12450 SW 129TH AVENUE 12450 SW 129TH AVENUE
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INSPECTION NOTICE r
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
dress _ Permit
t
i
pe of Inspection
i
Tho following Building Code deficiencies are required fo be corrected: __ It!
E
Presented t0 _ In!p aCtOf '"7 j
Data
CALL FOR REIIWEC7701V
0 f Eli No
I� NG DEPARTMENT, TIGARD
MARIA T. MORLAfI ' . ,>'�.INo
N. E. UNION =1.1 109 PLUMBING PERMIT
1
-- . holder of a valid plumbing contractors license is hereby I
authorized to cause plumbing work as herein noted to be V.stalled in accordance with the plumbing code of !
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. Ci of Tigard Business License required
for ill cogtractors and sub-contraccttJob
oL�s.
^wner Address12_ ,�D S �1� �oZ Dat �92sl
�.
NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Sin ie Family-1 bath—each �+ / _ 25.00 �r�S• C� �
Du lex—Each 1 bath unit
25.00
Additional bathrooms—each 10.00 --y
' Mobile Home Space—each 15.00
INDIVIDUAL I'IXTU 'I—IR CIA _ —
1 to 50 Fixtures In 1 building—each V
61 to 100 Fixtures in 1 building—each 2.4 _
101 to 200 Fixtures :n 1 building—each
201 or morn Fixtures in 1 building—each _ 1.50
KIISCELLAN90US� ---"
Sewer-.each additionnl 100 ft. _ 10,00
'Nater Service to builJin 5.00_
Other (Specify): m!
PERMIT 33 S[+2 Por Plumbing Inspection Phone 6394171
4n State / Plumbing Contractor By !.
� a
TnTnl 1G• 40 nFr•FiaT nen u„
city- of Iiga�' Mechanical Permit NO.
New Installation Replace Ej Relocation❑ Addition E] Alteration El DATE: ��
HEATING _ �,
CONTRACTOR ,,//M� /�/ ' '� Tf�E/s pwNER \6tw
T;.x ADDRESS -a Y1&Z IS. � 13 `l T� JOp ADDRESS 42
PHONE ZLO- 00 APPLICANT
Heat input Rating(BTU per Hour) _ / Vent Size Flue Size_..--
FUEL OIL GAS 141 ELECT OTHER —
_ s f EM NG. FEE ITEM NO. FEE,
r 1 :mance of Permit SEE BELOW _ _Each Air Handling tlnit or Duct stem _ __Up
Nev �up to & incl. 100,000 BTU 6.00 Commercial Hood System
New 100,000 BUT's & over 7.50 Other Equipment - Each _ 7.50
i Wnadburnina Stove 4.501 Trip Inspection
iiaW _
-11Suspended 6.00 _Air Condition Compressor up to dt Incl._ 31•l.P. _ 6.00
yens System w/Fen _ 4.50 Air Condition Compressor.3.1 to 15.M.P. incl 11.00
fair Heat Cooling6.00
CITY BUSINESS LICL NSE REQUIRED BY ALL. CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSU;,NCE 10.00 Comments:
fEE3
�. T l8L,_
„
STATE Issued By
CH EC
Y TAL ._._ _. �Co� REC. 0
^ter 1!f�M111h�ti ofAm,'
i
BUILDING PERMIT APPLICATION TIGARD DATE _ 4/lI is 3662
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT"FOR THE WORK HEREIN INDICATED BUILDER PHONE X53-1187
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO. 144- i€`-II-d_ooa TI I
OWNER .1.W+0r8Y,9pfIsE31d1JOBADDRESS 12450 $W 129th Avenue
ARCHITECT
BUI'.Dl 'i _ same ADDRESSI1059 SE_DSVision.Ptld ENGINEERDESIGNER M.L.Grayson
STRU,TURE__ EK NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 17 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION_
X HESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE_❑_STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R"3 L1,NDUSE ZONE R"7 BLDG.TYPE 5N FIREZONE "— PLANCHE_CKSY doh HEAT----2-188.—
Construct
EAT gea--Construct single family dwelling w/attached aq garage. 2 Bedrooms 2 Baths.
