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INSPECTION NOTICE
City of 'Tigard Build;ny 0epa,!-oP:,t
12420 S.W. Main St.
Tigard, Oregon 9722,'
Phone 639-4171
Address-- Permit
Type of Inspection
The following Budding Code deficiencies are required to be corrected:
Presented to Inspector
Date
CALL FOR REINSPECTION
I-
0 YES ❑ No
1W 1--!A
INSPECTION NOTICE
City of Tigard L'uilding Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address ___.____ ___._-- Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected
Y'".A C�
_— — e_. ....�_._._�_...___ y�r-•!i...C�1^.''•t�' _.__._.�— 'psi �('r..+f.lie q. ..
Preserted t) -. -__ ---__-----.--__--_-. Inspector tlr.-
Date
GALL FOR RVAIS°FCT/ON
Gl VES El !,o
K9EWER9nk�
BUILDING DEPARTMENT, TIGARD ND -� �
PLUMBING PERk1fT � c
1M-Ari . _ , holder of a valid plurr.bing contractors license Is hereby
authorized to cause pl(rm'hing work v,,, herein noted h1 be installed in accordance with the plunibing code of
I igrird. Such installations require inspt tction by the City Inspector who shall be notified not less thdn four
(4) hours prior to the time the installations are ready for inspection City of Tigard Business License required
for all contractors and sub-contractors.
;]nb I 7—t1 0a0L
Own r r ILS ���? r 0 esi_ D � L L4.5 Date 1 -1 .3
NlJh13FR OF TOTAL !I
�. TYPE OF PERMIT I ITEh1S FEF ON EACH AMOUNT 99
I9t$IDFNTIAL --
I � _
ramit
ily-1 bh-each 2C
_ .00,_�-
Ou�lax-Each 1 bath unit _ _ _ Z5•0i)
I Addi'ional bathrooms-each ^I 10.0(1 U U
Nome Spice-each _ _ 15.00
' INDIVIDUAL FIXTURES COMMERCIAL__ _ -
�� 1to 50 Fixtures in_1 bulldim-g._cach 3.00_� _
r
5
1 to-,
Fixtures.n 1 buildip a i�h 2.50 _ —
i _ 101 to 700 Fixtures in 1 btrildin -each �-—_ ___-2.0_0_
I 701 Or more Fi■vires in 1 buiidiny-earh1.50
I1_11SCELLANE0US
! Sewer-each additional 100 ft. _I _y 10.00
Water Service to building r —_� _ 5.00
I
_ QtF•er ISO;?r.ifyl:
I '
` PEFbMlT Ota For Plumbing Inspection Phone 6.?9.4171
I 4,;;Srate (p C ._...__._..____ Plumbing Contractor By
-TOTAL- �'� �n RECEIPT NO. Issued by
i
I
I
35r
BUILDING PERMIT APPLICATION TIGARD DATE---- 7/7174/ — ,19 .-'�''- 328 .
c
THE UNDERSIGNED Hi_REBY APPLIES FUR A PERMIT FOR THE WORK HEREIN INDICAI ED BUILDER PHONE 245-,1013
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. ,� :-�checklti ark
ONNERL011 LOdwin JCBADDRESSI,51.45 SW 89th Place _ — Estates
f3UILDE,jGGdw1 n C.onstr.Coo g InIADDRESS Q370 SW Greunbut g Rd._, DESIGNER Knight's Bldg. Uouign
STRUCTURE IS NEW ❑ REMODEL L] ADDITION ❑ REPAIR ❑ RL`EWAI_ ❑ FIRE DAMAGE ❑ DEMOLITION
EX PIESIDENCE ❑ COMM [I EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Li GARAGE ❑ STORAGE 11 SLAB❑ FENCE
OCCUPANCY —3 LAND USE ZONE R-7 BLDG.TYPE 5N FIRE:ONE_�' _.PLAN CHECK BY -dLr HEAT__°''8� _
Construct single family we_lling /attacheda� rage. 3 Bedrooms 1 Babbs.
