9420 SW MARTHA STREET 9420 SW MARTHA STREET
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address C7
Owner Lot
1Builder
The following Building Code deficiencies are required to be correrfnrl:
----------
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPEV770N
YES 11 NO
INFPECTiON NOTICE
City of igard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 839-4171
ype of Inspection
I Date Requested �� _ '`� Time AN. r=`"`_P.M.
Address
Owner Lot # _
f Builder
The following Building Code deficiencies are required to be corrected:
I
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i _
_—.. SCG�� �='�!s'1.-�.s�t•-Oc' � '�''`- .�'��
—
f
I
Presented to _ Approved
Inspector -29
r-, Disapproved
Date 07
CALL FOR REiNSPECT,'ON
L] YES k NO
BUILDING PERM I"i APPLICATION TIGARD DATE— 19 ,93 502
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TH=WORK HEREIN INDICATED BUILDER PHONg 620-7416
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH91 —_
OWNER Zig! LOT NO. }7
JOB ADDRESS 942t7Tr ri�rt tot. nee taaalt�
ARrHITECT
ENGINEER
BUILDER Smw ADDRESS lyQM' '3tv '3pt1 an Pe! ?tt1. DESIGNER
STRUCTURE N NEW ❑ REMODEL 1-1 ADDI T ION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE ❑ DEMOLITION
004ESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOVT Cl RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C' STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE `•" BLDG.TYPE — FIRE ZONE -PLAN CHECK BY— '' HEAT
-- Const:rnrt''in*1e I:.-in .ly Welling per Plano and Cmie wlattar.bet) garage -- --
-4 Plumbi.ty-! trnyv, 1 0-1), 1 OU, I FWT, wter, roof drain/ —
SEWER PERMIT A
OCC.LOAD FLOOR LOAD R HEIGHT 70 NO.STORIES AREA ''"0 NO.BEDROOMS t VALUE ',:'I` )
BUILDING DEPARTMENT ?
SETBACKS FRONT - REAR LEFT SIDE RIGHT SIDE
Permit 13. �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1t93.S WORK WIIJ_ 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 \aAIVE
Subtotal Iti•45, RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I?•113
SDC—
Total r7. i' TT iam.tJo
- ---"- PDCq APPLICANT OR ADEN
By r
Receipt No.
[Approved , ADDRESS PHONE
,ye
r
I� � Iftit � itas ei�
DATE INSP. TYPE INSPECTION REMARKS— PLUMBING DATE
Contractor �!
_.l
Rough-in
—, Fiatura
Final - - --
-► HEATING
_- Contractor
Parmit Nn.
ties or Oil
tiough•in
Final
SEWER
---- ---- _-___.-.,—
Final
DRIVEWAY
-- _�-_ -- - Final
rr
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nn
�.----------- _ (Rein Brain)Final
JI
Sidewalk
Curb&Street Final
----- --
-- Approach
BLDG. DEPT.FINAL TE10PORARY GE.R irICATE oCCJPANCY Finei
CERTIFICAreocCUPANCY I - -
Land;capinq
Zoning Final
r
-- —_B.U..-I�LDIN-G _E-R-_M. I t APPLICATION TIGAR7 DATE_-
19_DLL
E-4D 7q'`
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT N9
UYUNER J08 ADDRESS
ARCHITECT
ENGINEER
BUILDER To L�.E R ADDRESS +___ DESIGNER
STRUCTURE t NEW C3REMODEL ❑ ADDITION ❑ REPAIR C1RENEWAL C1FIRE DAMAGE ❑ DEMOLITION
CTRNESIDENCE ❑ COMM ❑ EDUCATION AL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _�` S LAND USE ZONE BLDG.TYPE .C' AC.. FIREZONE—''r PLAN CHECK BY f_Tw HEA7��
SEWER PERMi,r N
S
OCC.LOAD _FLOOR LOAD 04 fa HEIGHT s.4NO.STORIES AREA INO.�BEDROOMS 3 VALUEI
BUILDING DEPARTMENT SET BACKS FRONT �: f REAR �-o LEFT SIDE ��) RIGHT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZON!NG
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 01, N� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
t WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total +� I RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax"1
-
Poa►
AFPLICANI OR AGENT
----- �;,T�
By
- a Receipt No. ADDRESS
Approved
S o C - Ale a
•
PDC Sr.�A
It
SEWER CONNECTION Sails
SEWER INSPECTION $_ _��♦
SEWER SURCHARGE 5