SEE CORRECTION SHEET ATTACHED,
SEWER PERMIT# 2330G - 5750.Un
-- geraQQ 488 eq. ft. -_--
OCC.LOAD FLOOR LOAD 40 HEIGHT_ 12 NO.STORIES 1 AREA 1423 NO.BEDROOMS 2 VALUE657#900.
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 1�j LEFT SIDE 31! RIGHT SIDE 5.6
Permit THIS PERMIT IS ISSUED SUBJErT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
Plan Cheek l01«SD 1 REGULATIONS AND ALL APPLICASLE CODES AND ORDINANCES, AND IT 1.1 HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS � f 'N COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM.' jOES NOT WAIVE
Subtotal 304. 50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURD ,.f CITY BUSINESS
1 LICENSE.SEPARATE PERMITS REQUIRED F.�Fj SEWER,P Upp-AtBINp AND HEATING.
State ex A 8«12 AL.5i.l Ai`'aAi� ,/UE(J[,4,I�i3U� ,�EEULH ;.1JRf.hAf;y4IUr i.31J0.1111
- SDC– '$400.00
Total1312,62 J 5100,00 APPWAN OR
By P1
Receipt No.
Approved 06111 ADDR[S§ — — PHONE '-
--- - d
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S
P
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['HTE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
contracto
Permit No. a644
s=,2/-W /�ar.1 s Rouah-in
Fixtare.
Final
HEATINGXl -
_ Contractor
��A�� Permit No.
�Gesor Oil
Oil (((fff
Final � -------
- _.__------------ ----------- SEWER
��--_ -_ Final �i�� -... �
DRIVEWAY
- -�Finel
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL. TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY �r - _-
landscaping
�� __ Zoning Finel
_. ._. ..-.� • ,�moi/ tiJ
FOLDING PERMIT APPLICATION TIGARD DATE-a41 _19_6/
THE UNDERSIGNED HEREBY APPLIES FOR A PER,-AIT FOR THE WORK HEREIN INDICATED BUILDER PHONF ��_
C R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. O',^JNER PHOtiE
/' - -� LOT NO.
�H
JOB ADDRESS 1 � 9/W /,2.�]
ARCHITE--T
ENGINEEq
flUILCEP _—Set V'l ,e. ADDRESS O�E pVy� DESIGNEE All
STRUCTURE NEW Cl REMODEL Cl ADDITION _C_ REPAIR D RENEWAL F) FIRE DAMAGE ❑_DEkl.OLI T ION
RESIDENCE C COMM ❑ EDUCATIONAL 17 GOVT ❑ RELIGIOUS C PATIO Cl CAR PORT ❑ GARAGE C STORAGE Cl SLASH FENCE
::��urANCY '�__•LAND U E ZONE Q- _BLDG.TYPE __ -FIRE ZONE_�_PLAN CHEEK BY
H F-AT
SFWER PERMIT X
OCG LOAD -- _FLOOR LOAD 1L0 HEIGHT .Z NO.STORIES AREA �4 ,3 NO,BEDROOM$ i� VALUEj 400
_
I BIJILGING CcFAFlTMENT +1 BACKS FRONT � ,
_ � RFAR LEFT BICE 26• RIGHT SIDE
•s.,�"
IP�rmlt SET NT�Co ePO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON;",;G
r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 dERES7 AGREED THAT THE
PI-in Check l y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND S''-CIFICATIONS AND IN COM-PLIANCE
JV WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUAN_E OF THIS PSRMIT GOES NOT WAIV"c
dub-total �U . RESTRICTIVE COVENANTS. CONTRACTOR ANo SUt3 fWNTRAC',OA5 TO HAVE CURRENT CITY
tate Taut BUSINESS
'� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
•
(— SDC-
Total -- -- ;•�°2- � Q- Old
By LI
PUG# APPCANT OR At3ENT
�-- -� Neceipt No.
Approved ADDRESS PHONE
IDC
DC - $ Z oU
EWER CONNECTIONL
EWER INSPECTIONLZ`�~
EWER SURCHARGE $ OW''1U) woo'
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LcA* I q- - IE
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2 3--sx 32 ?�fR
2 -,e- 37
/a 7 x 3qO
1 +23 q-0 33.80 491 Oq 7
2I K4 2q4-
7, 3 69
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