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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
T�gard, Oregon 97223
as. asg,.�s+se Phone 639-4171
AG.Iross---- 1 _ __—_`�. J _�, permit #—.__---------
Type of Insper:tion
The following Building Code deficiencies are required to be corrected: ._
Presented to V___ __ __. Inspector
Date
CALL. FOR REIAMECTION
0 VES E7 rro
lUNlf E. REINH,IRD1 PIUNBING, Ig
,BUILDING DEPARTMENT, TIGARD
N0.
P. 0. BOK 129 PLUMBING PERMIT
_ NEYr'OffiC, ORECON 91132 r , holder of a valid plumbing contractors ;icense is hereby
authorized to cause plumbing work as herein noted to he installed in accordance with the plumhing 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 installat' ns are ready for inspection. City of T:gard Business License required
for all contractors and s b contractors, r
Owne& )J- LL� `` Address,-& �v(��CU�f11P Ull ftiu c�Date—L`_ s1�
NUMBER OF TOTAL PERMIT NO.'S
_ TYPE OF PERMIT ITEMS FEE ON EA—H AMOUNT (Office Use Only)
U I@ Fun11Y-1 beth—each _ 26.00_
_Duplex—Each 1 bath unit _ 25.00 0_
_Additional both roorns—each '� f 10.00
Mobile Fiume Space—each _ 16.00
INDIVIDUAL FIXTURE FEES
1 to 30 Fixtures In 1 buildina—esch _ 3.00
61 to 100 Fixtures In 1 bulldlna--earh 2.50 _
_10_1 to 200 Fixtured in_I bul'�,n9 eecn _ 2.00
201 or more Fixtures in 1 bulldfn2 each 1.60 Y
MISCELLANEOUS _
Oullding Sawer-1st 50 ft. 10.00
Sewer—each edditicnel 100 ft. _ 10.00 s
_W_eter Service to builds% _ _ 5.00 urt
Private Water SYst6ms-66th 100 ft r _� 10000
Other (S�IfY)i ' ILA
y !
PERMIT F umbing ingoection Phone 6394191 . V 4�0(
waaar
BUILDING PERMIT APPLICATION TIGARD DATE ' `�� _ �s-ESO _ 3212 '}
a THE UNDERSIGNED HEREBY APPLIES FOF.A PERM f FORTH EWORK HEREIN INDICATED BUILDER PHONE 639-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. OWNER PHONE
�o&e o ♦ o LUT NO..-
OWNER Tus1. Dey. CO. JORADDRESS�-:� SIJ Meadoubrc�Ok Uriva
------------- -----
ARCHITECT
ENGINEER
BUILDER vems ADDRESS 15301) SW 116th DESIGNER
STRUCTURE EX NEW iJ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL l] FIRE DAMAGE ❑ DEMOLITION
1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAbLi FENCE
OCCUPANCY ` LAND USE ZONE . _—c3LDG.TTYPE _ FIRE ZONE_ PLAN CHECK BY `— HEAT
Construct 1 story duplex cuoddminium (2 "C" units) X111 per p1.nns and c --
4 Bedrooms - 4 b6hhs.
—_ (rEL-issuu of 1W..10 SLI Meeduutlrook Drive)
SEWERPERMITM ;e' 32 — J1395.00
OCC.LOAD _ FLOOR LOAD 40—HEIGHT_$O 40.STORIES 1 _ AREA 2016 NO.BE_DRO.O_M_S_ 4 VALUEbvb j 1 U
___BUILDING DEPARTMENT SETBACKS FRONZF F PL.oIN 91EAR LEFT SIDE RIGHT SIDE
Permit 425.(j 0_ THIS PERMIT IS ISSUED SUBJECTTO THE REGULMMONS CONTAINED IN THE BUILDING CODE, ZONING
1 n"�U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 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
Sub-total _ 23�j,00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
9.0111 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING
SDC Total $2-4b"l)U
12 C.01' PPLI�CANT OR AQENT
By P 1 :�_-� - - ------ —--
- 3
E 1'LI Receipt No. --
Approved ADDRE PHONE
0
DATE INSP. TYPE INSPECTIO'1 REMARKS PLUMBING DATE
Contractor
Permit No. V if 173 �J, �-1 -8G1
i -
�.�
Rough-in
9-t-sO •ToRaaT �- Fixtcre
I Final
HEATING
-- — Contractor
Permit No.
Final
SEWER
_ Final t � g�— e 7-/l(-S b
DRIVEWAY
— - Final
Storm Dralnege
(Rain Drain)Final
Sidewelk
�- ----------_-----._.__.__P__— Curb&Street final
_ ----------______—.�__-- Approach
BLDG. DEPT.FINAL TEPORARY CERTIFICATE OCCIIP
M
C.EFIT'IFICATE C)CCUPANCY
Landscaping
V
Zoning Final _
BUILDING PERMIT APPLICATION CIT TIGARD DATE �---
;HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BItILDERFHCtNF�n" -3 fd,�
UR AS SHOWN AND APPROVED IN THE ACCOMPANYIUG PLANS AND SPFCIF ICA110NS. O%vNFFe PHONE
1 06 E+ -L1.0 y� �J�[f, LOT NO i� -.L
T
JOB ADDRESS !'►iCTJ" e��4FiOMQRkSS
_ ARCHITECT
ENGINEER
-NLR N ApORE5'S ' •� ✓ L`>y 1 DESIGNER
LJC_TURE ._KNEW 0REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _ DFIRE DAMAGE ❑DEMOLITION
E-K NCE ICOMM []EDUCATIONAL ❑GOV'T ❑REL1r10USDPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
I�AONp _ DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVE DSIGNS
'.CUP_-CN, Y---J ✓'LA,ND USE ZONE . : BLDG.TYPE_MIRE TONE PLAN CHECK BY HEATI�E_C.-
Al
%SL w.Q9�—--�f.LLt9RJS?AR —H_kIS:NT. Qc- _INg �TORIa_��A_P�flz4 �.�_E.DRS2QM1 u�-�
_ BUILDING DEPARTMENT SET BACKS FRONT LEFT SIDE RIGHT SIDE ^— Y
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
'Ion Check d U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE r LANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
'ub total G,- ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;tate Tax Q`) LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING. `
Intal t.lai, o�"C1'
APPL.ICAN1 OR AGENT
%PProved AIV Receipt No.
P D O P E SS PHONE
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