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INFP'tCTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested. z 3 Time-- A.M.--P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
............. -------
Presented to
Disapproved
Inspector
Date
CALL FOR REUVSPCTIO�
Cl YES El NO
A
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of :ns,,ec,,jon
Da*e Requeste
`A.M.
Time _ P.M.
Address '�- J JA ,1 .l . Permit #k —
Owner .l
Let #
Builder
The. following Building Coat "eficiencies are required to be corrected:
t
Presented to __-._ /Approved
Inspector
_-- r � � Di,approved
Date -- 1-- ---
CALL FOR REINSPECTION
DYES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.C. Box 23397
Tigard, Oregon 97223 \\"1✓
Phone: 639-4175
Type of Inspection -
Date Requested1114 Time_. A.M. P.M.
Address � ! 1 ,\ ; l
Permit #�s.1L
Owner
Lot #
_�A
Builder
Thr `—
following Building Code 2ficiencies are required to be corrected
Presented to _i CLAPP"" B
Inspector I I Disapproved
Data
CALL FOR REINSPECTION
❑ YES ❑ NO
,.r.r.�
INSPECTION NOTICE
City of Tigard Buiiding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection \- �--k 'N� t
Date Requested L Time A.M. P.M.
.t
Address Permit
Owner Lot
Bulkier
The following Building Code deficiencies are required to be corrected:
Pre"Ated toAA
lnvps*& Disapproved
DaW
CALL FOR REINSPECTION
E-I YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone-
e-- 639-4175
/�.�1�1 l
Type of Inspection
Date Requested. ' k Time AM P.M.
r
AddressPermit # d—
Owner Lot
Builder l
The following uildinq Code deficiencies ere required to be corrected:
Presented to
Inspector _ _ `_ ❑ Disapproved
Date
CALL FOR REINSPECTION
El YES [l NO
INSPECTION NOTICE
City of 1 igard Building Department
P.O Box 23397
Tigard, Oregon 97223
hone: 639-4175
Type of Inspection
Gate Requested 35- /Y Time A.M,�M.
Address 4 '3� `r L".l�t c.-fO��
Permit #► 6-.� ,3/
Owner ��'. a'/; Lot 11t
Builder a
The following Building Cade deficiencies are required to be corrected:
Presented to
— pprnved
Inspector
- � � Disapproved
hrtr
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
Ci y of Tigard Building Department
P.O Box 2
Tigard, Oregonn 97 97223 U�
one: 839-4175 -�
Type of Inspection
Date Requested Time��
—A.M. P.M.
Address Z' � ( �/C!�� Permit #-tea 7
Owner_�_-- _
i- Lot #
Builder
Y
The following Building Code deficiencies are required to be corrected:
Presented to
Impactor _ _ ��❑ Disapproved
CALL
'-l -
CALL FOR REINSPECTION
❑ YES U No
1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
w
Type of Inspection _I'—Cch
Date Requested_� • _ Time A.M. /P.M.
