12580 SW GLACIER LILY CIRCLE-1 12580 3W GLACIER LILY ClACLE
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INSPECTION NOTICE
City of Tigard Bitilding Department
P O. Box 23397
Tigard, C)regon 97223
Phone 639-4175
Type of Inspection
Date Requested
Time y A.M. P.M.
Address
7 Pon.-if
Owner.
Lot
Build,tr
The following Building Code deficianu,iva, sira requireo to be corrected:
7—
Presented to P-4proved
Inspector A
Disapproved
Date
(ALL, OR REINSPECTION
F-1 YES [ '1 No
Iw w w w w w w
gig 33z�
City of Tigard MechanIcal Perrr6ft yy,, NO 9 3 a
New Installation CJ Repiau, E] ReImAtion n Additicn Alteration Fg DATE: /
HEATING
CONTRACTOR T�Li=� ��Nw.�' QUI OWNER _ 740 VV 1190 E, t3A v r -- —
ADDREFS_L1 .Sim(. �,�;�5„1�w �_ OB ADDRESS 1 2 5 fJ�$, yGL�flt'1f', L/Ly C//�
PHONE�h2-Q- OZ6Z � � — --
-�-_ APPLICANT �.�,._�.�. �_
Heat Input RuingIBTU per Hour) ___ __ Vint Size _- Flue Size_.__.
FUEL OIL F] GAS ❑ ELECT L OTHER _ WnnD
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ Y_ SEE BELOW Each Air Handling Ur°t or Cuct System 7.50 _
New�up to & ind. 10u,u00 BTU _--_ 8.00_ Commercial Hood System _ _ 7.50
New 1A000 BUT's& over 7.50 Other Equipment - Each 4.50
1'iuedburning Stove _ 4.50 1 Trip Inspection _ _ 4.50
hal-Floor- Suspended_____ 6.00_ _Air Condition Compressor - up to& incl.3 H.P. 6.00
Vent System w Fsn�- _.__ -___ _ 4.60 Air Condition Compressor 3.1 to 16.H.P.incl. 11.00
Pepair -Heat Cooling—.___._. 6.00 —_ �— -- -
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE ,10.00 ComMonte:
FEES _A.V
Al PLAN CHECK ' `
AEC. 0 ���21 y� (l
ignrture of 4pplicent
-- �=
'1' '1 � • r: r' � j
''•-rl i _
,� yy((J����..�//;;aa 'Ef�'�°t e:sr 'r a .%fit.£ �r,� ,�,� r' it., Me _ 0,"S ,�r' .+•.�..<. ..
INSPECTION NOTICE -'
City of Tigard Building Department C
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
-------mac— -
Date Requested– Time---A.M. ,M
Address --S u ,, II
L:[ ,'' Permit *T-;o
Owner
Lot
Builder
The following Building Code defic,envies are required tr be corrected:
7
Presented to
[P��
pproved
Inspector _ t. Disapproved
Date _--
CALL FOR REINSPECTION
0 YES ONO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.N. Main St.
Tigarcl,Oregon 97223
Phone: 639-4171
Type of Inspection
fDate Requested zz) '-'bis Time A.M. P.M.
Address - T
`� L7 QS /
d/ Permit
Owner _ .—� — _ Lot #
Builder -_,�..1- -%�:.cl•� n_.�� -- --_-------
The following Building Code deficiencies are required to be corrected:
- 'L.10 C7 T -._1-LSI-� / t'.
Presented to —_— _ Approved
Insp for _ _ -'_ Disapproved
--
Dat,,
CALL FOR REINSPECTION
El YES eJ NO
F' r INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main Si.
Tigsrd,Oregon 97223 --
Phone: 639-4171
Type of Inspection
Date Requested Time A.M._GCP.M.
P1dres- �� �� �rci12r` L-/
Pei mit # �
Owner e- Lot #
Builder J
The following Building Code deficiencies are required to be corrected:
Presented to ` Approved
Inspector _ � _ ❑ Disapproved
Date l k.
CALL FOR REINSPECTION
❑ YEs O No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main Ft.
Tigard,Oregon 97223
Phone: 639.4171
i
fType of Inspection __ —
Date Requested A)- Time A.M..,--!!!�—P.M.
Address _Z� � L.12 61 Zdu1 J ti _ Permit
Owner_ _. Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector [],Disapproved
Date —
CALL FOR REINSPECTION
,F� YES ❑ NO j
Ih PECTIC N NO i ICE
City of Tigard Build;ng Department
12420 S.W. Main St.
Tinai d,Oregon 97223
Phone; 634-4171
Type of Inspection
Date Requested �Q '{ �+ /Time___ A.M._,v P.M.
