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12010 SW SPRINGWOOD DRIVE lam 12010 SW SPRINGWOOD DRIVE I N 0 v 0 0 cn C .-4 H CL cn C-3 1-40 cv •-1 1 Will INSPECTION NOTICE City of Tigard Building Department 1242G S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 � u Type of Inspection f 114 Date Requested _ lime 4.M. �_P.M. Address �' �U �—�`�'�y �l P....— Owner ermOwner .. .. - -- - - -- Lot # _ Builder ---- _ �-----_._--- __ The following Building Code deficiencies are recuired to be corrected: of _ 1 Presented to -_ - Vj Approved Inspector _ L_, Disapproved Date CALL FOR REINSPECTION C_l YES jZJ NO INSPECTION NOTICE City of Tig&rd Building Department 12420 S.W. Main St. Tigard,Oregon 97223 P h o n PZ, 4171 Type of Inspection �— Date Requested----- �� -«. _ Time A.M. -----P.M. Address _-Cc22 .Permit #. Owner Lot # _ Builier The following Building Code deficiencies are required to bo corrected: • 7 l ---'ry-'�-sem---- — - ----- Presented to - ❑ Approved Inspector _.- g Disapproved Date _- 7' !' = CALL FOR REINSPECT ION YE8 0 ;4O 1 ' .bM.�'� .'CJr�_��I11i✓�Sri _ ' CONNECTION EEEUWNER _._ PAID BY � TYPE OF BUILDING _� ycl DATE CONNECTED SERVICE RATE _ INSPECTION EEE r.nNTRACTOR _ PAID BY DATE SIZE OF CONNECTION) ASSESSMENT PAID ____ BUILDING DEPARTMENT, TIGARL PLUMBING PERMIT Tualatin Valley Plumbing & Htg. Inc . holder of a valid plumbing contractors license i$ hereby authorized to cause plumbing work a$ herein noted to be installed in accordance with the plumbing code of Tigard_ Such irStallation require inspectionby the City InSpector who Shall be notified not ieSS than four hour prior to the time the in-Aallationf are ready for inspection. City of Tigard Bu;;inef6 License required f,-:r all contractor:, and Sub-coniractora Owner - Dori Hellic1Qon Addrej6 12010 SN& Springwood Dr Dace 9-6--76 Reyidentia' # of Item_ Fee on each -Total Amount Permit No Single Family - 1 bath - each 1 $ 25. 00 $25. 00 Additiona: Bathroom - Each 1 $ 10. 00 $ 10 00 Permit $35 00 3% 1. Plumbing Contractor by ' ? Total 3 5 Receipt No. I.,;ued by c C .} i gard 1NSPECTION REGUES"t .for iNSPEDT10N "'IME47RMi'f DATE: ATE SJED:_._r t""NNERS N >MZ : t TEST' Air LC , h".?9►Ij 1 vim 9 . .0 of ,7'y RZ3ULT: ,; r. id :Z 1�t1�TvN. I ' 1 � I / +" ►, rev�� "' 13 TO DATE ��1�'E: At'aah t �ap:eme�lol `te" d �•7 he-e• ,� I i a__ .:��_...,. �.,..aw•+s.r.+�ry -..,....w-«.way,:,..,...�,r.�MlKwrwNMawt�ewAt,Y" Y�v.�waiyrgw�rrw»:.. CITY OP J4nw 1:' r N2 088? 3UILDING PERMIT APPLICATION TIGARD DATE__ iA. JHE UNDERSIGNED HEREBY APPLIES EOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN QND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_— - }Uri 'i a ADDRESS SW Sprinquuo4�LUa�J.i sILDER PHONE EtliiYlb OWNER jXXX2161 AP'.>,ll1111161HA RK E_NGIN_EFR Jaynoi Iiellic:kson �EF, �jome ARCHI7 CT FF--JDESIGNER STRUCTURE L_JNEW ❑REMOPkL OADDITION [ REPAIR ❑RENEWAL - ❑FIRE DAMAGE []DEMOLITION{,,.J REcinENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS CIPATIO ❑CAR PORT ❑GARP.GE ❑STORAGE rOSLAB ❑_ENCS DBOND C?MOVING CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.'-PROVED LJSIGNS HEAT—. ---. O CUPANCV LAND USE ZONE BLDG.TYPE___ _FIRE ZONE_ PLAN CHECK BY---=r. On8trLlct Ono ttingl• family dwslliny Lbz)i 64. ft. sq. ft* gArfigs -'1AqSk�eciJr'+aa�t 4both — lb OCC.LOAD FLOOR LOAD HEIGHT — N0.STORIES ARES — VALUE 77— BUILDING DEPARTMENT SET BACKS FRONT — REAR — — LEFT SIDE RIGHT SIDE -- Permit — -- — THIS PERMIT IS ISSUED SUBJECT TO THF REGULATIONS CONTAINED IN THE RUILDiNG CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED ';:AT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMITDOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPAF.NT CITY BUSINESS j%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Totol By A --- - __ Pr ANI OR AGENT — - _ Approved Receipt No �__ ADD ES5 -- -- NO DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HQATING Contractor Permit No. Gas or Clif Rough-in Final SEWER ............................... Final DRIVE WAY Final Storm D.air igp (Rain Drain) Final Sidewalk idewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY -Final Landscaping Zoning Final CITY OF BUILDING PLRMIT APPLICATION TIGA RD DATE-.