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INSPECTION NOTICE
City of Tigard UuIJing Drxpartment
12420 S dl. Main St.
.
Tigard, Cr:-egon 97223
Phone 639-4171 "r
Address
Type of Inspection
The followh,,-i Buildit4 Code deficiencies are required to bs corrected:
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Prevented to—_
_._. ...._..�._ _ .—.— Inspector
Dete
t;AFOR Rewr-moN
vES 0 N)
BUILDING DEPARTN+IENT, TIGARD ND
PLUMBING PERhSIT E
holder of a valid plumbing contractors license is hereby
authorized to ceuse plumping wor a. h,rein noted to be installed in accoidance with the plumbing cods? of
1 i 9 ard. Such installatio,ls require iw;pection by the City Inspector who shill �e notifier) not less than four �I
(4) hours prior to the time the installations are re.:Aiy for inspection. City of Tigard business License required i
for all contractors and Sub contractors. doh
Addreis_f X31 -5.�! r `s. _ Date._ ��_ _
` NW11I3en 1)F TOTAL ,
L�- TYPE OF l _ 7" 'T ITEMS FETOTAL ON EACH A"AOVhr
00
I�Sina!8 F3mii -1 hlth-each �_.-_ �_._.�_- _..�.Y_�_.._-_-_..- ---• - _ `--
_Oupl..-Exh 1 b:!'h unit --- __.__25.00
_Addition3l —
I 11obi'a Har_Sp3ce-ear_h 15.00 _ a
r I N O 1 VLSO
uA l F I X T U RtFir;ores in 1 buiidir3-each,-_w_ _ __�` _3.OU
to 100 Fixtures in l b aidinq�eacfi -- -?.50
I 101 to 200 Fixturee in 1 buildinearh-� __ _ _.___2.00 �--
-701 or more Fixtures i11 I. b.1ildiny-eurh _ _ 1.50
P.1 15 C E l l A V E O U S ___�._
+Se.var-each additional 10D rte~ ---""'^10.00
_W3:er Somice to
HERMIT J &-y For Plumbing lnsh,-ction Phone 639-4171
I 4°�rjl7te__—^�c__�_�_ _ RECEIPT NO. Plumbing Contractor By
TOTAL :)-6:)-6
a,� Issued By
I __ _ , ��
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BUILDI +Gt "RMI7APPLICATIOM TIGARD n,arE._ 3289
_''`L.__ �sgt�_ �
THE UN. _D HEP[BY AFPLIFS FOR A PERMIT FON TME WORK HEROIN INDICATED BUILDER PHONE (3ii2-20:x4.'
OR PS SHOWN AND APPROVED IN THE ACCOMIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 1-Y fated-
OWNER ','ruca Gipson JOB ADDRESS 17315 W Katherine Strecit _ UT—nd-mT1.
ARCHITECT
ENGINEER
BUILDER semi) _ ADDRESS 11345 Tooze Pa.SherW00@ESIGNE49 -- —�
STRUCTURE NSW_—❑ REMODEL�❑ ADDITION ❑ REPAIR _U RENEWAL _I] FIRE DAMAGE - ❑ DEMOLITION
M RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO P. CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[:] FENCE
OCCUPANCY .-R--3 _LAND USE ZONE R-7 -BLDG.TYPE _.-`�N FIRE ZONE----3 PLAN CHECK BY IJh HEAT _ 5�
f onstruc:t sii g family dwellinglr +atteched` -r 3 Dedrooms - 1 Beth.
SU. CORRECTION SHEET ATTACH:D,
SEWER PERMIT# 1197: - _L7k 0.OD
OCC.LOAD FLOOR LOAD 40 HEIGHT11_NO.STORIES 1 AREA 102_4NO_ .BEDROOMS _3_ VALUSA,°i o M
_ BUILDING DEPARTMENT 'SET 13ACKS _ FRONT 20 __REAR 41 LEFT SIDE FJ�t� � RIGHT S;DE
Permit $169.00 THIS PERMIT IS ISSUED SUBJECT TI: THE REGULATIO14S CONTAINED IN THE BUILDING CODE, ZONIPir:
REGULATIONS AND ALL APPLICABI 1'CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT T;, -
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
2S3 j(} WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub•tulal • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4t. 6.76 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 1260. 26 SDC- ;,4Ut,U.UU ,
PDCM I
By
Approved
dwh Receipt No. AOOR'E89 —-- - PHONE
DATE INSP. TYPE INSPECTION REr.IARICS PLUMBING DATE
\-CU � r1 c-`� Contractor
0 �[t �F3 w�p�� t�;{�s .S1e�- =r i/ Permit No. 1 1
--- Fimuue — —
3wA, _ _oh . _
'O I(` - --- �-__ Final
�aY3a•Fo i Z,V' HEATING
— ---�----__..-
ContractorlftE _
Permit No.
