14770 SW 92ND AVENUE-1 4
14770 SW 92ND AVENUE —
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6313.4171
Type of Inspection
Date Requested Time__ A.M. P.M.
Address _— � 2Q_�L1L1,� �_—TT Permit
Owner. - —— ---- -- ---------- — —— Lot # — --
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —_ Approved
Inspector ' �- Visapproved
Date
CALL FOR REINSPECTION
f_i YES It NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit #-------_--
- -
'Type of Inspection �C-__.''t;1� _ �._..._-------__------_—_-.-.-.--
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The following Building Code deficiencies are required to be corrected: ; _
-. :.-.. _-.i7;t,�i:c:�r:.. ..,. d.�•_„fie�,,,r� :.it-•-, ._ �' �...s..
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Presented to _ Inspector
Date
CALL. FOR REIIISPECTION
YES ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE__________P� 19_I _ 3282
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-4758
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
N0.�.�—La�tna 1, RdEI
OWNER lfub Nelson JOBADDRESS 14770 SW 92nd Avenue LOT
AACKI41 T
C,hIL�IN
BUILDER I QWn & Country ReMOd�RESS1'J900 ata cbrEn9 Ct. DESIGNER [mercy & BaKcley
STRUCTURE KXNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_❑ DEMOLITION
[N*IESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k-3 LAND USE ZONE �`',' SL DG.TYPE '�� FIRE ZONE^:PLAN CHECK BY_5 h HEAT.! r
Collstruc,t single f":�mi�dtrwallirig trf�ttachad gamy . 3 bedrOnms - Liaths.
''O-ISSUe pf POL111it L-3070 1G12;, Sty! Grimson ct. )
SEWER PERMIT# 2196�) -
OCC.LOAD FLOOR LOAD 40 HEIGHT 14 NO.STORIES 1 AREA 1533 NO.BEDROOMS 3 VALUE &0 j b0_Li.
BUILDING DEPARTMENT SET BACKS FRONT -: REAR 3€7 LEFT SIDE 7 RIGHT SIVE c�
Permit $209.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS MITAINFD IN THE BUILDING CODE, 70NING
Plan Check 1U d(7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
21�•a�WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOCS NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 8.36 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�+
SDC— . <'..00.u•-
Total 227.36 1 f,
By pl PDC#11 $100.00 PPLICANT At3EN?
duh Receipt No. ----_.._--
Approved ADDRESS �— --- -- �--- --PHONE --�----—
DATE INSP, TYPE INSPECTION REMARKS PLUMBING
DATE
Contractor
Permit No. -D
Rough-in
T) Fixture
1 -yo Final
HEATING
Contractor
Permit N
Gas or Oil
Rough in
Final
SEWER
Final % ZZ,
_ -,a 46
DRIVEWAY
Final
Storm Drainage(Rain Dreinl Final
Se6,qvmlk
:'urb,%Street Final
LApproach
BLDG.DEPT.FINAL TE?IPORARY CERTIFICATE OCCUP y
CERTIFICATE OCCUPA44CY Final
eD LanUseVing
Zoning Final
1♦ A O
-- -- *----- _ - -
BUILDING PERMIT APPLICATION TIGA;,D DATE_ t9
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TFiE WORK HEREIN IND C TED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP CIFICATIONS. OWNER PHONES
9 r I h LOT NO. �St n�lts.
OWNER �0��, Sb� JOBADDRESS 14-770 S,4D `�,.2 ��_� _
-� '— ALL Aftet•fYti'LCT-
BUILDER ToU.)h R�►►o ADDRESS Ib-9005W —K LT _DESK" PILI
{Gyk-,2 P DQ
NEW ❑ REMOOF_L Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C CONIM Cl EDUCATIONAL u GOV'T Cl RELIGIOUS U PATIO a CAR PORT Cl GARAGE r STORAGE ❑ SLAB❑ FENCE
_.LAND USE ZONE _A___�_BLDG.TYPE „Z 1'; FIRE ZONF C? `PLAN CHECK BY HEA�Q
- �
SEWER PEPMITN 2
UCC.LOAC FLOOR LOAD Q HEIGHT NO.STORIES _ AREA 3„�N0.BEDROOMS 3 yLL__y f_p0
_ SUILCINGDEPARTMET SETBACKS FRONT ZZ- _ REAR 3C0 LEFT SIC E - RIGHTSIDE c::;- r_
Tormit �kfi • v O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
PlanChec4 �O' WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CvoiPL1ANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sr.ih•tot�lr _ �Z I -
00- I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORG TO HAVE CURRENT CITY BUSINESS
-- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State�az • r '3
---- �_ SDC—
-' I i pD(;Jt APPLICAN TT OR AGENT By _
Receipt No.
