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9270 SW EDGEWOOD STREET 1 n� v O L9 E [TJ C O O H A [*7 [i9 H 1 f s d i i i I j t 9270 SW EDGEWOOD STREET 4I1;,PECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection --- —_ ��- Date Requested ��TimeA.M. P.M. � Address CS JE—'Z it Owner Lot_ __ __ Lot # Builder — i The following Building Cede defi ncies are required to be corrected: - �I __-- Presented to __, I_- Approved :ns ctor r pe _ � 1 -, Disapproved Date CALL FOR REINSPECTrJN M- YES O NO mu>r�nnin 4 to =ANRAMJLW off C11'Y OF 'TiGARD Plumbing Pevivilt 1197 Building Department No. Residential [.�- Commercial New Installation _] Repla•.,e - Addition (] Alteration -t A Dat©rL-:6Q- Licensed ` 1,,'c:'6 �. �jy � Plumber ;_Jt...1J•'' Owner. Address _ _-----___.--- __ __._ _ Joh Address Phone Applicant —�J1tryAr "' CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS ANI;SUB-CONTRACTORS ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fixtures-Traps M -_ 7._50 Sewer:First 100 ft. _ _ 30.00 — -�— Dishwasher _ _ 7.50 Each Addit.100 ft. 15_00_ Garbage Disposal 7.50 _ Ejector Pump 7.50 --- Water Neater 7.50 Water:First 100 ft. !_ _20.00 ____ Backfiow Preventer 7.60 _Each Addit.200 ft. 15.00_ Storm 8 Rain Drain:First 100 ff. _ 30.00 _ Each Addit.200 ft. _ 15.00 Mobile Home Space - 25.00 --- Other(Specify): —� — Rain Drain-Single Fam.Dwelling —1-5.90 PERMIT FEE ho.00Comme ---._ ' _ �j Issued 6y: - _-_ STATE — -- Receipt No.,1�`=� .. Applicant TOTAL / 'S• .0 0 SigrtAlure/��• For Plumbing Inspection Phone 639-4171 BUILDING PERMIT APPLICATION TIGARD DATE'j�e �_ _ I9-� --- 41'19 THE UNDEF-31GNED HEREBY APPLIES FOR A PERMIT FOH i HE WORK HEREIN INDICATED BUILDER PHONE 32"3101 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT N0. 1800 218-2M OWNER PDX CAdfteJy JOB ADDRESS 9270 S.W. Ek!9*V4*dI St.__— -__ _..^_ ARCHITECT carefree lrtai 81fte. 739 8.8. ttbion flim. ENGINEER -- D. A. l bell", I11113. BUILDER _- ADDRESS. ----_—_DESIGNER STRUCTURE NEW ❑ REMODEL ❑ ADDITION_ _ ❑ REPAIR_ ❑ RENEWAL _ ❑-FIRE DAMAGE ❑ DEMOLITION Cl RESIDENCE ❑ COMM ❑ EDUCATIONAL_ Cl GOV'T ❑ RELIGIOUS 0 PATIO I.7 CARPORT E�GAR4GE ❑ STORAGE Gl SLAB❑ FENCE OCCUPANCY M`� LAND USE ZONE � ___BLDG,TYPE s� FIRE ZONE � PLAN CHECK BY _,� HEAT l'lsn8tct 14thuntt an lb Plwab. or Nedhuidwa SEWERPERMITN — OCC.LOAD FLOOR LOAD 50 _HEIGHT 15 NO.STORIES 1 AREA 960 NO.BEDROOMS _ VALUE 5760 BUILDING DEPARTMENT _1SET BACKS FRONT 12 REAR 12 LEFT SIDE 127 RIGHT SIDE --— Permit _ 56.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CJNTAINED IN THE BUILDING CODE, ZONING 36.73 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE .23 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub9 x total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS .26— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax Tnf al 95.49SDC- , —•,,eL,,. 1 R. PDC# APPLICANT OR AG- -ENS By _— Receipt No. _4�.'�t r. PHONE Approved ADOOKS8 }i. •�)i �1�i�i� 1 1 > (� DATE INSPP, TYPE INSPECTION REMARKS PLUMBIfIG DATE Contractor - Permit No. Rough-in - Fixture — Final HEATING —� Contractor Permit No. Gas or Oil — �—�.-- — Rough-in — Final - --- --- ------------ SEWER u Final �._---------- — —— ---- DRIVEWAY - ---- ------ ----- -- Final ---— —___ Storm Drainer -- (Rain Drain)Final ' Sidewalk Curb&Street Final Apprortcft BLDG. DEPT.FINAL TEMPORARY - CERTIFICATE OCCUPANCY Final CERTIFICl,TE OCCUPANCY /! Landscaping Zoning Final �I di i; t