Gas or Oil
Rough-in - ----
— _ Final ---_---
��_�._____ _ SEWERal -
—�.--
Fin !O r
DRIVEWAY —
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb d Street Final
Approach
ElLDG. DEPT.FINAL TEMPORARY T- CERTIPICA'1E OCCUPA Final
CERTIFICATE OCCUPANCY /h ",r ko -� - ---
r
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION -TIGARD DATE- I9—IRO
THE UNDERSIGNED HEP-":BY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDI ATED BUILDER PHONE �CM.'!2o90
CR AS SH^)tNN AND At'PRO�'ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
O
- t _Lh �J LOT fd0 _4- -
OWNER SSJF .�
ARCHITECT
EN 'INE4 R
BUILDER ga,PK It_ ADDRESlaa ik ') l_G�ER
_
STRUCTURE NEW L7 REMODEL ❑ ADDITION ] REPAIR Cl RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
RESIDENCE C COMM Cl EDUCATIONAL ] GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAP PORT ❑ GARAGE ❑ STORAGE ❑ CLABr' FENCE
OCCUPANCY M
! _ LAND USE ZONE - ••/ BLDG.TYPE - -FIRE ZONE-PLAN CHECK BY�HEAT
_ cis J-0 � '��.,�►°� mel l�h ,,���_�i_'��--- —
SEWER PEPMIT#
OCC.LOAC FLOOR LOAD HEIGHT ^NO.STORIES AREA 24 BEDROOMS 3 VAL'Jl
BUILL`ING DEPARTMENT �I SET BACKS FRONT ,2 QREARLEFT SICE �'(p RIGHT SIDE �p
Pn'rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT It HE
Plan Chec4 �� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUIeIPLIANCE
— WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total I ,�," �� RESTAICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE:CURRENT CITY BUSItirSS
LICE'.5E.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total . ;2& SDC
- __-_�__�_ _ PDCN APPLICANT OR AGENT
By
Receipt No,
Approved __--_- ADDRESS PHONE
SIJ C - ______— `�0
PDC 61.
SEWER CONVECTION_
SEIJEF INSPECTION
SEWER SURCHARGE $ _...
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SIGN PERMIT APPLICATION '05 TIGAR D Date tu/f_i , 19. ) Na. 0342
—
The applicant hereby applies for a permit for the,vork indicated or as shown in the accompanying plans and
specifications
SIGN LOCATION ADDRESS: 1.2315 SW Katherine St.�
APPLICANT: Owner- Ar________. Lessee —__— Authorized Representative —
NAMEXOMPANY SC
HOU,_AIGAW Sr_rnnt�i�IST IQ1 23d - -- - - - - - _Tele - --'-
PROPOSED SIGN: Freestanding xx Wall Projecting ________Other ---
SIGN DIMENSIONS _Q_ b2' 10,E AREA --- HEIGHT WALL AREA _
PROPER LTY FRONTAGE — COST a x.100 _ ZONING DISTRICT I ILLUMINATION --
MATERIAL QQL IAU h — COLOR - -
COPY f9ary --Woudwucd `ach(Jul _ DRB______ _
EXISTING SIGNS: Freestanding Wall Projecting _ Other 4()NE,
COMMENTS: --_ -- —All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuancs of the permit, the permit shall
PLANNINGDEPARTMENT� becom fiull and void.
Permit Fee -6;
Approved v _ K Appliceftt Signature
Rece-i tl�o. 4� ;t i 11 37 w Pacific Highway, e> �)-a.c:0
Renewal Date l% �' Address alephone
� et sr rwr es s ■er � .r ,..
SIGN PERMIT APPLICATION COFY TIGARD L.:�tP No. _325 The applicant hereby applies for a permit fqr the work indicated or i-s shown in the accompanying plans and
specifications.
SIGN LOCATIONADDRESS: �1231�_.5.._1cI�.. ,athEri,ne .Stxe�t, T1 ate. nR - ---�--
APPLICANT, Owner X Lessee _ Authorized Representative
NAME/COILIPANYji arrl School District 23J Tel. _620--1620 _
PROPOSED SIGN: Freestanding __X...._.. Wall Projecting -_—.____-Other
SIGN DIMENSIONS __24�.�i. :__ AREA - 3v tlt - __ _ HEIGHT _�d WALL AREA ..--/t//A 1
PROPERTY FRONTAGE _ , COST .11 00_+ ZONING DISTRICT R 7 ll- .,UMINATION
MATERIAL -C .r-1,,o iam P--Am
COLOpI _,�1�.�1 '- �`��et -{-ry -
�G C O P Y ____iL�`S�C�� lzb
EXISTING SIGNS: Freestanding . Wall Projecting ___ Other .-N(n)e---
COMMENTS:
ther .-Nene -COMMENTS:
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the pe-mit.shall
PLANNING DEPARTMENT become null arid void. n
'i11�1��� rrr► ��` �5'rty "L�T 7�'
Permit Fes__ JZ_.�_ 1� -T� �'t��✓a"' __,
,,,-proved _ - Appli ant's Signature
Recei t c. �7�7 �, J p;ir;-f ic- rtJQbA , 'riga _ 620-1620 -
Renewal Date Address Telephone
.i j.