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INSPECTION NOTICE
City of Tigard Building Departm�int
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-41711
Address ----- - - 7 �--� _�-.���� -._s.�' - - - Permit -
Type of Inspection
The following Building Code deficiencies are required to be corrected:
---�__ -- -vim.
Presented to__— _—____ ___. __ Inspector
Date
(,ALL FOR REIAGPECTION
1 I YES No
r
INSPECTION NOTICEx
City of Tigard Building Depatment w
12420 S.W. Main St. t r.
Tigard, Oregon 97223 �r�a �,•,., '`
Phone 639.4171 •
Address°_ r Perm
Tyae of In )n
it
The following Building Cods deficiencies Are required M be corrected: �[
Presented to Inspector
Data __—Z?--2—--
CALL L/FOR RF.IWE(-T10A-
l21 YES ❑ No
A
a
Al
y
INSPECTION NOTICE
City of Tig,rd Building Department
12420 S,W. Main St.
Tigard, Oregon 97223
p Phone 639.4171
Address __. �_. �Q ___ tEGL_ ,�l. 0
Type of Inspection
s'1 J P
The following Building Code deficiencies are required to be corrected:
{
Presented Inspector
Date
CALL_ FOR RE/WECTION
❑ YES ❑ No
A ..
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1� BUILDING DEPARTMENT, TIGARD N9
MILWAUKIE RUMDA,16 PL.UNIBING PERMIT 1� l
P. 0. BOX 393-,'.- holder of a valid plumbing contractors license is hereby
authorised to cause p umhtng work ::1, 1,erein not-id to hs' installed 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 fo; ins lection. City of Tigard Business Licanse required
for all contractors and b-contractors, jtJh
-�, _ r i _ AcJdress ' E¢�11�. 1 ' '� Date.
Owner - .__ --- _—
r NJ41arR OF TO"rAL.
TYPE OF PERMIT _ ITEt6,S M FEE Oil EACH VAOUNT
- S nate Family-1 bath-each _ ._-_2500
Duptax-Each 1 bath unit �,_� 25.00 _ ,_—
_Additiunal bathrooms-each _�_ 10.00 00
_Mobile home space-each �- 15.00____
INDIVIDUAL FIXTURES —Al - - -----
1 to 50 Fixtures in 1 building--each _�- _ - _Y3._.00_
51 to 100 Fixtures in ' buildin -"each __- _ _._2.50
l 101 to 200 Fixtures In 1 building-each _ __ w 2.00_ --
201 or more _ s in 1 buildino-each
11.11SCELLANEOLIS
Sewer-each additional 100 ft. - _ 10.00
Water Service to buildir!2 ___- __ 5_00 l.�c/ - - -------
( PERMIT For Plumbing Inspection Phone 639-4171
l 4-/;Statp Plumping Contractor aye
t TOTAL L, ��^- /y ; RECEIPT NO. Issued By
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it I,r s ut � o w► � �
BUILDING PERMIT APPLICATION TIGARD DI+TF__ - �' —,i9- - 3456
THE UNDERSIGN EQ HEREBY APPLIES FOR A PERMIT FORTH E WORK HLREIN INDICATED BUILUER PHONE G38-'1033
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER ia0
LOT NO. i.duna yn s k
i•
OWNER M—.a constr. CID, JOBADDRESS 1489'..] 51 HOiui Luurt
L•0+ ARCHITECT
ENGINEER
BUILDER same ADDRESS23J0 ICrest UE16SIGNER Ei-ypemiC UrrPE�$1ft��
STRUCTURE XIXNEW ❑ REMODEL ❑ ADDITION �❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE E] DEMOLITION
C2.RESIDENCE El Comm ❑ EDUCATIONAL 11 GOVT E] RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE El SLAB❑ FENCE
OCCUPANCY "1!LAND USE ZONE L ?—,BLDG.TYPE sN __FIRE ZONE_ PLAN CHECK BY '–�HEAT — �B`
_ Canstru ._t single family dualling W attached gaE!e�8- 3 Bedroums 2
SEE CORRECTIMkI SHEET ATTACHED. ---
SEWER_PERMITM 'U 1 "J750 00 G.?+Braue 413 $Qa 1 t..
OCCI OAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1355 NO.BEDROOMS_ 3 VALUCI it '100+
BUILDING DEPARTMENT SETBACKS FRONT z1 REAR 1U LEFT SIDE_ RIGHi SIDE
Permit .l': 5100 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTVINEU IN THF BUILDING CODE, ZONING
T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE, AND IT IS HEREBY AGREED THAT THE
��
Plan Check - 7+50 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 • tE} RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
� X30 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _+ f1[)
t•
Total - ------�-
PDC# oo.nr APPI.IC:ANI on AGENT
ByReceipt No.
Approved
L whh Amwtss PHONE
. `
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
bp'r Contractor
Hermit No.
�3 /�Gv /s it-�a
/LV c.J �4 WA Rough-in
/-Z!-.0 -2ijFixture
Final
,t-2o / r' d � —` HEATING
i• 2- .tj `,.�� ��`/ Contractor
Permit No, 7''}'�_�a d.�r f/ 12 --7d DG
0r
Gat or Oil v
Rough-in
Final
SEWER
Final -
DRIVEWAY
Final
Storm Drainage
--_. (Rein Drain)Final
__ Sidewol k
-Curb—&Street Final
Approach
--- �_—,_. -- - -
BLDG.DEPT.RINAL TEMPORARY -- CERTIFICATE pCCUPANCY
CRRTIFICATF.OCCURn,NCf FinPl
Landscaping
Znnmg Final
INSPECTION NOTICE
City of Tigard Building Department I
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Addressermit
Type of Inspection
The following Building Code deficiencies are required to be corrected:
i
Presenten to Inspector
Date
C40- FOR REMSPEC770N
ES Cl NO