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INSPE[' PION NOTICE
Li City of Tigard Building Department
_ p.0. Box 23397
Tigard. 6regZYR,97223
Phone: 639-4)7$ 17
Typ« of Inspedtion
P
--^` .M.
Date Requested- ----'- Time .M. P�( �
Address _..,i 3 S� 2 5 w `5/ (—f-- Permit #
Owner
Lot #
Builder - — —
The, following Building Code deficiencies are required to be corrected:
Presented to _ F Approved
Inspector ^__ _- --...._ -___ _--- Disapproved
Date - —_ 1CALL POR POR REINSPECTION
YES F,' NO
INSPEMON NOTICE
City of T.garct i3uiiding Department
P.O i3(. 91397
Tigard. Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested _ Tinto , A.M ✓P.M.
Address .�. _ ��� ( Permit #_J�3
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ,r ❑ Approved
Inspertor
[+'1iapproved
Date
CALL POR EINSPECTION
YES C7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ _. �7�. Time A.M. P.M.
Address /. Permit # 3
Owner- — o c X �.� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ -- _ i� Approved
Inspector I �. Disapproved
Data
CALL F JR REINSPECTION
G YES 1_l NO
INSPECTION NOTICE
City of Tigard Building Department
P U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
p /
Type of I-pection
Date hequested / Time A.M. P.M.
Address . ��? 2 Permit # _
Owner _
Lot #
Builder
ThP following Building Code deficiencies are required to be corrected:
� v
I
Presented to
❑ Approvf d
Inspector
r ❑ Disapproved
Date /
CALL FOR REINSPECTION
❑ YES ❑ NO
!
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bo.,23397
Tigard, Oregon 97223
1—V—Phone: 639-4175
Type of Inspection
Date Requested 94��
�� �/
TO)"S A.M. �" P M —_
Address J. �/rQ � � � �,�,
Owner \
Permit V
__
Lot #
Builder --,►/,fnL _L/!/ _
The following Building Code deficiencies are required to be corrected:
�. ✓�C1�7 YYL_
2G4 �
00,
Preshnted to
Inspector Approved
�isepproved
Date -_ Z —�'".� �, � --- —
CALL FOR REINSPECTION
L'�'FEi O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _�" _
A / 4
Date Requested__.��'7'3 _._ Time �A.M..+. P.M.
Address ..-.-L_.L-5. _ _ _ Permit
Owner '_`_. I Lot #_
Builder .---..
The following Building Code deficiencies are required to be corrected:
Presented to yJ Approved
Inspector J.L� �.� Disapproved
Date
CALL FOR REINSPECTION
❑ ris ❑ NO
INSPECTION NATICE
City of Tigard Building Department
4-1 P.O. Box 23397
Tigard, Oregon 97223
P o66:1639-4175 �7
Type of Inspection
Date Requested r W Tim _ _ A.M. P.M.
Address b _ .—_ permit
—
Owner . _.__ — /� __ Lot # _
i
Builder
The following Building Code deficiencies are required to be corrected:
_�R y,�f'.c:c,efwU ,►L� �,,-�.4 .t.�o>,r�.c�JU .� �
. � �
_ -aga Aa
r y 'rub c.
RNMMeed.to — r 1 Approved
lnspector t4 —_—.__ �ADisepproved
Dace
CALL FOR REINSPECTION
9?-IES ❑ NO
INSPECTION NOTICE
City of Tigard,Buildirfg Department
P.O. Box 23397
Tigard, Oregon 97223
Ph o e: 639 75
Type of Inspection-„
.A.M. P.M.
Dr.te Requested Time� / l
Address
I V L, i// Permit 4'
Owner
Lot *
Builder
The following Building Code deficiencies are required to be corrected:
zy
.gC-r +t GTA E%C
Presented to ❑ Approved
Inspector _ _ Disapproved
Date __ -.rte—�
CALL FOR REINSPECTION
/�] YES ❑ NO
f
INSPECTION NOTICE
City of Tigard Building Department
P U. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
'.2.4 4 j/,.4 44-
Date Requested TimeY
A.M. _P.M.
