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INSPECTION NGTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4115
Type of Inspection .__—__-_ ` ` _ • 'rZ_,
Date Requested__ ` �- Time A.M. P.M.
Address 3� 7Y, �1[.y – Permit
� _
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
U —
Ala
Q��tt
Presented to — ❑ Approvod, Z
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
21UYEs ❑ NO q
aaa�.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Pho : 639-4175 f r.
Type of Inspection
r—
Date Requested_ _ Time.— M.
Address
Owner Lot # _
Builder
The following Buildina Code deficiencies are ieyuired to he corrected:
Prrser„':d to Approved
1' Fpector '�
❑ Diwpproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
s�
INSPECTION NOTICE
City of Tigard Building Department
P U. Box 23397
Tigard, Oregon 97223
e Phone: 639-4175
Type of Inspection
Date 9equested -__ T _._ Time "!A.M. P.M.
Z G _ �t
Address _ r r_�_ Fermi;
Owner --- - ----- Lot #_ —
Builder _ _..-----_-----._--
The followinll Building Code deficiencies are required to be correr„ad-
Presented to pproved
Inspector �� — Disapproved
Date — `J ' 9• �— —
CALL FOR REINSPECTION
❑ 'YES L NO
ea
INSPECTION NOTICE
City of Tigard Building Depcirtment
P.O. Box 23397
Tigard, Oregon 97223
Phcne: 639-4175
Type of Inspection
Date Requested 3`J `� Time_y 'A.M. P.M.
I
Address 3 li
,rmit #
Owner_ Lot #
Budder— 5.�.. .� r--�
The following Still ng Code deficiencies are re �uiire�dto be corrected:
Presented to
LT pproved
Inspaccor � _ L1 Diapprorad
Data _ �— —� ,
CALL FOR REINSPE17TION
El YE.! ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 972.23
Phone: 639-4175
Type of Inspection
Date Requested Time _� A.M. PJ
Addressy / �_L� � ' rT�f hermit #
Owner Lot #_
Builder
The following Buileing Cede deficiencies are required to be corrected:
f.
Presented to -- -
- 1 J Approved
Inspector
Laiaapproved
Date
--CA-LLL FOR REINSPECTION
❑ YES ❑ NO
w w w w
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
i
Type of Inspection
Date Requested_�,11 ) me A.M. P.M. —1
Address
Permit #
Owner - - _- Lot #
Builder
The following Building Code deficiencies are required to be corrected: —
71
k��--�e9•� .� ,.�--'tet.-, �_
.01
r
Presented to
❑ Approved
Inspector —�,._ 41fi-epproved
Data
CALL FOR RENSSPRCC ON
0 YEi E1160
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 7223
Phone: 639-41175
Type of Inspection
Date Requesst�ted�� Tim ..__ A.M._ P.M.
Address �__�,2_� �. �,�\�(�(\y Permit
Owner _ Lot #
The following Building Code deficienei6s are required to be ed:
r
Presented to _ _ _ CI Approved
Inspector ✓u�'� _ �] Disapproved
Date y r
I
CALL FOR REWSPE'CTION
❑ 'rEs ❑ 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 # 1 1 \ l
Owner
Lot #
Builder -
.i.
The following Building Code deficiencies are required to be corrected:
Presented to �+
L7
—�� - __ -- APpraved
Inspector u(—t
Disapproved
Date
CALL FOR REINSPECTION
❑ YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 9Crr
Date Requesten_ Z�`7 / — 'F7 _ Time �' . A.M..___ P.M.
Address ��.1 s`L' ( � �I�Ilh_� _ Permit # L y _
Owner-- — __--- - Lot #— --
Builder
The following Building
rCode
ndeficiencies are required to be corrected:
Presented to _�-- _- -- _ rrApproved - --
Inspector '� [J Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NCS
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-0175
Type. of Inspection — — --_ --
Date Requested__. 2'" r _ Time A.M. M.
