Pipe Size_______ Sewer _ Septic Tank ❑
Water Service Pipe Size Storm Sewer ❑ Ditch ❑ Drywall❑
Street and Curb Requirements LAietipo
Driveway Width _ No. of Pnrkinq Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
LnntjLLUB_h firaplaca installed uitriout inspections, Approval-_
b-8,A upon contractor's verbal etatemcnt.of comb '.en,�e.
ADDRESS ASSIGNED
FIELD CHECK BY DATE.;
PERMIT APPROVED BY)"..... �.
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
w$ be occupied until a Certificate of Occupancy has been issued by the City of
Building Inspector.
939nature of Applicant
;fir,
Address 0 4W a-4&r4A Permit No.-R-9 7
Name of Occupant Permit charge
Connection fee
Paid by
Date connected
Type of Building_________-_______ Inspection fee
Service RatePaidl)y ___
Contractor Assessment-
Size of connection
PERMIT TO CONNECT
City of Tigard 7s
Permito Y, c'
N. �.� ( DATE_.1.1 _s4� _ r�,
PERMIT IS GIV'r.N TO_* _—�.
TO CONNECT A
TO THE SYSTEM OF CITY OF TIGARD
THIS PERMIT MUST BE POSTED ON THE DESCRIBED $hEMISES UNTIL CON.
NECTION IS MADE AND INSPECTION OF CONNECTION HAS REFN COMPLETED.
PERMIT FEE PAID ;._ ''� :� _ CITY OF TICARD
CONNECTIONINSPECTEDAND APPROVED
..(
Data Superintendent