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CITY OF TIGARD BUILDING INSPECTION N CE
Inspe^tion Line (Rec-O-Phone): 639-4175 Business P n 639-411
Inspection: %� -
Footing Susp. Ceilithg Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bea;r Struct. Plbg. lop Out Elec. Rough-in =--`AI"�
Post/Beam Mech. San. Sewer Gas Line -Bldg. '
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underllr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requested; �23e�'
"
T irn AM PM
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Address:
Builder.__ v� Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.
� Date:
�-AF'PHOVFD _DISAPPROVED APPROVED SU13JcCT TO ABOVE
__Call For Reinsp.
CITY 0�=TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone;t171
i Inspection: �'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Urderslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor '?ain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. y -Elect.
Date Requested: ) - 2rl c l c3 Time:�M PM
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Address:– 2 C .I J(
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Builder. ���.��i' �:C ~t , r Ic w(Permit #: 5?I W.\
THE FOLLOWING CORRECTIONS ARE REQUIRED:1�1 -3 Is,
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orDate:
_DISAPPROVED —APPROVED SUBJECT TO ABOVE
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Call For Roinsp.
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CITY ON TIGARD r�EFmi�u�L) ;.NFA �������_,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED; 05/24/9"' �
13126 SW Hell Blvd.Tigard,Oregon 07223.8199 ('r03)639-4171
C I -Ar w 2 110CU.. 211017
,.Tr" ADDRESS. . . : 1" 48 SW I:ING 'CORGE ��r?
J1 DIV: itii:s. . . . a ZONING:
,, .T „ut FLCOR AREr,IC. .... . .. EXTC:1"'r17 WALL C 011,1"-?RLJC' 1rt•,
A58
OF WORK. -REP FIRST— . : f' N: S: E: to
OF USE. . . 3F 5)M—ND.ND. , . . BF PRUTECT OPEN INC�
TYPE OF CONST. :5N TVI I RD. . . . 5f N: G: E: W:
(.1:.,C;UPAN.—Y GRP. ;:R Tr1TF11 ._...............; rt►:3CJFr CCN-T c r?I R r:f"T" c
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OCCUPANC'.' LOAD. DASEMLNT. : sf' AREA C'IEP. RPTEDs
1',T. . 4 f#A PME. . . r 0' C�1j ^C D. RATED
M ? : MEZ7?; REGIA �3F'1'CIAC;;� . . . ..__......_ f;EQLJTRED.. � _ ,....._.,...._.._.._.._,_...
_Ord LOAD. . . . l., . P L.E4•'T: fit ["(-HT-.: f t 11 IR .s-pl<„_ .. ,.SIAM', r'�":T. . e ■
-JEL.L1146) UNITSA FRNT: ft RICnR ft FIR AL.Pill HNDICF' AM
bAT)-M M. I M'P SURFACC, 1=Po C (3Rri: PAR1;11\1r:
1L.UE. $: 70.100
rnra: ks . INSTALL7: 40 A NEW 1;17114'"
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F'EEri ._ .__. _.._..»...._. ._ _
F.CIICUIC;, typ r.km a#,.k)-It by date l
"W ';INC GL-.CfxC(' DR PM IT 1; Cmc:. 50 1 C'
::TTY OR ')""2L4
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7RTLAND OR 971212-7 ___._..._ ....... ..........................,_._...... .___. __._
40364
REOUIREP INE;PECTIONC ._,..,�._....._,....
,,!a ptrait is issl►ed ul-ject to ti's co7Wairied :n the Ft-am inri Inbp
lard Municipal Code. State of Ore. Spocia1ty Codes and all other r rr�;I.r l iat i o rl I n (j
iAicable laws. All Mork will of done In accordance with Ra71 i 1l dv a i rr 'I n FS F1
:nrovod pians. This per0 will ahp.lre, if cart, is ;rrt startid F Twq:re+rA .i wi
thin 180 days of issuance, or if work is susaended for ror•e Rm:)f na I 1 T�q 1.1Sp
an 160 days.
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mw-16- 00 IAED X39:17 1 U: FAX 1,40: tt 19_9 P01
Poaf-IY•bran -
d fax transmittal memo 7671 0401pageso.
