9415 SW MARTHA STREET 9415 SW MARTHA STREET
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INSPECTION NOTICE
r Cite of Tigard Building Department
12420 S.W. i&in Si
Tigard,Oregon 97723
Phone: 639-41714
Type of Inspection __ �Lz
alto Requested __! Z Tin»__ All P.M.
Address f y�6VIA'A.a, Permit
Owner _ Lot #_—
Builder _ -- ► — j I —r C i ._�
The following Building Code deficiencies are requirad to be corrected:
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:-resented to _ — Approved
Inspector ' — — — �_� Disapproved
Date
CALL FOR RF,7N'O
(T[ON
❑ YES
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INSPECTION NOTICE
City of Tigard Building Department ''op
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of I nspection --_L-h S (J
Date Requested\ I �_ = Time A.M. `P.M.
Address I h Ct r In
_�" ___ Perm+i
jOwner. –._ .'►? ��Y, — Lot
Builder
'The following Build-ng Code deficiencies are required to be corrected:
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i
Presented to _ _ [] Approved
Inspector _ _�`'� _
Ud Disapproved
Date
CALL FOR REINSPECTION I
.'EfR ❑ NO _
IT INSPECTION NOTICE . 9/22/83
City of Tigard Building Department. 3:45 PM
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection __—_.__.. FraT,,JS& —
Date Requested_.—_--0 231$3 _ -- Time XX A.M. P.M.
Address 9415 SW Martha _- Lot 122,_ Permit
Owner-_ Tom Miller_ Lot #___ 122
Builder -- ——.--The following Building Code deficiencies are required to be correct.:a-
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Presented to .—� — — _ (� Approved —
Inspector ❑ Disapproved
iDate ---- ---- --_.
CALL FOR RFUPISPECTION
O YES fl NO
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BUILDING PERMIT APPLICATION TIGARD DATE—, t �
1 HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILD6'PHONE r. ••`•►^ „J
OR AS SHOWN AND APPROVED IN I Lif ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER F'10NE.—_____ — _
LOT 0.— Imo•`
OWNER 1'rt.; ,jlft,Y ''I-Jr. JCIBADDRLSS 9415 Sty' ''fartlin "t. i(r land Est.
---_._. _._._—. _— _._. _--
AHCHITECT
ENGINE.BR
BUILDER _ 1lame ADDRESS IR270 lloq es 1 L11CL]r DESIGNER
STRUCTURE 11 14EW ❑ REMODEL F1 ADDITION L 1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
I 1 RESIDENCE ❑ COMM lJ EDUCATIONAL f.I GOVT RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABU FENCE
OCCUPANCY LAND USE ZONE h"a ._ BLDG.TYPE
---FIRE ZON_E__ PLAN CHECK BY _ HEAT T
---- _ _ — t'antttruct n-Ie Ftwiil..r ,,arsc;ot.— --
iinue of 040
SEWER PERMIT#
OCC.LOAD FLUOR LOAD 40 HEIGHT NO.STORIES AREA NO.BEDROOMS -VALUE,--,-
BUILDING DEPARTMENT ��—'--�- + --------,--�— --F
SFT BACKS FRONT HEAR LEFT SIDE FIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
lj REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ; : i�WORK WILL BE DONE IN AC,^ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODIES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 'SRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMFIING AND HEATING.
State Tax ' '
-- —�'SDC—
Total
PDC# APPLICANTO FI AGENT
By
Approved Receipt No. ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
yz if..Ier Contractor
7a7Z-1 v,!�—!
Permit No. il-
Rough-in
gr
Fi-tun,
�7
-
Final
-----H�ATING
Contractor
'70— L Permit No.
IV 9 21/
Gas or Oil
Rough-iLn _
Final
SEWER
Final LC
DRIVEWAY
Storm Drainage
--
4 Drain)Final
Sidevvelk
Curb&Street Final
Approach
SLOG. rrPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lan&.ciping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDa PHONE 620 -�'YZA
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
i�C.tint y. c� LOT NO.
OWNER P •Fy O°�It ✓c' JOB ADDRESS r Y/.S ✓ ?��' 1"A✓� '1 S 1 - WE-4r,C&A/,Q fZd/":
ARCHITECT
ENGINFFR
BUILDER y'j f�.�E ADDRESS/&:�. 7C a-,:e-*ft4j,� DESIGNER
STRUCTURE JR.NEW ❑ REMODEL ❑ ADDITION ❑•REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEIAOUT10h
(�RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS Q PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ' - LAND USEZONE —,�—LZ—BLDG.TYPE . A!FIREZONF-, ---"PLAN CHECK BY — *- ,4EAT, _
�Zsc.E a� rt —
SEWER PERMIT N ,2.5 7 9 E3
OCC.LOAD FLOOR LOAD ya HEIGHT / NO.STORIES / AREA lV30 NO.BEDROOMS 3 VALU", OO
BUILDING DEPARTMENTSET BACKS F DONT REAR 2.tel "LEFT SIDE j RIGHT SIDE
PermH Q TMS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED tN THE BUILDING CODE.ZONINt
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THI
Man'Chaek / — Y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVI
Sub-total RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES!
40 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING,
States Tax
SOC—
:T-:t
l
I+'Wx APPLICANT UR AGENT
By
liecvlDt No.
Approved -�� _ AODFaFSS , PttONE '
o c - 5/
PDC
SEWER CONNECTION S S
SEWER INSPECTION S
SEWER SURCHARGE S --�"
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