9950 SW KABLE STREET-1 9950 SW KABLE STREET
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INSPECTION NOTICE
City of Tigard Building Dep,.rtment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested. -- Time A.M. P.M.
Address
I2A� 56�j Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
-05
-4a 10 dMAL94r�t-
014.9 2fte.___4
Presented to
Approved'
Inspector Disapproved
Date,
C. LL FOR REINSPECTION
4
YES F-1 NO
INSPECTION NOTICE
Git,1 of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone.- 639,4171
'Ype ot 11! 'x.tion
O.M.
Time
5-1V.1-12,
Addr assE Permit
Lot
Builder
The fol,r.Nwing Bdildhig Code deficiencies are roq?,4@d to bta corrected:
4e
Prisdrited to Approved
InFpector
z
Date
CALL FOR RENSPECTION
Yee ' No
CITY OF I IGARD Plumbing Permit
Building Departmert NG.
Rwc,idential Commercial El
NewInstallation Replace El Addition Lj Alteration 11
Licensed
umber Owner ---.--,.
Address JUI)Address
Phone Applicant
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CON TRACTORS
ITEM NO.r FEE TOTAL frEM NO. FEL TOTAL
Fixtures-Traps 7.50 Sewer:,:i,rst 100ft. 30.00
Dishwasher 7-50 Eact.Addit.100 h. 15.00
Garbage Disposal 7.50 Ejector Pump 7,50
Water Heater 7.50 Water:Fit-it 10011 20.00
Backflow P,-P.venter 7.50 Each Addit.200 15.00
Storm&,,ain Drain:Flr�, iOOft.
Ex!iAu01t.!V0ff 15.00
Wobiio Homs Space 25.00
Other(Specify): Rain Drnin-S'ngle Fam,Dwelling
5.G^
Comments:
PERMIT FEE
1!�ctvnd By:
"TATE
S
RecetptNo. Applicant
OTAL Signature
ET For Plumbing Inspection Phone 639-4171
!r
Building Perm it No.
Locator, I c (e 6
`Date 9 4
Certification of Registrat on
With the Builders Boars+
t.Lkj .Mh4j�� doing business as (dba) ,
C Q`� 4st�_ � mA--A,1 am registered under the provisions
of CRS Chapter 101 regon llomebuilders Law).
My Builders Board Registration Number is
f bA-LAdttA-.&) Pk-g-vr . yyi eoKh-t -T� q.5,,i
My registration is in full force and effect and expires on
i
Signature 4.
c�
i
f
ClrfOFTWARD No. 1,335
12755 S.W. ASH
P.O.BOx 23397 Date ! �V-.
-- TIGARD, OR 97223
Name
Address e
Lot B ; i
lvislock/MapSubd19dAdd°ess
Bldg. Casn ockPermit Ms I
Sewer (Other Other Rec.
---1_.-_ f I
f _
Acct. No. _ Description Amount
10.432_ V�ullding Permit Fees
10.431 800 F lumbing Permit ��-
10.431.801 Mechanical Permit Fees_-- - -�
10.230.501 State Bldg. Tax ��-
10.433 _ Plans Check Fee
10.435_ Otfler Licenses & Permits-------"---
30 443_ Sewer Connection
30.444 - Sewer Inspection__ le.rL
24.448 Street Syst. Dev. Charge �,r
i 25 449 810 Parks I Syst. D_ev. Cha tie `Y _— -
25449620 Parks It Syst. Dev. Charge p- v�1UV
31-450 S.2rm Drainage Syst. Dev._Charge _
10430 _ Business Tax _—
i _ 10-434 Alarm Permit
10.227 BrIl_!�
10-_455 Fines - Traffic/MisdlParking - -
10.230• _ CPTA Traffic/Misd/Vic. Asst.
10-458_ Indigent Defense --
30.446-401 Sewer ServicP!USA
30.448.402 Sewer Servicelrtyty
31 t47 Storm Drainage
40 47tF Bancroft Prin. Pym1, --
40-471 Bancroft Int,
10.451 Other Charges for Services -- --
-- -- v _� TOTAL
KPT.
r
BUILDING PERMIT APPLICATION TIGARD DATE_i,erendw 5.. 19___84 �� 12
THE UNDERSIGNED HEREBY AP;'LIES FOR A HERMIT FOR THF.WORK HEREIN INDICATED BUILDER PHONE 63 -4 ►,J
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING; PIANS AND 3PECIFICA'riONS - )W,.4ER PHONE
u LIEY. Co.) JOB ADDRESS _ LOT NO.
OWNER 11gtC
� �- ----_.__-R_ -S_ 9950 SW I�uie atr�et Gulf aIAN N.m.gar.-::
—moo97ZiJ ARCHITECT
ENGINEER
BUILDER ADDRESS 10260 SW Ili aloes E-2 DESIGNER
STRUCTURE MNEW I ' REMODEL I ADDITION I REPAIR ❑ RENEWAL D FlgE DAMAGE 1�1 DEMOLITION
CARESIDENCE U COMM 17 EDUCATIONAL Ll GOVT ❑ RI'LIGi0U5 ❑ PATIO ❑ CARPORT i l GARAGE El STORAGE ❑ SLABL FEN^.E
O XUPANCY � R�3 LAND USE ZONE t-7 BLDG.TYPE —S N FIRE ZONE .PLAN CHECK BY 144 HEAT_Gas
Construct shoe f"wily dwellc wfa�t�che_ _..B Y_�&s� --- _------ --•
2 13atl room 3 Y droomo
SE.WERFERMITM 28266 Garage 45U
OCC.LOAD FLOOR LOAD 4o HEIGHT 4 NO.STORIES I AREA 12-51 N0.BEDROOMS 3 VALUE 529000.
