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I INSPECTION NOTICE
01ty of Tigard Building Department f
P.O. Box 23397
i igard, Oregon 97223
Phone: 639 4175
Type of Inspection
Date Requested1..� Time _A.M. P.M. /
Address '—'XX:Ot C/A _ _ Permit
Owner -- —_--- ✓���t�z !c'�f}Cl .. Lot #
Builder
T,ie following Building Corle deficiencies`ere required to ba corrected:
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Inspector _ [] Disapproved
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CALL FOR REINSPECTION
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CITYOFTIGARD
C17YOFTMIM
COMMUNITY DEVELOPMENT DEPARTMENT 02§GON
13125 SW IIIIII9. 1vd..P.O.Box 2?P7,TIVIrd,P9723,1?O?l 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
and all other applicable codes and ordinance's. 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
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
vold it work Is not started within 180 days.or If work is suspended or
abartlored for a period of 180 days any time after work has
commenced. It shall be the responslbl:ity of the permittee to assure
all required Inspections are requested and approved.
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aermittee Signature
Issued By
SEPARkTE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CI` Y OF T167A RD �� ItrA I+i!til.t1 tJ �,�!��,���
CITY OF I ITAND 01-411h r1l 1* NG 68010,37
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 S.W.Hall Blyd.P C.Box 2397.Tigard.Cregop EIM1(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
and all other applicable 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
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 it work Is not started within 180 days,or it work Is suspended or
abandoned for a period of 180 days any time after work has
comrienced !t shall tie the responsibility of the permittee to assure
all required Inspections are requested and approved.
Permittee Signature (.If! e".4(v '4)
Issued By:
SEPARATE PERMITS PEQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'FA RD
CfrY OF I IGA RD
COMMUNITY DEVELOPMEN f DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23317,Tigmrd,Oregon 97223.(503)839A175 PATH PHI, 11"10 3W
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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
agreed that the work will be done In accordance with the plans and 1 (.1'.1 1 k 1; 1].14.1
specifications and in compliance with all applicable c,)des and t ll..,
ordinances The issuance of this permit dries not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and fl WIJ I 15,
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 responsiollity of the permittee to&isure
all required Inspections are requested and approved.
Permittee Signature
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CITY OF TIFAI RDtrpftlf, V 114MI. I' NO U0f3o"Vf
CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd.P.O.Box 23197.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
and all other applicable codes and ordinances, and it is hereby it,I
agreed that the work will be done in accordance with the plans and '01,*1 1 1 z It:
specifications and in compliance with all applicable codes and 1 11 1 It i1 V 011
ordinances The Issuance of tits permit does not waive restrictive
covenants. Contractor and subcontractors shall have current rity
business tax permits. This permit will expire and become null and 4 1 1!, 1'-11 IPI�11.1-4 IiIJ
void if work is not started within 180 days,or If work is suspended or it,
abandoned for a period of 180 days any time after we has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Petmitte1 4q ,I il, G LJ
Issued By
SEPARATE PERMIT'S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIFARD ® PLAN CHECK APPLICATION
CQMMUNfTY DEVELQPMEW DEPARTMENT CIiYOFi1GA FLAN CHECKoUooN
13126 SWI+NI6W P.U.Bac 23197,noa�,onogon 97223 fooleawl>6 PERMIT -
-- DATE ISSUED
JOB ADDRESS: _121�� S t.� (i4m ,,p L TAX MAP/LOT /.S
SUB: Ai,+� 7 `'J��n+wLDK1 A �' OT: �a �— LAND USE: j/ 2 --
VALUATION:_ �Gr9cJG SETBACKS: FRONT: 7• REAR:' y LEFJ R GHT; '
WORK CLASS: 4"!"W HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: .LST:
CONSTR TYPE: HEAT 1YPZ., 2t1D:
OCCUP GROUP: DWELL/UNITS: T_- 3RD;
OCCUP LOAD: NO BEDROOMS: 3 BASEMENT:
NO STORIES: NO BATHS: _ GARAGE:
IMP SU IFtCE: -��-
APPROVALS REQ'D SPECIAL NOTES ITEMS R.EJULRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_
ENGINEERING: — LAST REISSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: _
01'HZR.: _ SEN LND.: TRUSS DETAILS: --
PA:4KING PLAN:
LANDSCAPE PIAN:
PLAN ,'HECK BY:� OTHER:
COMMENTS: -----
ACCT— DESCRIPTION
OWNER10-432 00 Building Permit FLes
NAME:
n.
1 10-431 00 Plumbing Permit Fees _ SU
ADDRE§S: T 1 < <' t 10-431 01 Mechanical Permit Fees
"'2-,! 10-230 01 State Building Tax (SX);�,�5!1•�% `�'y t-
ky
10-433 00 Plans Check Fee
PNONE: =?S 30-443 00 Sewer Connection (20X)
3 55 33 30--202 00 Sewer Connection (80X) err
CONTRACTOR 30-444 00 Sewer Inspection .
NAME: ,51-448 00 Street System Dev. Charge (SDC)
ADDRESS: '52-449 01 Parks I System Dev. Charge (PDC) ri --
52--449 0:: Parka II System Dev. Charge (PDC) -
�_ 31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) t
PHONE: - 10-230 09 TRFD (95X)
10--435 00 TRFD (5X) f� -
ARCH/ENGINEER 10-230 06 Washington County Fire /1 (95%) -
NAME. _
_._,. 10-435 00 W _ -
ashingtoR_County ^i.r.e /1 (SX) �
ADDRESS:_ �- 10-720 00 Amart/Wedgwood
PHGN�B:t -
TOTAL
PREPAID
REC
�' C ,•` BALANCP DUE
APDL N-A-T-LFRYT—
Receivedved By: � 4-
Date Received: �' ;�a u