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TAMILMUL -A
INSPECTION NOTICE
City of Tigard Bu0 nq Department
^.0. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested me A.M. ��yy P..M.��
Address31D, ki�PPer . .t #�/Q{�(_�_ '
Owner -_ Lot #_
Builder
The following Bu Ing Code deficiencies are requiredtobe corrected:
Presented to _ - _—
/� ---- PProved
ARMInspector — [_J Disapproved
Date --- --- —_(� - —
ALL FOR REINSPECTION
C] YES ❑ NO
f•
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone. 639-4175 `
Ty;,e of Inspection
Date Requested ! �_ - Time �"'A.M. P.M.
Address (f!A' it #-------
Ov,ner _- - _— Lot # -----–—
Buitdei __
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ Disapproved
Date
CALL FOR REINSPF,CT ON
L_I YES I__] NO
INSPECTION NOTICE
City of Tigard Building D3pnrtmant
P.O. Box 233f,1
Tigard, Oregon 47223
Phone: 63134175
Type of Inspection _ — — --- ---
Date Requested. h' Time A.M. rte//.��P.M��.��
Address I Permit
Owner _— Lot #_
Builder —
Tho following Buikding Code deficiencies are required to be corrected:
J
09
Ile
Presented to � —-- --- --- �_-�ril-oproved
vdInspector _ _
Date
CALL FC REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �_1_ Time A.M.��(P..M.r
Address J�J _ Permit #=T,x
Owner Lot Ilt
Builder
The folio uilding Code deficiencies are s squired to be corrected:
Presented to _ pproved
Inspector _ —"
pe — [.J Disapproved
Date '
-77
CALL .FOR REI SPECTION
F--] YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 66339`-44175
Type of Inspection
Date Requested /!- - '? Time--_— A.M.— P.M.
Address __ / �w �"" �-!��- Permit #—
_ #
Owner, Lot
_ --
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to __ roved
Inspector _ - J__ Disapproved
Date —
CALL FOR RFUNSPFCTION
0 YE• ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oreqon 97223
Phone: 639-4175
Type of Inspection --
Date Requested �llme�1ef� A.M.---P.M.
Address Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _ (..] Disapproved
Date i
CALL FOR REIN PECTiON
❑ YES IA NO
INSPECTION NOTICE
� lCity� Oof Tigard Building Department
P,O, Box 23397
Tigard, Oregon 97223
hone: 639-4175
Type of Inspection 947
Date Requested
Time M.
Address P.M.
Per
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to "-P'P-oved
Inspector Disapproved
Date
CALL FOR REWNSPFECTION
Ej Yes ❑ Ho
CITY OF TIGARD MECHANICAL. PERMIT Permit # -
Permit M
Description
Table 3A Mechanical Code_ _0TY PRICE AMT
City of Tigard 1) Permit Fee -0 -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 t Furnace to 100.000 BTU 6.00
_ incl.ducts 8 vents _
2) Furnace 100,000 BTU 4 7.50
incl.ducts&vents _
Name of Development 3) Floor Furnace 600
incl vent
Job Address 4) Suspended heater,wall heater 6.00
Address /3,3/O ;w /r n , -� or floor mounted heater
Vent not incl.in
Ter Lot Map No 5) 3.00
Lot Z �j` Block Subdivision appliance permit _ _-
Na lg(or name of business) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit
Addr s Phone Boiler or Comp t0 3 HP 800
Owner r g ) absorp.unit to 100,000 BTU
City/State Zip - 8) Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU _
Name ) Boiler or comp 15.30 HP 15.00
9) absorp.unit Vb-1 million
Meiling Address Phone--- - 10) Boiler or comp to 30-50 HP 22.50
_ _absorp.unit 1 -1.75 million
Contractor Ctty'state Zip t 1) Boller or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _ J ^-
S. :e Registration No City Bus tax No i 2 Air handling unit to 450
10,000 CFM
I herebyacknowl 13) Air handling unit 7.50
acknowledge that I have read this appl"tion that the information given is 10,000 CFM {
Cared,that f am the owner or authorized agnl of the owner,that plane submitted are m --- — ---
compliance with State laws,that I am regist ad with the State Builders'Board,that theNon portable 4 SO
number given i req (If a pt from sta registration please give reason below) 14) evaporate cooler —
Vent fan connected 3
00
- - - )
I' to a single duct -�
- -- --- Ventilation system not
t6) included in appliance permit 450
--- _�- Hood served by
17) mechanical exhaust 4.50 t
signature(owns/a agent) _ --- - --- Dile t6) Domestic type 750
Describe work ❑ additional alteration ❑ repair ❑ incinerator
to be done residential non-residential ❑ Commercial or industrial
Existing use of 1 p) type incinerator 30 00
building or property 20) Other i.e.,woodstove,water 450
Proposed use of �
heater,solar,clothes dryers,etc
/1 .
