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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type _)f Inspection h I n-'n(' -----—
.�J
Date Requested f,JP 1 (�— �- Time -.A.M.—P.M.
i
Address
c y U (� i f)(,1Ov e Permit #
#
Owner Lot__ �-,
Builder _ —
The following Building Code deficiencies are required to be corrected:
I
l
Presented to Approved
Inspector _!�-�r [� Disapproved
Date _ :L
CALL FOR REINSPECTION
X YES C7 NO
BUILDING DEPARTMENT, TIGARD
117 PLUMBING PERh11T N?
holder of a valid plumbing contractors Ilcense is hereby
a4horized to cause plumb' work as herein noted to be installed in accordance with the plumbing code of
T' ard. Such installations require inspection by the City Inspector who shall be notified not less than four
(rj hours prior to the time the installations are ready for inspection. City of Tigard Business [.ice se required
for all can actors and b-contra ors. �
Job �
Owner _ Address D _ Date. /,2-t -
NU?.13ER OF TOTAL
TYPE OF PERMIT ^� ITEMS FEE ON EACH Ai'IIOUFJT
R�SIOENT1Al �_ ~�
Single Femi1 —1 bath—each 25.00
Duplex—Each 1 bath unit 25.00
Additional bathrooms—each _ to QO
Mcbile Home Space—each 15.00
INDIVIDUAL FIXTURES COMrJKRCIAI
1 to 50 Fixtures In 1 building—each 3.00
51 to 100 Fixtures In 1 build irg—each 2.50
1101 to 200 Fixtures In 1 buildino—each 2.00
201 or more Fixtures in 1 bulldin —each 1.50
1.115CELLANE()US
---------------
sower—each nddltional 100 It.
Water Service to kj din 5A0�
Other a ecil 1 —_
_ PERMIT for Plumbing,'nspectionPhone 639.417l
4',State Plumbing Contractor By
TOTAL _ G� (� R1-r r:IPT Mn n„
IN 1 s
BUILDING PERMIT APPLICATION TIGARD DATE— 4/2 G/ _ 19 81 3722
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK.HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
OWNER .-'E+ter Adamaki JOBADDRESS 10950 SLI NseVe Strest LOTNO. 709 _—
— -------- — ___ Summer field 14
ARCHITECT
BUILDER t3®m® ENGINEER
ADDRESS 15905 5W Oak Meadow — DESIGNER TDC
STRUCTURE EXNEW ❑ REMODEL ❑ ADDITION_ ❑ REPAIR ❑_RENEWAL El FIRE DAMAGE _ ❑ DEMOLITION
® RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑JSLAB❑ FENCE
OCCUPANCY R-3 LAND USE20NE NSPL� BLDG.TYPE —5N FIRE ZONE--PLAN CHECK BY dl�h HEAT_ gas
— Construct single famiy_ dwelli�Q W/attached a rage. 2 Iiedrpolwe 2 Baths.
SEE CORRECTION SHEET ATTACHED. —
SEWERPERMITM 23340 - J750.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 10 NO.STORIES 1 AREA 1 776 NO.BEDROOMS L VALU 69 0t)U.
D —.
BUILDING DEPARTMENT _
SETBACKS FRONT 1O REAR 4O. b LEFT SIDE 31.b_ RIGHT'SIDE J
Penult X225.(,!1 = -- -- _
THIS PERMIT IS ISSUED SUBJECT TO THF RErIILATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Plan Check 11Z. 51J_ WORK WILL BE DONE IN ACCORDANCE WITFI THE PLANS AND SPECIFICATIONS AND IN COMPLIANC_
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1HIS PERMIT DOES NOT WAIVE
Sub-total— 337• SO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVF CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEP.PLUMBING AND HEATING.
State Tax 9.QD
Total S346.50
SDC— $40U. _�.i
—---- PDCMI 1 . --G '. —
By P1 UQ APPLIOt�NTORAOENT --
Approved _ dWh Receipt No.
