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IN'RPECTION NOTICE
City of Tiga'd Building Department
P O Box 23397
Tigerd, Oregon 97223
Phone: 639-4175
Type of Inspectiont��'`� — -------
Date Requested `'�. Time A)$ — P.M.
Address _•�_ � Permit #__
Owner— — --y� ��.-'-'1e .E<�.f —� Lot #— -------- -
Builder ---- — —.. --The following Builcling Code delicienciw, a e squired to be corrected:
Presented to .ate __ _ f 1 Approved
Inspector _ /�{ __ _._�-_ _-� - -__-- -— Disapproved
Date -_ 3
CALL FOR REINSPECTION
Y118 0 wo j
INSPECTION NOTICE
City of Tigard building Department
P.O. Box 23397
Tigard, Oregon 97223 )
Phone: 639-4176
Type of Inspection ---
Date Requested 1�C"�v_ _ Time`" A.M.—_--P.M.
Address LLC.�"' �-� Permit
Owner
Builder
Thome following Building Code deficiencies are required
tto- he corrected: /
Presented to _ ❑ Approved
Inspector _ /�_! isapproved
Date
CALL F�� �ORR�REINSPECTION
Ih" ES 1:1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type ^► :.ispection /0 _+K`
Date Requested / z' J/
Ti P.M.
Address / ?�} ��j����G( ��/_
L P�rrmit *--all
.
f
Owner '
✓�=� i l cs 2 � I.ot #
Builder
The following Building Code deficiencies are required to be corrected: _
Presented to
pproved
Inspector
f ❑ DlsaFr;oved
Date -- /
CALL FOR REINSPECTION
❑ YES Cl NO
INSPECTION NOTICL
City of Tgard Building Department
P. Box 23397
Tigard,
Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �2 �-01blln_ _ Time A.M. P.M.
Address L l'� —— n �'�" Permit #�c
Owner t �`�w�•� _ Lot # -
Builder —
The following Building Code deficiencies are required to be corrected:
Presented to
'— ❑ Approved
Inspector Diapproved
Date
CALL FOR REINSPECTION
EJ YE8 [I NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Time
AddressPermit 16
Owner Lot
Builder
The following Building Code deficiencies ere required to be corrected:
Presented to ��Approved
Inspector U Diapproved
Date Z--
CALL ','OR REINSPECTION
❑ YES El NO
INSPECTION NOTICE
4 � '
tOr� Jr. City of Tigard Building Department
mop P.O. Box 23397
� Tigard, Oregon 97223
p E'L,1 Phone: 639-4175
Type of nspection
Date Requested . Time-- A.M. _
Address Permit #_�Kq—Q
Owner__._. Lot #, —
Builder _ �,�C
s..
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector ?� _ �� Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4176
Type of Inspection ____ '4
"'
Date Requested � _? Z" Time-A.M. A< P.M.
Address // 3 n �^ �`'-�-non ' - Permit #
OwnerLot #
Builder
The following Building Code deficiencies are required to be corrected:
ZY01
7 - r
Z
Presented to ApprL ved
Inspector sapproved
Date
CALI, FOR REINSPECTION
ES ❑ NO
INSP'*CTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ 6
Date Requested 2A.M. P.M.
Address - — Permit # —
7 `
Owner Lot #.
