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11651 SW PENN COURT-1 V k a fr i I I I'Ijili a I PER! m I IN i. `- 'i 1r1�' ��PrY.q.;°I , �., /►�P'i� l V7 r j(q F'"h � N .; � v ;► ��,, ter or., 04 0474, AJ O - ( u � cd �• ;� 11 F, �h\ td �\ M `5�33dti nadti;d,Lv�nrv�i�Stiisui�s��r�tiro�6 �r[t: �..� - � 3,i::s'Y L'�''.�.��IY..� �'' ,�,`r• , ' r INSPEC'CION NOTICE City of Tigard Building D#.partn,r,rt (� P.U. Box 23397 Tigard, Oregon 97223 Phone:639-4175 � 1 Type of Inspection _.—_ Date Requested.---_-...__ .�� 7 Time A.M. P.M. Addresss1 Azl ' Permit Owner_ _r — _—. Lot # �— Buildei - ---- The following Building Code deficiencies are required to be corrected: P Psented to Approved Inspector __ - C`—--- — LJ Disapproved CALL FOR REINSPECTION 1 YES , ) NO L INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone:639-4175 Type of Inspection Date Requested -- Tlme_�— A. .P.M. t / 24 Address .. �� '�"�'��`-� — Permit #�_L Owner— _-- __ Lot Builder --- — --- ------The following Building Code deficiencies are required to be. corrected: Presented to ------ _____ Approved i Inspector _ —_. — Disapproved Date CALL FOR REINSPECTION YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23387 Tigard, Oregon 97223 Phune:839-4175 p Type of l ispection .- --- L ti AX-0 74t- Date Requester Time +"'_:A.M. P.M. Address Permit #►-•' S Owner 6L� Lot #_ Builder W, following Building Cnde deficiencies are rege;red to be corrected:r.r ALL- y'ra z-4 _A,� c1'sc &LOSA ro C' r c.t= H r N.1 C-:., ( I N r QF ,� 2�.- � — r,it�/!ter• V 77 . —..___•�/`� Fav v��'_—.C.: ���-.: C� Presented to _— Approved Inspector - e - �- a ----- Ll Disapproved Date CALL FOR REIMPF,CTION ❑ YES KNO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection l Date Requested___. TimeA.M. P.M. Address _ �(� Ir x� Li1 _ Permit # Owner "Q9.1 Lot Builder---- ---- C�The following Building Code deficiencies are required to be corrected: - I T )` /L L 140-T o Presentirl to _ _ .--.__-- —._. Approved Inspector Disapproved Date ---- -- ---- � CALL FOR REINSPECTION ❑ YES 110�NO tot inspections call r,39-w1 CITY OF TI�uARD 639.4171 5945 BUILDING PERMIT UATEApri l,__ _198b_... U,prla►d, Inc. TAX MAF LOT NO. 4 -__-SUBDIVISI0N1'"g_--],, OWNER JOB ADDRESS EII''�L 5'a Penn Court EutaLea BUILDER aaW- A—J1626 SW Corbett. land US r9_ lUl STATEREG.NO. 436j� EXP.DATE 10/'211,66 BUILDER'S BUILDER'S PHONE ARCHITECT _ _---——_-__Aj,&*_-M&116Or4i - PHONE. .224-9164 OTHER STRUCTURE NEW REMODEL f I ADDITION I.1 REPAIR MOVE 1 OTHER DEMOLITION I1� RESIDENCE ❑ COMM EDUCATION IND RELIGIOUS r' ACCESSORY GARAGE I OTHER FENCF OCCUPANCY -LAND USE ZON04•- BLDG TYPE FIRE ZONE_—PLAN CHECK BY 'SL'i HEAT ConaLrurt gingrle family dwelling rr/attaches �-,r1ra; . � 411 }�� cx,,�,�,z ,�v�u , len>►. --- — -- SEWER PERMIT# uaru.;e 'IU/ 3 hatli OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO STORIES , AREA14 lU NO. BEDROOMS I VALUE4S UcJ,, BUILDING DEPARTMENT _ SET BACKS FRONT ,- - -- REAR LEFT SIDE RI(,H SIDE Permit _ 17ki•5U _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONT,4INFD IN THE BJILDING COPE, ZONING W1.03 WORK AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEVEBY AGREE THAT THE Plan Check -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO VS AND IN Cl.MPLIANCE T WITH ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE (,URRENT CITY BUSINESS II.14 _ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR S_WER,PLUM6!NG AND HEATING. State Tax .;._11C 250.1.), - - -- Total 4 7U.6 7 - soc— SUU.UU — PDC# 1 150.00 APPLICANT OHAGENT �- Prepd. IUU.UU Rocelpt No. �� An�gE$8 PHONE 1921.Due 370.61' - -_ --- Issued By,.._- Approval 6y DATE INSP. TYPE INSPECTION REMARKS Y PLUMBINGw DATE `(,/ Conua�tcr l�-�uj (:�� 3C? �/- !�� Pormh;Nin. — Rough-in �� Fixture Final tzs Z- �'� H Ov�I� Jry!'� tr-rte _ HEATING Contractor 44AA-zP Permit No.-,L O — s i:?oughdn — �— -�— -- Final SEWER - --- Final,-�.'