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NOTE: IF TH I" MICROFILMED ( - __ 2 d_��w�. 4 5 6 7 8 90 t 1 2 r j
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THE QUALITY OF THE ORIGINAL
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INSPECTION NOTICE
a
City of igard Building Department
P.G. Box 23397
Tigard, Oregon 97223
Phone:.839-4175
Type of Inspection _ � � ------------- —
Date Requested 0 — Time
� A.M. __P.M.
Address _"�LTJ 6 2 - Parmit
Owner }_ ( re-(--,)C C-41 Lot #
Builder --The following Building Code deficiencies are required to be corrected:
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n
6 S,C C) Celt lC.c 17!:/ Kl 1
l[�CCerC, 61,- rl-I ZZLI
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Presented to — " Approved
Inspector __— QQ ____ [l Disapproved
Date — ---- /V
CALL FO.': REINSPECTION
❑ YEs ❑ NO
77
It'l IJI I DING PEKAMIT
CITY OF TINA �� 131. VVV
(c7nyorTlord) PE.11:4M.I. V NO . � DURON.'?
.g
COMMUNITY DEVELOPMENT DEPARTMENT 200141
13125 SW.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 1)(111 E. T Cit.)Lff-*'1) :1.1. 3/Ohl
-- 1-11-4 1 M I-IM I Nit.) U U ... 1.
110IR ADUPIESS : '10,1360 SW I-LIIAL AND Dl:�
(OY M(.)I:.'/l OT 2?51 J.ODI'.) '!)POO 5LID1 . 51,111"IMERIFIFIJ) I-I : .q DK :
1,0NI) 11SE" : 1:4 7 P 1'.)
i CI I VAI LATION: 9i 4 ,000 SETUO.CK5
F'PONT : PEAR
A 01.;!5 : ADD ITT ON DWEIA.. -UNI T*S : I EFT : 14 1 G11-I T
S:I:N(.1 1::: FAMILY NO. EIEDF10011*15 EXT . WAI..L CONS T :
Y*y1:*'r.: VN NO. BATHS : N: S : E":
(M (Alp (.."11-11P . MOT .UPENIWA :
1. OAD N G E: W
TOTAL AREKA : 108
HO 13 TOITUE*S : 1.S Y' : 1:40OF CLIINST : FAAW..
tIf:1 1;11 T '(.?ND: APEA V,o.1:4 7 PATEA)
':D :
311111): MIXUP" . 1.5EPAP? FIA FIR
7
1 11.0131-1 1 OAD : A I%I A G'E FJPE t—fl:)RIO W?
F LOW( .."P11) DE TE,(:;T?
TYPIT it] P.M.-
I G1-1 V.C,1( U-.1 y r ! I,
PEISSUF OF, NO.
I
0 FEES :
NPiAlU(:iccl.-It A11-11:11ED/(A..A- 111. INEAMIT $,e.1 Al SO
E 1 0560 !-M 1-IM'..'MI AND DP PLAN WF--':V]A'--W 111121-) 9:A
R OPI 9'7;?k21I I)EPT
(1503) !A A*11.': TAX lw . i.,.'
C GIAAWGE'1ii :
0
N KIFI-1- Y CO
T 5DIE", ti'l
R
A J 0,f-i N AL Fik"14 T(-) ST' 111:1C'0111:
C I., cil. 97P217 1:)PE'r-NAID < >
T
0 11-401"' (.50'3) 030 61.
R I-!L(.;:1.1.)TFIA'T .1.ON NO 1,663 7 OT(it.. 75 . 615
This permit iq Issued subject to the regulations contained in Title 14 neepi,x.r,'t* NO . 16
of the TMC, Slate of Oregon Specialty Codes.zoning regulations ......
and all other applicable codes and ordinances, and it is hereby NEWITI-PE'D
agreed that the work will be done In accordance with the plans and jr:NAM T N(l
specifications and in compliance with all applicable codes •jnd TASoULArION
ordinances Tile issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have Current city (.'.o Y P 1.,,(:)APD
business tax permits rhis permit will expire and become null and r=:I:NAL
void it work Is not started within 180 days.or it work is suspenfied or
abandoned for a period of 180 days any time after work has
commenced It sh0 be the responsibility of the permittee to ASSUre
all required inspections are requested and approved.
Permittee Signature
Issued By
I N 1 1 OP lNuiPECTION 639-417")
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�•r
MIT APPLICATIDN �oF TIGAR DATE_ r
IT
BUILDING PER r, ��t
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVVNERPHONF
LOT NO.
