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INSPECTION NOTICE
City of Tigard Building Department ''
1242Q S.W. Main St.
Tigwd, Oregon 97223
Phone 639-4171
Address—.-------
Type
ddress_. ------Type of Inspection
The following Building Code deficiencies are required to be corrected:
.7 .•,''' rr.• ..t'. iT- .•.,....yam. •.,- .t^`�.••- `".�
---------------- ---=--^may--r-' ——--- --_ ----
Presented to Inspector _—
Date
CALL FOR REIWECTION
9 YES ❑ NO
M
1
INSPECTION NOTICE
' City of Tigard Building Department
12420 S.W. Main St. I
Tigard, Oregon 97223
Phone 639.4171
!�ddreu .rte ., PWMN 0-
Type of InspectionThe following Building Code deficiencies are required to be correcbd: .i;
Presented to Inspector �.
Date
ML FOR REl11�ECTION
W v!! ❑ No
w
BUILDING DEPARTMENT, TIGARD N°
PLUMBING PERMIT '
IC __-_, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as hierein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspect•I,on by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspect.lon. City of Tigard Business License required
for all contractors and sub-contractors. Job
Owner jg� n rs a �� ='S Address_:150 SO 1� ♦� `DatP
NUMBER OF TOTAL i
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
I
_F_SlIDENTIAl_ _
Single Family-1 bath--each �_ 45.00
Du lax—Each 1 bath unit ____ _ 25.00 J.
r:
Additional bathrooms—each __., 10.00 k
Mobile Home Space—each 15.00
INOIVIDUAL FIXTURES COMMERCIA _____ — oil
1 to 50 Fixtures In 1 bui!din --aach _ __ 3.00
J51 to 100 Fixturas in Ibullding- ach _ _ 25Q --- --- -- 9
101 to 200 Fixtures in 1 building—each 2.00_. —
201 or more Fixtures in 1 building—each — 1.50 "r
&1ISCELLANE0US
Sw-er_earh additione, i0v ft __ — ^_10.00
'Nater Se,vicd to building = f� 5.00
Other IS erif
PERMIT
For for Piuntbing Inspection Phone 639 4171
_4 %stdtePlumbing Contractor By
^�rnt
rw
BUILDING., PERMIT APPLICATION T'IGARD DArE_ 1e al _ 3719
THE UNDERSIGNED HERLBY APPLIEc, r"OR A PERMI I FOH I HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVLD IN THE ACCOMPANYING PLk\NS AND SPECIFICATIONS. OINNER PHONE.
LOTNO..-1548-8e1 Up
OWNER Sunrise Homes JOBADDRESS_ 12250 31,1128th Avenue
ARCHITECT
ENGINEER
BUILDER same ADDRESS1722 NE 155thj_ tld._ DESIGNER Builders Design `
STRUCTURE X NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LB RESIDENCE 11 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 11 CARPORT O GARAGE ❑ STORAGE O SLABS FENCE
OCCUPANCY _LAND USE ZONE _ BLDG.TYPE 5N __FIRE ZONE — PLAN_ CHECK BY 04►h HEAT_
Cons ruct single family dwelling w/attaChe°i garage. 3 Bedrooms 2 Bathn.
SEE CORRECTION SHEET ATTACHED.
SEWER PERMIT# ,3337 - 17:i.U.On _
OCC.LOAD FLOOR LOAD qp HEIGHT_ 16 NO,STORIES 2 AREA 1. Z NO.BEDROOMS 3 VALUR'19,
_ BUILDING DEPARTMENT SET BACKS FRONT 24 REAR :37 LEFT SIDE 16 RIGHT SIDE 1•
Permit _ 62C17.1,110 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 1,03050 WORK WILL BE DONE IN ACCORDANCE WITH [HE PLAt S AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 310 50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI 4,t CTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4 8.28 LICENSE.SEPARATE PEdMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total $318.78_
SDC— 4IJCI.GU
By ...-
PD(-,# I 5100.00 APPLICANTORAGENT
_
Receipt No
Approved _ dwh _ l ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _ -
._-- Permit No.
Rough-in
Fixture ----
Final
HEATING
- Contractor (-
---- Permit No.
Gas or Oil U
— —��
Rough-in --
-- - -- ._---
Final
SEWER
Final
- - -- -- — --- - DRIVEWAY
Final
Storm Drainage
- (Rain Drain)Final
Sidewalk
Curb&Street Final
— --_---- - __ Approach _
BLDG. DEPT.s* NAL �� TE�MPGRARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY - -
Landscaping
d Zoning Final
C
BUILDING PERMIT APPLICATION TIGARD DAT ` _ t�.At
THEUNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN NDICATED BUILDER PHONE Z!jS -77vo
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
1 �W �-
/ , LOT NO.&I—Dj1V�
OWNER< tA�1dS t;„ �Q 4 JOB ADDRESS l�Z�Z,S' D (�,p" /Qv a '_ _
w� JQ ARCHITECT `-
BUIL.DE-q w''`'e. ADDRESS /L' EN INEER
L �G ` , DESIGNER �N�yAr,
STRU(ITURE ,NEW ❑ REMODEL C ADDITION ❑ REPAIR r7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL :1 GOV'T C RELIGIOUS C PATIO C CAR PORT ❑ GARAGE C STORAQE Cl SLAE❑ FENCE
.-CCOPANCY -R--3--LAND USE ZONE K - -BLDG,TYPE -R--4e_FIREZONE PLAN CHECK BY HEAT--C
----
"310419, Fol_ 41r _ rddN _k�r4 — e .
SEWER PERMIT N
OCC.LOAD FLOOR LOAD //0 HEIGHT j NO.STORIES � AREA ��8,Z NO.BEDROOMS_3_ VP.LU'r-ff$100
BUILDING DEPARTMEN i —� SETBACKS FRONT 24_REAR 31 LEFT SICE /40 RIGHT SIDE_
P�Rnit d ma THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 511;LDING CODE, i:0P1:`4'
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TP,kT Tt•�
,F)InnCheck I /to 3, WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN COT,iPIIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES Nov WAIVS
Sub-total V• S O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR3 TO HAVE CURRENT CITY 665INESS
2 LICENSC SEPARATE PERMITR REQUIRED FOR SEWER,PLUMBING AND HEATING.
i State Tax Q • �fQ 11__
Total 3 8• / SOC- 7-o of
PDCH APPUCANT OR AGENT
By
Receipt No.Approved ADDRESS PI10NE -`
DC
EWER CONNECTION S 7z _ IVe _ -��t .� �`'�►
EWER INSPECTION fv 2ti
SEWER SURCHARGE !!i
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