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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — '1rJ&i___ _
I�
Date Requested b Qom_ Time_mak_ A.M. P.M.
Address 1 7-4 .Q —6 y� t�i�i rT� Permit #
Owner . Lot
Builder
The following Building Code deficiencies are required to be corrected:
r--
Presented to Anprn-ca
Inspector ._M �._ []"Disapproved
Date r
CALL, FOR REINSPECTION
0 YES IA NO
7�
INSPECTION NOTICE
City of I igard Building Department
12420 S.W. Main St.
-Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 0.� Time-A.M.-P.M.
Address -ee ✓ Permit
Owner Lot #
Build i
The following Building Code' ef iciencies are required to be corrected:
Presented to
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
El YES L1 NO
NORTHWEST TESTING LABORATORIES., INC.
5405 N.Lagoon Avenue
NON-`ESTHUC TIVE TF.SI'ING
CONSTRUCTION INSPECTION
MATERIALS INSPECTION P.O.Box 17126 WELDING CSOi FIESTON
NG
CHEMICAL ANALYSIS Portland,Oregon 97217-0126 BOiL TESTING
ASSAYING
PHYSICAL TESTING
Phone:(503)289-1778
December 19 , 1985
Verity Homes
3003 N.E. Hale , -
Gresham, Oregon 97030 ` e
Attention: Mr. Gabe Sugarman
Subject: Concrer _ Foundations �}2
13 4 2 0 S .W. �Tr-Drry e`� z'(��✓ '
13495 S.W. Brestny Drive �-
Tigard , Oregon
Gentlemen:
' We would like to confirm our inspection and recommendations
regarding the concrete footings for the aforementioned single
family residences.
We recommend that a four inch cap of new concrete be placed over
the footings that had previously experienced freezing.
We inspected the setting of the forms on December 18 , 1985, for
the placerrent of the new concrete and found them ready for the
placement of concrete.
If we can be of further service , please call on us.
Respectfully,
Charles R. Lane, P. E.
Vice-President
Report Number: 293286
cc: City of Tigard; Building Department
fair inR:}rtrc�txti>>
BUILDING PERMIT APPLICATION TIGARD MATE -4"����=x �s ,`� "�
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THE UNDERSIGNED HEREBY APPLES FOR A PERMIT FOR THE WORK HEREIN INDICATED BuL DER PHONE '
'.)R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. f)WNFR P ONE
�/ '-OI NO.
�
OWNER ey, JOB ADORES�34 ZU 519 rtL Lany ,)rive
--- - ARCHITECT
'1003 SPIE. Hale, ureslwi or 91 (NEER
ADDRESS° IGNER
BUILDER _— ------ --
STRUCTURE 11 NEW ❑ REMOnEL ❑ ikDDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL El GOVT ❑ RELIGIOUS EI PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ----LAND USE ZONE W BLDG.TYPE SM FIRE ZONE PLAN CHECK BY B1,i_—.HEAT
Construct single faui.,ly reesi ence w/attncited garage --
--- ub ect to $360.00 Aiiartiweugwood b $150.110 Leron Kts. sewer charg,
SEWER PERMIT# '28593 �� d,1A Larage 44U 2 batt _
OCC.LOAD FLOOFl LOAD A _HEIGHT 1O NO.STORIES I AREA 1� u NO.BEDROOMS VALUE
BUILDING UEPAF7%TENT SETBACKS FRONT ` REAR 2 LEFT SIDE D RIGHT SIDE
Permit 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 199.55AA WORK WILL BE DONE IN ACCORDANCE WITH THE. PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE_ CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 506.55 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- I ENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PL .MBING AND HEATING.
State Tax 1"l.I. I1A:
-- SDC— :),, 1.UU ���r. ,.,.� y,,•
Total PDC# I l�fl.1lULICANTO E13T j�--
By
Receipt No. 1') ADD— RrE PHONE
Approved __ —_____
DATE INSP. TYPE INfPECT10N REMARKS
PLUMBING
-- -- IN _ DATE
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fLDG. DEPT.FINAL TEMPORARY�—• CIRTIFIC 1•E OCCUPANCY
CERTIFICATE O CUPAhiCY
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