AFprovrd �- ADDRESS PHONE
0
# /CSD I
P C - l- V W6wa.�5
SEWER CONNECTION
iiv5i�tcTI0t4 �!7,Z � �� ,.� = Q, >✓7
51-',iF9 SURCHARGE_
comments : K yo• 7 l�-P1() �/N ��C?I► .�/�¢ a.��_
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City of I loarr Permit_,..._.._.S? .')n
New Installation k�, Repka,_,: ❑ Fiel,)ctition Addition FJ A1ter-iii0r) 11% state—=
TqQTALTAL
, _
BLATIN
CON I RACTOR
OWNERP0DREcc
Vljoli '.,ADD ES
PHONE APPLICANTr, )
Kx.
Float Input Rating (BTU Per Hou,-) Vent Si Lr;
Flue Sim
FUEL OIL ❑ GAS ELECT
ITEM NO. FEE NO. FEE
For lw.wiwt: of Permit EE JV30VE AiCdii:i; ':Wo : �,r, 15 t�) ,N) til
10.00
New-Up to in_CI.Fwj _11TIJ 4.66 Air HomIlinj 1 1,1,0()o Cl
s & over 6.00 Air I 1,wdlin7 Oct 10 000 CH0 100
4.00 Ilam! V.--rif F all2.00
2.00 Vew
4.1710 1"10011 Cortim -rci it
Cnmprnn-,or Uid, 3 till 4.00 Lrimmoruial Dimt Syvem
A.r cot dith"I r')c 3 t�.) 15 1 W 7.bo
irispEm ows COMMENTS
Cl rY BLISINI"jr, LICFNSE HEOUIRFI) FOR–ALL CON I 11ACTOW)i Oil bLILI CON II'Mc,rorls
APP ROM) By DATE ISSU t.0 13Y DATE
PIKEIPT NO
Signature of Applicant
BUILDING F7PARTh1ENT. TIGARD
- 1 PLUMBING PERMIT
holde, o. a valid plumbing contractors license is hereby
authori7:.d to cause plumbing work as hepDi n..;ted to be 10ita1led in accordance with the plumbing code of
-i igard. such installations require inspection by the City Inspector who shall be notified not leas than four
('4) hours prior to the time the installations are ready for inspection. City of Tigard Business License requires:'
for all contractors and sub-contractors.
O,vner� ;�sn ' f�1 r LSn� Aad es %
s--�--��----�(.�.�----��----__ Date____
I NUMBER OF TOTAL
TYPE OF PERMIT T - _-ITEhIS FEE ON Er•CHAMOUNT
RESID .2T)AI
_ Sin 'e Family-1 ba!h--each _/ 25.00 _ 4
Du W,!-Each 1 bath unit
25.00 _ y
Additional bathrooms-each ^-
Mobile Horne_Space-each
INDIVIDUAL FIXTURES COr'MERCIA
1 to 50 Fixtures In t building-each 3.00 +�
5I to 100 Fixtures In I building-oath -` 2.50 - �
_ 101 to txtures i
200 Fn 1 building-each _
2.00
1_� 201 or more Fixture; in 1 building-each 1.50
r
h1ISwELLANEOUS -_��— --
Sower-each additional 100 ft. _ 10.00 — ---
'Nater Service to building ' - '—
_..4...� — 8.00 _�. ----- - LEE] I
0th«r (Specify)
PERMIT �D for Plumbing Inspection Phone 639.4171
_4 r°�,$tate / (u d Plumbing Contr;ctor By
Tnre1 N7T-��-- i gFrFIPT Mr) Imllp(t