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iArecords\microflm\targets\building.doc
INSPEL'T100N NOTICE
City or Tigard Buildiog D+3p"cffAnt -
13125 871 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Pec.-O-Phone)s 639-4175 Business Pho _1U
Inspections � t, ', 1,v
Foot Ing Plbg. Underelab Mach. Rough-in Ap�cL,;Q�llk
Found• Plbg. Tap Out Gas Line FIN /
Poet/Beam Struct. San. Sewer Framing
Poet/Boam Mach. Rain Drain Inbelation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
IC �
Dats R®queet)eds nq.' Timbs AM pN
Addrena: ( lG Z Ll�l_I�Q.V�J����i� I I Permit 1s1'\(
Bui.lder: `_ ,/i V(it E c> -I
THE FOLLOWIMO ODRRECTIONS ARE REQUIRED:
Inspectors Date:laE
APP*.iOVED DISAPPROVED APPRO"D SUBJECT To ABOVE
___call For Relnep.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orapon 97223.9199 (503)939-4171
1
(-T-11-'93 MON 12:24 ID:CITY OF KING CITY 74)? N0:503 639-3771 4067 PO1
post-It'"brand tax transmittal memo 7671Norpaye ► ` _
KING CITY From
elrre>2
15300 SW.116th Avenue,King City,Oregon 97224 Phone Dept 1 Phan— M" Y r
COMMUNITY I e■x s•�t� aY« �ILD��3 7
APPLICATICN FOR -
(Instruetians
DATE
1. NA14E OF APPLICANT: /y y °"'L s4 Phone No. 154-
ADDRESS• 3 c- 7 ' _ _�,1 !<m�7 ��lL_ l G1
ADDRESS OF PROPOSED IMmOVEIENT-Z.�r
2. TYPE OF CHANGE, IMPROVhN. 1" OR CONSTRUCTION FDR WHICH PERMIT IS RHQUESTED.
UESGRIBE BRIEFLY - ATTACH TWO COPES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT:(2
3. NAME AND AnORESS OF GONTRAC'T'ORA// %dI'Jmac, `
PHONE NO -J/i�ICENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY. -7'j/,47
5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CA-*44ISSION
MEETING NE)(T HEi.P. ON. `l�I
REPT C^.*PATIVES N.AME`_,_,�T
PHONE NO.
(The King City Planning comaissi0 will consider only those applicati ns received at least five (5) days
prior to a ng.)
APPLICATION '.tECEIVFM BY-- /�lZ }.ts�___ DATE IQ2'�,/
APPLICABLE FEE RECEIVED
PLANNING C WISSION DECISION: Approved Denied - ----
i
COND I T I CNQS.
QQ1J0 1�, >✓ _
proved applications are v lid for oil iaoltbs only
S,gnattrri - c� :co�'r� (2� �rL� Date (G'_11 2
NOTE: *goo Bomebuilders Law requires that all persons wbo contract :or work on their resident, be
registered witb the Builders Board vhich sears the contractor is bonded and insured en the job site.
Ear your protection, be certain ynar contractor is registered by calling City Ball Ph: 639-1082.
NOTE; A permit must also be obtained fFm the City of Tigard Department of
Commtmity Development Yes _ No
C IT`LOF TIGARD INSPECTION REPURT
The above listed project has been inspected and AT,proved_ _Denied _
Date - Commw-nts
Signature. ——
1!3 Utd.ing .inApecZrvt, pf P&Sc 4AtU n ono, 11) COPY tO " WY)
CD a-Bt
0. lot
CITY Of: TIC-4ARO RECEIPT OF PAYME-NT RF(.,f-'IP7' NO. t 93--4-`AFP@57
41, AMOUNT : 25
NAlYIF, t ALL TEM GAGH AMOLIN r a 0. 00
ADDRESS s PA'fML-:'NT DATE A 11»/IF,',/93
�Affk U I V.1 14 1 l.'jN i
PORPOGF,. OF PPA YME-:NT AMOUN I PA 11) PLJHPW-A.:. (11- POYMI`-:141, f-MOONt 1-4110
RFC,HANICAL. PIE LA(A
1il. 8011-11 PFA 1. 2b
16 725) (33W UlUEE'N ANNE
'101*Al,, AMOUNT PAID
5
INSPECTION NOTICF.
City of Tigard Building Departmkan
1312S Sw Hall Blvd. Tigard, Oregon 97
Inspection Line (Rec-U-Phone): 634-4175 Buuineee no: 639••4171
Inspection=_
Footing Plbg Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struc!. San. Sewer Framing -Bldg.
Post/Beam =,ech. Rain Drain Insulation -Plumb.
Plbg. Underfloor wa 1 Gyp. Bd. -Mach.
Da'_e Rwpestedi ��` I -_Time: ,._AM PM
,Address: l � _�
11.4.[ h� l�l�«'_. Permit #
Bu i lder s. v('4 t1 , �c�,l�� �,`�bVI-ji )_
THE FOLLOWING CORRECTIONS ARE MW CRB
Inspector __�i Date:���
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Roinep.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,O:apon 97223.8190 (503)839-4171
': ., `� '.�gr5
01
ciTy or, TIGARD or' PAYMLN'T RRCA---lPT NO. P93-4',144794
NAME BABBITT V'LUMBTNG INC., fNECK AMOUNT 26. 25
ADDRESS 7611 SW INJWN Sl GW*J AMOUNT 0. 00
PORT L.AN(k,,�IR PAYMEN r DATr
C, !-:;IJBD I V I91 ON
97P--2 3.-
PURPOSE OF PAVMVMY AMOUNT PAID PURPOBU, OF PAYWWr- AMOLIN 1 PA 11)
-j7
9 3-021
6.11MRI140, PFR PLM
16725 9W UUE�N F)NN
KING CITY
70JAL AMOUNT PAID