_. --- DRIVEWAY Stcrm Drainage - �— (Rain Drain)Final — Sidewalk Curb 8 Street Final — - - -- —— ------•- Approach ---- BLDG.DEPT.FINAL CERTFI EMP OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping r J 7 Zoning Final - a i 1 f 1 i k 'ITY OF TIGARD 639.4171 DATE 2 19Ae— BUILDING PERMIT TAX MAP ._ LOY NO. ,��dlJ9aWs � OWNC -4 1NJ , JOLA ADDRESS I l�o�l SOI N iGtj .i cloaOf PAJILDER t2tVLAW0, STATS REG.NO. . 3- � -7 -EXP,DATE 10-el I -ek BUILDER'S PHONE _LfL``,��L_sC.�,� /� - ARCHITECT��C�IGNO MA-9Go!"C LA-L/ PHONE L �/ OTHER STRUCTURE NEW Cl REAtOD�COO L Cl ADDITION El REFAIR 0 MOVE U OTHER Cl DEMOLITION PRESICENCE ❑ COMM C7 EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY (J GARAGE O 0101111101 ❑ Z:EN(:E OCCUPANCY= LAND USE ZONE BLDG.TYPF. '4�FIRE ZONE PLAN CHECK BY ;��dL..,.NEAT SEWER QERMIT A OCC.LOAD FLOOR LOAD HEIGHT f NU.STORIES .0 AjREA 1 I ci NO.BEDROOMS VALUE q Cir c-) BUILDING DEPARTMENT SET BACKS FRONT , ) REAR t F LEFT SIDE I RIGHT SIDE P/nnll THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION CONTAINED IN THE BUILDING CODE,ZONING REGULATIONS AND ALL APPLICABLE COrieS AND ORDWANCES.AND IT IS HEREBY A13REEJ THAT THE [Piant�eck �� WORK WILL BE DONE IN ACCORDANCE WIT!I THC Pt ANS AND SPECIFICATIONS AWC IN C0I/Pt1ANCE _ WITH ALL APPIJCAILE CODES AND ORIIINANCF-%. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE H.CIL F" RESTRICTIVE COVENANTS..CONTRACTOII AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMRB.SEPARATE PERMITS REOUTAED FOR SEWER.PLUMBING AND HEATING. Slate Tax i� SOC-- Totd AP-ICANT OR AGENT -- POCS PTepd. / 0 J Recelpt No. ADDRESS PHONE sal.Due ..,?� � 'J- G Issued By.____ approved By SDC --- $ 0c [(LcL EWER CONNECTION EWER INSPECTION S EWER SURCHARGE: mm e n t e r w ----- .� � r i i WA i CITYOF TIOARD No. 12260 12755 S.W. ASH LI � 2 / P.O.BOX 2:1397 Date TIGA ,OFl 97223 ti Name Address Lot Bloc klMap Subdivision/Address Permit H's Bldg. Plumb Cash Check Sewer Other Other Rec. By!) Acct. No. Description _ Amount 10.432 Building Permit Fees 10.431.600 Plumbing Permit Fees _ 10.431-601 Mechanical Permit Fees 10.230.501 State Bldg, Tax in-433 Plans Check Fee , )Q 30.443 Sewer Conner#Ions 30-444 Sewer Ins e,:tion 51.448 Street Syst, Dev. Charge 52-449.610 Parks I Sy et. Dev Charge _ 52.449-620 Parks II cyst. Dev. Charge 31-450 Storm Drainage Sy_st. Dev. Charge _ 10.430 Business Tax 10.434 Alarm Permit 10.227 Ball 10.455- Fines -TrafflclMisdlParking 10-?"s0 CPTH TrafficlMisdlVic. Asst. 10.458 Indigent Defense — 30.122.401 Sewer ServicelUSA 30.122.402 Sewer Service/City 30% -jo—I 23 Sewer SevicelClyMalnt__ _ 30-125 Unmatched 31-124 Storm Drainage 40� ancroft Prin. Pymt, 40-47-1 Bancroft Int. Pymt. TOTAL 16-6. vU 02111T. ^1Y3 _ '700 PE'AM1T 11 _ BUILDING RECEIPT NAME: DATE: �/• 'Z- Fs ADDRESS 6 LUT # & SUBDIVISION N E; ACCT. 11 DESCRIPTION AMOUNT 10-432 Building Permit Fees 10-•431-600 Plumhing Permit Fees $ 10-431-601 Mechanical Permit Fees _ 10-433 Plans Check Fee $ 10-230-501 State Building Tax 30-443 Sewer Connection (20%) $ 30-202 Sewer Connection (80%) 30-444 Sewer Inspect.on 51-448 Street System Dev. Charge (SDC) $ 52-449-610 Parks I System Dev. Charge (PDC) $ 52-449-620 Parks II System Dev. Charge (PDC) - 31-450 Storm Drainage System Dev. Chrg (SSDC) 10-230-.,05 TRFD (95%) 10-435 TRFD ( i%) 10-230-506 Washington County Fire N1 (95X) `b 10 -y35 Washington County Fire N1 (5%) 10-2.20 Amort/Wedgewood 'TOTAL (Separate Check for Leron Heights $150.00). (hr/1214P) CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : Z " — PLAN CHECK APPLICATION DATE RECEIVED: P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: d This is to certify that the at;:ached 2-� sets of plans have been submitted for plan check pursuant to the Oregon Structural. Code and Fire & Ljfe ,Safety Code, 7- edition. PROPERTY OWNER: La"Lz'; 2 OWNER'S ADDRESS: CONTRACTOR: TELEPHONE: 2 ,7- -S 2-6 JOB ADDRESS: ��/' �vr� [��. LOT NO. & MAP: DESCRIPTION OF WORK: I Approvals Required SPECIAL NOTES OPlanning Dept. O Reissue `J Engineering Dept. O Flood Plain/Sensitive Lands O Fire District O Sewer Availability OOther O Other Items Required OList of subcontractors OBusiness Tax �:) Calculations OTruss Details OParking Plan OLandscape Plan OOther COMMENTS: City o igard Building Department BY:� 4.1