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INSPECTION NOTICE
r „ City of Tigard Building Department
P. ". Box 23397
1 igard, Oregon 97223
Phone (339-41715
Type of Inspection —L _
Date Requested
7
Address ft '� ��� .(,�
�� aPermit # L44* �
Owner
Builder ✓-_ 1_---- —�__--
The t')Ilowi� lding Cade deficitmcies are required to oe corrected:
�)_ -�-14�.�.L°1S�_ ��SL.lL�• T/Off( ----�r` '�`��1�-�
o�iCE c,-1-12/`?
4
Presentsd to — _-- [] Approved
Inspector ' �.. , Disapproved
Date �l
CALL FGR REINSPECTION
,F�YE8 ;-1 NO
INSPECTION NOTICE
" City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 /O
Phone: 639 175 L
Type of Inspection -------� ----—
Date Requested - L Time , A.M. P.M.
Address- /3r S.5 Permit
Owner_r
Lot #
Builder
The following Building Core deficiencies are required to be corrected-
Presented to — ❑ i Improved
Inspector
W&sapproved
CALL FOR.REINSPE,( TION
&--YES L7 No
INSPECTION NOTICE
City of Tigard Building Department _
P.O. Box 23397
Tigard, Oregon 97223
�J1� iPhone: 63`9-441175
Type of Inspection
Date ReyuesterlTime P.M.
2 6 2 noe
Address -( .� 2S %►t1iYL1� _ Permit
Owner _- — C6..Qr
- .—_ Lot #
Builder
The follorfing Building lode deficiencies are required to be corrected:
Presented to Approved
----- - --- --
Inspector Unapproved
Data 7-"
CALL FOR REINSPECTION ,
❑ YES C7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box ?3397
Tigard, Oregon 97223
Phune: 639-4175
I"
Type of Inspection
Date Requested �'� A.M. P.M.
AddressrP.Ttnit 01
Owner_ Lot #
Builder l C. 1
The following Building Code deficiencies ere required to be corrected:
Presented to
---�—�� El Approved
Inspector ��. '� _ 445 pproved
Date _ _' •Z J 7
CALI, FOR
/�REINSPECTION
IEf'YES ❑ IVO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4117�77^5
Type of Inspection ___CD •�J
Date Requested �., l �,,,r _ Time_/�y/_�A.M. 7: cP.M.
Ow rens l_ .�,r �lJ 1...I1/ RI`t,`�' -rmit �# (n rl c7_f..-
Owner ( -— Lot
Builder �_...._--- ----__.__----
The following Building Code deficiencies are required to be corremid:
Presented to Q _ _ [�Approved
Inspector ✓_ �( —_--- [, Disapproved
Date
CA u iOR REINSPECTION
0 yet ❑ NO
� se sp s
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972:!3
Phone: 639-4175
1
Type of Inspection
Date P-jquested -ter/ Time A.M. P.M.
A.:Jress permit
owner _ Lot it
Builder �� � � �Ly ---
The following Building Code deficiencies are required to be corrected:
Presented to 'kpproved
Inspector _ [� Disapproved
Date _
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4125
Type of Inspection --J
Oats Requested 3 ` Time A.M. _P.M.
Address _____._..��_� �1•[,,•�. -r�.c a•I �:-t. r c Permit *—L
y _
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ved
Inspector - , '� C Qii pproved
Clete
CALL FOR REINSPECTION
F YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department ]
P.O. Box 23397 1
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _s- _, -�� Q—� �_;
—`'
cl
Date Requested Time _A.M P.M.
Address 1 ��� \ 1'ti Y Permit #
Owner— !
Z-4
Lot #
Builder '\Z- C'-
The following Building Code deficiencies are required to be corrected:
Presented to I`T Approved
Inspector �� H Disapproved
Dote
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Pyhone: 639-4175
Type of Inspection Z-,7 `
_
Date: Requested.- Ink ��� n�n� A.M. P.M.
Address Permit # Z
Owner �- C -�� Lot #
Builder_
The foll9wing Building Coda def ciencies are required to be corrected:
cin'
Presented to [] Approved
Inspector -Z� �-,,�-�
l�lDisapproved
Date -
CALL FOR REINSPECTION
SOONER.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
CFff
Date Requested Time-- A.M._pM
Address
Owner +-Permit
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
M Approved
Inspector
Disapproved
Date "9
CALL FOR REINSPECTION
IA YES C1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ - '►�—
Date Requested 2' .5 _ -n e A.M.
Address �.3�Z-J`- _ Permit Yf
Owner
Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
. . fes•-v-t-a �,ia may' Ly.o f z�
r �
Presented to
� Approved
Inspeotor
— - [-] Disapproved
Date Z-
CALL FOR RAINSPECTION
F-1 YES ❑ No
1
INSPECTION NOTICE
City of 'v,gerd Building Department
P.O. Box 23397
Tigard, Oregon 97223 C—
Phone: 639-4175
Type of Inspection
Date Requested _ •� Ti
P.M.
Address $—
ermit # __
Owner
-- _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to
Inspector Approved
U Disapproved
Date � J
CALL FOR REINSPFCTION
11 YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested__-- _--_ _—�- Q—,-1'—. Time------ A. _—P.M.
Address _ ! a _—C� 2►�/Yt1.(�1 ��G��,_ Permit--*—
Owner - -� -_ _ y
Owner_.____ Lot #—
Builder
The following Ri•"ding Code deficiencies are required to be corrected:
Presented to _ ---- ---_ ��Approved
Inspector Disapproved
Date
CALL FOR REINSPF C77ON
D YES I-] NO
CITY OF TIGARD MECHANICAL Receipt#.