--�'� t�Z� N° THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED //,, O Z ` OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND PE (CATIONS. OWNER PHONE_"� ._ AL DRESS -�w�le ERPH2NE(OZ�.�� ENGINEER DESIGNER __ STRUCTURE NE�Y ❑REMODEL ADD PION_ []REPAIR _❑RENEWAL ❑FIRE DAMAGE []DEMOLITION SIDENCE [:]COMMM rJEDUCAYIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GARAGE ❑Sl'OHAGE❑SLAB []FENCE RE rr--�� ('� ❑BOND El ❑CONDITIONAL USE DDESIGN REVIEW 000UNCIL APPROVED []SIGNS11 _ _ _ _ —t------_ r___ � OCCUPANCY_ __—LAND USE ZONES=� HLDG._TYPE=, —FINE'ZONE PLAN CHEK BY_ _ HEAT 7 C _ OCC�LOAO FLOORLOAD HEIGHT �� NO.STORIES _AREA I '„r VALUE _ (pG� BUIL_DSNG DEPARTMENTyY SET BACKS FRONT !i O L,.&^REAR jgt7�.' U LEFT SIDES f C/ RIGHT SIDEPermit 'TG - --- PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILIJINC ':00@, ZONING Plan Check '��'p REGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS NO SPECIFICATIONS AND IN COMPLIANC"WITH Recordina ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- -- -- ---- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State` Q7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND F&ATING. Total -77 34 2 s By _._-- �— APPL '::ANT OR AGENT Approved > Receipt No. i 0c, t' UNIFIED SEWERAGE AGENCY NO. 9572 WASHINGTON COUNTY DATE June 17, 1976 _ CITY OF1 . jd -- - --- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: -- --.- - - -_ -_ nocLMail o(son OWNER'S ADDRESS: _ 2780 SE Hol.lyhock Ct. STREET __Hillsboro OR _ 9712 CITY STATE ZIP BUILDING SITE: 122BLOCK _ ADDITION W__ x 1,p1S1-348 TAX LOT ��. __.. _________�. TYPE OF OCCUPANCY ADDRESS _______ ._-------_____.12010 5IJ Springwood DWELLING UNITS- _.. _ 1 FIXTURE UNITS SURCHARGE IF APPLICABLE PLFiMIT FEE _ -_ 550. 00 25.00 575. 00 INSPECTION FEE ___ .__ TOTAL DE70SITED ._ (NEW_ (EXIII-ING) BUILDING SEWER SYSTEM ___ Farlqn �reBk__ The Applicant agrees to comply with ali rules and regulations of the Unified Sewerage Agency. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ___ _ _ INSTALLER RECEIVED BY. - IAGENCY OR ITS AGENT) COMMENTS: BJ.dc�. ;y' 0882 This Application and permit expires in ninet%;., (90) c'ays. The amount paid will he forfeited should expiration occur. -rases I i City of Tigard ►Mechanical Permit —��`1 ermit OC Fee c, New installation Replace ❑ Relocation Q Addition ❑ Alteration ❑ TOTAL � ' CONTRACTOR r,`�/C/ l: S /��fJl1 OWNER ADDRESS �� ~j, �i G/<< WORK A DRESS `) ' f vUtX �• ry PHONE { —/� `> �!- APPLICANT Heat Input Rating (BTU 'er Hour) Vent Size, Flue Size FUEL OIL ❑ GAS ET ELECT OTHER ITEM NO. FEE ITEM NO. FEE For issuance of Permit 3.00 i, Boilers Over 50 Ho ' 25.00 New - Under 100.0(`) BTU I 4.00 Air Handling 10,000 CFM 3.00 New - Over 100,030 BTU 5.00 Air i fandlhnq Over 10,000 CFM 5.00 Floor Furnace 4.00 Evaporative Cooler _1 i 3.00 Wail - Floor - Suspended 4.00 Vent Fan k 2.00 Install Vents 2.00 Vent. Syster, 3,00 Repair - Heat & Couiing 4.00 Hood 3.00 Boilers Under :1 HP 4.1%C ji Domestic Incinerator Boilers 3 to 15 HP 750 Comm. Incinerator �^0 Boilers 15 to 30 HP 10.00 Other Not Listed 3.00 Boilers 30 to 50 HP 15.00 INSPECTOR'S COMMENTS CIT'! BUSINESS LICENSE REQUIRED FOP. ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY ATE RECEIP 40. "` Signature of Applicant A I d� NI � fZ _...._ , g N " y N U J U V I Inr . a ►-a �� Lt .S E ,� m .tet.' T : a I_ VT t.y. n s 17, C c.� �'�r ',,.