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INSPECTION NOTICE
City of Tigard Building Depai iment
P.O. Box 23397
Tigard, Oregon t 7223
Phone: 639-4175
r
Type of Inspection
(� r
Date Requested _ / '�a "'� _ rime-A.M.-P.M.
Address I,Te-j,QV-- Permit #_
Own-r Lot #
BuilderThe following Building Code deficiencies art required to be corrected:
J
Presented to ❑ Approved
Inspector !rI Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested l
q1 Time A.M. P.M.
Address Permit
Owner_ Lot # _
Builder
The following Building Code deficiencies are required to be corrected!
Presented to L7 Approved
DatInspector _ ❑ Disapproved
ate �_�l ' _�
CALL FOR REINSPECTION
C1 YES C.._l NO
n:
INSPECTION NOTICE
City of Tig rd Building Department
N.O. Box 23397
Tigard, Oregon 97223
hone: 09-4175
Type of Inspection
Date Requested �- �� Time
A.M. P.M.
Address � Permit
Owner -_ �
-- Lot #k
Builder
i ht. following Building Code deficiencies are required to be corrected:
Presented to gpproved
Inspector _ [] Disapproved
Date
CALL FOR REINSPEC2'ON
C] YES f+l No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested Time--._,--A.M. P.M.
Address Permit
Owner � l� - Lot
Builder
The following Building Cude deficiencies are required to be corrected:
I-resented to [Approved
Inspec,ot Olupproved
Date
CALL FOR REINSPECTION
EI YC'S 0 NO
INSPECTION NOTICE
City of Tigaru Build1mg Department
N.O. Box 23397
Tigard, Oregon 9722.3 yyt
Phone 639-4175 �G�' I
Type of Inspection _
Date Requested 3 Time— A.M. ' P.M.
Address 3 _ �. Permit
Owner_ _ Lot #
Builder
The following Building Code det;ciencies are required to be corrected:
._—. (.sem.. i.� t�� Trr1� ���'LCX�'✓y
0a" arz
dr�.
2 /U
T --
Presented to _ [] Approved
Inspectorir�pproved
f�nte ` ��" �7
CALL FOR REINSPECTION
a [� No
INSPECTION NOTICE
City of Tigard Bulk-A ig Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type
Type of Inspection
Date Requested Time___ A.M. _P.M.
Address Permit #
Owner lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ pp►oved
Inspector
— —� ❑ Disapproved
Date
CALL FOR REINSPECTION
0 Xe1 r1 14o
INSPECTION NOTICE
City of Tigard Building Department
N.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ ► ���,.,
Tin►e�'i►�.A.M. P.M.
Address. , _t 1 If l 1 Y n G�("� Permit # n
Owner 1 Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to / Approved
Inspeator _ u�cJ
❑ Disapproved
Date —
CALL FOR REINSPECTION
[.l YE: ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
'rigard, Oregon 97223
Phone: 539-4175
Type of Inspccbon
Date Requested Z - Time A.M._ L—P.M.
Add. :s �, � _ Permit # SS
Owner _ _ _ Lot #.
duilder
The followinU Building Code deficiencies are required to be corrected:
i
Presented to
(Approved
Inspector ❑ Diappro"d
Date ——ICE,
CALL FOR REINSPECTION
❑ YEt ❑ NO
INSPECTION NOTICE
City of Tigard Builf ing Department
P.J. Box 23397
Tigard, Oregon 97223`
Phone: 639-4175 ` l
Type of Inspection
Date Requested - ./ 7
/ A.M. ✓ P.M.
Address 1 �C �( Permit3�—
Owner_ 4 Lot #
i
Builder _
The following Building Code deficiencies are required to be corrected:
j2v/atrQ �- u 11-C�c _
Pts vented to _ ❑ Approved
Inspector _� [ Disapproved
onto _--
CALL FOR REINSPECTION
YES
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Or3gon 97223
Phone: 639-4175
Type of Inspection ---
Date Requested ,L Time A.M. P.M.
Address %ZzPermit
Owner Lot #
&;i%der
The following Building Code deficiencies are required to be corrected:
Presented to _ plspvad .—
Inspector _ isapprcved
Date —
CALL FOR REINSPECTION
❑ YEi ❑ NO
w
't
INSPECTION NOTICE
City of Tigard Buildinf ')apartment
P.O. Sox 23397
Tigard, Oregon 97223
P one' 63
Type of lnsprction 9-4175
Date Requested Time A.M. P.M.
Address mit
Owner Lot
Builder._4N_ 4�
The following Building Code deficiencies are required to be cc,-acted*
Presented fnOel 1'/1' (j9 j A wteved
Inspector
7 Disapproved
Date
CALL FOR REINSPECTION
DYES ONO
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit#_
Description
City of Tigard
Table 3A Mechanical Code CITY PRICE AMT
# � s'"� Z- —�
13125 S.W. Hall Blvd. 1) Permit Fee �-0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
_ incl.ducts&vents 6.00
2) Furnace 100,000 BTU +
incl.ducts&vents 7.513
Name of Development 3) Floor Furnace
incl.vent 6.00
JobAddress - 4, Suspended heater,wall heater
Address jp t or floor mounted heater 6.00
Tax Lot Map No •r 3 1 �?�_- 5) Vent not incl.in
Lot Block i eoi IF appliance permit 3.00
Subdivision _
Name(or name of business) 6) Repair of heating,refr ig.,
cooping,absorption unit 6.00
Owner Mailing Address — Phone 7) Boiler or comp to3HP - -
absorp.unit to 100,000 BTU 6.00
City State - - Zip 8) Boiler or comp to 3 HP-15 HP t
_absorp.unit to 500,000 BTf) 11.00
Name 9) Boiler or comp t5-30 HP
absorp.unit 112-1 m iiion 15.00
Mailing Address - Phone 10) Boiler or comp to 30-50 HP -
__absorp.unit 1 -1.75 million 22.50
Contractor t ty state _--_- zip— 11) Boiler or comp to 50 HP —
absorp.unit 1,750,000 BTU 31.50
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 —� —
10,000 CFM 4 7.50
cor.ect,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
number given is correct.(if exempt from State registration please give reason below) ) evaporate cooler 4.50
--- _ 15) Vent fan connected
to a single duct 3.00
-� Ventilation system not
16) included in appliance permit 4.50
Hood served by -
17) mechanical exhaust 450
Signature(owner or agent)_ Date Domestic type —
Describe work f J addition i I alteration I I repair 11 18) incinerator 7.50
to be done residential F I non-residential 1-1 Commercial or industrial
Existing use of - - 19) type incinerator 30.00
building or properly 20) Other i.e.,woodstove,water
- heater,solar,clothes dryers,etc. 4.5U
Proposed use of
building or property------.--._
--__- ---- 21) Gas piping one to four outlets 2.00
Type of fuel-- oil I I natural gas 1-1 LPG I 1 electric I I - - -
22) More than 4-per outlet
NQTI-CE -- ----- - --
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL i
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED, TOTAL .,,
Special Conditions ; S
----- ----- Date issued__-------- _by
CITY OF TIGARD 639.4171 . �. Fe b ruary G L2 6532
BUILDING PERMIT DATE
TAX MAP2S1-4AB LOT NO. Iil SUBDIVISIOWming i:ill
OWNER am GotLcr tiI _. JOBADDRES813iJ96 SW Chimey xSU._p Vic.
- —
PUILDE.a STATE REG. O. 34025_ ___EXP.DATE
BUILDER'S PHONE 639-4"9
ARCHITECT _ PHONE
_.—OTHER
STRUCTURE f ° NEW REMODEL ADDITION REPAIR ❑ MOVE L] OTHER DEMOLITION
RESIDENCE I (;OMM EDUCATION IND 1 RELIGIOUS ❑ ACCESSORY ! GARAGE OTHER FENCE
OCCUPANCY h3 LAND USE ZONE^i BLDG TYPE -)'J FIRE ZONE PLAN CHECK BY ''- HEAT i.,
—Linuirurr {n�le fmn11� a+trallfn �1olLf►rl,�ai �* 1,11 } i_ �.,,r. yi•. +.I.erF:_ ;�.� �.u.•t e , j rn.�.._
.'ol,ject to Amrt $360 4 Lerun $150 sever dire!.. ,Yes.
SEWER PERMIT tt 3266-5 (1dU) Z hath, y t_ritI„s �,araj,e 4 aU
UCC LOAD FLOOR LOAD LIQ HEIGHT" NO STORIES AREA 191=0 NO.BEDROOMS VALUE U5 wo
BUILDING DEPARTMENT— SETBACKS FRONT REAR I % LEFT SIDE RIGHT SIDE lU
Permit f 38b.UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AIJD IT IS HEREBY AGREED THAT THE
Plan Check_ 152.2u WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
t- WITH ALL APPLICABI E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck.Fire RESTRICTIV."_ COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PI UMBING AND HEATING.
State Tax 15.52 58K 250.00
-- -- SDC— 1
Total b55.%7 L'PCM .JUSIi.UU
�
_ DAPPLICAN-�7i AQ _
1 I
Prepd. 4u.UU t l. .UIJ :
1 Bal Due S1 Receipt No. ADDRE88 PHONE
Issued By— Approved By _____
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor k C
i
Permit NoRough-in
in
13
/lc`3 1'7 ,tom✓ Gd�t w Fixture Y— --
� Final
IV HEATING
Contractor
�-, P � __-�"� �-Flecky�.,�( -,.A, I-rd � ---
0440
Permit No -`
� —
�� GasrirOil
Rough in _
Final
J_3+ •'�–_ ' ` % SEWER
/ Final
-
-T✓ DRIVEWAY
Final
— M_------- StormDrainage
---�----- --�_----- (RainDralnit
. .�....�_ ------------- -- Sidewalk
Curb 8 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCC�NCY anal
CERTIFICATE OCCUPANCY
ix7 I.afi caping
loninq Final