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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
gqPhonne; 63-9-4176
Type of Inspection ! V�ri / r
Date Requested
Thna A.M.--k�—P.M,
Address - f / �ltG Permit *--4 ^��
Owner-_-_ - Lrt #
Buirder
The following Building Code deficiencies are required to be corrected:
Presented to
--- --- _ •.�'1 Approved
Inspector
Disapprove:l
Date
-- —--- '
CALL FOR F'!NSPF,CTION
Cl YES D NO
INSPEGT10A. NOTICE.
CAV cif Tigard Building Department
P.G. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --jr—kp
Date Requested— - _ - -------��----
SZ Time --- A.M. P.M.
Address 0-41-
•—�=------ _--. Permit
Owner or
----- -- - Lot #
The following Building Code deficiencies are required to he cor-ected:
Presented to
Inspr!ctor moi' �' proved
--- - I Disapproved
Date
,AC' LI. FO
R F.CINSPE TION
❑ YES L) NO
1 os�,
INSPECTION NOTICE ,
City of Tigard Building Q artment
P.G. 13ox 233
Tigard, Orego 97223
Phone: 639 4175
Type of Insipft-flon
Date Requested - Time A.M. P.m.
Address
Owner Lot
Builder IA
T4e following Building Code deficiencies ar required to be corrected:
Presented to
Inspoctor 0DIsapproved
Date Z
CALL FOR REINSFECTiON
YEs 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box '.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Dete Requested Time.---A. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 14proved
Inspector F-1 Disapproved
Date
r
CAU FOR REINSPECTION
CI YES El NO
.. • .. • ..,.• •• •xr •�rr•w • as •a *6 %airs %a— a ate! aquas
Permit M
Deeeztpflon
Toble 3A Mechanical Code _ _ OTy PRICE AMT
City of Tigard
13125 S.N. Hall Blvd. 1) Permit Fee `^ -0• •0- 10.00
P.O. BOX 23397 I 2) Supplemental Permit 3.00
Tigard, ,D:.1 97223 Jam/_ �J- _
639-4175 1) Furnace to 10U,000 BTU 600 _
Incl.ducts&vents
Furnace 100,000 BTU +
2 Incl.ducts&vents 7.50
I^ Name of Development 3) Floor Furnace 600
_ incl.vent _
Job Add7-t,tf-z
— -- Suspended heater,watt heater
Address _ ._ 4)_or floor mounted heater s
.00
Tax Lot Map N-o 15) Vent not incl.in 3.00
Lot Block subdivision appliance permit
Name to name of business) 6) Repair of heating,refr ig., 600
�11
f�� cooling,absorption unitUWner Addre Phone 7) Boiler or comp to 3 HP 600
absorp.unit to 100,000 BTU _
CRYlstate - -- ZIp 8) Boilar or comp to 3 HP-15 HP _ 11.00 —
absorp,uni,to 500,000 BTU
Name 9) Boiler or camp 15-30 HP 1500
`-� absorp.unit 1/2 1 million
Melting Address Phone — 10) Boiler or comp to 30.60 HP 22.50
absorp.unit 1-1.75 million
Contractor City/stale - 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 450
10,000 CFM
f 13) Air handling unit 7.50
I hereby Acknow!edge •hal I have read this application that the informiilion given is lt),000CFM +
correct',that f am the owner or authorized agent of the owner,that plana submitted are in --— -- —
compliance with State laws,that I am registered with the State Builders'Board,that the14 Non portable 4 50
number given is correct (it exempt from Slate registration please give reason behw) ) evaporate cooler
- -- 15) Vent fan connected 300
to a single duct
— - ^--- - -- - _ 16) Ventilation s,stem not _ 4.50
included in apt fiance permit
17) Hood served by -- --- 4.50 -�
mechanical exhaust
319nefur•a( agent) -- Date ie) Domestic type 7.50
Describe work [J additign F-1alterationU repair Q Incinerator
to los done residential
7--[j non-residential ❑_ 19) Commercial or industrial 3000
Existing use of type incinerator
building or property — 20) Other i.e.,woodstove,water 450
Proposed use of
heater,solar,clothes dryers,etc
- -
building or property ) _.. —
21) Gas piping one to four outlets 2.00 2
TW*of fuel- oil ❑ natural gas 1 LPG [I electric f 1
--- 22) More than 4-per outlet
THIS ;HERMIT BECOMES NULL AC 0 VOID IF WORK OR CON `�— WW"07A`
SIVALICTION .AUTHORIZED IS NOT COMMENCED WITHIN 190 4%SURCHAP01 �•�y
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN''AEVIEW N%Of t3tld-TOT,W j
Ai;ANDONED FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER — --- --
WORK IS COMMENCED TOTAL f,
Speolal CondlHons
Data Issued by
7
6 63 3
CITY OF TIGAPD 539-4171 DATE 19
BUILDING PERMIT TAX MAP' L-2_ )_1 _LOT N012_ SUBDIVISION
Chiell®tea
� x
OWNER__- II...y ..�111R!L._ _.__. ^-----------_._-_. JOB ADDRESS ? 1—els( C►i1f :rQD$------- -
12-11-87
BUILDERSTATE REG.NO. _____3OlU9 EXP.DATE �-
,84-7543
BUILDER'S PHONE
ARCHITECT same _._.- PHONE--- ._...--------_-- OTHER «-.------
STRUCTURE NEW [j REMODEL L.i ADDITION REPAIR MOVE ! OTHEP 1 DEMOLITION
KY RESIDENCE COMM Ll EDUCATION Ll IND RELIGIOUS ACCESSORY ! GARAGE OTHER FENC_
OCCUPANCY ky LAND USE ZONLt 2 UBLDG.TYPE FIRE ZONE PLAN CHECK BY i-. HEAT
lumitmwt &ingl,. l..nily Llua'allin� w�attAnilmli �k_ara4mT all par —knrnvr,l :il:anM `llhifte. lA e.�rLuiL_ ,
RLISSUE Of b1U4
SEWERPERMITN j3!5y kith, y, =ajR dr:aie 42U _
OCC.LOAD FLOOR LOAD 4U HEIGHT 2(' NO.STORIES 2 AREA 1100 NO.BEDROOMS '' VALUt""U(A)
BUILDING DEPARTMENT SET BACKS FRONT 2(f REAR .!4 LEFT SIDE 14' RIGHT SIDE
Permit 313•()0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T :E BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 ^_�Wt)RK %:LL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH Al L 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 P':OUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 11.52 GSU.uu
- SDC 5()u 000
k2—talPDT
�8�•�� APPLIC'NT OR AQEN r
— -
Prepd. 4U.U11 L 1SU.UU
325.j;t Receipt No. ADDRESS' --�- -- -- ----- - PHONE
Bal.Due jd0 I I"
_" Issued By __._____APProwd®y.
it
DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
,3
3" 1-k-1-5717
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Sc2E `Or^ro✓atEGT���/ _ �,�sr,�� HEATING6AI
r — Contractor 31
Permit No.
Gns or Oil
S Rouyh•in
Final
SEWER — -- --
Final
_ ---- DRIVEWAY -_—
Final
Storm Drainage —
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- — i
Landscaping
Zoning Final
i