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10865 SW PARK STREET 10365 SW PARK, STREET u- 0 J L .N to c0 0 N N CL =3 ILLn INSPECTION NOTICE City of Tigard Building [!apartment P.0 Bcx 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection __-/ �� __�"` ----- Date Hequusted 2 Time A.M._ _P.M. Address ZZ-1 - r - �'� — Permit #.• �-2�Z Owner Lot _-- BuilderThe following Building Code deficiencies are required to be corrected: Presented to _ _ Approved Inspector --- -— .. - _� Disapproved Date -- CALL FOR REINSPECTION [7 YE8 0 NO "ly PMXT NU . : MEF)802e7 CITY OF TI�� TCIY OF TIGARD K COMMUNITY DEVELOPMENT DEPARTME14T 131258.W Hall blvd..P.O.Box 23397.Tiprd.Ort gon 97223.(503)639-4175 1.)A'1,E I ':�(WUFD R/1.0 at mlope)K JOR AUUPF.:*5o45 ; 10865 SW IDARK ST lox flotil""01, AND USE' : IAYI NO: No MMW LLASln . All <11.00K 6344 H'ANDL 1:4 <10 USE TYPE: TINGLE' FAMIL-Y tOOK+ :1. AIF I-IANDL.A 10K GONSI f Yrjr-, 1.111`4 FLUC.11: OCICLIP . GPIP . : I"I'A I-I ETA'I E k"I Vk;'N*T* FAN 9!...A0 COM I'll 31-11:11 HOOD P/(:;(:Jml 'I-W*.11NC-'Am DP(I)OM I)WrI L. .LINT I'S HIJ41/C33Mr*1 1.;5 301.110 T N(:,INEPATUP(COM 11,144., GA% E.A.D/('10WA '?.O ;'.1014h, PFF)A11') 1111411r; '1AX . I:NPIJ'r 81. A/(MMP 504-1--IP OTHER Wil:*IP51? OUTLEA'S 1114 14 1,1,All A I ci� T 4.4 P I I lit C;el V(4 r..) All cl *i?k I I, 0 W 14 Ill I I'l C1 IS, 111lU 00 N 11 E ,08W.1 ow peel.,!, lit, 1:1 ON PEVIE'M R L1 0 1 09 PHONE 1503) 620�*5367 rAX $ .98 C 0 N M AOL VKM R A 15'x:1. 7 S C. 1P.NO AVE:: C pill't 'I latitl cti, 97POe., T 0 PHONE (503) 777--W"51.4 R 1I1i::1,:I ': If)(t'f'1('11JNU 13,01 U(TrAll, A) This permit Is Issued su')Iect to the regulations contained in Title 14 REGEIPt NO. V.89(56 )I the TMC, State of Orpqlon Specialty Codes, zoning regulations .................. ..... •"•' and all ether applical-fle nodes and ordinances. and It is hereby PEQU.TPEN) TINIGPECTT.(:INS aqreed that the work will be done in accordance with the plans and CAS L 1W.. specificatluns and in compliance with all applicable codes and P09 T 8. HEAM ordinances. The issuance of this permit does not waive restrictive 1:4100GI I - .1,N covenants Contractor and subcontractors shall have current city business tax permits. This permit will expire and become null and FlISIAL. void If work is not starf�el vithin 180 days,or It work is suspended or abandoned for a period of 180 days any time after work has commenced.It shall be the rp4p-)nslbillty of the permitter to assure all required inspections are requested and approved. Issued By 1 F(Il"Of 1 1 '1(IN m SEPARATIE PERMITS REQUIRED FOR WDRK OTHER THAN DESCRIBED ABOVE INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Mair+ St. Tigard,Oregon 97223 Phone: 639.4171 ype of Inspection Clete Aequet/te/d,/__ ` E ` �+ 5 ter_ Time', A.M. Address /U�U �/4t-/C ----- _ Permit Owner �--�./AoL �Y" _ � __ Lot #_ Builder --- ----- -- --- -- -- -------- The following Building Code deficiencies are required to he corrected: Presented to _ _ I Approverl Inspector L ' [] Disapproved Date Ar CALL FOR REINSPECTION Cl YES ❑ NO City of Tigard Mechanical Permit 3 9 0 0 New Installation u R,:placeZ Relocation F1 Addition Alteration DATE 3A4 HEATING CONTRACTTORr P. ''-`�-' � _ CWNE ADDRESSL�L-,,,, ,QQOB ADDRESS IU PHONF ___ L.�— APPLICANT Heat input Rating(BTU per Hour) _--24-P —_— Vent Size Y- Flue Site _ FUEL OIL F-1 GAS ELECT OTHER ITEM NO. FEE ITEM NO. FEE _ For Issuance of Permit _ SEE-BE LOW Each Air Handling Unit or Duct System 7.50 -up to & Newincl. 