8700 SW REILING STREET � ww wwww
8700 5W RULING STREET
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, 97223
Phone: 639-4171
Type of Inspection
Date Requested 3 .2 Time--�— A.M. P.M.
Address Permit # C)
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
,e
Presented to *- Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES [A NO
CITY OF TIGARD Plumbing Permit 3 3
Building Department N0.
Residential ❑ Commercial ❑
New Installation [_] Replace ElAddition -� Alteration U Date - • --
Licensed Owr er
Plumber _
Address - --- - -�._ __�_ - - Job Address- �' F —C� r�•r F
- +--
Phone _ __ _ _ _ Applicant ----
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM _ IN ; EE TOTAL ITEM� NO. IEE TOTAL
7.50 Sewer:First 100 ft. _ 30.00
Fixtures-Traps_ _ --- - -
7.50 Each Addit.100 ft. 15-00 - -
Dishwasher _ 7.50
O_arbage Disposal 7_50 Ejector Pump _-- —
N7.50 Water:First1U0ft. - 20.00Water Heater _ - -- ----- -
— 7.50 Each Addit.200 ft. _ 5.00
Backflow Preventer --- `----
-- __ Storm a Rain Drain:First 100 ft. .r 30.00_
-- Each Addit.200 ft. 15.00
Mobile Home Space 25.00-
o--- 15.00
Other(Specify); _ _ Rain Drain-Single Fam.Dwelling
Comments: --- _ —�- --- ------
PERMIT FEE
_ --- Issued By'. l -
STATE N' Y
-_ -� Receipt Na --- - Applicant -
Signature-
TOTAL For Plumbing Inspection Phone 639 4171
-- '- -- -
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BUILDING DEPARTMENT, TIGAPD �1G
PLUMBING PERMIT
_0_,S _.._- holder of a valid plumbing contractors license is hereby
authorized to cause PYLImbinu work os herein noted to be installed in accordance with the plumbing code of
Tigerd. Such installations require inspection by the City Inspector who shall be notified not less than four
(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 '
Owneral r �,G Address_
Date'?l A'oZ,
-- -- _ _
NUMBER OF TOTAL
TYPE OF PER-MITNUMBER
FEE ON EACH AMOUNT
ct E 5j
Single Family--•1 bath-ench 2_5.00
Du24x-Each 1 bath unit ~25.00
;i
Additional bathrooms-each_
Mobile Home S�tace•-e.ich- 15.00
INDIVIDUAL FIX ruRE9 CORMERCIA
�.•..,
_ 1 to 50 Fixtures in 1 building-each 3.00
51 to 100 Fixtures In 1 building-e,ch 250 ;�tI
_ 101 to 200 Fixtures in 1 huildinq-each 200
__2U1 or more Fixtures in 1 building-each - 1.50
MISCELLANEOUS _ __ -"� �'
Sewer-each additional 10_0 ft. _ 10.00
Yater Service to buildin �_ 5.00 �"
Other -
� Y
`PERMIT �' � - -
�; v for Plumbing Inspection Phone 633.41/1
4 State �v Plumbing Contractor By
_TOTAL 1 fir' RECEIPT No.
