9460 SW MARTHA STREET 9460 SW MARTHA STRE'2-T
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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--e--" nne A.m. P.M.
I Address Permit #
'Owner Lot
Builder
The following Buildinri Code deficiencies are required to be corrected:
ALI
!i
Presented to El Approved
Inspector 'd ee� Disapproved
Data CALI, FOR REINSPECTION
h YES F-1 No
BUILDI!4G PE..RMITAPPLICATIONTiGARD DATE ��,1s�_ 4669
._ �'+ r�� ��
THE UNDERSIGNED HEREBY APPLIES, OR A PERM I f i-OH Thr !NORK HEREIN INDICATED RUII.DER PHONE 2U--7 �► r
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECI=ICATIONS. OVVNER PHONE
LOT NO.__..
OWNER JOB ADDRESS
ARCHITECT
ENGINEER
BUiLpER _ ADDRESS __DESIGNER
___-
STRUCTURE KNEW 13 REMODEL El ADDITION 11 REPAIR L) RENEWAL O FIRE DAMAGE ❑ DEMOLITION
RESIDENCE 0 COMM ❑ EDUCATIONAL D GOVT F1 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE �_. I1LDG.TYPE ._-SiL.__FIRE ZONE _._.._PLAN CHECK SY --HEAT-- Gad
Constructs nl,d tartily dwtillinA it ttac tied_garage. ---
3 bedrooms 2 $athrtrM
SEWER PERMIT# 2$472
OCC.LOAD FLOOR LOAD _ 40 HEIGHT 2_u+ NO.STORIES �I AREA 13411 NO.BEDROOMS 3 VALUE 64,UUU.
r� BUILDING DEPARTMENT SET BACKS FRONT 4...0 -REAR 260-0 LEFT SIDE 11 r- _RIGHT SIDE 5 f--3•+
Permit 325.00 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 211.25 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE !SSUANCE OF T!IIS PERMIT DOES NOT WAIVE
Sub-total 530.25 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
State Tax 13.00 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA ONG
Total 541.25 SDG— $400.00
[I 100100 ���—- --
�- PDCN APPLICAN OR Ad
By
- - Receipt No.
Approved PMONE
DATE INSP. TYPE INSPECTION REMARK.; PLUMBING
DATE
PLUM'
Comm:
Permit No.
Rough-In Fixture ixture
N
Final
HEATING
Contractor
Permit No If
LAS
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Stomi Orain e
(Rain Orairil Final
Sidewalk
Curb&Street Final
Anprm-h
FINk
DEPT. virwtE OCCUPANr'.' Final
r-ERTIFICATE OCCUPANCY
L:,chcaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE __G � __.�9�3
THE UNDERSIGNED HEREBY APPLIES FORA PER,AIT FOR TIME WORK HEREIN INC——n DUILDER PHONE��-
OR AS SHOWN AND APPA ED IN TNF ACCOM.PAAN�Y,ING/IPLANS AND SPECIFIC ,.TIONS. IWNER Pf
Alw
ARCHITECT
ENGINE(=R
BUILDER _ ADDRESS r�►,�„���+��i� •`�fG'NER
STRUCTURE �j�'A�W ❑ REMODEL_ _❑_AOD_ITION Ll REPAIR ❑ RENC-WAL ❑ FIREDA 1AGE Cl DE►.IOLITIOI
ESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS G PATIO ❑ CARPORT 0 GARAGE G STOR. 'E Cl SLAS(J FENC
OCCUPANCY ,.j?t-%-_LAND USE ZONE pp-RRLOG.TYPE _.> _FIRE ZONE`_-._PLAN CHECK BY NEAT
low
SEWERFERMIi If ;' _ L�% � • 4(0�___ --
OCC.LOAD ..� FLOOR LOAD L4Y HEIGHT-204- NO.STORIES / REA 11 V NO.DEOROOMS 3 V4.LU4- &1p
BUILDING DEPARTMENT SET RACKS FRONT 0 REAR ^a LEFT SICE IL t-t., RIGHT SIDE
F'ermtt .2 T THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZOWN
1 T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THN
AT T
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
3
Su;�•tetal • RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINtS
f LICENSE SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
�I,I�rix�• r�)G7i x I-
3 �.�•
Tota_ ,S ySDC- -- -- --_ _- -
-' PDCN APPLICANT OR AGENT
fly
_ Receipt No. — ------
Appf _ ADDRESS PHONE
SEWER CONNECTION S jr 7..) _ � '� ` Z'r -2�
?G 13ys .
SEWER INSPc:CTION $ 3 � A -70 S*
-- - - � ' 3 ;
/ &f
SEWER SURCHARGE 5