� -��---^ ---
building or property 21) Gas piping one to four outlets / 2.00 2
Tyoe of fuel- oil ❑ natural ga ] LPG f.] electric U -
22) More than 4-per outlet
NOT-ICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- �-
STRUCTION IS AUTHORIZED NOT COMMENCED WITHIN 180 4%SURCHARGE � 7
- c
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 29%OF SUB-TOTAL -7 j
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — -----
WORK 18 COMME1 ''ED. TOTAL -?C) o i
Special 00"O wdU
Date issu 2__ by
CITY OF TIGARD 639.4171 6 610
BUILDING PERMIT DATE larch
,lay millet - �!1
TAX MAP S 13 LOT N0. ��_ SUBDIVISION J3C.
OWNER- JOB ADDRESS 13310 SW Chelsea "oup ---,a11 I
BUILDER _ same STATE REU.NO. 30109 __EXP.DATE 11`1ED-t57
BUILDER'S PHONE t�fid+ilSLl,�__
ARCHITECT Barclay & Assac.
PHONE___G56-1913 3 OTHER
STRUCTURE '] NEW f 1 REMODEL L! ADDITION Cj REPAIR L, MOVE (_A OTHER n DEMOLITION
RESIDENCE 0 COMM r1 EDUCATION IND ❑ RELIGIOUS ACCESSORY f 1 GARAGE 1 1 OTHER 7 FENCE
OCCUPANCY _ LAND USEZONI!i_ BLDG TYPE 5N FIRE ZONE PLAN CHECK BY HEAT
Construct aLn8le family dwelling w/attac:iueu ;larage, all per appruved ;�1aus. u1j j;.c_r- t __
SEWER PERMIT M 33UitU t1dU) 3 baat'i 9 traua "ras.c 420
OCC.LOAD FLOOR LOAD_ 40 HEIGHT 26 NO STORIES_ 2 AREA 16136 NO.BEDROOMS 3 VALUE 7300k,
BUILDING CEPARTMENT� SET BACKS FRONT 2') REAR } _EFT SIDE j RIGHT SIDE 5
Permit 352 11 00— THIS PERMIT IS ISSUED SUL JECT TO THE REGULATIONS CONTAINED IN 711E BUILDING CODE. ZONING
�1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND 11 IS HEREBY AGREED THAT THE
Plan Check 22d edU 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
W11 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire J RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING,
State Tax 14 sub :UC :'.`,
Total _ 594.66 SDC— 6W,00
APP
PDCN LICANT OR AC;FN7
Prepd, 1.011i.UU 11 150.UU
ecelpt No. A�.RE88 PHONr
Bal.DuP 494.titi__- — jdo t
laeued By._-----•-----Approved By---
",....._....x....... .. ....a.i...-,-.....ssw..e,:w..w..Wursw..w...wa.i:ua.«.:.v..`. .,+suse......... .�..:cw.w..r.sa.iul.,..w... .........,.w1a:.r...•rn'wu..aa..wa.r..,.,e1.!M....
DATE INSP. TYPE INSPECTION R APES PLUMBING/` DATE
I-1 - V% .,/ — Contractor
-/ 9 y /C�` Permit No.
Rough-in —
(,{ / Fixture
®i •�G.�J- � Final ---
-�Y'' HEATING
/ -how A96.0 A/- -- Contractor
Permit No. L((e
3asor011
/� - - -- Rough-in
Final
SEWER
-- ----- -- -v_..__ Final
DRIVEWAY
Final
__ -- - — —- -- _ -- - ---- storm Drainage —
(Hain Drain)Final
- ----- Sidewalk ----
Curb 6 Street Final
- Approach -
BLDG.DEPT.FINAL TEMMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY ----
Landscaping
Zoning Final