Address _ �� `� l�/Alt�o /�f Permit #_
Cr
Owner, L
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to -_-- - Approved `—
Inspector
❑ Disapproved
Date
CAL T, FOR REINSPECTION
❑ YEI 0 NO
I
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit# J
Description
Table 3A Mechanical Code_ QTY_ PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee o 0 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl,ducts&vents
Furnace 100,000 BTU +
2 incl.ducts&vents
7.50
—T Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Address 4) Suspended heater,wall heater 6.00 —
Address or floor mounted heater —_
Tax Lot Map No. 11, 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name(or name of business) 6) Coling f heating,
eats r unit
Mailing
6.00
Ig.,
Meiling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU
city/state — Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Nemo ) Boiler or comp 15-30 HP
( , ) 9 absorp.unit t/ .1 million 15.00
2
"L -^�-- Boiler or compto 30-50 HP
Meiling Address hone 10) 22.50
absorp.unit 1-1.75 million
Contractor Clty State — -- Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus,Tax No. 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit 7.50
000 CFM +
correct,that I am the owner or authorized agent of the owner,that plans submitted are In 10, —
compliance with State laws,that I am registered with the State Builders'Board,that the14 Non portable 4.50
number given is correct.(If exempt from State registration please give reason below). ) evaporate cooler
Vent fan connected 3.00
5) to a single duct
16) Ventilation system not 4.50
Included in appliance permit _
-- � _ 17) Hood served by 4.50
mechanical exhaust
SI M(owner or a nt) to 18) Domestic type 7.50
Describe work Cil addition D alteration El repair ❑ Incinerator
to be done residential ❑ _ non-residential ❑ 19) Commercial or Industrial 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 a of fuel-- oil [I natural gas I I LPG Ll electric Cl
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
BUILDING PERMIT -- ----- -
TAX MAP __- LOT r,. y - Sl vISIO40.*val.0 _
ToAiller 13567 S,ti n. Lame i':ex.�aws i
01ItINER _ JOB ADDRESS
BUILDER 3.111 � .� _\( Y (� X _I STATE REG.NO. __ 37381 —EXF'.DATE�' j`-Zt}' b _-�-
BUILDER'S PHONE _ 625-6167 x-1'1 t 4c) --
AHCHITcCT__-___-_._.. PHONE OTHER
STRUCTURE NEW REMODEL L.1 ADDITION REPAIR MOVE OTHER DEMOLITION
1 RESIDENCE Cl COMM EDUCATION F] IND RELIGIOUS ACCESSORY GARA3E I OTHER FENCE
OCCUPANCY LAND USE ZONE ,`�" *� BLDG TYPE FIRE ZONE PLAN CHECK BY HEAL
Lonstruct single talmily dwelling w/attached garage, all per apptrvoed plena+.
Subjedt to 85 COUe. Subject to jVnart/Wei k;wood *36U 6 Leren hts. ti. S(' serer vurclaarhes.
rt�raetf�aae tcs are for 1112 zone.
SEWER PERMIT# 29752 (Idu) A WaL}t, 10 traps, ;,ara,;e area 42U
OCC.LOAD FLOOR LOAD 4(j— HEIGHT 2(1 NO STORIES 1 AREA 11,+46 NO.BEDROOMS VALUE r 2,0W
BUILDING DEPARTMENT —I SETBACKS FRONT REAR LEFT SIDE RIG1$.`. , 12.5
— - -- --� FIT SIDE
Permit 349.UU 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 1
Plan Check 2I0•135 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
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.9111 TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 340L. ).UU
iuUO.UU
Total SDC--y8y.a1
APDL I(:ANT(717 AGENT I
Prepd. --
PDCN 1 150.Uv
1;N1.GU
Receipt No / S^ESS PHONE- _ - ----- - -
Bal.Due 489.81 I �� -� AD
- Issued By
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YMt�►t � %.:�.� J9•.T�.n 7'� Sl "TP �1'�'fi..,j�Ff::1'�\h�".:
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
L ,_ y d:9 / L4J �. Contractor ' j �c -- 3-/
f rr zg!, q p� Permit No.�(J A
i � v Rough•in ^_
frFixlvre
1,9 p, Final
2� - mac-- HEAg
Conlractor^ �fw p Q4
Permit No, L S
Z-
Gas•r -t. -," a op r Gea or 011
2.-.S 2( �� 4E.r.��.Z � o Rough-in
Final
SEWER
/ U Final �•'��3�fiS• ��
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
W Sidewalk
Curb&Street Final
Approach
BLDG.WIT.FINAL CERTF CATS OCCURY PANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final