7675 SW VARNS STREET ADDRESS:
i:\records\rnicroilm\targets\b-.ilding.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 _
Footing Rain Drain Cover/ServiceFI�,
Foundation Water Line Ceiling Plumb,
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/F!r/Slab Plbg, Top Out Insulation -Elect,
Post/Beam Struct. Mach. Rough-in Gyp. Bd. dg.
Sari. Sewer Gas//Line Appr/Sdwlk Rains.
Other:
Date: _ —�7_--LLo A.M. Entry:
Address: 7� ZS G///� ,11J •-- - --
- fat '
Tenant: Ste:___ MST: S,.'
BOP: _—
fon/Own: QQ_ —` MEC:
ESC
THE FOLLOWING CORRECTIONS ARE REQUIRED:: ELR
On
Insp actor Date: or
_L0PROVED DISAPPROVED/CALL FOR REINSP. tCF CO
MASTER PERMIT
CITY OF T I ARD PErMIT :0. . . . . . . .. 14ST95
/9!�
COMMUNITY DEVELOrMENT DEPARTMENT I)ATE 06/14 1
13125 SW Hall Blvd riWard,Orogon 97223&8199 (1503)639.4171 P.,ARGEL: 2G101US -00603
;ITE ADDRL;.� . . . . 07G _j '5W ZONING: R 3. 5
;UBDIVIGION. . . . : RO! -ING HILLS
ZOCK. . . . . . . . . . : L 07.. . . . . . . . . . . . . .
BUILDING
E I G G U C DWELLING UNIT�:O BACEMEN1-. . . . . . . . :0 s
',LASS OF WORKL. :ADD BEDRMS:O GARAGE. . . . . . . . . . :0 s
� YP-J OF USE. . . :5F rwon AREAS- RC.QUIRED '-1ETDACK'ZJ---
Yr,E OF CONST. .5N FIRST. . . . 12, sf LEFT. . :25 ft R I ciiiT. : 15 ft
�)CCUPANCY GRP. -R- GECOND. . . :0 s FRONT. :121 'Ft REAR- - :25 f l'
*:'T 0 R I E G. . . . . . . : 1 FINBSMENT:121 Sf
iEIG1 ;T. . . . . . . . . 0 -Ft TQTAL------- :sF SMOKE DETECTOR'.')-
_LOUR LOAD. . . . :60 P F,-F VALUE $ PARKING SPIACES. . .0
'.'emakvk. : BUILDING A DECK
PILUMBING
BACKFLOW r:�RUVNTRS. . :0
lZI 1!7L0OR ORnING. . . . :Z
.AVATORIES;. WATr'_R HEATERS. . . :0 TRAP'S. . . . . . . . . . . . . . ..0
t i r.,s H o W u.IIN-;:) LAUNDRY TPOY'G. - - :0 C(',TCH DAG2TN5. . . . . . . :0
CLOSETS. . :0 SEWER LINE (ft ) . -L71 CREASE TRAP'S. . . . . . . :0
1C OTHER FIXTURCT. . . . . .Q)
W('4TCR LIN (ft ) . :17�
..'-ARDAGE E)I SP'. . :0 RAIN DRAIN ( ft ) . :0
,4AS)H 1 NCS MACH. - - -0 s)r RAIN DRAIVIO. - '0 FEES
MEC)iAN I CAL
UEL TYPLG -- UNIT 1-ITRT,. . -17, t f)e SAMCI.tTlt by d'At e I,e(:P I-
r_NTF) . . . . . .i@ SPRT $ :2,5. 00 JD 06/14/9. ^�:-2 6 6 7 3,'.
111AX INP,L1T:0 LTU UE11T r"ANC. - :lb Bl--,[-C $ 1G. tl:..,I_J in 1716/09/95 95.•:.66557
�-URN 11210K - :0 W)ODIES. . . . . . :0 B5P,C $ 1. 25 JD 06/14/95 95 J.'61.733
,-..URN =1 00K . . .0 W0177;DSTOVES. -.0
CLO VPYEH-3. : 0
"LOUR rURN. . . . :0
OTHER UNITG:Z
GAS OUTLETS:0
Own pl�: - - - ..— - ---- -- - —
..—-- - - -— _. -
rIM CI Ar,MAN
07r,7!: SW VAWIES
2
I'IGARE 0[1 970L24
C)hoiiLe 1*. 0014 4800
AIDUDLAWN COWANY
7955 SW PETERS RD
,_)tj[RIJAM OR 97iR,4
Fah art p # : 6210 -5343
104918
4c". 50 OTAL
'IINSP
*ECTIONS
"hi; permit is iwied subject to the regulations contained in the REOU I RED
Tigard Municipal Code, State of Ore. Specialty Ecdes and all other FC)ot irly I n 5 P
applicable laws. All work will be done in accordance wth approved Fr-am irig I n s 1i
plar,s. This permit will expire if .,ork is not started within 180 LALki Irii T-19 F iT181
days issuance, ar if work is suspended for act tea- 18t dat Ei-cis i uri Cuntr-c)I
IS a,
�Tt e
:.J ey ri i t (I e e i
01
7`
f ci i i ri p e L't I C,r E39 4 17
Wa Wo
Residential Buildin Permit Application
City of Tigard
13125 SW !-fall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 7G?S -5 U-1 UR 8 N F S
( (
Subdivision: t`S Lot# _ Office use Only
t��"� �
L�Z' Planck/Rec #
Valuation: � ��U�
Permit # r'/!C/yyt�
Corner Lot? �J N
Reissue of.
Flag Lot? N
Map& TL# U
Owner: _ -- Approyals Regulred
Address' (n 7 S 7 u1 Ul y K N b1 Planning �� � GSL
rngineftring _
Phone: i�� 1 r�� �� Other
f�-'t,ontractor: I�Jocb e.AWn) n� _ —.- items Required
Address _ ` w r �� &A D Subcontractors
T� N K H AM 12 a2- _ Truss D-Aails
Phone: Other
Contractor's License # f�q _I n —
(attach copy of current Oregon license)
Contact Name & Phone: _ i l- iD
Subcontractors: Ar,:hitecVEngineer: _
Plumbing: Address
Mechanical _� --- ------ -
(attach copy of current OP Gontractors Lzense)
Phone: � -----
JOB DESC?IPTION: R6� P flCI� 9X iSTI A) GI 71X l� b CCK— w i TSI 4A
— � 533
Applicant Signature & Phone numb
Received by: __ Date Received. „�(
L ✓
Permit# Accuunt Description Amount Amt. Pd. Bal. Due.
Bldg. Permit (BUILD) c�' • �V -
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb: _
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) __—
Parks Dev Charge (PI(SDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (7117-0)
Water Quality !WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Pnnnit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) \
TOTALS: