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INSPEC ION NOfICF
City of -Tigard Building Department
P.O. Box 23391
Tigard, Oreoon 97223
Phone: 039.4175
Type of Inspection r-
Date Requested_ L Time_�` AAM. P.M.
Permit
Address t�_
Lot
Owner
Builder
The. Following Building Code deficiencies are required to be corrected:
Presented to — — --- 41!;Qpproved
❑
Inspector Disapproved
--_
Datc —_ - —
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
C'ty of Tigard 3uilding Department
P.C. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Time A P.M.
Data Requested__.�—(/(/L ' Permit
Address ��� _ Lot #
Owner — —
Builder
Code deficiencies ere req ed to be corrected:
The following Building
— —.
T ,
approved
Presented to Disapproved
Inspector �•
Data _
CALL FOR REINSPECTION
[] YES ❑ NO
CITY OF T'GA r.A.11L.IXENG FIERM1
RD arjj�m I.'IEk1MTT NO BU(3900!5�.'.!
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503163FA175 D A f I" T Ii S I A..D
-11:)U.4 A1:)1.4.'ff YJ
I o I L 1 tw 1-;.1.V 1:'*1.4 W 1.01.) I IJ
I 6X MAG'/I. 1 /IFID :1.!:5000 St I F! '("If)NSONS I'l.1: 0 I_.1 91 IDK
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1 01 16 1 IN 51 1!:1.,:,.T I;3 11.)1. I<S
F V.101+1, 2 PEAV4 I
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(:)I::' NO . 881633
LAST I-W.A:!ii SIA,:,
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T $600 . 00
R I) IJJX !11;2 115 00
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This permit is issued subject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby I-A:;A)
agreed that the work will be done in accordance with the plans and 1'00 1 1 t4l,
specifications and in compliance with all applicable -odes and I (N)NIJO I [ON WALA PA'TN DPATNS
ordinances The Issuance of this permit does not waive restrictive P(l'i r s V!E.A M WMLA LANE
covenants Contractor and subcontractors shall have Current city
business tax permits. This permit will expire and become null and I'l I!
void if work is not started within 180 days.or if work is suspended or 'It: F MOL.
Abandoned for a period of 180 days any time after work has 1: (()L11)(All
commenced It shall be the responsibility of the permittee to assure 111.N t-,
all required Inspections are requested And approved. 1:1, AC,L:
L...L Nlii,
A*1 :I.0N
Permittee Snature
Issued By
SEPARATE PERMITS RF-201,111RED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOFTIFARD 5iE::WI-.*1.,.F4 PEAM11, L—
CITYOF TWAND
011111GON
COMMUUITY DEVELOPMENT DEPARTMENT I-: .:PK.UT NO. : SE899
000
13125 S W Hall Blvd,P.O.Box 23397.Tigard,0,-egon 97223,(503)639-4171, C—"�
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This permit is issued subject to the regulations contained in Title 14
of Itt a TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and Yll PE) jA*IW:)
specifications and in compliance with all applicable codes and 1:401 'T N
o.41nances The Issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the parmittpe to assure
all required inspections are requested and approved
Permittee�s
Issued By
SEPARATE PERMITS REQUIRED P0 ortAIE'P' 9AWft S(611JED ABOVE
CITY OF T'GA RD =�Aw .1119089"
COMMUNITY DEVELOPMENT DEPARTMENT "lli'M1189
13125 S.W.Hall Blvd.,P.O Box 23397,Tigard,C regon 97223.(503)639-0175 19 0 0
1 0 411.1. 1:"q'11,Id F:P 1A)('11
(11101:J 1.0 1 "llei'Ll 1 ""4000 Eel 11i:; IAI N 0;-1 K
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This permit is issued subject to the regulations contained in Title td I I I ..f N CJ
of the TMC, State of Oregon Specialty Codes,zonirg regulations
and all other applicabie codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and 1'4
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days.or if work is suspended or I i.,J DPA J:Wl
abandoned for a period of 180 days any time after work has F I NA11-
commenced 11 shall be the responsibility of the perrrittee to assure
all required inspections are requested and approved
Permittee s�iia -�tu tura
-
Issued By
SEPARATE PERMITS PEQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MEXA-Iii-NNICAL.
CITYOFTIFARD in"-'i' PILAMTT W.). ME11:90899
(Cr °"'°°"
fYOFLYWAIRM
_ D
COMMUNITY DEVELOPMENT DEPARTMENT 011114ION
13125 S.W.Hall Blvd..P.G.Box 23397,Tigard.Oregon 97223,(.503)639-4175 DAA 1:.: 1/e2 6 8 9
A 9 t I A 5
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moo . Y N.I HI-1:11 COMP 044 It:)
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This permit is issued subject to the regulations contained in Title 14 1 11 , 11, NO
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby 1 1, C I J.ON
agreed that !;,a work will be done in Accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive.
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work Is not started within 180 days,or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved,
r <1
Sig ature
- :
Permittee 't",
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OT'-IER THAN DESCRIBED ABOVE
C11YOFTIGA
RD
PLAN CHECK APPLICTIppN ,,pp
cmorrw:aro PLAN CHECK H /<
COMMUNITY DEVELOPMENT DEPARTMENT J PERMIT N _ `10 85Z
13125s.w.RA01 -P.o.eo.23"1,t19.rd.omj«,9rmw
.(5oals-4t7s DATE ISSUED
JOB ADGRE�S: 7�U�/1 5'[!�, Id -- L r► AX MAP/LST o2 5 /^1,4 1313
S : LOT: LAND USE:
UB _
VALUATION
SPECIAL NOTES
OWNER
7/%.�l'.t_������e� _ REISSUC OF:
f t� �X / �„i� LAST REISSUE:
ADDRESS:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
- -• APPROVALS REQUIRED
CONTRAC-. R PLANNING:
_ T/7.�?.C1 . ENGINEERING:
NAME:
AFIRE DEPT
ADDRESS:
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGIN R BUS TAX:
NAME: CALCULATIONS:
ADDRESS: — TRUSS DETAILS: _-
PARKING PLAN:
_ LANDSCAPE PLAN:
PHONE: _ OTHER: -- --
COMN�ENTS: _..�..l�.Ls�L.i � �•�, �� c'/7 � `..._.�—_� _._-_-- --
ji
PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
f,LL5j. 10-432. 00 Building Prrmit Fees -30-1 - - -_— -� a
10-431 00 Plumbing Permit ees _
10-431 01 Mechanical Permit Fees �� yp•SU
10-230 01 State Building Tax (5X)
Building _ �s
Plumbing _ G3
Mech a2 4
10-433 00 Plans Check Fee Y� �i►�
Bu lding i/0 � -3o tK�ti1
Plumbing
r' Mesh
�f�f(77G'L� 30-202 00 Sewer Connection11�i — -��6 D
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge -
52-449 00 Parks System Dev Charge (PDC) _ S�✓ _ _s,2SU
31-450 00 Sturm Drainage Syst Dev Chrg (SSDC)
10-230 09 TRFD —— - -
10-230 OG Washington County Fire N1 (95X)
10-220 00 Amart/Wedgewood
Tol-n1..
REC N Z6C43 -5 _
APPLICANT kSIGWURFF --__— --
Received Py: )7V_� �-� _ Date Received: a
cn/3587P/18P