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INSPECTION NOTICE
City of Tigard Building Department.
12420 S.W. Main St.
Tigard, Oregon 87223
Phone 639417
Address
.: Permit #
_ _
Type of Inspection -1 -4:� -+�-• -- r '� "'` —
The following Building Code deficiencies are required to be corril"141d:
19. dl
Presented to __ Inspector -
Date -----
G4LL FOR REIAISPEGTIOJV
G1 YQt ❑ No
rMill
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INSPECTION NOTICE
City of Tigard Suiidin� Department
12420 Main St.
Tigard, Oregon 97223
Phone 639-4171
Address_. _ -✓�''' ''7 ;y Permit #
Type of inspection
The following Building Code deficiencies ars required to be corrected:
Prevented to Inspector _—
Date —
CALL FOR REINW..C770N
❑YEB C3 NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address -100' ,,7�ti7—�_ f Permit M�
Type of Inspection
The following Budding Code deficiencies are required to be corrected:_
.�.—_ �_ "•E';'•i;L'�.t...�:::.IP.T••z...c< <•�i I�dr�� C--:�c'L''-- •'-,.�--r. ._L',Ty,,.',�,�,�,�
__ ,—... _..— - __..aG.a t�.�-.�.-,m� —.__��.,ti ...-''`.i —cit•-t;..�: '�`'-c•.. C..•3 L/ .r
Presented to____ ___—_ Inspector
rete ��—
C4LL FOR REIAGOECT70N
O YES C NO
ae
4
V.
BUILDING PERMIT APPLICATION TIGARD DATE.------ -it ,1U � 34372'
,7 f
THE UNDERSIGNED HEREBY APPLIES FOR A. °ERMIT FOH I HF 40RC HEREIN INC CATED 3UILlDER PHONE _'``£ �OSElE3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATI DNC,'',. O fVNER PHONE _
LUT NCS.-I-L—'I"1ambach_9rk
OWNER JEly Miller, uldrJOBADDRESS 14.7411 ;k, i-rd --
- ARCHITECT
ENGINEER
BUILDER same ADDRE53Rt•2 — Box 390, Otic DESICNER Joy Miller �—
STr;'_ICTURE nbwIEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C FIRE DAMAGE ❑ DLMOLITION
0 RESIDENCZ '_�] COMM LJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO F_ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABL] FENCE
OCCUPAN,_Y H-3 LANDUSEZONE_11-7 BLDG.TYPE bN_---FIREZONE___PLAN CHECK BY " �HEAT��GB
_ Constris r, sing family cilrelling wlettacheld yor e. 3 Badrocuna 2 Untr484
Rs-Issue of, permit -113321 IX (1b140 SISI Grimson Court)
SEWERDERMITtI 2.20bt) - %,,750.00 araregs 426
OCC.LOAD FLOOR LOAD_ 4HEIGHT _13 NO STORIES _1 AREA 1405 NO.BEDROOMS 3VALUES55#5004
F:';LDING DEPARTMENT SET PACKS_ FRC',NT REAR LEFT SIDE �' RIGHT SIDE 1
__ - --
Permit 199.U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 'HE BUILDING CODE. ZONING
REGULANONS ANIS ALL APPLICABLE CODES AND ORDINANCES, AND IT iS HEREBY AGREED THAT THE
Plan Check 10.0- _ WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFK;ATIONS AND IN COMPLIANCE
WITH A'_L APPLICALILE CODES AND ORUINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
C: totAl 209.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSIL SEPARATE PERMITS REQUIRED FOR SEWE PLUMBING ANP HEATING,
State Tax A' 7.96 SDC— S 400.DO
Total �I 216.g6 — ---
-- -- PDCN a I S100.0UPP ICANTORAriSNT
By Li.
— . Receipt No,
Approved L,wh 4DDR 888 PHONE
DATE INSP. TYPE rNSPECTION REMARKS PLUMBING — _ DATE
13 Srs ( s,T. r:ontractor
/0-2-3-sS %� `.��..c. Permit No.
Rough-in
Fixture
--incl
HEATING
Contractor
/ -g Z- a - G� Permit No.
Gas or Oil -
R ough-i n `-
- Final �-
I SEWER
Final
DRIVEWAY —JLL
A
Final
Storm Drainage
I (Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUP Final
CERTIFICATE OCCUPANCY / ,
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGAaa DATE OCk �U is ✓T /
THE UNDERSIGNED HEREBY APPLIES FOR A PERM IT FOR THEWGRK;-IEREIN I,IDICATEL) BUILDER PHONE 6264.9010
OR AS SHOWN A;.D APPROVEDIN THE,^,CC0MPANYING PLANS AND SPECIFICATIONS, Ov•rNa. PH. O,:
JAS/ � LL6,q &PP' I8ruG ADDFESS � 40 Ri '3 V-AE. LOT NO
0 p
ARCHITECT
ENGINEER
BUILCER lJAI'"e ADORESSa.2,to---)r- QO- M DESIGNER.
STRUCTURE 1 NEW ❑ REMODEL G AODIT!ON 1 REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLI T IGN
RESIDENCE C COMM ❑ EDUCATIONAL :1 GOV'T ❑ RELIGIOUS G PATIO ❑ CARPORT C GARAGE i i STORAGE ❑ SLAP, FENCE
OCCOPANCY �- .,.LAND USE ZONE��` BLDG.TYPE ��N�FIREZON!~.��PLAN CHECK 8Y MEAT
cooa /
SEINER PERMIT N
OCC.LOAC — FLOOR LOAD HEIGHT NO.STOHIES p�� NO.BEDROOM;
BUILCING DEPARTMENT
SETBACKS ^�
_ .�C REAR f 7 LEFT SIDE RIGHT SIDE
P^rmit — THIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
!Q.QG7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
ptanCheak j _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COb?PLIANCE
r WITH ALL APPLICABLE CODES AND ORDINANCES. THE 'SSUANCE OF THIS PERMIT DOES NOT WAIVE
I Sub-total 2.O p� RESTPICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CL'RP.ENT CITY BUSINESS
�, p� LICENSE.SEPARATE PERWTS REOUIRED FOR SEWER,PLUMBING AND HEATING.
.S(ata Tax • 7 �7
SOC —
Tota? f/ ,��Oy
POCA APPLICANT OR AGENT
By I
Receipt No.
Approved ACORESS PHONE _— -
oc
SEWER CONNECTION s
iEWER INSPECTION
-DEWER SURCHARGE 5 ���
W W !^ t
u$y. or TIgaPa Mechanical T' r:mit '��y�,,� NO.
New Ins allation Replace tt Relr ration Addition Alteration _
p l._J D ❑ ❑ DATE;_.
HEATING
CONTRACTOR OWNER
ADDRESS-� y<< 4� Q�� G"� 7�, JOB ADDRESS—
PHONE
DDRESSPHONE �tltr '�� _ APPLICANT ' ,__
Heat Input Rating(BTU per Hour) �Y1?�� Vent Size Flue Size
FUEL OIL❑ GASt. ELECT ❑ OTHER
ITEM NG FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct S stem 7;50
New-u to & incl. 100,000 BTU ✓ 6.00 Commercial Hood S stem 7`50_
New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50
Woodburning Stove 4.50 1 Trip Inspection _4.50
Wall-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 15.H.P.incl. 11.(;0
Repair-Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments-
FEES
SUB-TOTAL �� ~
% STATE �� Iss.•ed By
5�PLAN CHECK tr runt