Address_ Permit
�—
Owner lot # _
Builder
Th? following Building Code i afiiaie�s are required to be corrpcte�:
r �
i
Presented to / Approved
Inspector — •,� — [_� Disapproved
Date
CALL FOR REINSPECTION
(� YES ,6 NO
MIIIIIIFAK'��ffl Its
INSPECTION NOTICE
City of Tigard Build; -i;: partment
12420 S.W.M..rn St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection �yU
Date Requested
Address -
Owner 2f`G'�-� Lnt #_
a
builder --- ___-- ---The following Building Code deficiencies re re
quired to he corrected:
Presented to ���i _ Approved �
�/( i
Inspector _ r �_� Disapproved
�'..�
Date
CALL FOR REINSPECTION
YES -eNO
caA �r aw .et we s a� .e
BUILDING PERMIT APPLICATION TIGARD DATE �?�y ,s_ — 5486
THE UNDERSIGNED HEPIEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER1 isI a: rC LOT NO. fr7
lout 5 JOB ADDRE33 L�580 a'4: iaj;,r` L Y �+L1Y _ --"Ir t,/4y4lr:�OWiatacJ
P. 97223 ARCHITECT
BUILDER ADDRESS 10100 SW Ni3t1IX1S quite 1
3-1 ENGINEER
DESIGNER _
STRUCTURE ® NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EX RESIDENCE E7 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Ll CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE SPI FIRE ZONE _PLAN CHECK BY k' HEAT
Cumtruct single family dw jj4tn w --
2 LaUu xi 4 H�-au
SEWER PERMIT N 28491 (;,.lr2WQl14
OCC.LOAD FLOOR LOAD 40 _HEIGHT 1 R f NO.STORIES 2 AREA `75 NO.BEDROOMS 4 VALUE 74 UUO.
BUILDING DEPARTMENT SETBACKS F901,11 _ REAR LEFT SIDERIGHT SIDE ;
Permit 355.00 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 THAI' THE
Plan Check 230.75 — WORK WILL BE DOIIE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICAB'G CODES AF is ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ r>85.75 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax 14.20
Total 599.95 SDC— All
By Cz PDCIIj $150.00 APPLICANT OR AGE
Receipt No.
Approved 1✓T14 ADU IESS r PHONE
I
DATE INSP. TYPE INSPECTION - REMARKS l- PLUMBING—�_ DATES
9, B 7-
I Permit No_46'.—
Q - I Ruuph•in
Fixture
Final- — --- ------
IO M TING '- — -- --
�t
Contractor
-'` _.--- permit No.
Gas or Oil
C1�yC' Final
SEWEif
Final �.2�✓-iS.S' -
'�"� - DRIVEWAY
AA9 Final ---- ---
Storm Dramap
-Sidewalk �-
Curb&Street Final
1pprov,h
FINAL TEMI10RARY CERTIFICATE OCCUPANCY IFinal
C Lar.cteeoin6
Lnnir,Final
C11Y OF TIGARD--12A20 S.W.MAIN— .'►Ch^Cl,oDrcoN 97223
DATE: AMOUNT:
�� J�—DOLLARS
NAME: !���2�-�1.?�e�r� /
_
CASH:
ADDRESS:
— M.O..
OF
FOR:
_ ACCT. N PERMITS SURCHARGE _AMOUNT
SEWER BILLINGS 40364 s
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332 $
MECHANICAL. PERMIT 05-332
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363 _
SEWER INSPECTION 40-365
SYSTEM DEV,CHARGE 25-366
PARK DEV.CHARGE #1 30-367
PARK DEV.CHARGE #2 30-368 _
ZONING ADJUSTMENTS 05-362
TOTALS
RECEIVED BY:
PERMIT N _e RNumbeiAmount Number Amount Numbs Am�unf
RECEIPT 0 9059
Ar
7IH5 SW,�ANDBURG STREET,POR"MAND,OREGON 97223•(503)62"080 TRADEMARKFP®
April 30, 1981
Aldie Ho=ward
Tigard Clcy Hall
Planning Division
12420 SW Main
Tigard, OR 97223
Dear Mr. Howart?:
We wish to apply for a variance of one foot
from the rear building setback on Lo 67 n
Summer Lake.
Thank you for your time.
Sincerely,
Ken Rhoads
Designer
gs
Attachments /
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111 \ �I� �� fi` p/.fs., �.
rL-o-v PLAN .j(,,.r-xr NORI f i
LOT K
ULAL NU. .—Juu Nu.
PON
TUD?MM 110mrs, rue,
7915 9.W.Sandburri SL
NrVAVA OR 97223
(903)620.908(