100,000 BTU T 6.00_ Commercial_Hood System _ 1.50 New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50 Woodburning Stove 4.50 1 Trip Inspection 4.50 will-Floor- Suspended _6.00 Air Condition Compressor • up to& incl.3 H.P. 6.00 Vent System w/Fan 4.50 Air Condition Com ressor-3.1 to 15.H.P.incl. 11.00 Repair-Heat Cooling 6.00 CITY BUSINESS LICENSE REQ,JIRED BY ALL CONTRACTORS OR SUB•CONTRAC FORS ! ! PERMIT ISSUANCE 10.00 Cor =nents:. i� $"$'�, FEES SUB TOTAL / 45 96 STATE lt2uaci By --e4 2516 PLAN CHECK Sion Annlir inf I'N'SPECTION NOTICE City of Tigard Building Department 124.20 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested i'o- d Z _ Time A.M.. F.M. Address �. �,�.�� _� Permit Owner.---- —---------._--._-Y Lot # BuilderThe following Building Code deficiencies are required to be corrected: Presented to _-�_-- �� Approved Inspector _ - — - L � Rsapproved Date CALL FOR REINSPECTION ❑ YES t NO Address _ /D �vS17�.c ,r� Permit No. Permit charge Owner Connection fee Paid by ✓ C2 Z� ! Type of buildinq Date connected Service rate �5 Inspect4 on fee Contractor Paid by Dato Size of connection Assessment paid 9/7/>> City of Tig INSPECTION REiVEST or TIME DATr ")ATF ISSUED:--L—Z- OWNE' , RS NAME ADDRESS CONTRACTOR * - TI-ST' Air 0, Water �L _ , Visual 0 , Laboratory [] RESULT', Appi ived Disappt ived C1 , Pendinc; SKETCH: 3 - ? � —1 RIP I C To R-- DATE LNOTC AftGOIN $0001MIntal toot dote herst- - 14-77 UNIFIED SEWERAGE AGENCY NO. 11639 WASHINGTON COUNTY DATE _ 2-4-77 --- CITY -CITY OF___ Tigard —. APPLICATION FOR SEWER CONNECTION PERMIT Garth W. I_of I OWNER'S ADDRESS: - _10865 SW Park St_.__ -- - STREET -gg -CITY -_^ STATE ZIP T a xL�Ia2Np �T1E.3�A t -_BLOCK -----___— .---- ADDITION TAX LOT NO. —3700 TYPE OF OCCUPANCY __residence 10865 SW Park St. ADDRESS _._—�__-._ _—`— DWELLING UNITSFIXTURE UNITS SURCHARGE IF APPLICABLE -- PERMIT FEE .-___300. _ INSPECTION FEE 25* TOTAL DEPOSITED 325. PERMIT (EXISTING) BUILDING SEWER SYSTEM Fanno Creek - The Applicant agrees to comply with all rules and regulationLof the Unified Sewerage Agency. APPLICANT �LZ'v SEWER PEiRMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE - _ INSTALLER RECEIVED BY_ Ts'-- �(AOENCY- _ OR,S AGENT) COMMENTS: _..Per-- U, S. , A. order #70-12. Premises_ existed-prior -to_1970 Sewer facilities becoine available 1-77This Application and permit expires in one hi.ndred and twenty (120) days. The amount paid will be forfeited should expiration occur. CITY OP BUILDING PERMIT APPLICATION TIG�ARD DATE �'1-26�—�, ,s .�N° 0586 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--.----- OWNER HONE_.__ — -_OWNER Garth lOf ADDIIESS 20865 3.t, . Park ------------------- ---___-_�- _.._-..- BUILDER PHONC---- - ENGINEER BUILDER __-- _AR I ECT DESIGNER STRUCTURE ❑NEW 1 RFMODEL ❑AUDITION -❑REPAIR_ _❑_RENEWAL - ❑FIRE DAMAGE ❑DEMGtATION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAS GFEKCE 013OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APP13OVED ❑SIGNS ,PANCY I LAND USE ZONE_ ' ° BLDG.TYPE FIRE ZONE PLAN CHECK BY - r t HEAT sriclus�e garays for bedroom & bath -� construct now yarag® arcording to approved plane) ---- 4Sr�. LnAD - _ FLOOR LOAD HEIGHT _ NO.STORIES AREA VALUE BUILDING DEPARTMENTi4l DO J� Tr r+ h,11'lnlry --- SET BACKS FRONT REAR �FFT SID[ RIGHT SIDE Permit 44«U0 — —-- -- -_--_ - - -- -- (HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Flan Check �010 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT I, 4EREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCo.WITH Recording ALL AF°LICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PkRMIT DOES NOT VV%IVE � J RESTRICTIVF COVENANS'S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State `- LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND KEATING. Total By _ `--- -- APPLICANT OR AGENT -`----__.- Approvpd t Rpce.nt No ��.__ ADORFSS DATF INSP. TYPE INSPECTION REMARKS PLUMBING DATE ontraotar PermitNo, �7�51?`� ^`` Fixture Find _ 'HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final [Sidewalk Curb&Street Final A pproach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final _ Landscaping Zoning Final ' I I I Y I I