15040 SW 89TH PLACE 15040 SW 89TH PLACE _
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INSPECTION NCTICE
City of Tigard Building 'J.p.rtmant
12420 S.W. Main St.
Tigard, Oregon 9'223
Phone 639-4171
Address-
--------. .----_.._._._..---._ _....- ...._-__---------------------- _ —� Permit ,
Type of Inspection - -- - - -_ -- -_____..----------------_The following Building Code deficiencies are required to be corrected:
y �w
Presented to �.- Inspector
Date
CALL FOR REIWECTION
❑ YES ❑ NO
.. ,.... ..__ ,..... avrit�r+n+RNmmvwn^rw,...►-.a. �Mil"Mnr7r""�'"n _.. }fTF!'11'1IIM'_
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 039.4171
Address �` a Permit #
Type of Inspection -- - -- - -- .� - ►' _- — ---- -----
The following Building Code deficiencies are required to be corrected: -
, z
511
Prmnted to
'fes`
Data
CALL FOR RE'IMPEC:TION
❑ YES Ll NO
t t
BUILDIIIG-
� DEPARTMENT, TIGARD
v �/J PLUMBING PERMIT NI
�A"Chelder Of a valid plumbing contractors license is hereby I
authorize to cause plu-bing wo . as herein noted to be installed in accordance with the plumbing code of
-i igard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection- City of Tigard Business License required
for all c tra/c'to] )ndd sub-contrac 1 y?/
�/��C/cg-�Zee,�.L1 ,�s.
grJco
Owner l�ss��'.� ) 9-/
NUMEEr. OF TOTAL_
TYPE OF PERMIT ITEMS FEF ON EACH AMOUNT
-
Sin!ile Famiiy-1 barn-each
DL21,x—Each 1 bath unit _ 25.00
Additional bathrooms-each — 10.00
_Mlobile Home Se�-e`eech 15.OU
IN �IVIDUAL FiXTURE9 COMIIERCIA
_ __1 to 50 Fixtures in 1 building-each _ 3.00 _ A
51 to 100 Fixtures in t building-each 2,50_ — -�
101 to 200 F;xtuies In 1 building-each 2.00
201 or more Fixtures in 1 building-each _ 1.50
2.11SCELLA_NEOUS
Sewer-each additional 100 It. 10,0Q
'Nater Service to builBi _ _ -- 5.00
_Oinef (Specs►
PERM11For Plumbing Inspection Phone 639
4 p2 Stva PI Contractor By I
7r1TAl _� ut:rctoT t11 r1 (.. ,e,+ p„
BUILDING PERMIT APPLICATION TIGARD DATE 11/ 2A�X1�{�
THE UNDERCIGNED HEREBY APtJLIES FOR A PERMIT F-OR ;HE WORK HEREIN INDICATED BUILDER PHOhiE 1t$ ���jX
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.--41 7�CIIGGI< �
OWNER Bill Godwin
JOB ADDRESS 1504th SW 39th Place _
i ARCHITECT
BUILDER Godwin Constr. Cu. ADDRESS9370 SW Greenbury 4id, ENGINEERDESIGNER Kn_iy_hice Bldg. Design
STRUCTURE ® NEW ❑ REMODEL C ADDITION_- 11 REPAIR ❑ RENEWAL ! FIRE DAMIXUE ❑ DEMOLITION
FX P.ESIDENCE ❑ COMM ❑--EDU—CATTIIO-N-rAII GOVT ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ k=�_ LANDUSEZONE + BLDG.TYPE _ G� FIREZONE_`PLANCHECKBY —dWh HEAT_-
_ Construct ain�le mfg 1� cftiejli W,/ettacl�ad s.;,rage• 3 Bedrooms 2 butos.
—_ SEE CORRECTION SHEET ATTACHED. (Not a Re—I88ua A
SEE PLANS FOR PIRM1T #3271) _
SEWERPERMITM 22Q89 - Sc7j0,lOA —i
OCC.LOAD FLOOR LOAD 0 —HEIGHT 12 NO.STORIFS 1 AREA 3023 NO.BEDROOMS VALU�b2 100•
BUILDING DEPARTMENT ISET BACKS FRONT 20 REAR� 15+ LEFT SIDE 12 RIGHT SIDE 15
Permit alt-I3.(7C] THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABI..E CCDES AND ORDINAN^ES, AND IT IS HEREBY AGREED THAT THE
Plan Check 96.1)0 WORK WILL BE DONE IN ACCURDAMCE WITH THE PLANS At ID SPECIFICATIONS AND IN COMPLIANCE
W;TH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA;VE
Sub to,al ::59.50 RESTRICTIVE COVENANTS. CONTRACTOR At rl SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4' 1.72 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total
SDC- tiUQ.U11 _
$297. 22
rBy--
PDCM •Or APPLICANTORADEN7 pl
Approved duoh Receipt No. __
ADDRESS � � —`
PHONE
i
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
_—� Contractor.