_ PERMIT Permit#
Description
City of Tigard
Table 3A Mechanical Code QTY PRICE AMT
-- "
13125 S.W. Hall Blvd. 1) Permit Fee -0- 1 -0- 10.00
P.O. Box 23397
Tigard, OR 97223 / 2) Supplemental Permit 3.00
639-4175 L L{ 1) Furnace to 100,000 BTU 6.00
Incl.ducts&vents
Furnace 100,000 BTU +
2) Incl.ducts&vents 7.50
Name of Development Floor Furnace
11)L, f (� _1 L.L 3) incl.vent _ 8.00
Job AddressSuspended heater,wall heater
Address ' 4) or floor mounted heater 6.00
Tax Lul Map No. Vent not incl.in
Lot I I D Block Subdivision 5) appliance permit 3.00
Name(or name of business) 6) Repair of heating,ref rig., 6,00
cooling,absorption unit
Mailing Address Phone Boller or comp to 3 HP
Owner ,p, J S l' f2+ —�, �_ 7�0�5 7) absorp.unit to 100,000 BTU 8.00
Clty/State Zip Boiler or comp to 3 HP-15 HP
8) absorp,unit to 500,000 BTU 11.00
it ,�/to <�/E'.- )�'U (� P•
Name Boiler or comp 15-30 HP
9) absorp.unit 112-1 million 15,00
Mailing Address ProneBoiler or comp to 30-50 HP
10) absorp.unit 1-1.75 mil)ion 22.50
Contractor City/State zipBoiler pomp to 50 HP
11) absorp. it 1,750,000 BTU 31.50
State Registration No. City Bus.Tax No. Air handling unit to
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I em the owner or authorized agent of the owner,that plans submitted aro in 10,000 CFM (-
compliance with State laws,that I am registered with the State Builders'Board,that the Non portat,le
number given is correct.(If exempt from State registration please give reason below). 14) evaporate cooler 4.50
Vent fan connected
15) to a single duct
3.00
-- — -� - — Ventilation system not
1�) included in appliance permit 4.50
Hood served by 4.50
17) mechanical exhaust
Signature(owher or agillfitr Date Domestic type
Describe work 11 addition [I alteration [I repair F-118) incinerator 7.50
to be done residential ❑ non-residential ❑ Commercial or Industrial
Existing use of 19) type incinerator 30.OU
building or properly 20j Other i.e.,woodstove,water J 4.59
Proposed use of heater,solar,clothes dryers,etc. -
building or property_ — 21) Gas piping one to four outlets 2.00
Type of fuel- oil L] natural gas ❑ LPG ❑ electric ❑
22) More than 4-per outlet
"4= SUB-TOTAL
THIS FERMIT BECOMES NULL AND %il"",1 IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT CL MMENCED 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 Z IF7by ,�C���1 Gr-—--
_L' U
CITY OF TIGARD 639.4171 6447
BUILDING PERMIT DATE I L� 1
OWNER Coe C(ZBtMction TAX MAP 2q 4AA LOT NO. �1� SUBDIVISIGN 'SOr4iQ
i
BUILDER X645 SU 174th Aloha, nt 97Qf)t 14491
JOBADDRESS 13125 9'r Chit7"y R_ L ;t.
`�___.------ STATE REG,NO. 9/7187
BUII_UER'Sf1E f r}) � __ EXP.DATE ----
ARCHITECT _L--Ji_Qacr1m
PHONE - OTHER
STRUCTURE [] NEW U REMODEL_ ADDITION REPAIR
17 MOVE ! OTHER DEMOLITION
I' RESIDENCE Comm❑ R EDUCATION IND RELIGIOUS ACCESSOPY GARAGE OTHER FENCE
OGGUPANCY _ LAND USE ZONE - � —
_BLDG TYPE : FIRE ZONE PLAN CHECK SY C.i. HEAT
.Onetre� t e; le family flwmllinp a/�xtltacf�ed +� —
arage. all ?or approved plana.
';ub ect to 85 rade. --
riuuject to Tomo Heli ►lit_8 $150.00/Amtm $360.00
SEWER PERMIT k 32627 ()du): 2 bathe t 11 ttAA a t 440
40 T_ rci>-e+ area.
OCC.LOAD FLOOR LOAD HEIGF,T l
_ BUILDING DEPARTMENT N0.STORIE;i AREA NO.BEDROOMS VALID 7T7 _57
-- SETBACKS FRONT )(1 REAR "^ LEFT SIDE
Permit -_ 35.50 — RIGHT SIDE '
THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODF, ZONING
Plan CheckZ.9 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
PI.Ck.Fire WITH ALL APPLICABLE CODES AND ORDINANCES. THE IISUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COI.i RACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 17142
t 2 TAX PERMITT.SEPARATE PERMITS REQUIRED FOR SEWEFI,PLUMBING AND HEATING.
)� .0t.'
Total 735.83 SDC— 600.0U
. ��
Prepd. r PDCN r !SI).i>t1 APPLICA �O
(735.{33 — — RecelptNo/// �:.(%r Abb E98 sd—�L it Cit(/> C_-Lkl✓(C (�K �r
Bal.Due PHON
_ -- leeued By & Approved 0y'
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DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE
/ 7
,_Z9 (4- Contractor
1 -.) 7`a7
ov, c Permit No. r r
-8 7 ooh Q Rough-in
Fixture
/0 Final
/ .�4�0 -c. _ HEATING
Contractor yo�l 7
-� Permit No. s-
--/3- 7/ Gag or ou
-r� Rough-in
Final
SEWER
-/- 7
Final
DRIVEWAY -
-- Final
Storm Drainage
(Rain Drain)Final
Sidewalk
-- Curb&Street Final
A pprosr h
9LDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final