OWNER x R s'-8L1l F lood JOB,DURESS 1OF bri tj Hi l-Qhlall4 OrWME wDDR jB.lEl�a
A C HI ITECT
ENGINEER
BUILDER DESIGNER
STRUCTUR ®
_E CJI, NEW REMODEL ,DDR QADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RELIGIOUSOPATIO OCARPORT ❑GARAGE ❑STORAGEOSLAS ❑=ENCE
❑ RESILIENCE ❑COMM ❑EDUCATIONAL ❑GOV'T
❑BOD ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
N
OCCUPANCY —LAND USE ZONE —BLDG.TYPE
FIRE ZONE_ PLAN CHECK BY HEAT _
To insteli a wire scr®wn Prance 20 fGw luno FANGS 11" Pelt high with 3L _—_
941vanized PiPs Irl concratts 30" tJQOP
"9M-5–QM --YALUF ---
REAR LEFT SIDE RIGHT SIDE
WC� EG_UEPASTM_ENT SET BACKS FRONT _ ---
`:,.,!�!":� _—_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOS, ZONING
. . REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN CCMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DG= NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
• O LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
'5.15�[� r;acelpt No � —
; e...ar..wW1LJ
i
.. _ ....._.�.... _..,.....,,.....waw..,....., .._...........-_..,....,....,_.... ._......_. ._....�....,. ...
City of Tigard
INSPECTION RE0UE3N. T
for
INSPECTION TIME PERMIT
DATE: DATE ISSUEC .--
OWN E RS N A ME
ADDRESS :
CONTRACTOR :—
TEST* Air 0, Water o Visual [7 , Laboratory G
RESULT: ApprovedDisapproved 0 Pends-i;,
X
SKETCH'
c-
I SP CTO-i DATE
C�CTF Aflocl S U pp!"-T,er t 'est data f.l.
City of Tigard
OOANSPECTION REQUEST
for
INSPECTION TIME: 1j� PERMIT NO. :
DATE: � �'�� DATE ISSUED :
OWNERS NAME : 7-.�
ADDRESS:
CONTRACTOR :
TEST : Air C , Wcter C , Visual La boratory C
E : Approved 0isa r v d
R SULT. pa ap o e C Pendln7 p
SKETCH:
I-It 04
I
I
i
��yah�C
INSPECTOR DATE
COTE : Attach supplemental test data liar i�
i
City of Tigard
I
INSPECTION REQUEST
for
�V Vv,'r,A , % t _
INSPECTION TIME : PERMIT NO.: -
DATE:
O.: _.DATE: i _3 ?1:- DATE ISSUED:-1
OWNERS NAME : -/t- r-')
ADDRESS
I CONTRACTOR :
r
TEST:Air ❑, Water ❑ , Visual, Laboratory ❑
RESULT. Approved ❑ , Disapproved A(, Pending ❑
I
S K ETCH:
I
ov7-
INSPECTOR DATE
COTE: Attach supplemental test data horst]
City of Tigard '
INSPECTION REQUEST
for
10PECTION TIME: PERMIT NO. :_..� I
DATE !4/.., DATE ISSUED :-
OWNERS NAME : - -LC
ADDRESS:
CONTRACTOR : -
TEST '.
ONTRACTOR : _TEST . Air C, Weter'E , Vieuol *C` , Laboratory C
RESULT: Approved Disapproved C , Pending [� I
SKETCH:
1
INSPECTOR DATE
[OTE: Attach Supplemental test data 1,
„,vY.py'MMoF:rwW�M1YM;+w+'�e��troY"+�x'� ;�•I�r;�t�"'""r°�”�!p"Wl�xgM""��''�Eors�7*+1J"�'^;r'��"'"1�1���,"�x•..,�,y„•,�.wro.....�.,�„rwa. ,�y,.t„�y.
CITY OP
BUILDING PERMIT APPLICATION TIG ARD
DATE e-25 19 ? _1 0466
'THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE _—
OWNER Tunletin ev. Co.o. I. inr"ADDRESS 10560 S.W. Highland UY'.�.,id ILDEFPHONE
lam® ENGINEER
ui utR ARCHITECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV-T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE C1STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—' LAND USE ZONE-
---BLDG.TYKE __FIRE ZONE__I' PLAN CHECK BY,' ,1 HEAT_
OCC, LOAD FLOOR LOAD _ HEIGHT _ NO.STORIES �i AREA J 2DU VALUE 2,kj
_ BUILDING DEPARTMENT SET BACKS FRONT REARr LEFT SIDE S 11GHT SIDE 4
Permit
- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS 4EREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH 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
I%State 3 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 117.12
Epprolll�— Receipt
Pe _
APPLICANT
No
J r�ua VE55 T PHONE
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
`7-4(-75 gfl Contractor 0 /
_ Permit No.
/6'l p __— Rough-in
_�� b —Y Fixture
Final --
HEATING
Contractor � �
_� — -- _.--- Permit No. � � /D//(i�7S'.
- -- Gas or Oil _ /ye
(sou h-in
_ Final _
--- —-- _-- ------ — SEWER
Final EWERFinal
_-- �— DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
----Y Sidewalk LL /1-3-73
Curb&Street Final
Approach 3-7_3
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
f CERTIFICATE OCCUPANCY Final
k9 [Landscaping
iny Final
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