Peon —
KING CIT Deptnone
For N U 7
�Il� 16
N.116th Avenue,King City.Oregon -�-7
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BLT I LI? is N43 pE: RM I 'I" AP']'L = CAT I ON I
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DATE ; KING CITY BUSINESS LICENSE NO. y
NAME OF APPLICANT /�
-L��;�. _ _PHONE NO.��/:,�,�_,�
ADDRESS-4-14--N— y,' /
NAME AND ADDRESS OF PROPOSED IMPROVEMENT((2,y/Q --
f o__-__�&R PHONE NO. - 4 ■
NAME OF CONTRACTORa��& ,ROO J.I,',U� _PHONE NO.fes-_ - /��� {
? ADDPESS„_ ��- — �__T_�_'” CCP LICENSE NO. _ f
TYPE OF CHANGE OR I14PROVEMENT FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTACH A COPY OF THE PLAN OR DRAWING OF PROPOSED
PROJECT—--Ale, uJ
SIGNATURE OF APPLICANT
*APPROVED APPLICATIONS.-, .E VALID FOR SIX MONTHS ONLY*
NOTE' Oregon Homebuilders Lala requires that all persons who contract for wore on
a residence be refjistered with the Bui_ders Ann-d which means -the M
contractor is bonded and insured on *he job 94'te_ ?er yc+> r protection, be
certain. 3-ur contractor :.s registered by calling the Construction
Contractors Board at 1-503-378-:621 Extension 5000_
FOR EL—ICE
APPLICATION RECEIVED BY x _ _ DATE_
APPLICABLE FEE RECEIVED $ �S'.CU CONDITIONS/COMMENT^__
APPROVEDE --
Note: A permit Misr also be obtained from the City of Tigard Department of
Community Development Yes No
4*#*x#*#tt**- i*#xx**t####*ir##r##*#*
CITY OF -ARD 1^?SPECT1ON_ ?EPORT
This project has been inspected and: App►oved Denied
Comments
Signature
(Building inspector please return one copy to ring CitO
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MAY-15-100 WED 09:18 ID: FAX NO: tl199 P02 -
Residential Building Permit Application ■
City of Tigard
13125 SW Hall Blvd. I
Tigard, OR 97223
(503) 639-4171
�c Jobsite Address: A/44 t V,, P IN".
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�� �� ,,. � •' M IAiIYRibA4e��'%,I Mf A H MR:ww�ii� I fIM.,
8ubdlvlslorl. Lot a
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Valuation: /o aD 1 - 2bl 2 ---- --- rr
Permit#���� _ (2Z��� I•
Corner Lot? Y ft
Flag Lot? Y N Reissue bf
Map & TL# 1 (),C _ � �'
Owner:
>< �.'nR dt eX �cticr t�,c ek• .�... AoQro�ral�.Rrtg�i aid '
Address: '
X1-1 �,`'I -=� �— PIBrinin9
' Engineering
Phone:
--------- - Other
A Contractor: _�f�_�,� —
��--- . items Requited
Address. Subcontrs&om
Truss Uetails
Phone:
--- Other
Contractor's License
(attach copy of current OMgon license)
Contact Nama 3 Phone:
Subcontractors: ArchitectlEngineor:
Plumbing: Address-
Mechanical:
(atfo�h copy of current OR Contractor's License)
Prone.
�( JOB DESCRIPTION: _--Ah SQ p
Applicant SignaireMontenumber
Received by 1t `�'''Q� - Date Received—
y
NNMM
tu ,
WED 09:19 ID: FAX NO: � ) 9199 PO4
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a Permit S Account Description Amount lhZ Amt. Pd.�/ Bal. Due
f3crLO��2- Bldg. Permit (BUILD) _'T6�� �, iTd •
Plumb. Permit (PLUMB)
—� 1 I.
Mach. Permit (MECH) 7
State Tax (TAX)
i
9 Bldg:
Plumb: __ B
I
Mach:
a
Plan Check (PLA4CK)
Bldg: ----
Plumb:
Mach:
Y
Sewer Conne,tlon (SWUSA)
Sewer Inspection (SWIIJSP)
Parke Dov Charge (PKSDC►
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
I Cornmer 'it TIF (TIF-C)
t � '
Industrial TIF (TIF-1)
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Institutional TIF (TIF-IS)
Office TIF (TIF-0) --
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) —
Erosion Planck/COT (EROSN)
i
TO-,ALS:
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 i
Jobsite Address: �l n � S �(
Office Use Only
Subdivision: _ Lot.#
1 �
Planck/Rec #
valuation:
Permit #
Corner Lot? Y N
Reissue of_ -
Flag Lot? Y N Map & TL#
f
Owner: C1 - Ap�rovais Required
Address-. t '�i`fes-��� �P�di Planning
Engineering
Phone: -
Other
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ft rItemsReuired
o :Contraq
Address: ,4t�' Subcontractors
AIXTJr�, _ Truss Detaiis
PhonE- Other
Contractor's License #
(attach copy of current Oregon license)
Contact Nzme & Phone:
Subcontractors: Architect/Engineer: _
Plumbing: — Address:
Mechanical: _� — — ---- —'—"`—
(attach copy of current OR Contractor's License) �hn�
�C JOB DESCRIPTION: — --- -- ----- �'
// ✓ � t
Applicant Signa,ure & Phone number
Received by: (�c(� Ic "C� ? Date Received: -----
1
Permit# Account Description Amount Amt. Pd. , _. Bal. Dui
4e2-Sv
rowi
�
F Bldg. Permit (BUILD)
(r�"9 Plumb. Permit (PLUMB)
z�w
Mech. Permit (MECH)
1 .j
State Tax (TAX) _ 1
Bldg:
Plumb:
Mech: —
i
Plan Check (PLANCK)
Bldg: _
Plumb:
Mech:
Sewer Connection ISWUSA)
Sewer Inspection !SWINSP)
Parks Dev Charge (PKSDC) _
i
j Residential TIF (Tll'-R)
Mass Transit TIF (TIF-MT)
S
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
(
Institutional TIF (TIF-IS)
Office TIF (TIF•O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
i Erosion Cntrl Permit (ERPRMI)
I
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �_�
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fi