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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
TigArd, Oregon 97223
Phone 639.4171
Address_�_�___�__. ..e rte' `.. r.�r�:. �.. Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected:
oar - rte-___ —__.—_.rw— .�__._..<._-i _...a.. _.�_._._..�ra_ -I.�_�.'T.�---•
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Presented to Inspector �_--
Dets _�_-- -- --- —
G4LL FOR REIAGPEC77ON
❑ YES 0 NO S
INSPECTION NOTICE
City of Tigard Building Departme-t
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address �/,!.; _ .�.�_ «,�` ,i,; _,�.�.,-_ Permit
M
Type of Inspection r ' --
The following Building Code deficiencies are required to be correc4: ' - 1p
-^'''oi�rP�-i'rp7a'...cC...� -�-..,,. "\)��'L...... �_.... -' - '1 �iw.�WY�^i►� uT � �.�r ,'r, �.
�.,—_s�_. s`ra'.�s',�5..--_- _..�._�_.'_.=. -.aiiC��l.``"^2..r-•. �I.,d _�•'•--.r�'.al' •�''�- .�-''�' „��
.01
* e T2nIne'—'r
Presented to _rr- Inspector
Date
CALL FOR RVAIS 'EMO N
0 VE5 Cl No
BUILDING DEPARTMENT, TIGARDn
VBL -"PNG PERMIT r
r; �
holder of a valid plumbing contractors license is hereby
a orized to cause plum'hing war- , as herein n o d to be installed in at-cord mce 1riith the plumbing code of
Tigard. Sl..1ch installations require: inspection by the City Inspector -rho shall be notified not less than four
(1) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
ror all contr mors and sub-contractors. Job
_
Owner - - - - Add e �`��i
NU`,10c7 OF
TYPE OF PERMIT Y ITEMS FEE ON EACH_ If>ltt)VNT ..-
�g..5�F N t 1 A L
SinalN Family-1 hvh-each 25.00
Dupl?_x_-Each 1 bath unit 25,00
jr
h Additional ',athrooms-each __—_ —_ 10.00
I_itobt!a Home Space-eacn _ 15.00
INDIVIDUAL_FIXTURES COMME.RCZAI
'1 to SC Fixtures in 1
! _51 to 1000 Fixtures in 1_b,�ildingyeach _ 2.50
�— 1_01 to :00 Fixtures in 1 t2.00
_ ---�buildln�ech__� _�.._r. 0.0..00
701 or more Fixtures in 1 building-each 1.501
15CELLANEGUS_ _
_ S!,.v-r each additional 100 ftp 0000_ _ _ 10.00
Water Service to building ,_ __ �+ _ 5.00
t�_PERMIT _o trt For Plumbing lnspert;ri,ln Phone 6374171 `ell
i 1}';State 3 • CrZ Plumbing Contractor By / —
rOTAL 'Y RECEIPT NO. ISSIled By
�r .. +s +�, +� iwa ++e, ■w air �
BUILDING PERMIT APPLICATION TIGARD I)ATE _..,19- —
THE UNDFRSIGNEC HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN 41`10 APPROVED IN TNF ACCOMPANYING PLATS AND`3PECIFIGATION; OWNER PHONE --
LOT NO, lay-Gen+ •f►��
OWNER LUES i:Ovi: JOBADDHESS 111i�`_, Sit Dorgan Court
90011
a�f�a pAh
BUILDER ;3rims;< ADDRESSliUG 14U pi9rcy- & Barclay_
STRUCTURE IN NEWD REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEW_ I FIRE DAMAGE, ❑ DEMOLITION
CY RESIDENCE ❑ COMM Cl EDUCATIONAL F] GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CJ GAT1AGE El STORAGE ❑ SLAB❑ FENCE
R-�t� __
OCCUPANCY __LAND USE ZONE --_. E BLDG.TYPE — __FIRE ZONE_ PLAN CHECK BY HEAT �-
-^ �Construct single familydwsllili -w .attached garage. 4 Fiedroomrs 3 [laths.
sEE CORRECT.I11,1 SHEEP ATT„CliED. - -- -
SEWERPERMITk 1199:1 a 1` Cl.f]� - --__--- ti z n� `;Lir Q
OCC.LOAD _FLOOR LOAD 40 HEIGHT 21 NO STORIES l AREA `L391 NO.BEDROOMS 4 VALUS77 r 300.
