12805 SW GRANT AVENUE r
—OWN.
12805 sw GRANT AVENUE
.,. '.1
i
i
u
tU
3
t!J
tf�
O
00
t
ws wss r w w w r w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 J
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -/SL` � -------- —
Date Requested_ v Tlms A.M. P.M.---
Address , ✓� _ Permit
U.vnei -- __ _ Lot #—_—
Builder _ ---- -- ---The following Building Code deficiencies are required to be corrected:
-
--�i
Presented to _ Lpproved
Inspector _ ❑ Dimpproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
00000001.Mum
CITY"OF TIGA RD III E(J4 0 N 1.1,(A L
I-`F-.;'R M'r T
CW* RV D r'E'R 111 T 0. . . . . . .. .
COMMUNITY DEVELOPMENT DEPARTMENT I::1-
13126 SW Hall 810. P.O.Box 23397,Tqwd,OnVan 97223(603)&W-4175 R)'III,- I"LR 1111' It: 07/03/9III E'C'9 P) 0 1.2 8
(4 1::' ISSUED0
SITL ADDI'-LSS. 1.2805 SW GRONT PV P(WCE1_..-
0
SUIRDIVIS.'LON. NORTH TIGARDVILL' PIDD IT*1014 ZONING- R-4. 5
C.)I . .. . .. . .. . .. „ — . . .;29
.............
C:LASS OF WORK. . 01)1) FL 0 0 R I--1J R N. . . . .. EVPP COOLERS:
TYPE OF USE. . .. . :SF' UNIT HEATE'RS. . i V E*N T F(I N S. . . :
OCCUPAN(',Y GRP. . a R3 V0,11's W/o (IPPI-2 VLNT SYSTEA11S.
ST 0 R1 E5. . . . . , . . El 0 1 L E'R S/C,0 1';PR E S S 0 R S HOODS
F(I I.:'.I TY PE S .................. 0-3 HP. . ., . e DONE S.. I N C"1:N
-,/WOD/ 3-15 HP. COIII'll.— INC IN
IIAX 111PUT: U 11.5--;30 H P. REr-:,(-)IR
FIRE DPUIPERS?. 30-50 HP. W 0 0 1)ST 0 V E 13. 1
GAS PRESSURE. . . 504- I.11',
C 1 0 DRYE'RS.
NO. OF AIR HPINDLIN6 U 1-4 1 T S OTHER UNITS.
FURN ( 1.00K BTLI: (!:= 1.0000 cfni.- OUTLXTS.
1=URN )=1.00K E4TU: > .1.0000 cfrn.
-,
SA.-
FEF'S
I.-IN 1)0 P A R K, tYI:)e amat.tilt b y (1,A e -r e T)t
.1.2805 SW GRANT PAY111 15. 23 JLH 0*71'41190
P R PiT w 1.4. '150
TJGORD OR 97223 5 P C T 1; 0. '13
WEST PE'L I ET STOVE'.
APIE.R(*IAN 1-4 0 I'l EY I R E S LTD
12641 SE. D 1'V 19 1 ON
PO RT L 0 N D OR 97236---0000 ......
1-:1firil-le 0.- 000-000-0000 $ 15. 23 TOTOL
Rep 14- -. 46433
REWIRED INSPUJIONS
r,)is permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Speriattly Codes and all other
applicable laws. All work wi . be done in accordance with ---------
approved plans. this permit will expi -@ if work is not started
within 188 of issuance, or if work 15 suspended for more
than 169 days. ........
..................
............
..........
......... ......
...........
-
C all f o-r j.)i...- ...
i T e-c t i..o...i.-i 1-- 6"3 9 4 .........
CITY I-IF TIGAPI.) PECALIPT OF P-AYMENT
N Pi M E. r PAPR. LINDA CHECU (AMOU'll
AVORESS c 1'2qo5 sij 13RArrr CASH AMOUNT
PAYMENT DATE:
TIGARD. OP 2 1., SUDD I v I S J ON
2 10'5 S
E-E W GRAt,17
OF* PAYMENI'
OUNT PP'Lo PUPf`I)5,` OF' PAYMENT ANOLIN T PA.10
MUCHANICAL PE MEC 9 0,. ;..,12%9 14. 50 ST. EMILD P[-�P
TOTAL AMOL11-4T PAIL, 1 27.
PERMIT TO CONNECT
Tigard Sanitary District
]PERMIT M 729 DATE
PERMIT :S GIVEN TO �j" }•<' ' '` cc. � _
It
oe
TO CONNECTTO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT V
THIS PERMIT MUST BE POSTED ON THE DE9CRtSE.D PR.EDIISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLE'rED.
PERMIT EEE PAIL) .......... ..I........I'IGARD SANITARY DISTRICT
By
CONNECTION INSPECTED AND APPROVED
Superinent
-"- Date
Address . 0 S� `� GCS �''� Permit No. l .3
Name r i Occupant _ Pcimit charge_;2 Oro_
Connection fee �G`�
__.....--.----..-----___--- -_--
__-_____-____- Patd by X u
Date connected,
Type of Building Inapeetion fee_. 6=____�.
Service Rate Paid by � -Date
Contractor � F Assessment /�-� Paid
Size of connection t _
r
i
APPLICATION FOR SEWER SERVICE
The undersigned agrees An consideration of the sewer service ccnnection by the
Tigard Sanitary District, to abide by and c-)mply with the ordinances, regulations 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 time to time when duo and before such charges become delinquent.
I fully understand that all unpaid sewer service charges bee.)me a lien upon the
property serve i 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.
Owner L�
APPROVED BY
uperintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
.r -