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INSPECTION NOTICE
City of Tigare Buildi—, Department
12420 S.W. Hain St.
Tigard, Oregon 97223
Phone 639-4171
Address--.- Permit
Type of Inspection
The following Building Code deficiencies are required to be r rrected;
------------
Presented to
Usta
G4t.L FOR REMPEMON
❑ YES L-1 NO
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BUILDING PERMIT APPLICATION C0F TIC ARD DATE 19
646—'A 7 1t
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED HUILDERPH)NE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER P oN �•
-t _
rt Lu LA R. L. 12s 40 Chicox t,.
OWNER AJOB AUDRFSS `5o y F;JME ADDRESS LOT
d>t✓ -SANOC3L,I?f,<.T ARCHITECT —
(3Plii,. , ENGINEER
ER ADDRES
BUILDDESIGNER _
STRUCTURE ❑NEW ❑RI MODEL ❑ADDITION ❑ []DEMOLITION
❑RENEWAL ❑FIRE DAMAGE `]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAG'_❑SLAB ❑FENCE
❑BOND ❑MOVING ❑C('NDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
fir; —, �l.i;,i►i _�—
OCCUPANCY LAND USE ZONE_ , _BLDG.TYPE FIRE ZONE._ PLAN CHECK BY _ HEAT
onatruct oioyln family dusllinC wk]ttachru garages 3 8erJ1.u0rnr= both*.
SEE CORRECTION SHEET ATTAI-Hij). ---__
�
ewer Permit2l�3J7 - ;?O:.,OCt
-- - -- - -- a►x-we 89f, sq,f t.
4 _L49SLF_1.9QB-LOAD 0 HEIGHT -P l �NO_�LQ9Jf — . AREA 1-168NO.AFDRQ9!YI$_ y�l � A� nl�•
RLIV-DING DEPARTMENTp
SETIB $ p ; p 1? ,p, �gL'i SIDE C/
Permit
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERERV AGREED THAT THE
—"` WORK Wit L HE DONS IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal k44• Al ALL APPLICABLE C)DFS AND ORDINANCES. THF ISSUANCE OF THIS PER"IT DOES NOT WAIVE
RESTRICTIVE COVENANT'S. CONTRACTOR AND SUFI GONIRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax_ ' • ` LICENSE. SEPARATE PERMITS REQUIRED FOR S .WER, PLUMBIN D HEATING.
Total si .t).L
By
APPLICANT 00 ABIENT
Approved Receipt No `itiC
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r�� Contractor 0/?-7rr rt4 /'!!} �•w.. Ot -- --- - Permit No. � O/a
o-//7>
/0-01.7-71 neft 40'r- Rough-in
..A�I a •-�w0•ayl` Fixture
� 7 "�f"� tiI�•'F'• -_ Final
. `--
� ` D N� A(iCN t�U✓�C� t^k, HEATING
o._� MAIL Contractor p, y
-- Permit No.
Gas or Oil
Roughwin
Final
SEWER
Final —_--
DRIVEWAY
— Final 4 --
Stoll Drainage
—_— (Rein Drain)Final
_ Sidewalk
Curb&Street Final
_ Approach
S-DG. DEPT.FINAL TtMPORARY CERTIFICATEOCC NCY Final
CERTIFICATE OCCUPANCY p
Landscaping
Zoning Final
i
I
u y cly i wa a IY1QCj�< 1 — E�� il�t ���(1 Permit
Nzw Installat on 'CQJ Fteplcrce [� Relocation [� Acirlir-il'I, ! -! Fee
l Al 'ration ,aStatF-
2
HEATING f TOTAL_ �'�:
OWNER 4-�
--- _ WORK ADDRESS
FIICIPJE � � APPLICANT
1
Heat Input Rating (BTU Per Hour) Vent Siie - -Flu ---- o
. r
LaEL OIL CJ GAS ELECT CJOTHER
Sir
-�
ITEM + a
NO. FEE ITEM IYO, FEE -°
nor Issuance of Permit - ATIOV ' � Air Condition Compressor 15 to 30 HP r
�'Naiwup to & inc .100000 BI'U - - - _ _ _.. _ __
r�_ 4.00 Air Handling 10,000 CFM _ _3.00 i
�lrw.100 L 00].F BTUs & over F_i.00_ _Air Handling Over 10,000 CFR---
rIcorFurnace __ EvaporativaCooler
vya!I . Floor Suspended - - R
4. Range Vent Fan
Install Vents Only Vent Systern ___.__. _ - -_ _- - --• 3,00
F eaair • Heat& CanIing -4.00 - _- blood C_n_mmerclah_--- - 3.GG
.lir Co:rdition Compressor Under- 3 FIP - _ -4.00 Conrmerciai Ouct Systern - ^ � 1G�r�
<,ir Condition Compressor 3 to 15 HP _
IN::Pfi*CTOR'S CGN1,%,9EN7S
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR :SUFI CONTRACTORS~
/.I'-ROVED BY� DATE ISSUED HY
DATE i
8(pnature OT Applicant
'I