--
BUILDING 24J. 1CJ -LEFTSIDE _ �« " RIGHT:iIf�E 101-a)_
_. SETBACKS FRONT REAR _
Permit �tfS4.�U_ THIS PERMIT !S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUI.DING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERr_BY AiiREED THAT THE
Plan Check 18710 WORK WILL BE DONE IN ACCORDANCE Wi rH THE PLANS AND GPECIFICAT'IONS AND IN COMPLIANCE
WITH ALL APPIICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS rERMIT (IDES NOT WAIVE
Subtotal _ 476*85 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- 1 I 56 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State lax —-
DC-- '%')QtJ
Total 401114 i
PDC# iX 5�J.IJU APPLICANT OR AGENT I
By -('1Z ---- ,;Sl)c .►G.(AGr , I 14
Receipt No.
Approved _- 'C�' "' A088rrPHONE
r + z
lM.a�Lttialits'�Ltltttittil�illtiYt�ti�ttttt�
A,TE INSP.1 TYPE INSPLCTION REMARKS PLUMBING I DATE
A
Permit NU,
Rnugh-i,t
Alf- Fixture
Vv
Filial
CAUA HEA'.'ING
Contractor
Poirmit No.
63,rir 00
Rn.101,in
SEWER
II Final-
--7-V—r", y
nal
Storm Draintige
(Ra,i Drain)Filial
Curb IQ Street F itial
A�pproicfl
'TEMPORARY- CERTIFICATE OCCUPANCY Final
Irr-wrlIFICATEOCCUPAM'
L idscaoing
II
Ing Pit-0,
BUILDING PEFZMI APPLICATION TIGARD DATA 1{� 19—
THE UNDERSIGNGF)
9THEUNDERSIGNEI)HEREBY APPLIFS FOH A PERMIT FOR TIME WORK HEREIN INDICATE'.D JUILDER PHONE drZ
OR AS SHO%NN AND APPROVED IN THE A:GO!+IPANYING PLANS AND SPEECtFICATIONS. OWNER PHONE _
JORA�)DRESr ���) ""'�-1 r �
AF?CHITEC.T
ENGINEER
BU(t_OFF1 1 ADOHESS }r„1� � -:c.- (/'�C�il�r DESIGNER
STRUCTURE 7 NEW 7 REMOJEI_ Cl ADD'i ION ❑ REPAIR U RENEWAL ❑ FIRE DAMAGE [J DEPAOL.ITI01
RESIDENCE; ❑ COMM ❑ EDUCATIOVAL Cl GOWT I-] RELIGIOUS ❑ FATIC ❑ CARPORT (3 GARAGE G STORAGE Il SLABO FENC;
ChjC UPANCY d _`' _LAhD USE ZONE 1.�_ L _BLDG.TYPI: ILY— --�-_ PLAN CHECK BY ��L _ HEATw rS1.
r
SEWER PERMIT k ����--_77`7`'9;--L"� -y
OCG.L.JAD FLOOR LOAD hIEIGHT NO.STORIE-s ( AHE NO.BEDROOMS j VALUE 51 Cco)
BUILDING DEPARTMENT SET BA CKS FRONT `�G REAR � EF'T SIDE S'= b" RIGHT SIDE/(�
Parmtt �1( i''-i 'fH'S PI--RMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING, CODE.ZONIN
+J SIMULATIONS ANC ALL APPLICABLE CODES ANO ORDINANCES, A00 IT IS HEREBY AGREEO THAT TH
�P10nCho S r ORK WILL BE DONE IN ACCO11DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANC
WITW ALL APPLICABLE CODES ANG ORDINANCES. THE. I:SIiANCE OF THIS PERMIT DOES NOT WAIV
Sutr otal �� f RCSTFIICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTO;IS TO HAVE CURRENT CITY BUSINES
LlCF.NSF-SEPIlRA.TE PERMITS REOUIRED FOR SEWER,PLUMBING AND HE.ATINO.
State Tax s
— P:•tC,9 APPLICANT CR AGENT
By
Receipt No.
Approv.vd ADDRESS ,HONE
t
s s oc
SOT,
PUC
SEWE', CONNECTION $
HWFER INSPECTION _$
5EWE`'! 5URCHARGE� $ /
i
t r-
NO1.f.C;E:: Restrictions on Disposal of Construction Waste Materials:
According to Tigard Municipal Code '11 .04 .040(d) (6), if you are not
going to dispose of the construction wasty material, in your own
equipment using your own employees, you are required to
hire _ The City' s franchise agreement with
Lhis rhauleNo
r reads: _ " thing in this fr•anrhi.se or Lhis section
shall :
I (d) "ilrohibit. a contractor employed to demol.i.sh, ccnstruc:t, c,r
remodel a building or ?Lructure, inctudinq but not limited to
land clearing riperati.ons and const.ruc.ti»ri wAste9, from
hauling waste created in connection with such employment in
equipment owned by the contractor acid operated by contractors
(amployges. "
(QdOUR)
Emod