BUILDING DEPARTMENTSET BACKS FRONT '.0 REAR 34 LEFT SIDE RIGHT SIDE 4'
Permit_ _ $243.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Check ] 1 I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY' AGREED THAT THE
Plan Che
_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
:364. 130 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND IDEATING.
State Tax 4 - 9.72 _ SDC
Total 5374.22 .
---- PDCM 1 �p 10 n.00WOLICANI U ENT
Receipt No.
Approved d»ti ____j ADDRESS PHONE
4.tt
---- -- 4-C!�
DATE INSPP, TYPE INSPECTION REMARKS I PLUMBING DATE
Contractor
vv\, Permit No,
Rough-in R
k+Sr-trd ctP '
,..�.-. O��__ Fixture -----
1b-1t'y-o ---------__.�_---- - -- Final
HEATING - -- -
9
Contractor n
---- -- — — Permit No. /cl G 6 7,1-.Rl
Gas or Oil
— ----- plough-in
Final _ --
__....- SEWER - — —
-- -------- Final
DRIVEWAY
Final - --
Storm Drainage
(Rain Drain)Final
Side%w I k
Curb&Street final
Approach
BLDG.DEPT.FINAL TLMPORA-li CERTIFICATEOCC NCY Find
CERTIFICATE.:OCCUPANCY N,�
Landscaping
Zoning Final
ELMAM
BUILDING
LD G PEPMIT APPLICA 1 ION i'JGA=� DATE-
THE
ATE-THE UNDEASIGNEU HEREBY APPLIES FOR A PERMIT FOR THE:WORK HEREIN INDICATEC BUILDER PH--INS(-q,:? ';Woo
nR AS SHOWN AND APPROVED IN TH=ACCO"-,PANYING PLANS AND SPECIFICATIONS.bAI" t10'i=
I t /�,�.. / LOT P:O. � � -
T:;-R Lea Oi-r- JOB ADDRESS I(t'1D17 k)l&wB11S[� _ ---
3UIL'ER ADDRESS 1 DESIGNER
-0 —
STRUCTURE
,e
DEL --:_ ADOITIONC REPAIR - ❑ RENEWAL ❑ FIRE DAMAGE L-1 DEMOLITION
XRESIOENCF: C COMA ❑ EDUCAi)ONAL :1 GOV'T C RELIGIOUS u PATIO C CARPOPT C GARAGE_G STORAGE a SIRE'•'] FENCE
r1iC�.Gii'rANCY .-, LAND USE ZONE BLDG TYPE y` �FIRf_=ZONE -_PLAN CHECK MEAT
- r - � ►_ _
__ T r
SENVER PERMIT K
OCC.LOAD _ _FLOOR LOAD HEIGHT NO.STORIES ,2, -- AREA 23NO.B:.DROUh1S ,� VP,LUc�C�
BUII_CIN6DEPARTMENT
-^ SETBACKS FRONT 2-0 ,3
O REAR 4— LEF SICE //Z Sf RIGHTSIUE
�•0o - THIS FERMIT IS ISSUED SU13JECT TO THE REGULATIONS CONTAINED IN THE BUiLDiNG CGDE,ZON:N3
�y
IONS AND ALI
REGULATAcpL!CABLE CODES AND ORDINANCES
. , A?JU ;T 15 HcRcBY AGPE! U THAT THE
1P -7!nnCheck - _ /� . S Q WORK WILL BE DONE IN ACCOP.UANCE WITH THE PLANS AND SPECIFICATICPIS AND IN CO.'OPL1ANCE
F WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DUES NO-' WAIVE
Sub.tctal ��. �0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOP3 TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM21ING AND HEATING.
State Tax
--
Total _ 74.2-2 ---
POCK APPUCANtORAGENT
By _ _
Receipt No
Approved ADGFESS --- --- -- PHONE -
LDC - f _
DC - 3 T # lop
"EWER CONNECTION S
'EWER INSPECTION S Z6-
EWER SURCHARGE S � �.-
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list
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23 9 e,33.°f 41 ,3$3
20 5�a
IImo` 6�
2-sq ( 94"
3q194"
67,6-3 x, (106 103
'74,
RGl i
?711,300