14900 SW 92ND AVENUE es er I■F ]EWE r
14900 SW 92ND AVENUE
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CITY OF TIGARD BLDG. REPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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Date: " 1`7� _ Permit No.
Inspector
CALL. FOR REINSPECTION
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G,TY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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Col
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-241
Date: 7—,-20 Permit No.--
I n s p e c t o
o. -Inspecto
CALL F0I3 REINSPECTION
'��+�.-.,�yJ` ."Ap c.' ..•.A6ti.10Y�+71E:•, p{sr=•rt�V1�;L5:^.,L,c y.`rtr .� Crr" '.�' ;.,1"6;+abilxj, _t�� ,.,W. ..�..
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BUILDING PERMIT APPLICATION Cor TIGARD DATE_. 19 w
THS UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 'THE WORK HEREIN INDICATED BUILDER PHONE 67C,...1
GA AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_ --_
LOT NO. _
OWNER _ _JOB ADDRESS 14900 SU 92nd AL! HOME ADDRESS
ARCHITECT
ENGINErR
BUILDER ADDRESS 969E1 ';0 KiMberly Uri. ,s DESIGNER —
STRLICTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGN?
OCCUPANCY. i=s LAND USE ZONE_"`1 __RLDG.TYPE __FIRE ZONE--.!:t PLAN CHECK BYHcAT____
wimtcuct single fume. . dwulli,nU u/aattmchad QuIrags. 3 Qilsog ome — 2 battle,
s4—Yasua or Pearmit P4162 (1,>69n St. a..rona Lt.
:hate v ;-lsrmi t 1rlF3 a _ 1625.00
4 610 Afro f h e --—
OCC.LOAD __FLOOR LOAD 40 HEIGHT 217 NO.STOR!U,1 AREA j• -'1 1 NO BEDRQQ[�I�
BUILDING DEPARTMENT SET BACKS FRONT 2 ' REAR ,iI LEFT SIDE RIGHT SIDE
Permit
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE_, ZONING
Plan Check J,�j�Q0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal l(A),100 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7011 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total �'
igs.1 PLIC ; 1006
9Y P1
n vri a nNI (IR AGF trt
Approved Receipt No
I')K
DATEIINSP. i:'PE INSPECTION REMARKS PLUM13ING DATE
Contractor
PermitNc
1 %'j -fit ti Rough-in
y nVtiO ��/ytLi/,Otfr�y Fixture
,-'�3 Final -
8 HEATING
Contractor
------ --------- Permit No. 7• - -� /nx
Gas or Oil liT`y`
Rough-in —
------ -- Final -----
SEWER ,q
---- - -- -. --. -__ .Final ---- �l—.
DRIVEWAY
Final —
--`-- --` StorMt Drainage ------ `- --�-
(Rain Drain)Final
Sidewalk
Curb&Street Final
__ Approach —
NLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
1 Landscaping
VZoning Finnl
O I'
c
BUILDING PERMIT APPLICATION oFY TIGARD DATE_y�*—L_�, 194— � 4-9-��
THE UNDERSIGNED HEREBY APPLIES FOR .APERMIT FOR THE WORK HEREIN INDICATED BUILOERPHOtJE� yd
OR AS SHOIVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OvmCPPLOT
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14
OWNER //l� few- JOB ADDRESS '%O0 0D __ 2- --�
ARCHITECT
ENGINEER
ADDRESS ��1 � • DESIGNER
STRUCTURE rJEW RE%100EL— QADOITION^_ ❑REPAIRV . F"CAL ❑FIRE DAMAGE 1 ❑DEMrr--OttLI T1 DN
RESIDENCE COMM l._JEOUCATiONAt. ❑GOVT ❑ L.J
RELIGIOUSC.�PATIO CAR PORI ❑GARAGE ❑STORAGE CJSLp.B L1FEN_E
IROCCUPANCY,!�e .IANO SE IDN..�— BLDG 7•YPE��_.FIRE ZONE _PLAN CHECK BY ip HEAT_.��_�
4 :� n
3 e -.5E W ER PERMIT
�_LgA__() FLOOR LOAD 40 HEIGHT Z V NOAT-Q.811jiARE9TN
,��C_Q.@E'�" Q4h15 VALUE
BUILDING DEPARTMENT SET BACKS FRONT .ZO �yREAR LEFT SIDE V RIGHT SIDE
Permit d 0
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
plan Check fA41 /0. 0 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 WITM
Sub-total g'Qj ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CL'RRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
-
Total SDC_.n. / qs': i� PDC#
1 APPLICANT OR AGENT
L Approved Receipt No
1--- A!1FRESS -- -�`�r]IVE
SDC - $
PDC - S M /00
SEWER CONNUT ION 600
SEWER INSPECTION
SEWER SURCHARGE
.i./ x-
Comments :
.... :__
Comments .
W W ■11 t �f
PLUMBING PERMIT v v LSI
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified riot less than four
(4) hour, prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owners-`
Address _ -t� �_ _ Date--._
�,,IUMSEROF PERMIT NO.'S
TYPE OF PERMIT TOTAI.
FEE ON EACH Af'.10UNT (Ofticu U;e Unl )
Sin'la Fdmi'y-1 bath-each -_---
__ 25.00
L Dup1'!w-EdLh 11 bath unit ---
i --- 25.00 I
Adjitional bathrooms-each —
10 00
Mo`_ b,l�Home S�aca�atich — .
INDIVIDUAL FIXTURE FEES 15.00 _
1 to 50 Fixtures 1n 1 building-each _
3,00
_S1 to 100 Fixtures in 1 bu0dm9-each
101 2.50
0 200_ Fixtures in 1 buildin-each —
_� Z.00—
_201 or Mort, Fixtures in 1 building-each y ----
MIScELLgNE0U5 — 1.50
_—_Bwldinu S-.ver-tst 50 It, -- --
10 00
_ Sewer-eachadd tional 100 ft.
---- 10.00 -
Water Sartiice to buildin_— — —
—' 5.00 -
Private V'later SY,tPmi-each 100 ft_�`— -
Other (Srecify) 10.00
Pr.FiMIT J S �� For Plumbing lnspoc,ion Phone 63P 4111 —�
i
State /, L) Plumbing Contactor By r
TOTAL RECEIPT NO.
Issued By