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INSPh,7 ON NOTICE
City of Tigard Building Departwtnt
13125 SJF Hall Sled. TiW.cd, Orocy3n 97223
Inspection Line ( �-0-Phone): 639-4175 Bunineee Phone: 639-4171
Inapactlon:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water Liney Gyp. Bd. -Mech.
rate Requested:_____ •�_L/ / /�Timet AM __PM
Adi rPnn:_L �.S-D i j� � Permit #t � �L
Builder:
THE FOL1fiWING CORRECTIONS ARE REQUIRED:
Inspector: ` / ----- Date:
__ I�APPP.OVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITYOF' TI ARD BUILDING V,ERMI,r
CffyOFTWARD Bt.1pr)o02fr j.
COMMUNITY DEVELOPMENT DEPARTMENT ORROKM
13125 SW FWI Blvd. P.O.Box 23397,Tigmid,Oregon 97223(603),131tl BUF'90 0 2 61
JDATE ISGUI::.D.- 08/,31./':-)0
SITE ADDRESS— . :: SW 107TH CT PI A R C E L., 2 SI 03 A D
SUBDIVISION. . . ,, :: ZCJINING.
BLOCK. . . . . . . . .. . . LOT*. . . . . . . . . . . . . .
REISSUEn FLOOR EXTERIOR WALL CONSTRUCTION–
CLASS OF WORK. :ADD FIRST'. Sf N: S-. E- W
TYNE OF USE. . . 90TR SECOND. . . » Sf P'ROIECT
TYPIE OF CONST. :5N THIRD. ., . .. , Sf N: W.-
OCCUPANCY GRFI. -.R3 TO TA L 0 S f ROOF' COi%iST a r7
TRE RET*:* .
OCCUwANCY LOAD-. B A 9 E M I.--.N 1'. - S f AREA Gl� RATED,.
STOR. HT. : ft GARAGE. . . : S f OCCU SEP,. RATED,.
14 S M T"? MEZZ?- R E U D S ET B A C K S RE 0 U I R E D
FLOOR LOAD. . . . -. psf LEFTS ft RGHT- ft FIR SF)KL: SMOK DET'. . :
DWELLING UNITS: FRNT : ft 1-�f7 1_: ft FIR Al—RIYI-. 1-4 N D I C P, C C",-
B F,:1)R 11 S- BATHS-. IMF' SURF*A(,,E:-'- PIRO CORR: FIARK I NG
VALUE. $
Renia-vks.- 8' FENCE 61 WITH 21 LATTICE
it W)l e-r,.- FEES
THOMAS O' BRIEN type al`1101.111t by date re
'Ir?'750 SW 107TH CT FIAYM $ 1 115. ?5 J 1 11 08/131./90
F,R MT $ 15. 00
I--
T IGAR5P
CT OR 97223 CT $ 0. 75
F,h a i-i e it:
Carit-rac.-tars
0 W 14 E R/CO NT r-,:I G TO R
['-Ihalie #C $ 15. 75 TOTAL
Req 44- - -. OWNER
........... REOUIRED I N SFI ECTI 0 N S
This permit is issued subject to the relifl3tlOnS contained in the PlIni top.—C)LIt Irisp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applice.ble laws. All work will be done in accordance with
approved plans. This permit will expire if work is not starteo ......... ...........
within, 188 dais of issuance, or if work is suspended for more
than 180 days. .........
............
lle'rmittee Siqnatwerl n �_ __«•..__.w««w ... _. ._ Y w _ _ __..._4w _.�_w.w«.._« ...._
ISSUed Byl
Cal1 for il-155PPetiall 639-41 15
CITY OF' RECEIPT (IF FOYMCNT RECEIPT NO. 90-204.",52")
CHECK AMOUNT a 15.75
NAME. ; O 'BRIEN. THOMAS CASH AMOUNT a 0.00
ADDRESS o 12-75f,".) 914 107TH PAYMENT DATE r c:)B/—,l/90
SUDD I V I G I ON
TU'3ARD. OR 97223--
FURKKIP OF PAYMENT AMOUNT PAID FURF'OSE OF PAYMENT AMOUNT PAID
BUILDING PERM BUP90-0261 15.00 ST. BUILD PER 0. 75
FENCE
TOTAL. ikMIUNT PAID
.t,.�_-- .�.rc..���._.__..___.____.________._ ___.____..._�.a_______.__...__�.,._.�_____._._.___---. ______
`���
� Asa s� �
___.__._____________._ .. _.._------_.__._._� �w. __.���_ �.�_.--� -�--_-��—
-.--------�_._��� ��_---� �' _r���___evip_._-�..-_'-_�-------__�.___�._-�-------__-___._____----------
�'
ADDRESS /27sJet) PERMIT N0. --5-/3.s—
PERMIT CHARGE ._...r none
OWNER CONNECTION FEE _ •S"
--. P A 10 B Y
TYPE OF BUILDING �� z
+� DATE CONNECTED
SERVICE RATE _•__ Xv___._ INSPECTION FEE
CONTRACTOR C `" C� +�� PAID BY DATE �3d 7s
SIZE OF CONNECTION ASSESSMENT PAID
City of Tigard
INSPECTION REQUEST
for
0
i
IINSPECTION TIME : PERMIT NO. : _..._.