Issued Ry �"""—•—`-----
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INSPECTION NOTICE
City of Tigard Budding DepartmeW
17.420 S.W. Main St.
Tigard, Oregon 97223
Phone 6311-4171
EAddress_ Permit # �_
Type of Inspection
The following Ruilding Code cloficiencies are required to be corrected:
Presented to__ Inspector
Date
CALL FOR REIWE'C770N
❑ YES ❑ NO
BUILDING PERM IT APPLICATION TIGARD DATE1910
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WOFX HEPEIN INDICATED BUILDER P ONE 8'�8'"'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECiFICATiONS. OWNER PH NE b3b__�
LAT NO. O -
OWNER G'rd Gferdin J08AD_DFESS i370C ' I F' i1i;,..j Street _
1'8 TIBC .?_.g _ _--
2�. 6Z9-l.ZG�f ARCHITECT -'
ENGINEER
BUILDER I Ubett L,festlUnd ADDRESS' 1 ;.S-box 160A-26--5hwd. DESIGNER Knight's 91w;. Design
STRUCTURE X*EW ❑ REMODEL __ ❑ ADDITION 13 REPAIR �13 RENEWAL EJFIREDAMAG _0 DEMOLITION
CJ RESIDENCE ❑ COMM C) EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CA9PORT ❑ GARAGE ❑ STORAGE ❑ 3LAB❑ FENCE
OCCUPANCY LAND USE ZONE _ 5 N ��— ^-��,JF��y�FTS
_- BLDG.7YPE FIRE ZONE. PLAN CHECK BY _ _ HEAT
__Ljunstruct a1r1g,111. rig w/attached cgarsq®. 3 Bedrooms 2
__ SE
CORRECTION SHE;E , TACHFO. I
SEWER PERMIT#�I U2 -. 0(1:i.OQ
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1086 NO.BEDROOMS 3 VALUY 44 a Nil
BUILDING DEPARTMENT SETBACKS FRONT :.:a REAR 29 I.EFTSIDE 6 RIGHT SIDE 12
Permit 41.72,00_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES Arlt, 7RDINANCES, AND ITIS HEREBY AGREED THAT THE
Pian Check (36.O(i 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
Subtotal 2.!18.110 RESTRICTIVE CO''ENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ,a:; r �8
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.
soc - ;4il;.l.t11�
Total 4,H 8
By P1 PDC# 1 1 ,100. PLICANT_OR AOENT__ - '_ -----
Approved [AJH Receipt No. 5':,1!7
- AbbR --- -- PHONE
c
DATE INSP. TYPE INSPECTION REMARKS PLUMBtNG DATE
Contractor
`r _ h,.t�pyA.wcl _ Parmit No. an..��o� AL,
w- ,# c.,- M O or Rougr,-in -.
�� n` , Fixture
Final
HEATING -
Contractor
Permit No.
Gas or Oil
- —
Rough-in'
_ +--- Final — -- ---
SEWER - --- -
---- Final
DRIVEWAY
Finpl
Storrs Drainage
Main Drain)Final
S Mews I k
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCC�p CY
l�
CERTIFICATE OCCUPANCY Final 4
S _�
ULandscapinq
Zo ing Final
E 44 41 AO
BUILDING PERMIT APPLICATION -:-�- NO— t_ J�Xn
THE UNDERSIGNED HEREBY APPLIES APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONd;&L
OR AS SHO't','N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. kql�`NER PHONF—�-.-,; --
LOT NO L&M-1A 119C144,
—90-1k
ft 164 ADDRESS_ -N-0(6. -
Wn _ j - .... --j I fh�,>-il I murp"'Irr"_KN0 1
ADDRESS i
TRUCTU!k.. XNEW R t MODE L OADDITION OREPAIR CIRENEWAL C3FIRE DAMAGE C]Op
ITtnty.
SIMISICE: CIEDUCATICINAL nuOV'T [3';FLI(,IO,JSj'-1PATIO [:3CAR PUNT OSTORAGE[ISLA n-t `CE
57 tj L1 E
A P�,"I rj t HEAT-A
)CCUPAN. USE ZONE RLDG—TYPE- ,,rte �. _- -
— A
01 ra#"
#*N- I 1:�
o,Ise ev-.-tcoto
2-
-4-0.2.
J'SUER—PERMIT
FHEIGHT NO STORIES. . A?E A/V
010-LOAp L QiGt
A
BUILOINki DEPIART�� FRONT LEr' 510 _T SIDE
AEAR
.--EN:F. 5 L i BACKS
THIS PERMIT IS ISSUkO SUFIJECT TO THE REGULATIONS CONTAINED IN THE BUILDING C('CJE.
AND IT IS HEREBY AGREED IHAI THE
PI&n Check WITH
V e' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
SUb !otal APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT ODES NOT VYAIVF
00 Al.L I,-"SS
-- R!,S1 R
ICTIVE "'OVFNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT City BUSI
Slaw Tax LIC�.%%E SEPARATE PtHMITS REDUIREO FOR SEWER, PLUMBING AND HEATING.
-
Total
PDC,#
OR AGEN
Receipi No
SIX
PDC 0
5FWER CONNFCTION
SEWER JW5PELTION
SEWER SURCHARGE
Comments: Rej
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