Address / 1,(,�'Y►A�s�l�- K-l _ Permit # Y
Owner -- -- 2'd11� � '---- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
f
Presented to — ,[/� Approved
s /
Inspector r — ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YEi Ifn NO
INSPECTION NOTICE
Chy of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
�ar/w/ //•
Data Requested � Time A/}.� P.M
Address
Owner Lot
Builder _.� L� _ —!/�The following Building Code deficiencies are required to be corrected:
Presented to L--f[7�
L�� ------ Approved
Inspector _
Disapproved
Date ` ,,.}'(_3
CALL FOR REINSPECTION
YES L] NO
CITY OF TIGARD MECHANICAL PERMIT
Receipt#_L_
r�
Permit#
Deet riplion
City of Tigard
Table 3A Mechanical Code CITY PRICE AMT
-- _ �-
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemen;,l Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 8.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development -- Floor Furnace
3) incl.vent 6.00
Job Address j 7 4) Suspended heater,wall heater 6,00
Address / ! -' -' t' 1 or floor mounted heater
Tax Lot Map No. Vent not incl.in
Lot Block Subdivision b) appliance permit 3.00
Name(or name of business) Repair of heating,refr ig.,
6) cooling,absorption unit 6.00
Mailing Address PhoneBoiler or comp to 3 HP
Owner 7) absorp,unit to 100,000 BTU 6.00
city Stale Zip Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name Boiler or comp 15-30 HP
9) absorp.unit 112-1 million 15.00
Meiling Address PhoneBoiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor city/State Zip Boller or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31'50
State Registration No. City Bus Tax No 12) Air handling unit to
10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit
10,000 CFM + 7.50
correct,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 Non portable
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
16) included in appliance permit 4.50
) ' Hood served by
j" ., 1 7) mechanical exhaust 4.50
Signature(owner or agent) Date Domestic type
Describe work 11 addition CI alteration F1 repair [_] 18) incinerator 7.50
to be done residential ❑ non-residential C] Commercial or Industrial
19) type incinerator 30.00
Existing use of
building or properly Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc. 4.50
building or property_ —. — 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas N LPC F] electric rl
22) More than 4-per outlet
NOTICE SUB--TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR 'NORK IS SUSPENDED OR PLAN REVIEW 26%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --- --
WORK IS COMMENCED. TOTAL
Special Conditions
-- i
Date Issued /::
.. "5 by �+
6490
CITY OF TIGARD 639.4171 DATE r ---19-
BUILDING PERMITtnin frill
TAX MAOS13�" LOT N& _SUBDIVISION'u
b
,;haw oeveluvwunt �S 172 S6 Chimpuy lodge .�1.. +
OWNER _ _ JOB ADDRER ---- ---
sara 12225 Sid and Beaverton Suite2U1 Bvto 4/39U EXP.DATF 6/12/87
BUILDER rr. ____-___ � f • .__uStATE REG.N0. --
BUILDER'S PHONE ,64_44-•50UI _
ARCHITECT
A. tylasCord,2212 PHONE
STRUCTURE 9 ' NFW ! REMODEL ADDITION REPAIR L MOVE LJ OTHER _DEMOLITION
RESIDENCE I COMM EDUCATION IND RELIGIOUS ❑ ACCESSORY GARAGE OTHER f� FENCE
OCCUPANCY h LAND USE ZONEy._ BLDG TYPE FIRE ZONE PLAN CHECK BY i, HEAT _ _---
tml4lLrcUt wit;, ies faraily dwel inK w attached F;urage, all }ger approved ,Mane.
u;,jrct to 85 code. Subject to l.Trart $360 6 Rerun $15U newer surchart,es.
SEWER PERMIT N .11b53 j1duj 3 Dath, 12 traps gjjlra�;e ares, 540
OCC LOAD FLOOR,LOAD 4U HEIGHT ZU+- NO STORIES 2 AREA 2055 NO BFDROOMS4 VALUE K910.11 U
BUILDING DEPARTMENT F` RIGHT SIDE '
SE1 BACKS FRONT ` `� REAR LEFT SIDE _
Permit 6UU.UU �THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
U(1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check dVU. I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— —WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck Fire RESTRICTIV- COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENI CITY BUSINESS
- --- TAX PEpMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1b•0y ".:)(:•UU .t '
-- -- SDC--69U*UU --- _------- �Ci �3+
Total UjG,U0 APPLICANT OR AGENT
– !00.00 PDgN 150.0(!
Prepd ----
- --- Receipt N?��,".���/ O6DRE88 PHONE
-Bal Due �i 6.UU J '`'�
—� Issued By.- App►owd 9y—— � 4
i
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/ 3v-59 �iK c. Contractor pj Q_ 7 P
Permit_ 5-067 —
Z..LS /p �p c� Fixture
3" 'y Final
HEATING
_s- Contractor ,1.£c -g7
�� ---- Permit No. YS7I
3. 9 Gas or Oil
Rough-in
Final —- --- —
y_ _g SEWER
DRIVEWAY
Final —
Storm Drainage
(Rain Drain)Final
---_.___.-.----..-�_-- -- Sidewalk
Curb d Stree Final
— .���------ —�
Approach
BLDG.DEPT.FINAL TEMPORARY C EHTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY - --
/ Landscaping
— - — --—- -- ---- Zoning Final -
1
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