12615 SW 136TH COURT ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE���/
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppriSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Hough-in FINAL:
Post/Beam Mech. a �. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Underflr Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: j�O 5� Time: X \AM PM
Address: __
Builder: Permit #: 5,L&(l'__ f-ol T.0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In ector:_�// /i Date:l (✓ �_
APPROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE
Call For Reinsp.
L'o-o 01
CITY O F T I GARD SEWER CONNECTION
PE RM I T
0 COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR95--0147
13125 SW Hall Blvd.Tigard,Oregon 97223.8190'-11509)049.4171 DATE ISSUED: 0,4/14717/1'315
PARCEL: 2S104BD--00500
SITE ADDRESS. . . . 121,',15 SW 136TH CT
SUBDIVISION. . . . : OBRS HEIGHTS ZONING- R-6
BLnc!-,,. L-01.. . . . . . .. . .. . . . . .3
TENANT NAME. . . . . : RODERT & TERESA BRUCE
LISA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLAS S OF WORI-',. . . :NEW DWELLING UNITS— : 1
TYPE OF USE-_'. . . . . :SF NO. OF ESU ILDINGS: 1
INSTALL TYPE. . . . '.LTP IMPERV SURFACE. . : : sf
Reiniat-ks : ciewer- connect to latteral, No SOP needed a� pt-eyio�.isly don; . Septic to
nk
to be pumped, Filled ot- removed and inspected.
0,4nev-: FEES)
ROBERT BRUCE type amot.trif by d.Ate r-ecpt
12G15 SW 136TH COURT PRMT $ 2200. Q)lZ JDA 04/07/95 95-263895
I NSP $ 3!i. 012 JDA ID4/07/95 —----
TIGARD CP 97227,
Phone #:
Cont t�'-Act ore
MILLER 8, SONS5
RT 5 BOX 62
SHERWOOD OR 97.140
hone its $ 00 TOTAL.
r c7 ff. 03644
REGIUIRED INSPECTIONS
,i �.pplicant agrees to comply with all the rules and regulations Sewer, Inspection
the Unified Sewage Agency. The pet-sit expires 180 days from
it date issued. fie total amount paid will be forfeited if the
permit expires. The Ager,cy does not guarantee the accuracy of the
side sewer laterals. !f the sewer is not located at the measur?pent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall puochase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
�r-mi t Lee Sifir, -t L jt r,
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C,01 for inspection 6.79-4175
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City Tigard Residential Building Permit Application
13125 .4W Hall Bivd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: (aIoIS Stk) I (F C `_
Subdivision: Office Use Only
Valuation: Contact Date J f � /ct' Initials 1
— Result
Planck/Rec #
New Construction Only: (Square Footage) Permit
House: Garage: Reissue of
Map & TL
Zone
Corner Lot? �i N Flag Lot? Y N Plat # — —
Owner: Ap rp ovals Required
Address: I a (v /S aL0 1 3(p a Planning Setbacks _ Solar
Engineering
�,Y, o 2-2 -3 Other
4� F h.=� L.= _
Phone: ( .� �) S_�� � 3X�, � Items Required
�Wk M,i _
Contractor: el ►' Subcontractors rl Truss Details
Address. Other _
Notes
Phone`' 1p �'' �- �lilQ4 l' t i'OiWW
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Contractor's License # t ' �C{d
(attach copy of current Oregon license)
Contact Name:
Contact Phone: �-
Subcontractors: Architect/Engineer: _
Q Plumbing: Address.
Mechanical:
'attach copy of current OR Contractor's License)
PhcmP_ ( )
I013ID-sCRIPTION: LA 4- � '/ja
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Applicant
Signature Applicant Phone number
Received by: f�1 � �— Date Received: �I
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Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
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Plumb. Permit (PLUMB) —
Mech. Permit (MECH) _
State Tax (TAX)
Bldg: _
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
i Sewer Connection (SWUSA) dAGL7
Sevier �nspectton (SWINSP) S '0J
Parks Dev CLarge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) —
Commercial TIF ('TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WOUANT)
n.
Fire Life Safety (FLS)Ln
_
,'– Erosion Cntrl Permit (ERPRMT) _ _A
J
c Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
-00
TOTALS: .
A - ACTIVE
.S��itc'c
?aw4 Seu&e
WALTER LAWSON
11055 S.W. Clay • Sherwood, OR 97140
Phone 682-0233
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Service tong!g
Address
City - �-°- ,��" � T� tone
For C /56 1 - �7 ��fi""�
__. leaning Septic Tank -� / L
ForC(ea��gain Line it,
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For Clear�ng Grease Trap/ �_ ��;d f 1 J.
For Extra Labor _
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Amount Paid __. Balance Due
Due Date
Signature --- -`— — --
rlease make check out to present driver
Three percenP pfr month -,i;erest charged on bilis if not p,lyd in 30 days
Not responsibie for ser;ic tank, train held curbing or driveway damage
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