14405 SW HAZELHILL DRIVE-1 1440`_ SW HAZEL HILL DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit
Type of Inspection te
The following Building Code deficiencies are required to be corrected.
In 111,
6"
L2
Presented to Inspector
Date
G-4U.1 FOR7F-/AGPE(.`7/ON
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 63A-4171
Ac1dress 42- '-t Permit
Type of Inspection
The followinr, BulldI7 Code deficiencies are req,hred to be corrected:
7
Preitnted t.) Inspector
Data 47� -1,
CALL FOR REIWECTION
0 YE 0 No
BUILDING DEPARTMENT, TIGARD N�)
-- P UNIB1NG PERMIT
holder of a valid plumbing contractors lirer-,Ee is hereby
authorized to cause plumbing wo as herein noted to be Installed in accordance with the plumbing code of
"i igcrd. Such installations require inspection by the City Inspector who shall be notified not less than four
^•) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractor, and sub-contractors.
job
O1,vner__t.�'-_2.C? ?�/t'/t ��►-t� -- �1dd�es, /yy0� SLS l`�AZ�� ill .-- Date 6 "SG
I — NUP•19ER OF TOTAL i
TYPE OF PERMITITENIS FEE ON E.1CH AMOUNT
_ Sinile Family-1 bath--each / 25.00
D r I�x—Each 1 bath unit --�_— 25.00
Additional bathrooms—each10.00
_Mohi1N Hom;,Space—each
INDIVIDUAL FIXTURES C0F`lMERCIA
_— 1 to 50 Fixtures In 1 building—each _3,00 c ry
5-120 100 rixtur?s in 1 buildin —each ___ _ �� —`2,•;0 '"j•'
101 to ?04) Fixture: in 1 building 2.00
.01 or mere Fixturas in 1 building—each --`--
P.11SCELLANE0US
—Sewer--etch additional 100 ft, 10.00
'Nater Service to building _— — // 5.00
PERMIT - For Plumbing Inspection phone 6334171 j
4p;State i^_ — Plumbing Contractor 8y
Tnrnl RFr�IPT PIf1 Ixciieri RV --- - —____
BUILDING PERMIT APPLICATION TIGARD DATEy% ts_;�`. 3015
THE UNDEFISIGNED HEREBY APPLIES FOH A,PERMIT FOR 1 HE VVOPK,9EREIhI INDICATED BUILDER PHONE _620-6005
OR AS SHOWN AND APPROVED IN THE ACC=OMPANYING PLANS AND SPECIFICATIONS. OWN F--"R PHONE
OWNER LaL Ly ;,wrnuM JOBA_DDRESS 1440b :iii hazelhhill Urive LOT NO. 1G-Ames OrchaT_
ARCHITECT _
BUILDER 813416 _ ADDRESS 14390 HaZillill QriUt3 DESIIGNE_R
STRUCTURE _F1 NEW ❑ REMODEL. ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE[,A MAGE �❑_DEMOLITION
CD(kSIDENCE 11 COMM ❑ EDUCATIONAL_❑_ GOVT ❑ RELIGIOUS ❑ PATIO ❑_CARPORT ❑ GARAGE ❑ STORACE ❑ SLAB❑ FENCE
OCCUPANCY `R'3— LAND USE ZONE ---Hl30BLDG.TYPE^bN _FIRE ZONE__3_PLAN CHECK BY C)IJH _HEAT..___�88
Construct sinjis family dwelling w ottacheJ�gz!r€3gs. 4 budroams •` 4 Unths.
SEE CORRECTION SHEET ATTACHEU.
SEVIERPERMIT# 21111 —1P705.00 _
OCC.LOAD _ _ FLOOR LOAD 40 HEIGHT_23 NO.STORIES_ 2 AREA 725 NO.BEDROOMS 4 VALUA110 00
BUILDING_i.EPARTMENT __ SET BACKS FRONT 46 REAR n LEFT SIDE RIGHT SIDE' 26
Permit �' 30 2.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check l�1 Qf� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AG3EED THAT T4iE
1A'OHK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN ComrLIANCE
WITh ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT :".NAIVE
Subtotal 4�j3:fi0 RESTRICTIVE COVFNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12.0B LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING.
"'
Total 4'-465.083
SDC—
Sy g.40O.00
__ Pl PDC# 1 4 S.'1 Q.0UAPLIG IVT OR AGENT
Approved T— DWH -- Receipt No. _ ___ __
�_ ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/� ---�— Contraeto 7 �(
/V� /4�aW Permit No. �! 7 7y•sa
11 _ V
3: /A Rough-in
y.l/-bY LleiOW C-9-34___ Fixtwa
Final
a�� 1 HEATING
�"»"s• �C. v� - OAC _` _
Contractor
p-/7�S►e t� AVA ���— rarmit No. � �� / `r ./'f_P'r
4 Gii or Oil
J Rough-in
---^- Final _
— SEWF,R
— Y Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Stmt Final
— -- —.--- — Approach
3LDG. DEFT.F.NAL -T--I-EMPOPARY� IP�CERTIFICATE OCCICY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final