Builder - — --The following Building Code deficiem;ies are required to be corrected:
c-- T il. ( i4� �'i'c�' ')/ C.C ./ �_ `✓ �!=� rJ[ iE-!/ISL,
x,
_ten:' 1/'L-
I
Presented to ___.. ' — n Approved
Inspector Disapproved
Date 2
CALL FOR REINSPECTION
❑ YES 17 NO
F
CITY OF TIOARD MECHANICAL PERMIT Receipt#
Permit# ,
rhscription
Table 3A Mechanical Code _ CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 1000
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-3175 Furnace to 100,000 BTU
1) incl,ducts&vents 6.00
2) Furnace 100,000 BTU + 7.50
Incl.ducts&vents
Name of Developmont 3) Floor Furnace 6.00
Ind.vent
Job Address --- 4) Suspended heater,wall heater 6.00
Addres.; or floor mounted heater
Tax Lot Map No, ) Vent not incl.In 3.00
Lot Block Subdivision 5 appliance permit —
Name(or name o1 business) 6) Repair of heating,refr ig., 6.00
_cooling,absorption unit _
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU
Cnwstate zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name - Boiler or comp 15-30 HP
9) absorp.unit 1/2-1 million 15.00
Meiling Address Phone 10) Boller or comp to 30-50 HP 22,50
absorp.unit 1-1.75 million
Contractor City State -zip -- 11) Boller or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
State Ruglatration No, City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM _
I hereby acknowledge that I have reed this application that the Information gluon Is 13) Air handling unit
10,000 CFM + 7'50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that I am registered with the State Builders'Board.that the 14) Non portable 4.50
number given is correct (If exempt from State registration please give reason below) evaporate cooler
—_ -- 15) Vent fan connected 3.00
to a single duct
Ventilation system not
16 included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
Slghature(owner or*pent) Date t 8) Domestic type 7.50
Describe work ❑ addition n alteration C1 repair Ll Incinerator
to be done rosidentiilill,E non-residential ❑ Commercial or industrial
19) 30.00
Existing use of type Incinerator
building or properly � 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property --- 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas f) LPG I ! electric LI
22) More than 4-per outlet
NOTICE -- -----
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Special Conditions
Date Issued - -- -----by -- -- - - --
CITY OF TIGARD 639.4171 DATE'� n� 1066117
BUILDING PERMIT
TAX MAP _-_ _LOT NO. 21 SUBDIVISIONUfIteSis 2
OWNER..— xstwk_....._`. JOBADDRESS 1131(,L-�ih;_ biancr�.- lyc�t-- —
BUILDER STATE REG.NO. ..- �ry��
— r------ ------- EXP.DATE -- --
BUILDER'S PHONE _ _ t 232x- -,-_7
ARCHITECT ------_ - PHONE OTHER _-._-_�----
STRUCTURE ;, NEW REMODEL I] ADDITION O REPAIR MOVE L.1 OTHER F-1 DEMOLITION
'! RESIDENCE COMM I EDUCATION 1 IND RELIGIOUS ACCESSORY CJ GARAGE C_l OTHER U FENCE
OCCUPANCY LAND USE LONE L4.5 BLDG TYPE FIRE ZONE PLAN CHECK BY di'y HEAT hFii AI
L�)I:L+tltrrC £1I2�1C+_ F`�Ll�/�J+�Y1i. Ylltitt.klC.]:@li 1i$L"' 'f+',�`� 1 �1t'.t 1Ui:L'OY�1) �JLidIIa. -
SEWER PERMIT M Z JvUt; (Ltid) 3 bath. 11 tralig ara6e 4';4 _ 2L'k f yn,Rhed �
basement
OCC.LOAD FLOOR LOAD 4(j15 HEIGHT NO.STORIES 1 a/ull LA4h , M1fO.BEDROOMS Q VALUE123,UUU
BUILDING DEPARTMENT
SETBACKS FRONT 2U REAR Ll. LEFT SIDE 1t1 RIGHT SIDEx:�
Permit 490.,50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I1e.03 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL 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 WAIVE
Pl.Ck.Fire — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 19.()2 .Lj�C; 25!i.uU
SDC— f
Total GUU.UIU A PLICANTO AGENT
— PDCM
I I
• Receipt NDR
NO. ADESS _ — PHONE
Bal.Due i
Issued By -------Approved
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DATE INSP.� TYPE'Q-PECTION r1EMAR`:3 PLUMBING U�ATF
Contractor G '41
Permlt No. y
Rough-In
Fixture
•Zy� —�� _ Final
/2 5v —, HEATING_ /
Z• /�� Contractor Agw
Permit No. y174 -1114 c)
Gay or OII
/-2a-$7 �,/ r /.w;c r e•p��eyv� Rough-in
Final
7-/N i SEWER
_ /.�.ti.� a� Final
–�� Cg, -lj� DRIVEWAY
Final
E,orm Drainage
(Rain Drain)Final
Sidewalk
• � �s Curb b Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY — -- ---
Landscaping
Zoning Final
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