10340 SW HILLVIEW STREET-1 10340 SW HILL VIEW STREET
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone- 639.4171
Type of Inspection _ / ' 17 �i�
Date Requested Time A.M.,41 ..� P M.
Address _ "•5'(��� Permit
Owner_._ - _-- __. _�—__—_-- � Lot �
Builder
The following Building Code deficiencies are required to he corrected:
Presented to �'� Approved
Inspector .__
� I Disapproved I
Date
CALL FOR REINSPECTION
C7 YES E�NO
II!rIP-RLW--VWjMMM-CM
INSPECTION NOTICE
Zity of Tigard buildinq Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of InspectionTime A.
Date Requested
Address Permit
Owner Lot
—
Builder
(lie following Building Code deficiencies are required to he corrected:
L
;>
Presented toApproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES D NO
t W !R
INSPECTION NOTICE 1
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection — _-- -
Date Recuested , irt� — A.M•-- P.M.
DAddress _ Permit
Owner-r.— —
Lot #�_
------
The following Building Code deficiencies are required to be corrected:
1
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i
Presented to --_ Approved
ci
Inspector
_ I
Disapproved
Date
CALL FOR REL7NO
CTION
YES
WTI
BUILDING PERMIT APPLICATION TIGARD DATE 51WIAmber 6_ __.,18 $4__ 5 104
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �Saw_Tfl33
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO..
OWNER----1hil WeStoMr JOBADDRESS fjCl SW 1t,i11Vierr --------------_ ____.-Freie ri Hg
ARCHITECT
m• ENGINEER
BUILDER_ Jog Sp ADDRESS ,_A�Q1 � SE K418I�D DESIGNER
STRUCTURE El NEW ❑ REMODEL 19 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Ei RESIDENCE ❑ COMM 17 EDUCATIONAL ❑ GOV'T f_7 RELIGIOUS ❑ PATIO L,_l t—R PORT ❑ GARAGE ❑ STORAGE ❑ SLABEI FENCE
OCCUPANCY __..x" �LAND USE ZONE .-_.. t BLDG.TYPE 5N FIR!ZONE -PLAN CHECK BY -Fi HEAT
C ktdditiou to i=lr im ly Dwllin
1 Bathroom I jedrk-wm
SEWER PERMIT M Nom. Garake 350 iddiLion -----
OCC.LOAD FLOOR LOAD 4t) HEIGHT 16+ NO.STORIES 2 AREA350 NO.CEDROOMS 1 VALUE 20,QQO.
BUILDING DEPARTMENT SETBACKS FRONT "JillitinfEAR LEFT SIDEP'1-HT SIDE
Permit 64U.Su 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 91.33 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 231.83 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 5.62
Total 237.45 SDC-
PDC# APPLICANT OR AGENT
By C2
Receipt No.j,,), -- - -- ---
P fit:;,. /�j' ADD 88 --- -- PHONE
Approved �t;rW - _ -
t
�DATE INSP. TYPE INSPECTION REMARKS PL U ING DATE
Contractor
cocrrr---� Pe,mit No. +
Rough-in
Fixture --- ---
�O/ at�� Final
HEATING —
r
�Q L _ ,1f7 Contractor
.�/ Permit No.
Gat or Oil
Rnugh-in
_ Final
— - SEWER
-- — Final
DRIVEWAY _
foal
Storm Drainhge
(Rai,,Drain)Final
Sidewalk
Curb&Street Final
Approach 1
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final ^� ^
CEr?TIFICATE OCCUPANCY
Landscaping
Zoning r•inal
1
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b ;
2
1
SEER PERMIT No _._. . _
UfUnifSewerage Agency
of Washington County CITY OF — DATE
OWNER : _`Z- t ii ' 1 _ P PHONE _� - 69'16
OWNER 'S ADDRESSr X03' 3 t
TYPE OF INSTALLATION:
5.; SEWER [] LINE TAP AND SIDE SEWER LLINE TAP
TYPE"�Gf'1KCUPANCY.
E.1 NEW ❑ EXISTING SINGLE FAMILY COMMERCIAL
EXIST. (PR1OR TO 7- 1-70 ) ❑ MULT. RES. INDUSTRIAL
FIXTURE UNITS_ _ DWELLING UNITS.
ADDRESS OF STRUCTURE : Q�� • _�__ _
Permit Conditions: The applicant agrees to comply with all rules and regWations of the Unified Sewerage Agency.
When calling for Inspection, please refer to the Permit Number. The Awplication e-.pires in one hundred two,tty (120)
days. The amount paid will be forfeited should expiration occur.
The Agency does not guarantee the accuracy of the location of sid a sewer laterals. If the sewer is not located at
the measurement given, the installer shall prospect three feet in 0 directions froin the distance and depth given.
If not so located, ti a Installer shall purchase a 'Tap and Side Sewer' Fermi( at the current charge and the Agency
will install a lateral at the location specified by the installer.
FEES:
M'(p/.��/,��'//f.,,- EqM IT FEE
P-orCGNNECTION CHARC _
LINE TAP INSTALLATION _
ISSUED BY
OTHER r�
TOTAL s
J.?j _
APPLICANT - DATE
SEWER PERMIT N?
ADDRESS OF STRUCTURE
TAX 1 0 TAX LOT SYSTEM
-- .
LOT BLOCK OF eoK. He, 4V1dJ- P�R� ?o
AP ROVED BY DATE ISSUED B'.' DATE
0 . U . ' S ' RENARKS _ c.s,In,/ 1V I N S♦ V _� �^ �4S e4