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13212 SW CHELSEA LOOP N N I i 13212 SW CHELSEA LU!)P �^��Ygi1��A'm+"J`` � tt IMP .01 lowLM PI- to U ti to cd,tit •�!� , ` � r� I O � w "" .,r '� ti ' O N N +� 4 INSPECTION NOTICE City of Tigard Buildi,ig Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested — Time A.M.--P.M. AddressPermit #� Owner Lot fk Builder The following Building Code deficiencies are required to be corrected: Presented to _ P- proved Inspector ®® ❑ Disapproved Date CALL FOR REINSPECTION YES Ll NO �r INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Data Requested— 2 — G? - Time A.M.—___._P.M. Address 17 Ile 1�s- _� Permit Cr #------ Owner _ _ Lot # a Builder —_-� �' ----- — The following Building Code deficiencies are required to he corrected: Presented to .._ —_ __.___ -proved Inspector _ __-- _ ! Disapproved Date -- — _-- CALL FOR REINSPECTION 0-1 YES ❑ NO INSPECTION NOTICE City of Tigard Bu iding Department P O. Box. 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection � --___�_...----�--- 2– TimeA.M._�.,P.M. Date Requested___�.� AP _ Address _� Z =---zr'� Permit Owner _ _ Lot # _ Builder The following Building Code deficiencies are required to be corrected: Presented to --__.—.—.. �—_�—_. ff_tt Approved Inspector _ __ tJ Disapproved Date CALL FOR REINSPECTION ❑ YE= ❑ NO CITY OF TIGARD MECHANICAL PERMIT Receipt # -----------_ -- Permit # _— Description Table 3A Mechanical Code QTY PRICE AMT City of Tigard 1) Permit Fee 0 -0- 10.00 13125 S.W. Hall Blvd. P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639-4175 1) Furnace to 100,000 BTU 15.00 Incl.ducts&vents Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Namg of Development — 3) Floor Furnace 6.00 Incl.vent ---—- — ---- Addre a / Suspended heater,wall healer Address -� J�_{1 Q��C'� 4) or floor mounted heater__ 6A0 — Tax Lot Map No. Vent not Incl.in Lot - �Block Subdivision 5) appliance permit 3.00 ` Name or name ct ousinesq)� Repair of heating,ref Ig., �� r11 /¢, 6) cooling,alpsorption unit 6.00 r a _ -- Mailing ress Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp,unit to 100,000 BTU city State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU -- NaBoilor or comp 15-30 HP VI 5.00 � S) absorp,unit 1/2-1 million Boiler or comp t M ,g Add s 9 y � Phone p o 30-50 HP , 1Lxj ' 3 g� //� 10' absorp.unit 1 -1.75 mih,in 22.50 Contractor Boner or comp to 50 HP City tet Zip 11) absorp.unit 1,750,000 BTU 31.50 S State Registration No. City Bus.Tax No. 12) Air handling CFM to 4.50 � O 7/ Air handling unit I hereb, acknowledge that I have read this application that the information given is 13) 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 1 am registered with the State Builders'Board,that the 14) Non portable 4.50 number given is correct.(If exempt from State registration please give reason below) evaporate_cooler ` Vent fan connected15) 9.00 to a sin ile duct — —--—— --- --- ) Ventilation system not 18 Included In appliance permit 4.50 / 17) Hood served by 4.50 S- :. mechanical exhaust Sig r store(owner or agy Date 18) Domestic type 7.50 Describe work [1 additl%n 17-1 alteration ❑ repair L] incinerator to be done_ residential 9 non-residential Cl Commercial or industrial Existing use of 19) type incinerator 30.00 bul'Aing or properly — _ 20) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers,etc. building