— - -- - PHONE
DATE INSP. TYPE INSPECTION REMARKS —_ — PLUPIDING _ DATE
Contractor I
Permit No,
�'t2 -?' v ' _ rd��, Plough-in
spN Fixture
final
LL
HEATING 450yZ J-6`3
Contractor p ��J
Permit No. z�f___ a Y IC69 6-,w
Gas or Oil
Rnuph-in
Final
SEWER
-- — —--—- ---- -- Final = °_=it ' _ .---
DRIVEWAY
--- --- --------------- Final ---
Storm Drainage
(Rain Dralnl Final
Sidem l k
—� — Curb&Street Final
-- -------- -- Approach
BLDG. DEPT.rINAL TEMPORARY CERTIFICATE OCC A CY Flnal
CERTIFICI'TE OCCUPANCY — —
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TI CA-:) OAT#lNM0l'oC
�! 191
THE UNDERSIGNED HEFEpY APPLIES FOR A PER?AIT FOR TrjE WORK HERATED BUILDER PHONE
OR AS SHOWN ANC APPROVED IN THE ACCOP PANYING PLANS AN�SPECIFICATIONS. OWNER PHOr.E �q�0-ry;29
. E 'fJ QtLN�. IAT NO.
-- !:..� � L° J03A00RESS/ :J ,.,
ARCHI TECT
ENGINEER
9UILDES _ � ADDRESS NER— TDc
RUC:TUlRE? NE'N Cl REMODEL _+0 ADDITION ❑ REPAIR Q RENEWAL C FIRE DAMAGE ❑ DEI,IOLITION
EZADEOC:E C CC.J-%l ❑ EDUCATIONAL C GQV'T 0 RELIGIOUS G PATIO C CARPORT r_"j GARAGE_ C STORAGE C SLABC FENCE
%i:ii►=ANCY1LAND USE ZOVc �CBLDG TYPE _ —FIREZONE +'� PLAN CHECKfiY HCAT•
'EWER PERMIT M
O.3
HEIGHT OICR
.CC.LOAD FLLOAD O N -rpRtES AREA Q
_ _ (� _ ��_Q N0.840ROOhtS � _Y41_Uc�j p00
BUILC'NG DEPARTMENT
-y --- SETBACKS FRONT .20 REAR ,�;1�„� LEFT SICE Al. 8 RIG_NTSIDE R
P"fin?f __. 2ooTHIS PE11MIT IS ISSUED SUBJECT TO THE. REGULATIONS CONTAINED IN THE EU;LDI;VG C7,D= If- G
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFAE:?Y AGPEi-D THAT THE
'tan Check I (� . fU WORK WILL BE DONE IN ACCOR4ANCE WITH THE PLANS AND SPECIFICAT;ONS AND IN CO-4PL1ANC.
•�”—• WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERP"IT DOES No, WAIVS
37- 5-2RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURPENT CIT-f 6L'.SINIZss
T _ O 0 1JCENSF_SEPARATE PERMITS REQUIRED FOR SEWER,PLWASING ANU HEATING.
3-mm Tax � _
-- SUC—
Total _ ��j_ 3-0
PDC# APPLICANT OR AGENT —
By ,
R�ecoipt No- _
Approved ADDRESS pMd_NEE_
�""'
ac
"WER CONNECTION S
_WER INSPECTION S
'WER SURCHARGE S .
..i
N----
N Aewc 494 . Lu'� 7 p 9 • 3 K rn•ti °JI�.Q 14
&Jc. An�
3'v 184
34
1778 33- o 91
&61 30
sero W-4 �V-
r &
I
lull] �
T ,
BUILDING DEPARTMENT, TIGARD
PLUMBING PEFIMIT ��
holder, of a valid plumbing contractors license is hereby
authorized to cause plumbind work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified riot less than fcur
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business license required
for all contractors and sub-contractors.
Job C
Owner "�� ._' _ Address— � -' _�',�.= r�� �': '' .Da ie_ -.1,
NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Sin,fe Family-1 bath—each _ 2_5.00
—Dv n—Eech 1 bath un:t _ R 25.0_0_
Additional bathrooms—each 10.00__
Mobilo Home Spir--each _ 15^00 _ 'r
INDIVIDUAL FIXTUR_E8 COVI-f�ERCIA
_ 1 to 50 Fixtures to / building—each 3.110
_st to 100 Fixtures In 1 building-each _ __2.50
101 to 200 Fixtures In 1 bulWinqq—each 2.00
_201 or more Fixturr+.s in 1_buildin;t—each—` ,` 1.60
M I S C E L L A N E 0 U S
Sevier—each additional 100 1t. _ _ 10.00 �• —!�_�
Water Service !: Lundin u 5.00
PE FIMIT for Plumbing Inspection Phone 63:7 4171
41 State Plumbing Contractor By iAoA
TOTAL
' RECEIPT NO. Issued Fiv _.
1