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10200 SW IIOODVISIl DRIVE _
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INSPECTION NOTICE
City of Tigard Building DepartmFnt
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
T/pe of Inspection
Date Requested r
q ? Time A.M.__ P.M.
Adress ,l 41�.� Sw LZd_w/F'.lsermit #__ _—
Owner ------- ---- Lot #-- ------------
Builder __ —�
The following Building Code deficiencies are required to be corrected:
Presented to
______T �pprnved
Inspector Disapproved
Date
CALL POR REINSPECTION
F 1 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department e
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6?q--4175
TyIi�t,'fInspection .
Date Requested W-91 rime-- A.M. P.M.
Address Permit # 4�11)
Owner Lot
Builder
The following Building Code deficiencies are requirdd to be corrected:
O'D
Presented to Approved
Inspector F1 Disapproved
Date
CALL FOR REINSPFCTION
YES f_] NO
CITYOFTIFAOD
a T #. . . . . PERMIT
PEF'tMIT t#. . . . . . . - BUP190-••01].].
COMMUNITY DEVELOPMENT DEPARTMENT ORM NI P'Rlrl. P'ERMIT #. i BUF190-411,11
13126 SW HWI Blvd. P.O.Box 23397,Tlp@rd,Or*W,97223(bQ;i1.63D 4�7b .. DAIT c (�f}/EJ/90
I'1 E.. ADDREAi�:i. . .. 1OV00 `,W HOODVIE:.W DR FARCE L a w5111C 0-'01 lLI`:)
SUNDIV191(Jhl,. .. ., .. « H 0 0 D VI:E::W ZONING- R-•3. 5
Ecl_OC.K. .. . . . L..OT. . . . . . . . . . . . . a 8
RE:I�'35UEtt FLOOR AREAS---- - -- -� LX'T'1--:.REOR WAL_I... CONSTRUC710N
CLASS OF' WORK. -ADD F'IRS'T. .. . . 11.44 s N- 5- Ea W-
I YF'E OF' USE. . . .W: SE.-C:OND. . . a s F F:'RO'T'E:C'T OF'ENIN135ry_____.
FYPIE:. OF' CON 51'.. -'SN THIRD. . . . a S Iiia Sa Ett Wtt
OCCUPANCY GRP'. -R::3 1'0`TA L.---.....------._ o 1.44 f ROOF' CON13l't FIRE RET'?..
OC:C1.3F'ANCY I...OADtt BASEMENT. a f (WE'A SEPI.. RATED:
I•T1'. - 10 ft GARAGE. . . a s4 f ClCCU SEP,. RA rE D a
051111, - 11E::l;7':'a REOD
FLOOR LOAD. . . . ..4 pssf LEFT: ft ROhl1'- f't F'IR 6PKL.tt SMOK DET. . -
DWE:I...LING U111.115- F:*RN1'- ft RE.AF%* ft FIR AI-RM: HNDIC..:F' OCC:
1*1EDRMSa 14ATHC).' IMF' SURFACE::: F'RO CORR. P'ARKINGa
VALUE'. $a 1.11%00
Remarks a :1.44 -f-t, rctcom avid deck. add:i.ticart
()w rt e.(,a - _...,......................._--_.___..__......._ ....__...__......._........_. ...._.... _..... _...__......_._.._,.._._.... F'E E:; _.._._..........._......._..............
R01•:+E:RT COR'TRIGHT type amaunt by date Tec pt
T.O200 SW I•f(:IODV:LE::W DR f'RM1' h; 86.5O
F•'LCK `I 56.2 3
TI:GARD OR 97223 11'5f'f11'T G 4. 33 ! /
E-Iti orte iia 639-6282 F'AYM $ 147. 06 ;JL.H 014/21/90
(::co t•t t•r ac:t;co r- _......w.... _...._...._ ... ..... .._.. _....._..._......
N0 CONTRA( TOF:
I:'h cot•te 0-.- 4 147. 06
Rep H. . « NONE
_...._._..__.__ REQUIRED INSC'E:C T OMS ._._..� .__...._._
This permit is issued subject to the regulations contained in the Foot/famed Ins;p Water L.i.rte Inslp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'coslt/Beam Iii sp App•r/Sdwlk. Irisp
applicable laws. All wort/ will be done in accordance with F'lm/t.trids;lab Inslp F i.rtal Inspecticm
approved plans. This permit will eypire if work is not started ilec.,Ftarlical lt�tsr
' p
within 188 days of issuance, or if work is suspended for more P.1n) top—out 111s<p .......
than 189 days. F�r•a m i l7 g I n sl p
F'i r e p l a c e I n*s Ft _ ._ _-_.-.----
Cy a ss Line I n sl p _ ..._._........
F'a•r m a.t•l;e e G i.4 rt a t t.t•r e a _..._..._.. ._.._.... Gyp Board I rt s p
Sewer Irislp
Ts t.t e cl I c yR a i.n (Ira i rt I ri sl
p
Call for irrr7peeti.rin .. 639 4175
It
L)F OF R I P 1' t4l J- 9 C) 1 03-3?
AMOUN"r 1X1':1. 06
NAME ttSORTRIGHT . i..oTHERME U.W� H AMOLIN T o 13.CIO
04/2'-� VO
A D D I-.E 5 El jtj-Q(.) ,:6WI-11)ODVIEM OR f.'�Aj F..
SUBD I V I�:�I ON
10200 SW HO(A)VIEW
G,*,D. OR 4
A 11) OF-, Fl)'f MENT (.4tjr'�tJNT PAID
pj.jppoSF
i-iMOMIT f-
" POUX PF,'PMl'T TAX 5'. 4
I�JTLOING P'll'4111
56. 2"-,
TMAL AMOLiNUT P0 T 1'.3
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-�— Permit No:
Address: - ----
H: wk• ; C�
N = Z Issued by:_ -_ _- -- Date: _
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, URS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box. 2A or 2B:
1. E;M I own, reside in, or will reside in the completed structure.
My general contractor is - —
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
R. f _ _1 I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractorsregistered with the
Construction Contractors Board, if I change my mind a.�d da hire a general
contractor, I will contract with a contractor who wi
registered with the
Construction Contractnrs Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
- C� -_ � Dates
signature of Permit Applicant
CONSTROCTION CONTRACTORS BOVID
0244J 10124/89
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT