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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722°
Phone: 6739-4175
Type of Inspection
T` Gi 8" A
Date Requested Time A.M. P.�...
Address _ � �-�� -- Permit #--- --- — —
Owner #-- -- ---
Builder —_.__.-----------The following following Buildint, Code deficienci, are required to be L—rected:
/)
if
�- 44,
4/7
Presented to YApproved
Inspector — — ❑ Disapproved
Date —
CALL FOR REINSPECTION
L-1 YE1 ❑ NO
AF IFXW
jtWAWWLIF
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Uox 23397
Tigard Oregon 97223 1 ��
Phone:639-4175
Type of Inspection
Date Requested_ '�T L��� Time_.�— A.M.—P.M./ (�
Address �_J , 4 O A),L lcii l Perm \_ �it # 44 v��
Ower ` Lot #
Builder —
rhe following wilding Code deficiencies are required to be corrected:
01 oe
oe
Presented to � F1 Approved
Inspector ='� �A ?Disapproved
i
Date
CALL FOOR- 1 i;INSPECTION
� Yiib. ❑ NO
IMjL-%jEL-%EIJ-�--%AL--!W��
INSPECTION NOTICE
City of Tigard Building Depai.meet
P.O. Box 29397
Tigard, Oregon 97223
Phone: 639-417
Type of Inspection c-,
Date Requested Time_.; A.M. P.M.
Address_1__�. ` 4 W l \C C Permit
Owner ` lot
Builder i 1 -� �,V I"1__
The following Building Code deficiencies are ragldred to be corrected,
Presented to / ( 'Approved
Inspector ��G--�� [] Dhapproved
Dete
CALL FOR REINSPECTION
LJ YES O No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 233.97
Tigard, Or,7gon 97223
Phone 6P-41L
Type of Inspection —
Date Requested __ /L _— Time A.M. dd P.M.
Address & j{.9�: no i` Permit #
Owner __. _ Lot #
Builder
The followinq Buildinq Code deficiencies are required to be corrected:
Presented to _ __ Approved
Inspector �7 Disapproved
Date —
CALL FOR REINSTECTION
C7 YES I NO
NOW W nse sssf est s� estr e, .• sss est
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bo), 23397
Tigard, Oregon 97223
Phone, 339-4175
Type of Inspection
Date Requested_ '' �� Time A.M. P.M.
Address 5 / y _ Permit #_
Owner Lot #
Builder
The following 0-Alding Code deficiencies are required *n be corrected: I
Presented to __ ---- _— VI Approved
Inspector ,�'T _ _ ---- 1. Disapproved
Date `s
CALL FOR REINSPECTION
❑ YES -1 No
INSPECTION NOTICE
C ty 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
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
PollPresented to
Inspector
c� 7 Waved
Date
CALL FOR REINSPECTION
❑ YES 1J NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
t
Type of Inspection
Date Requested _ Time `A.M.— _P.M.
Address .`_1 Z��� 'CPermit
Owner Lot #
Builder
The '.ollowing Building Code deficiencies are required to be corrected:
Or
Presented to _ [Approved
Inspector � � (_j Disapproved
Date
CALI, FOR REINSPECTION
❑ YES 0 NO
MA%XMNULM MWA
INSPECTION NOTICE
City of Tigard Building Doparlment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _Cac��a
Date Requested 1E 'I 1.P3 Time A.M. P.M.
Address r 1�11 C\-\Y k 0 -k- Permit # -
Owner .jot
Builder
The following Building Code deficiencies are required to be cocted:
Presented to ��-Approved
Inspector 11 Disapproved
Dote
CALL FOR REVISPECTION
0 YE8 F1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box,, 23:197
Tigard, Oregon 97223
Phone: 639-4175
TYPa of Inspection ,67R.a-t--"�
Oate Requested_ 4--- �—
Time A.M. P.M.
Address
-- �' Permit #
Owner _
' #
Builder Lot
The following Building Code deficiencies are required to be corrected;
Presented to
Inspector Approved
Data U Disapproved
CALL FOR REINSPECTION
C1 YE8 0 140
INSPECTION NOTICE
City of Tigard Building Department `3
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-417
Type of Inspection _
Date Requested Time A.M. '' P.M
Address s !,-L /a permit #'—
Owner u `
Builder_
The following Building Code deficiencies are required to be corrected.
--
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
❑ VES CarNo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�
Type of Inspection 70 p r __
Dateested Clt�
Time A.M. P.M. ��qg
Add I11i� I Smit # V
Owner Lot #
Builder
The following Building Corie deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPEC770N
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested — Z T�iim ���IV�.�� _P.M.
Address _— , Permit #
Owns _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
OF
Presented to _ ❑ Approved
Inspector "Igpproved
Date / Z
CALL, F'OR J�EINSPECTION
YES ❑ NO
CITY OF TIGARD MECHANICAL PERMIT Receipt #!�--
Permit#
Description
Table 3A Mechanical Code GTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 13.00
P.O. Box 23397 - -
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 t) Furnace to 100,000 BTU ! 6.00 ;
incl.ducts&vents
Furnace 100,000 BTU 4
2) incl.ducts&vents 7.50
Name of DevelopmentFloor Furnace
h/ # 3) incl.vent 6.00
Job Address --- Suspended heater,wall heater
Address /- �'y ry C,/{,,,,,�wc,y �c.�l��t 4) or floor mounted heater S Of)
Tax Lot Map No T� F-- Vent not incl.in
Lot FS (7.> Block subdivision 5) appliance permit ^3.00
Name(or name of business) - 6) Repair of heating,refr ig„ 6.00
,J' 1 /1(� `H �►-, cooling,absnrption unit
Mailing Address Phone 7Boiler or comp to 3 HP
Owner '778 - Z 4r- 7 ) absorp.unit to 100,000 BTU 6.00
City State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
_absorp.unit to 500,000 BTU
Nameg) Boiler or comp 15-30 HP
absorp,unit /, 1 million 15.00
Mailing Address PhonaBoiler or comp to 30-50 HP
10) absorp.unit 1 -1.75 million 22.50
Contractor City State Zip Boiler or comp to 50 HP
11) absorp,unit 1,750,0_00 BTU 31.50
State Registration No City Bus.Tax No. Air handling unit to
12) 10,000 CFM 4.50
I hprehy acknowledge that I have read this application that the information given is 13) Air handling unit 7.50 10000 CFM +
correct that I am the owner or authorized agent of the owner,that plans submitted are In - ,
rompuance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct (11 exempt from State rpdrstration please give reason below). 14) evaporate Cooler 4.50
Vent fan connected
- - --- 15) to a single duct 3.00
Ventilation system not
18) included in appliance permit 4.50
17) Hood served by
mechanical exhaust 4.50 / �-
wame(o*ner Or agent) Date Domestic type
(inscribe work L7 addition Elalteration Elrepair El18) incinerator - 7.50
to be done residential E3 non-residential [1 Commercial or industrial
Existing use of 19) type incinerator 30.00
building or properly- _ Other i.e.,woodstove,water
20) heater,solar,clothes dryers,etc. 4,50
Proposed use of
building or property _ _ __ 21) Gas piping one to four outlets 7 2.00 7
Type of fuel- oil I I natural gas 43" LPG L] electric 11
— 22) More than 4-per outlet
NOTICE
SUB-TOTAL ,-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- ---
STRUCTION AUTHORIZED IS NOT COMMENCED WI THIN 180 44e SURCHARGE 1- 4
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB=TOTAL �► �-
ABANDONED FOR A PFRIOD OF 180 DAY'S AT ANY TIME AFTER --- —
'.''vORK IS COMMENCED. TOTAL ez, i
Special Conditions .
----- - — Date Issued
6480
CITY OF TIGARD 639.4171 DATE8Z—
BUILDING PERMIT Orning bill
TAX M "
A� 1"�4 ab LOT N0. nA SUBDIVISION
t ir.T
-tart 13114 SW C1�3y itidge SL.
OWNER _ JOB ADDRESS --
BUII_DER STATE REG.NO. . 13 9 _—EXP.DATE10-30-87 —
RUILDER'SPHONE
ARCHITECTPHONE —OTHER -
STRUCTURE r"' NEW U REMODEL [_1 ADDITION ❑ REPAIR MOVE L] OTHER DEMOLITION
RESIDENCE L I COMM L_1 EDUCATION ❑ IND CI RELIGIOUS ACCESSORY GARAGE. OTHER FENCE
OCCUPANCY .�,�_ LAND USE ZONE BLDG TYPE5Ci,_ FIRE ZONE PLAN t HECK BM _ HEAT =
�Construct single family dwelling w/attached garage, 31L per approved plans.
Subject to 65 cuue. Subject to Awart/$36U 6 Leron/$1!g1 IxeweTr surcharges.
SEWER PERMIT 32 64 P(Idu) ?. bat[,, `) trapa garage 660
_ _
OCC.LOAD FLOOR LOAD 4U HEIGHT NO.STORIES 1 AREA1184 NO.BEDROOMS VALUE
r - 1, (�
BUILDING DEPARTMENT _J SET BACKS FRONT Tr REAR 505LEFT SIDE RIGHT SIDE
Permit 415•t){1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'T6 V.7 REGULATIONS AND ALL APPLICABLE conES AND DINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE SNS AND SPECIFICATIONS AND IN COMPLIANCE
---T--- WITH ALL APPLICABLE CODES AND ORDINANCES. 1! , 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 SgWER,PLUMBING AND HEATING.
State Tax
SSW 25U.W
1� -. I
SDC— 6130.01),
Total 701.35 _ FD�a 150.00 APPLIGANy6AA6FNT , --- -----------_
, < < �
Prepd. 10U•U " i ADDRESS PHONE
Bal.Due
GU1.35 Receipt Nb
Issued By _ Approved By,
—DATE INSP. TYPE INSPECTION REMARKS— PLUMBING DATE
4 _ �c c o �t1 n� _ Contractor^` 3 74V 1
crc � �*�ao�•V Permit No
— Rough-in
- Fixture -- —
3 Final —
3 HEATING —
p T_ Contractor
Pwmit No Lir
Gas or Oil
2 7 —. A _ _ Rough-in
Final ---
-- (/ SEWER
-- — -- Final
DRIVEWAY
Final
—_ --_ Slorm Drainage
(Rain Drain)Final
Sidewalk
Curb 8 Street Final
-- — Approach
BLDG.DEPT.FINAL TEMPORARY CERTIF;CATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
— ,.----- ----- ZonmgFinai