Address -��-- =`—c-��. Permit #
Owner Lot #
Builder
The following Building Code deficienc s are required to be corrected:
Presented to _ __— _ pproved
Inspector __.r ❑ Disapproved
Date __i _
CALL FOR REI SPECTION
C1 YES ❑ NO
Receipt#
CITY OF TICARD MECHANICAL PERMIT
Permit#
Uescription
Table 3A Mechanical Code aTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
F.O. Box 23397 -
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents ! 6.00
Furnace 100,000 BTU +
2 incl.ducts&vents 7.�0
Name of Development 3) Floor Furnace 6.00
r"r/ �'C" ��� _ incl.vent
Job Address 4) Suspended heater,wall heater 6.00
Address /j-Z. s`S- t,� 'Ac. or floor mounted heater
Tax Lot Map No. 5) Vent not incl,in 3.00
Lot �• y Block Subdivision appliance permit
Name(or name of business ) Repair of heating,ref rig,,6 cooling,absorption unit
6.00
Melling Address 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
NameBoiler or comp 15-30 HP
9) absorp.unit 112.-1 million 15.00
Malang Address Phone 10) Boiler or romp to 30-50 HP 22.50
_absorp.u it 1 -1.75 million
Contractor City State Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
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 ,3) Air handling unit 7.50
conecl,That I em the owner or authorized agent of the owner,that plans Aubmitted are In 10,000 CFM + --
compliance with State laws,that I am registered with the State Builders'Board,that theNon portable 4.50
number given is correct.(lf exempt from State registration please give re14ason below). ) evaporate cooler
-- 15) Vent fan connected 3.00
to a single duct
-- --- — Ventilation system not
16) included in appliance permit 4.50
17) Hood served by ; 4.50
__ _i a 't `- ► ti+ .t mechanical exhaust
Signature(owner oe agent) Date 18) Domestic type 7.50
Describe work [A additio,i ❑ alteration f 1 repair LJ incinerator
to be done residential (i_) non-residential f I 18) Commercial or Industrial 30.00
Existing use of type incinerator -_
building or properly i - 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 f_7 natural gas 0 LPG C7 electric f 7
22) More than 4-per outlet
NQTICE
BUS-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 WORK IS SUSPENDED OR PLAN REVIEW 28%OF SUB-TOTAL 7
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Special Conditions —_
Date Issued____ ---.—by _
CITY OF TIGARD 639.4171 DAT,eebtuar 6531
19
BUILDING PERMIT uy --- -- -
TAXMAP'Sl"2 __LOTNO.24 _.-SUBDIVISIOW"t'l>r" Il.i
Jay hiller 13255 S6 Qielaea Loop a.
OWNER _ JOB ADDRESS —._ --- ------ ------_– _-- ___.
BUILDER _ .S - � � L ;J_� C ---_-- STATE REG.NO. _301U9 _ EXP,DATE L2-1661
BUILDER'S PHONE
ARCHITECT __ _ _ _ PHONE OTHER
STRUCTURE NEW 0 REMODEL ( i ADDITION [J REPAIR C MOVE 1 1 OTHER DEMOLITION
iA RESIDENCE COMM ❑ EDUCATION I 1 IND (_7 RELIGIOUS ❑ ACCESSORY GARAGE OTHER FENCE
OCCUPANCY :2 LAND USE ZONE ` L BLDG.TYPE —FIRE ZONE PLAN CHECK BY HEAT
Cannt.ruct ainLle family dwelling to/attached ; ira,.e, all per approved plaee. Sa6lect Lv rya roue.
ALISSUL of 61tfd
SEWERPERMITM 326M (ldu) 3 bath, 11 traps ,nr t!e 44u #
i
I
OCC.LOAD FLOOR LOAD 40 HEIGHT H2O NO.STORIES 2 AREA 1596 NO.BEDROOMS) VALUE85,41-X± 4
__ BUILDING DEPARTMENT I SETBACKS FNONT �U REAR lG LEFT SIDE 11 RIGHT SIDE 6 _
Permit_ 3910UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40,()UREGULATIONS AND ALL APPLICABLE_CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS 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
1564 TAX PERMI I S.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.
Stale tax SIAK' / :.k':
446.04 SDC— roo.aL
Total APPLICANTORAGENT
UU --- PD91 1.5()
Prepd. kU,
.l la
5. Receipt Na, ( ADDRESS PHONE
Ba--l.Due
— -- -
Issued By _...Approved 8y_ -._--
i
DATEI�NySP. TYPE INSPECTION REMARK,, PLUMBINGA. DATE
2 7 / a" ( —_-- Contractor A((z,,/ cQ� 2 8
Permit No. %
Rough-in
Fixture -
HEATING
Contractor
Permit No. to o Z /
Gas or OII --- - —
Rough-in
Final
---- �_ � —
SEWER
Final
J DRIVEWAY
— Final
Storm Drainage
_ (Rain Drain)Final
Sidewalk
W Curb 6 Street Final
Approach
v BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY --Landscaping
Zoning
Zoning Final