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1.2875 SW CHICKORY COURT ���I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 6394171
Address
Permit
Type of Inspection
The following Building Code de.'ociencies are required to be corrected: L ?-'=k
0P
Presented to Inspector
Date A. 25�
(All FOR REIAGPECTION
0- Yr- No
BUILDING DEPARTMENT, TIGARD
(1 ,^
PLUMBING PERMIT NO
'
OTVR- 1;— & ._�aga _., holder of zi valid plumbing contiacturs license is hereby
authorized to cause plumbing vvork as herein noted to be installed in accordance with the plumbing code of
I igird. Such installations require inspection by the City Inspector who shall he notified not less than fOUr
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub- cntractors.
Job
Owner�'�`� �- 'MS'S __ Address_, _5�
1YUh113cA OF r TOTAL T �M•��
�+ TYPE OF PERMIT ITEMS FEF.ON EACH _. AMOUNT
ile Fam ly-1 bath-each �.�,._. 25.00
Duphx-Each 1 bath unit 25.00 _
-Add tion,I bathrooms-each 10-00 '" ____-._ _ _ �_. o�1obf'e Home Soace-each _ 15.00 - ?
Ir1uIVIDUAL FIXTURES CfJ(YIRRCTI -
Ito 50 Fixtures in 1 building-each _ J.00 �� _^ - •
I 51 to 100 Fixtures in 1 huilding-each --� -^2.50
101 to 200 Fixtures in 1 building-eacn M 2.00
201 or more Fixtures In 1 building-each 1.50
MISCELLANEOUS
I ;,ew•^-tach additional 100 ft. ^� it.00
t_ Water Sqriize to iildin !00 _ _r
f uth�r ISo-ril I_
l PE Rh1IT "` '� _ For Plumbing Inspection(hone 639.4V I
4,'S State Plurnb;-19 Contractor By
I
TOTAL -- RECEIPT WO Issued By
(,._ i t y Cis I ioar l m ed1cmica1 f'��`t % Permit
Fee
Ncw Install.:r ' I'leplace 0 Relocation El Addition C Altc(;,`t, 1 41, State—
TOTAL-.__._ Y •
t-'"r,dTFi.ACTOpfll/ O�VNF
WORK AUpRHEATING
ESS�O�d /d' _c coy,
PHONE _ APPLICANT'___
Meat Input Rating (BTU Per Hour) _ _ Vent Siir. � ^ -._ .—_ _ Flue Size- -_-- v
r'UE
L OIL r GAS ELECT" ' 0fHt:f1
ITEM NO. FEE ITEM INO. FEE r
or Issuan.^of Pe•;nit W 1sF:_AElOVF Air Cont tion Compressor 15 to 30 HF
Naw--Up to & ir►c1.100.000_ BTU -- _ 4.00_ `-Handl yt� 10,QQ_OC:FM _ 3.00
_- _.. ..
100 001 HTUTi-& over _ - b-00 A_!_ F r Over 10_,000 CFM
rlcor Furnace_ __�_ 4.00 EvaporativaCooler- 3(�0
Yjall Floor Susp-:nded --!_ _+ 4.00Range Vent Pan
Install Vents Only _ 2.00 _ Vent System _ _ � 3.00
Peoeir •Heat& Cooling _ 4,00 flaod_Cornmercial_ —_ 3.00-
Air Condition Compressor Under_3 HP --4.00 Commercial"Duct System _ -� 10.00
Air Condi on Compressor 3 to 15 IP _ 7.60
omd i on'Q.Compressor
3 to 15 HP sC=_�t�i.-37 __ -- -��L!.moi!•_-tLC�L1._.�._.��.�.��._.��_ �_�-___.. �_.._
IN:,•PECTOR'S ___ --
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CON'T'RACTORS
i-YPROVED BY -_ DATE _. ISSUED BY
fTECEIPT NO.
zia Signature of Applicant
...'aC"`i'F`]y' >� �t-'�1"'•tt,-.,•1�'i� ''�'�"o'^d""�'.._„ ..,..r,A,r�..�..-��, i E� rte,
BUILDING PERMIT APPLICA r ION 10 y TIGARD DATE_
THE UNDERSI CIN L1) HEREBY APPLIES FOR A PERMIT FCR THF WORK HEREIN INDICATED BUILDER PHONE_ _--
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. _
12875 SU Chicory it. IIn nls:
_ JOB ADDRESS HOME ADDRESS
~J 9.6 '3 u/ 4 )y lj 13 Li' Z f s T-'SARCHIT'ECT
3: ;ii
BUILDER ENGINEER
�� _ ADDRESS DESIGNER _
STFIUCTUFIE ONEW CI REMnDEL ❑ADDITION C3 REPAIR ❑RENEWAL L_JFIRE DAMAGE []DEMOLITION
D RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE DSLAB (:]FENCE
OBOND C3 MOVING ❑CONDITIONAL USE _❑DESIGN REVIEW ❑rOUNCIL APPROVED — ❑SIGNS
14-7PO b 3 ULIH
OCCUPANCY s LAND UCE ZONE__. _-BLDG.TYPE_ _FIRE ZONE..,_._ PLAN CHECK BY _ HEAT—_
onet.rt.JLL r37.r1g,jo fa.aily doulling w/att7Lhsd Varagv. 3 E edroumc, unth: .
I?F-18skin of permit ;r2899 (12620 W Chicory Court)
Sow-.it permit ;•121[1366 - t70s.00 ----
", LOAIZ._ -± QQR_LOAD _. ._ EI
HGHT ____ _..N_Q�5I2fUS j AREA --�f:r �"NO,BF_0QQJW, ._2YA �I� —
BUILDING DEPARTMENT �7 27 T f2 t" r,
SE BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �472.Op _ -=_—_
1 ��� 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 HEREBY AGIIEFD THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIF'; TIONS AND IN COMPLIANCE WITH
Sub-total 102,C;f7 ALL APPLICABLE CGDES AND ORDINANCES. THE ISSUANCE uF THIS PERMIT DOFS NOT 10VAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BIJSINFSS
State Tax 4' f•"•151C1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total al:i8. fjo JU[. - y4000ULJ
By P1 PUC yl 1100.0c
—.—. ,H'_.__._._. APPLICANT OR AGENT
Approved Receipt No �(��
fel lINF -
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
1,4 ps Permit No. /
r� fie A S_bA16 o� _ Rough-in
Fixture
Final
HEATING
NAIL Q�--- _ -- Contractor S' ], 7 C
_ Permit No.
Gas or Oil
— --�--
Rough-in
Final
SEWER-!— -- — SEWER i
Final �_��_ (� f>k
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
_ Curb&Street Final
Approach --— - —
BLDG. DEPT.FINAL TItMPORARY CERTIFICATE OCCUPANCY Final
^ERTIFICATE OCCUPANCY
Landscaping
Zoning Final