Re-Issue of I),- rm -%__;,';3279 - (898b SU Rleiling Street) - - --- - - -
i
SEWER PERMIT#2`1964 — g7,r0•0110 go r. 429 sq,
OCC.LOAD FLOOR LOAD 40 HEIGHT_ 1.2 NO.STORIES _ 1 _ AREA 12(JL) NO_.BEDROOMS 3 VALAU r 7001
BUILDING DEPARTMENT SET BACKS FRONT_ ! REARM 114 LEFT BIDE 1.7 RIGHT SIDE t ct
Permit _ 184.Q0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 1G.n WORK WILL BE DONE IN ACCORDANCE WIT I THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE:
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 194,010 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4 t•3 r,
LICENSE.SEPARATE PERMIT`i REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC- J400.00
Total W i 01..3 6
PDCM T I S 1.01) O A0PLI U�JT OF A aENT
By �.
—~ -- Receipt No. __ _ _...
Approved duh ADDRESS PHONE
►r
a -
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
— � — Contractor
Wet
Permit No. '7c� !y� �'_ �__P0
Rough-in ---.—
�� Fixture --
�'� �l �'N.Arw►-e QA��_ _ —
Final —
�_�
HEATING
-\• t-�((3kyr A\L p� . —------- Contactor yo
li 'sk t._ o`�— 90
Gas or Oil
------- ------ Rough-in
---------- ...—.—_—_.._- -- Final
SEWER
—-- --------- —--- ----- -- --- Finalw—
DRIVEWAY
—._ --- — - -- ---------.— Final
-- Y---_--- ---.- _ —H Storm Drainage
-.�------ — -_-- ,--_- -__— (Rain Drain)Final
—Y- _Y -� —_--- Sidewalk
Curb IN Street Final
_.._ --.——_.— — ----- — - Approach _
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC NCY Final
CE RTInCATE OCCUPANCY 11- -7- 9b
/- -7- u b
Landscaping
Zoning Final
i
• _ -C. -
32� (
BUILDING PERMITAPPLICATION TIGARD DATE.— 19
THE UNDERSIGNED HERESY APPLIES FOR A PERNIIT FOR THE WORK HEREIN INDICATED suu.Gc.R PHONE /�ys"110o
OR AS SHOWN AND APPROVED IN THE ACCOM-PANYING PLANTS AND SPEC;FICATIONS. OW-JFR PHG;,'S _
II n \A) LOTNO.1'
2St�c:G10 �jy
OWNER �� l OGC.G�l�►I J06 ADDRESS ` ��YV L _ G.C_�
EUIL.CE.rR_�'Z'1 l.tJy , 1,0, S�G,ADDAE�� CiXESSIIGNrcR f.Vl q+l RI�4 • J�EAtQY1
,_-' --�
STRU=Pr� NEW Cl REMODEL -C' 100ITION 77 REPA_R Cl RENBVAL i FINE DAMAGE ❑ DEt1Ol_IT10"',
RES►DENt.1E C CCMNI 0 EDUr'ATIONAL E 1 GOWT Cl RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE Cl STORAGE ❑ SL ASCD FENCE
OCCUPANCY �`:�LANDU5EZONF .���_ BLDG.TYPE � � FIRE ZONE 3 PLANCHFCK6Y
_ J _
:�- '0K� °� 4L 5W - °�° �� --1---aro. --
SEWER P_aMITq — — *20
OCC_L.OaC FLOORLOAD 40 HEIGHT /ZNO.STORe"S IJ_ AREA ,'rNO.BEDROOMS �'_ VALUE ,C%G
BUILCING DEPARTMENT � SETBACKS FRGNT 22 REAR 3�L. LEFT SIDE 1/ RIGHTSIDE ��
Pirm t �� •dL� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE
BUILDING EGD:: ZU►::4v
d� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND 'T 15 HEREBY AGREED T-IAT i h;E
Plan Check I ' i'o WORK WILL BE DONE IN ACCOF.D;kNCE WITH THE PLANS AND SPEC.IFICATIOPIS AND 144 COlo'YLIANCE
�
�o WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES INOT WAIVE
RFSTRIC71VE COVENANTS. CONTRACTOR ANT) SUB CONTRACTOnS TO HAVE CURRENT CITY BUSINESS
C - -- 3��LICCRIMMED5c_SEPARATE PEMMITS RIMMED FOR SEWER,PLU'.131NG AND HEATING.
Stats Taxr
SDC—
TotAl ;�Q �. <� OL _ G Ott
PD;# APPLICANT OR AGENT
Ey _
Receipt No.
4pproved ADDRESS PHONE
400
SEWER CONNECTION
;EWER SURCHARGE S
Garments . ReG�- J-/C)-8o F/a T. eq . -Iy-80 t,