DATE: DA"'fE ;SSUED: ._�
0WNERS NAME :
I ADDRESS :
TEST. Air 0, ',Nater ❑ , Visual C , Laboratory C
RESULT: Approved , D'a:ipproved ❑ Pending C
SKETCH:
I
I
I
I
I
ILl_
INSPECTOR DATE
ICOTE : Attach supplemental tee! data here!-
CITY OF N° 0367
BUILDING PERMIT APPLICATION TIGARD DATE _... __ _ 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IP'DICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
710
OWNER A r '.21.!.der% ADDRESS ���4v:.. P�f.�TS > iMi'.. 21
D R PH NE
s —_ ENGINEER LO/ � iJ,,rL 'tom~ f
RUILQER °JWIIIIYL ARCHIT ECT_------ D SIGNER
STRUCTURE ❑NEW_ ❑REMODEL ❑ADDITION ❑REPAIR [:]RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑E.DUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAR ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LISIGNS
QCCUPANCY LAND USE ZONE BLDG.TYPE--F IRE ZONE_ PLAN CHECK BY_ = HEAT__._____
8 bedroc.
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA. VALUE
BUILDING DEPARTMENT SET BACKS FRONTREAR LEFT SIDE RIGHT SIDE
Permit 1:;5� .0U � — - —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 613 EREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE'Al TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State —T - LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 .,. 36
By APPLICANT OR AGENT
Approved Receipt No.
a
DATE INSP. TYPE INSPECTION REMARKS PLUMBING �V DA Yr
Contractor
e/ Lt /
.-.►0 76 Permit No.
a-/�7ly ir.U.0 ,t/ (,JC h k.V Rough-in ---
Fixture
incl
HEATING
Contractor'
2
Permit No. 3 4Z4i 119174
Gas or Oil - 7 r.Jt -� --10-76
3-/,--219 Rough-in
/ Final
SEWER193
u- Final _
+n v3
� r DRIVEWAY� _
�' �� %�' - yt w�•.,-v -,t C'Ls�ui Final --
^,,�. Storm Drainage
(Rain Drain) Fir-al
Sidewalk
Curb&Street Final
Approach
— BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final _
CERTIFICATE OCCUPANry
Landscaping
Zoning Final
13125 S.W.Hal Wd.
CITY OF TWA' RD T�da%«,cros PINCK/F2GC'I' -
(so3�rav ain t FX441T
COMMUNITY DEVELOPMENT DEPARTMENT DWE ISSUM
JOB ADDRESS: _ _-- TAX MAP/10r --
SUB: IM: LAND USE:
�- -
OWNER -- ..___ SPFCD\L NOTES
NAME: _ < _ IUU.= OF: _
ADDR2ES.13: 1 IAST RE'�E: —
FLOOD PLAIN/ —
_ S'FNSrrIVE LAND:
ATONE:
_— APPRWATSRJIR D
00PlI42ACPOR_ PTMA NIM:
NAME: _ ENGINEFRING: —_-
ADDUIS: Ir t ( FIRE DEPT _—
rITP S RF�1RI7)
BUIIDER; BOARD if: EXP DATE: LIST/ • --- ---
BUS TAX:
�ENG]WEE E2 CALCLUATIONS:
NAME: Zit= DE MUS:
ADDRESS:
PHONE:
C)C14ME S:
SLIBO0tlII?ACIC]Ri: PLUMB: — M M: ------
PERKrr AOCT I DE'9(RIPTION AMJ@lr AN3UNr PD_ PX,- DUE
10-432 00 Wilding Permit Fees — --10-431 00 00 PlUMbing Permit Fees — -- ---_-`.
10-431 Ol Mechanical Permit Fees
-— IG-230 Ol State Building Tax (5$) — _ -
Wilding
Plumbing —
Medh
10-x133 00 PlWiS Cheek Fee
73, il-ding -- —
1'1.umbirq —
MCI,
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dr_v (2karge (SDC) _--
52-449 00 Parks Sy..-tc!m Dev cbarge (PDC)
31-450 00 Storm Drainage Syst Dev C]" (SSDC)
10-230 06 Fire
TO' AL
A PPLICANr SIGULIURE — — -
Received By: Date Received: _
of/3587P.WPF —T