or property 21) Gas piping one to four outlets 2.00 -,�• Type of fuel- oil ❑ natural gas 1 LPG ! I electric F1 22) More than 4-per outlet NOTICE SUB-TOTAL .7 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1804%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 -- — C WORK IS COMMENCED. TOTAL , Special Conditions — ----------- — (late issued INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phonc: 639-4175 Type of I spection Date R quested �.be -- __ Time A Addre P rmit Owner,_. - _ L t #__- Builder The 'ollowing Building Code deficiencies are required to be corrected: Presented to - -proved Inspector --------------_--- --- --•----..-. U Disap-roved Date -- — CALL FOR REINSPECTION ❑ YES ❑ NO Mw CITYCITYnF TIGARD 639.4171 DATE NaveNovember ,- _t9+sH6407 `_ BUILDING PERMIT TAX MAP 2_"._-;,JLOT N0, ___34—_SUBDiVISIO10W.11" 1 OWNER -jay �;iller__._ JOB ADDRESS ___. 13212 SW 47helsea Loop BUILDER __. game _—_ STATE RrG.NO. EXP.DATE�21fl-t+b BUILDER'S PHONE ISA4 7 [.3 ARCHITECT____Piercy 6 }Barclay PHONE ---- OTHER STRUCTURE ) NEW f I REMODEL I ADDITION 1 REPAIR MOVE ❑ OTHER DEMOLITION l n RESIDENCE COMM _' ' EDUCATION 't IND RELIGIOUS ACCESSORY ❑ GARAGE L !. orHER FENCE OCCUPANCY "� LAND USE ZONE BL TYPE FIRE ZONE PLAN CHECK BY F'�` HFA1 Construe t single family dwellii% with attached garage, all per approved palm. Subject to 85 co kle, SEWER PERMIT M x9191 (14u) 2 bath, 9 trap garaig 420 OCC.LOAD FLOOR LOAD 4U HEIGHT 20 NO STORIES] AREA146[j NO.BEDROOMS___ VALUE IAOU60 1 11 BUILDING DEPARTMEN 1 SET BACKS FRONT20 REAR 211 LEFT SIDE RIGHT SIDE Parmit 3".IBU THIS PERMIT IS ISSUED SUBJECT TO THE 7EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Peen Check 230.15 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 14.20 SSL)(: 25U.UU Total 5519.95 SDC— 690.00 —" Prepd. 1PDCM_013.09 11 150.(Y) �_ — —- -- Receipt No, (:. ADDREtiB PHONE_ Bal,Due - Issued B;__ Approved By DATE.rpy INSP. TYPEJINSPECTION REMARKS PLUMBING '+ATE /"t�7✓��i .� —— --- Contractor •/' �ae Permit No. /.7 -a9-�G► — — - --- Rough-in -- v Fixture Final -- --- ia•3�o-P� �J _-- - --- ------ HEATING Contractor -4t7 Frc-. v—= Permit No. 2-zo Gas or Oil Rough-in — -�— Final --SEWER Final Final DRIVEWAY Final Storm Drainage - r — (Rain Drain)Final ^ Sidewalk Curb&Street Final --, MM q y Approach BLDG.DEPT.FINAL CERTFICATF OCCUPANCY CERTIFI TE CCQUP NCY Final Landscaping ZiningFinal INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of I nspection r)v=t L.n x 1,_..c7 r:,r_V Date Requested Time A.M.— P.M. Address Permit Gceo L Owner_C'_� Lot #`. Builder The following Building Code deficiencies are required to be corrected: Presented to proved Inspector _ �_ �Z Disapproved Date CALL FOR REINSPECTION C_7 YES L_) NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone; 839-4175 Type of Inspection �'l r — _ Date Requested �—/� Time A.M.A.M.. FM. Address �-%z. is �F_ ?�i� Permit 1R1,2 e'-'e _. Owner 1Z --- Lot # _--- Builder The following Building Code deficiencies are required to be corrected: Presented to _ vCAf IpIroved Inspector �3CJ.�/ _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 ab Type of Inspectio Date Requested 71me -'A.M P.M.00 Address C '-ITT a La Permit Owner Lot Builder The following Building Code deficiencies are required to belorrected: Presented to Approved Inspector Disapproved Date CALL FOR REMSPECTION L-I YES 71 NO