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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
C—-
Type of Inspection
Date Requested Time/_— A.M.— P.M.
Ro
Aouress �� %��_� _.--.:�.- _ v Permit #---
Owner Lot #—
Builder
The following Building Code deficiencies are required to be corrected:
i
-_ -- - --- -------- --
IC - I
----�( '.. - �>,.c....,�q ._?u-•-�.-+.lig ,s_ _
Presented to _ — _— L-� Approved
Inspector " . --_-- _-- - _ --.— Disapproved
Date
CALL FOR REINSPECTION
..® YES ❑ NO i
Fw.LT-wjm
BUILDING PERMIT APPLICATION TIGARD DATE "rht 1• �g ;1 3618
THE UNDERSIGNED HEREBY APPL IES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND^pp^.'.cU IN THE ACCOMPANYING PLANS AND SPECIFICATIJNS. OWNER PHONE
LOT NO._2a1___
OWNER Sohn Locher C0%91 rJOB ADDRESS 14 .) SV :33rd Ave. -
--- ARC ITE^..'___
ENGINEF(I
BUILDFn :RBST@ ADDRESS 121:0 SW Iierestone rt. DESIGNER riercy Kar;-Uy
STRUCTURE MEW ❑ REMODEL ❑ ADDITION ❑ REPAIR E RENEWAL FIRE DAMAGE ❑ DEMOLITION
D RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABCI FENCE
OCCUPANCY !L-3--LAND USE ZONER,�_BLDG.TYPE _2L'__FIRE ZONE ""PLAN CHECK BY HEAT
`istmict single fawily Jwelling wiLh attached
correction s4eet attached.
— _— --- -. 2 bathe
SEWER PER_M_ IT# 1.3 '15 C:sss_SJ4
OCC.LOAD _ FLOOR LOAD bQ HEIGHT 11 NO.STORIES 1 AREA 1635 N0.BEDROOMS VALUE
BUILDING
BUILDINGDEPARTMEN7 SETBACKS FRONT 71, REAR 32 LEFT SIDE G RIGHT ADE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE RESIULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFr" HAT THE
Plan Check 110.511 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCM?LIANCE
X31 Jf) WITH ALL APPLICABLE COVES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES I I I WAIVE
Sub •total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTFIACTORS TO HAVE CURRENT CITY I/IISINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,OLUIODING AND HEATING.
State Tex
-------- _ SDC - 4UO.U0
Total �+I'.3�•
`— — – - PDC# �1 1rM•0) Ar)PI WANT OR AGENT
By
1wil Receipt No — ----- -- -- _p-
Approved ADDFIESs W41,
�i
f
DATE INSP. TYPE INSPECTION REMARKS PLUM ING DA•rE
3. Contractor / /
n r' n .-1"Q f —----- /— Permit No. ;L4 :3 3 6 i
12` U-131 f�'O,t -�y'J1 CEN ax iyoecft Ir•l n Rough-in
ttLc!k La�a to 10-:10-81 &-fe"d 1W Fixnyre
Final
t. �tti�+TD3 14-2-q less.uw-�.�v,.e — --- --
_.. ------ HEATING
O / • J
ContractU
Permit No. —
n Gas or Oil �V U
Rough-in
Final— —
/.�/O .S"-ex SEWER
final c/-2F• l
DRIVEWAY
Final � v
Storm Drainage
(Rsin Drain)Final
�6 c'�� Sidelk
/ waCurb&Street Final
Approach
0 DG.DEPT.FINAL 'TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
—_—
Zoning Float
twWWRLE
BUILDING PERMIT APPLICATION TIGAzz:) DATE 4J. 11 '9-8-L
THE UNDERSIGNED HEF.EB)'AFPLIES FOR A PERM IT FOR THE WORK HcnEIN INDICATED BUILDER PHONE6,3?-4f47
OR AS SHOWN A�JD APPROVED IN THE ACCONIPANYING PL.A\S AND SPECIFICATIONS. OWNER PHONE _
/� �� �, LOT NO. •2y
U'"NER J06 1� - B ADDRESS I?2OO Sc.IL
1 ARCHITECTSINEER
-
BUILCER � 'L �. ADDRESSAI10 Scv�lfefW i '�•OESIGNER. 1't _ B&iV��
STRUCI-''RE NEW ❑ REMnOEL 0 ALDI_TtlN -_❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION_
&ESIDENCE C CCyI.M ❑ EDUCATIONAL 1-1GOV'T C PELIGi(USS ElPATI,1_C CARPORT (3GARAGE ❑ ST O E G SLASO FENCE
CC.GiirANCY �= 1 .LAND USE ZONBLDG.TYPE !�!��FIRE ZONE_ PLAN CHECK BY MEAT—_
SEWER PERMIT p - ---- ------ �Q�� � 571- ---
GC LOA(' -�- FLOOR LOAD 'L�— HEIGHT NO.STORIES AREt-J(0 3,S NO.BEDROOMS 9 VALL1662060
-BUILDINii C+ePARTMEN_T
.s___, SFT BACKS FRONT ,LI REAR 3.Z LEFT SIDE 6p RIGHT SIDE (2IP�rmit
IF �_�� 001 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,
�PI-in Check 15,0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TNr-
WORN WILL BE DONE IN ACCOP.CANCE WITH THE PLANS AND SPECIFICATIONS AND IN Co';IPL1AN"F 1
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVc
Subtotal 3 r- y d RESTI•,CTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR3 TO HAVE CURRENT CITY BU-INeSs
UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.Stats Tax
SDC-
TOta� l -- ----�-`--h • �'�
POCM APPLICANT OR AGEW
sy _
— - —_ Receipt No.
ApprUved
ADDRESS PHONE
,0c - S 1T ro 0
.EWER CCNNECTION 5 72j
..cWER INSPECTION S
SEWER SURCHARGE S
1,2—
11-44
^nmmurl}r,� S"Se�l�, 60
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410 *72o - a"cA4 t Qo-c-L
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5-74
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oK ��� /►. �d.�.rti- -• 117, A-PA
/ /1
I
.�� Chy- of Mechanical Permit NO.
New898001�eplace Ej Relocation G Addition L] Alteration El DATE-:
HEATING 1i /-,
CO�NTPACTOO !�'t' i�>,1 u �1T/�/,t.,+�� — OWNER
ADDRESS / LS2?T,,.�JLL� e7:1(18 ADDRESS
PHONE � i%` rr APPLICANT
Heat Input RatingiBTU )er L_ Vent Size Flue Size,
FUEL OIL GAS tA ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW _ Each ,Air Handling Unit or Duct System _ 7,60
New-up to & incl. 100,000 BTU 6.00 Commercial Ilood System �� 7.60
New 100,000 BUT's & over 7.50 Other E uirment - Each 4,50
Woodburn Ln tove 4.5_0 ii Trip Inspection _ 4.60
W311-Floor- Suspended 6.00 Air Condition Compressor - up to& incl.3 H P. 6.00
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 16.H.P.incl. 11.00
Reoair-Heat Cooling` 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! i
PERMIT ISSUANCE_ 10.00J Comments:
FEES_
SUB-TOTAL U +
% STATE /► issued dy r
25%PL}1N CHECK
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