13360 SW 76TH AVENUE ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
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inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Lse Gyp. Bd. -Mech.
Date Requeateds Timet AM PM
Address: �)�J�i0 -7 s — Permit e O �
Builders
THE FOIIOViINO CORRECTIONS ARE REQUIREDs
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InspectorJPPROVED
_ Dates
DISAPPROVED --_ APPROVED SU CT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departmesst
13125 SN Ball Blvd. Tigard, Oregon 97223
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Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
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Inspection: // ---
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Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA'..:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Line Gyp. Bd. -Nech.
Date Requested: /-Zee
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Address: � �Cc L) %Ld Pe`iEs -C/ ' fp
Builders—
THE FOLLOWING CORRECTIONS REQUIRED:
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Inspet:tt,rC -----, Date:__
f APPROVED DI8AP_ RROVRD APPROVED SUBJECT TO ABOVE
Call For Reinrp.
INSPECTION NOTI,C_E
City of Tigard Building Deoartwont
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bvnineas Phone: 639-4171
Inspectio1n&—
Footin ! Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
ound. Plbg. Top Out Gna Line FINAL:
/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
_17 Date Requested:_ / Time: AH / _PH
Address: 1 3.�Cv / 4 f�l Permit
Builder: �i(�I 7 L//� zlllis
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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lrapector: Dater C
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnv.
. C TYOF TIOARD
BUILDING F,ERMIT
C11YOFTWARD FERMII` #. . . . . . . .. SUP,9I
COMMUNITY DEVELOPMENT DEPARTMENT oRmoon
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(603)�4 /
J. DAT- ISSUED, 10/30/91
SITE ADDRESS. . . : 13360 SW 76TH AV FIARCEL: `S1l1DEi—IZ�lllf 1.
SUBDIVISION. . . . : ROLLING HILLS ZONING: R-3. 5
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :25
REISSUE: FLOOR ARCAS_____._.._._.._.__._ EXTERIOR WAIL CONSTRUCTION—
CLASS OF WORK. -ADD FIRST. . . . : s f N. S: E:: W:
TYPE OF USE. . . :SF SECOND. . . : s f FIROTECT
-(Yr,E OF CONST. :`N THIRD. . . . : sf N: S. E: W:
OC'CUP'ANCY GRP,. :M i TOTAL--------: o s f ROOF CONST:C FIRE RET? :N
OLCUPANCY LOAD: BASEME=NT. : S f AREA SEF,. RATED:
STOR. : i HT. : 15 ft GARAGE. . . : 1800 sf OCCU SEF,. RATED:
BSMT? : MEZZ? : REDD SETBACKS—__.______ REQUIRED----____.____.___.____
FI__OOR LOAD. . . . : p s•F LEFT:5 f t RGHT:5 ft FIR SPKI_: SMOK DET. . :
DWELLING UNITS: FRNT%20 ft REAR: 15 ft FIR ALRM: HNDICP, ACC:
BEDRMS: BATHS: I11P SURFACE: PIRO CORR: PARKING:
VALUE. $ : 17._'80
Remar-ks : Consrl.lct attached rlaraye/r_arpor^t to existinq SFD. 12 foot rear- setback
appt,nvP.r' by VAR91-0018.
Owner: _.____. ________.____---_.__.__.._........___.___. ________.____.______ FEES
F LARRY COUNTRYMAN type nmol-rnt by date recpt
13360 SW 76TH AVE F'RMT $ 128. 50 JLH 10/30/91 —
F,LCK $ 83. 53 JLH 10/07/91 210.181
TIGARD OR 97223 5P,CT $ 6. 43 JLH 10/30/91 —
F1hone #:
C:ontr.,actor: •----------------------------------—
OWNER
---------------------------------------
Flhone #: 1 218. 46 TOTAL
Ren --
-- ---_ REQUIRED I NSF,EC;T I ONS -_----•—•--
This permit is issued subiect to the regulations contained in the F o u /t o and 1 n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framinq Insp
applicable laws. All work will be done in accordance with Rain d r-a i r1 I n s p _�-
approved plans. This permit will expire if work is not started F nal Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days,
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r1ermittee aignatl.Ar-e:
rA ISSI_led By:
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Call for- inspection — 3-4175
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CITY (11' TICIAPD RFCEIPT OF ronymF,-t\rr RETTIPT NO.
CHECK AMOUNI 138. 46
NAME ZUNTRYMAN, 1---. LfiRPY CASH AMOUNT 0. 00
13.-!,(,0 SW 76TH poYMENT DA m 10/30/91
suet)19 T S�ON
TIGORDI OR 97;'223--
OF PAYMPINT AMOUNT PO.1 n PURPOSE OF i:,fwmrwr (IMOUNT P0 I D
PERM 128. 50 S)T. 8U1LD PFR 6. 4 3
ON CHECV, FE 3. 53
LD
-rovii.. AMOUNT PAID 138. 46
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CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 01-218281
L!AI!5h -@4W)W AMOUNT : 80.00
NAME COUNTRYMAN, E. LARRY CASH AMOUNT : 0.00
ADDRESS 13360 SW 76TH PAYMENT DATE t 10/07/91
SUBDIVISION
TIGARD 97223-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSF OF PAYMENT AMOUNT PAID
80.00
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TOTAL AMOUNT PAID 80,00
`I 13125 SW hail Dwa PLNCK/RECT # /�)
CITY OF TI(BARD► i'OBox 23397 PERMIT #4 Pc—
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COMMUNITY 1)I VF,LOPMIsN'I'I)EI'AK'I'h1FNT 'ligard,dregon97213
(503)639-4171 DATE ISSUED
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JOB ADDRESS: � E S r •� ��� TAX MAP/LOT ,!0-H
SUB. _ _ LOT: x_15 LAND USE: 7— r3
VALUATION: LE_ ^_ �- 3• ,'S
OWNER /� SPECIAL NOTES
NAME: '57. d (�/+ti'�!' Dtf I V4 REISSUE OF:
ADDRESS: 03 60 S• ^{k/ LAST REISSUE
7' 1 1!r P' 00 o ,:,a_���'_, FLOOD PLAIN/
PHONE: 7 �� SENSITIVE LAND:
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CONTRACTOR APPROVALS R U RE _ W��►, "
NAME: PLANNING: 9 I
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE:' ��� �'�� � ' � OTHER:
CONTR. ✓s�, .�- `r�r��.�, �-- -
ITEMS REQUIRED
SUBCON _ LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/E CALCULATIO"IS:
NAME: _ TRUSS DETAILS:
ADDRESS OTHER:
PHONE:
- PROPOSED BLDG. USE: t3 t7 raG - • 51�U t' "Tt1le A 6
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COMMENTS: c' c U
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APPLICANT,-SIGNATURE
Received By: r—" Date Received: /0
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
sa-
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _ —
_ _ 10-431 01 Mechanical Permit Fees --
10-230 01 State Building Tax (5%) " �3
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee 3 -S
Building ' r
Plumbing �_ =
Mechanical
10-230 06 Fi,,e --
30-202 00 Sewer Connection _ —
30-444 00 Sewer Inspection —
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _ —
25-448-03 office TIF Fees
25-448-01 Residential Traffic Fees _ --
^5-448-05 Mass Transit 1IF Fees -
52-449 00 Parks System Dev Charge (PDC) --
31- 450 00 Storm Drainage Syst Dev Chrg
(SSDC) — -
24-445-01 Water Quality (Fce in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of) —
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,i? TOTAL.
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