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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspections -
Date Requested
�_- -6 A''L.I /'.r_—/f Time �� A.M. P.M.
Address �LL,Z'_— 'o �1 r� _�L�� Permit # _
Owner 4(A / Lot
Builder
The following Building Code deficiencies are required to be corrected!
Presented to prr Approved
Inspector _ // Disapproved
Date _ -1�A
CALL FOR REINSPECTION
❑ YIE;rZ 0 wo
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 C
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectionV�-
Date Requested �L _'C Tlme! ",r A.M. P.M.
Address 1 ( .A V 1 � c'_ Permit # Uj C1
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Owner _ 1 - Lot
Builder ��_J_ (Il ( � l l C L-f--
The following Building Code deficiencies are required to be corrected:
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Inspector
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CALL FO RFJNSPNr.TIJN
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C'7Y OF T117A R an4ax f NO . : 803904159
COMMUNITY DEVELOPMENT DEPARTMENT 01111190" [1.)IA.lI;:*D . 3/P.7/
13125 S.W.Hall Blvd.,P.O.Box 23397 Tigird.Oregon 97223.(503)fi39-4175 CIMT. N1.1 P1 Q()4
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This permit is issued subject to the regulations contained in Title 14 ...........
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is h9reby
agreed that the work will be done In accordance with the plans and S 1 14 1-4
specifications and in compliance with all applicable codes and I I)I WAI, I., I.fAJ.N I.)PA'I:N!.i
ordinances The issuance of this permit does not waive restrictive I-,()!:0 A UL.Ah WAILA:4 I 1N 1;:r
covenants Contractor and Subcontractors shall have current1:)l 1*4 city I—
UNIA.. Fi-14110_() . C]''I"y API",R C I.-I lii W
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 NAL.
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 Irp requqsled and approved
ON
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ermittee Signature
Issued By I I FIN ej"Nk? 411.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MAMA*
CITY OF TIGA RD �C!740FTWA :AM1'1:'t'
'11' NO 5E:(;)90 51:115
0410044 DATE 15GUE-1): :3/27/89
COMMUNITY DEVELOPMENT DEPARTMENT j:.1j:*,1:I:M . PMT .NC) . (;901159
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
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This permit is issued subject to the regulations contained in Title 14
of the TMC. state of Oregon Specialty Codes, zoning regulations I AJ.) 1,C)INIS
and all other applicable codes and ordinances, and It Is hereby t 1IJGIA-JN
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes nnri
ordinances. The issuance of this permit does not waive re01, 11vo,
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 of
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 requ sted and approved.
F'ermlttas Signature
approved.
1, 01.4 1W.111A..1 I.VIN
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMFING PIEP1111'
CITY OF T'��RDmOONPE:PMX1* NU .GItD DAII-E ISSE
UD : .5/i:''1/139
COMMUNITY DEVELOPMENT DEPARTMENT on 1:11:41M . PM1' .N0 . 0901159
13125 S.W Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175
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This permit is issued Subject to the regulations contained in Title 14 1,41"A111j'J.1:4r'll) J:N11i 1:4.;A",1 1 ON!-i
of the TMC. state of Oregon Specialty Codes, zoning regulations f
and all other applicable codes and ordinances, and it is hereby It.I N D viv:1:4 1".A 1�:j
agreed that the work will be done in accordance with the plans and 1:11!11 T' & REAM
specifications and in compliance with all applicable codes and 14 f)I I.*.P, L.A.N F,
ordinances The issuance of this permit does not waive restrictive .
covenants Contractor and subcontractors shall have current city
husIne9s 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
ahandoned 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 re uestod and approved
'Permittes Signature
C 04 TWiF'F'KCT10N 639-41117;`!I
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MEX'VIAN'"CA11- PI-04MI'T
CITY OF T167A RD Avi�6 1:)E:PM:i:'T* NO . : ME-�-'81905,V1
CnY RD DATE 15SUEU. 15 127/09
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COMMUNITY DEVELOPMENT DEPARTMENT one" r-',ru:m , r)m*r .NO 890-W159
13125 S.W.Hall Olve P.O.Sox 23397,Tigard,O-egon 97223,(503)639-075 C
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.................. ............ ...... ...
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby GY)I5 I J:N 1::
agreed that the work will be done in accordance with the plans and V105"T & 1:.*.11::.AM
specificAtions and In compliance with all applicable codes and 1N
ordinances The issuance of this permit does not waive restrictive F 'I NAI.
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 ties
commenced It shall be the responsibility of the permittee to assure
all required inspections are reqs sted and approved
Permittee Signature
'Ja I F1.4-! (ON 639 11. 7
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1vYn PLAN GiECK APPLICATIONCI ® PLAN CHECK N G G
CITYC�f Tl(�ARD PERMIT Il �5 - --
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COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED
1 125 SW lull Blvd. P.O.Boa 21997,Tigard,Oregon 97223(509)639-4176
JOB ADDRESS: ��,'//i"rs,- Jf TAX M01-/1-OT J� II
SUB: LOT: L it LAND USE:
OWNER SPECIAL NOTES
i AME. f { ___ REISSUE OF: -
ADDRESS: - .;J v r - c. LAST REISSUE:
c 2. FLOOD PLAIN/
SENSITIVE LAND: _
PHONE: � ,3 �- G 7 y.Z _
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: S-cL r ENGINEERING:
ADDRESS: _ FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS: _._.
ARCH/ENGINEER /c� BUS TAX: _
NAME: ca. ` lie-5 v CALCULATIONS: _
ADDRESS: - "t. ' .'` TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS: _ _—
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-•431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Building
Plumbing
Mech _
10-433 00 Plans Check Fee
Building
Plumbing
Mech _
30-443 .ew(-.r Connection (20%) //".74
30-202 00 ' -j,,r Connection (00%) T7"v —
10-444 00 'mower Inspection c-
51---q4B 00 Street System Dev Charge (SDC)
52-•449 01 Par'(s I System Dev Charge (PDC) _
52-449 02 Park,.- II System Dev Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 TRFD (95%)
10-435 00 TRFD (5%)
10-230 06 Washingt-ol. County Fire 1/1 (95X) _
10-435 00 Washington County Fire 1/1 (5%)
10-220 00 Amart/Wedgewood
I OTAI_ ))tea-� "
R E C N
APPLICANT LIC;ANT SIGNATURE. ytz
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Rer i ved BY: L� r
Date REceitrud: �,� + 115 -L�T
ht/3567^ `