P
Permit No.
Rough-in
Fixture
Final
[S HEATING
Contractor'recce
Permit No. =8a
Gas or Oil
Rough-in
Final
SEWER r
rin-
DRIVEWAY
Final
Storm Drainage
r — (Rain Drain)Final
Sidewalk
Curb&Street Final
---- Approach
BLDDEPT.FIN TEta.1'ORARY CC:RTIFIWITE OCCUPANCY Final
Q _
CERTIFICAYE OCCUPANCY --
Landscaping
7.oning Final
i
r
n,
BUILDING PERMIT APPLICATION TIG A--% DATE_LY�� � ._.19�
THE UNDERSISNED HEREBY AFPLIES FOR A PER?AIT FOR Tf iEWORK HE-REIN INDICATED BUILDER PHONE
0-RAS SHOW4 AND APPROVED IN THE ACCOM,PANYINO, PLANS AND SPEC[FICATIONs. OWNER,PHONE
O C�!O.
O:V:NER IJOBADDRESS �_� a S �� �_ �-� Lf I
/�, �y ARCHITEC'1 1,� A
BUILDS �Qflg� ` .i,ZRESS '937�?G✓_-t�p, j� Q�ESIGNER
STRUCTURE NEW_ CD REMODEL :1AODIT!ON _❑_►REPAIR _ U RENEWAL EJ FIRE DAMAGE ❑_ DEMOLI i 10
RES:JENCE C COMM ❑ EDUCATIONAL :1 GOVT ❑ RELIGIOUS r: PATIO Ci CARPORT ❑ GARAGE ❑ STO GE ❑ SLASO FENGE
OGGOPANCY LAND ISE ZONE BLDG.TYPE FIRE ZJNE- PLAN CHECK E]Y _ HEAT
' 4
00�ccd I mft-- A IS F944Z)
If 'W4 CL Vr
SEWEiRPERMITM
-
OCC.LOAC FLOOR LOAD Q HEIGHT /Z NO.STORIES AREA/6;0f1 NO.BEDROOMS VALU'r„ A&)O_
BUILDING DEPARTMENT V SETBACKS FRONT 20 REAR L,C + LFFT SICE RIGHT SIDE �r
Permit / � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA114ED IN THE BU!LDINC CODE ZOr,:NC
REGULATION AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HaRE3Y A.GNLtiU 1-',AT' TH
Plan, Check WORK WILL BE DONE IN ACCORCANCE WITH TIME PLANS AND SPECIFICATIONS AND IN C0yr'LIA1dCE
WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I
Sub-total �.J RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINcS�
— r�•�,y LICENSE.SEPARATE PLRMITS REOUIRE�D FOA SEWER,PLUMBING AND HEATING.
Mate Tax ! �4 J44k-1?v1-a,�6qk1--SDC—
Total
_ , Z 2
Ppm APPLICANT OR AGENT --'—^-
By
i Recent No.
Approved ADDRESS _ PHONE !!
SDC -
Roc - s
SEWER CONNECTION
SEWER INSPECTION S
SEWER SURCHARGE 8
___ 4-�G�7 2 r-
16'0 • S `f— Pj nc L o+ 4 P- gc•QG,�lA �s.�t, ExYd
Rloo l Flow,
2v x se 6,410
Zq x ?
13 CIS
y i,
Y OFTIGAR
D
ORDER
BUII.DING DEPARTMENT
PERMIT None
Bill Godwin
NJ 7"rl A r% OWNER: lame
15040 S.W. 89th -P4 - L,ot 41 Scheckla Park
N OF THE FOI-L(;WING: Startinq work without permit
AND Y NOTIFIED THIS .5th DAY OF Nov. 1980 AT—.-PM---AM
THA,r '',,K SHALL PE DONE ON THESE PREMISES UNTIL THE ABOVE
V10i. CORRECTED AND VERIf-'IED BY' THE CITY OF TIGARD.
NOT TO RE REMOVED
BUILDING INSPECTOR