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INSPECTION NOTICE
City of Tir-ard Buildin, -)epartment
N.O. Box 23397
Tigard, Oregon 97223
Phone: 619-41(5
Type of Inspection /, ---
Date Requested_____ __,n�� _r._. 71tne A.M._ P.M.
Address j �3y
Owner � _ —--- Lot ---
BuilderThe following Building Code defie:iencies are required to be corrected:
Presented to — Approved
Inspector ❑ Disapproved
Date —.- � -_!L_✓
CALL FOR REINSPECTION
❑❑ YEs ❑ 1Vo
IN 4,ECTION NOTICE
City of l igard Building Department
P.O. Box 23397 Q,,0*7
Tigard, Oregon 97223
Phone:
639-4175
Typa of Inspection �r — .I�L�=S�_-- —.— --•-
D•ite Requested Jr ���,t—� Time_ (��1NL_ P.M.
Address ._ � f_�S /
� s.[E;l,�-� -'Z"
Permit
Permit
Own%r_ -- 1e"�T� ' Lot
Builder
The following Building Code deficiencies are required to be corrected:
ell
Picsented to Approved
inspector LV
❑ Disapproved
Dote
CALL FOR REINSPECTION
D YES C-U NO
M
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
�r
Phone: 639-4175
Type of Inspection
Date Requested � � / Time_7—'— A.M..--,P.M.
Address Permit
Owner_ _ Lot #
auilder
The following Building Code deficiencies are required to be corrected:
- - --- -
Presented to `--_— _ Ap roved _-_--
rs P
Inspector Disapproved
Date —
CALL AR REINSPECTION
L—A YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departyrient
P.O Box 23397
Tigard, Gregor 97223(
Phone: 639-4175
ASM
Type of Inspection
Date Requested Time A.M. j P.M.
3K Permit
Address -VT—
Owner $— Lot
Builder P-1/71L I
The following Building Code deficiencies are required to be corrected:
Presented to _ Ipprovid
Inspector 4 -61 Disapproved
v
Date
CALL FOR REINSPECTION
❑ YES C No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 87223
Phone: 839-4175 l
Type of Inspection
Date Requested_ --—ttr--- Time A.M. P.M.
Address -/.3L/Z/ (1 �i1 / `1
—'- T'-�MLS--��s�-� Permit # �_
Owner
Lot # _
Builder
The following rluildino Code deficiencies are :squired to be corrected
- �--
Presented to
— pe
Inspector Disapproved
ppruved
Date
CALL FOR R&�PECTION
❑ YFa ONO
a✓ a a a•—1%0 • •• •• • r.• •,.._ . r. ... t'tlI 11111 N v 'r
Deecrlplion
Tobi:oA Mechanical Code _ QTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee _ -0 0 1000
P.O. Box 23397 ---
Tigard, OR 97223 2) Supplemental Permit 3.00
639-41715 Furnace to 100,000 BTU
1) incl,ducts t3 vents
_ 6.00 _
Furnace 100,000 BTU +
2 incl.ducts 6 vents 7.50
Name of Development — - 3) -Floor Furnace — - 600 -
incl.vent
Job Address p 4) Suspended heater,wall heater 600
Address 1 3 N! C/� 3R or floor mounted heater
Tax Lot Map No 5) Vent not incl,in 300
_ Lot Block subdivision appliance permit
Nr «name f business! 6) Repair of heating,refrig., 600
cooling,absorption unit
Mask Addro PhoneBoiler or comp to 3 HP—
Owner r) absorp.unit to 100,000 BTU_ b'00
cryistate — zip -8) Boiler or comp to 3 HP-15 H P — - -'- 11.00
absorp.unit to 500,000 BTU
Name — 91- Boller or -comp mil HP ---- -- - 15.00 4--
absorp_unit'/z-1 million
Mallkq Address Phone 10) Boiler or comp to 30-50 HP 22 SO
ibsorp.unit 1-1.75 million
ContractorCity/State - zip -- Boiler or comp to:,,;HP - —
11) absorp.unit 1,750,000 BTU 31.50
sate ReglatrsHorr No- — Cly Bus.Tax Na. 12) Air h, filing unit to 450 _
10,000 GFM
I horeb acknowledge 13 Air handling unit � �---�---- - -- 7.50 -
Y 1ge that I have read this applkabon that the arformalion given is ) it hen CFM +
awtw,l,that I am the owner or authorised ager rt of the owrrer,that plans submitted are in -- -- ------- ---- —-
axnpikanoe with State laws,that I am registered with the Slate aoide-t Fioard,that the 14) Non portable 4.50
number given Is corwil (11 exempt horn State registration please givr ion-;nn botowl evaporate cooler
Vent fan connected
15 3.00
to a single duct -� J
_
t 6) Ventilation Rystr3rn not
included in appliance pormit 4.50
17) Hood served by 4.50
t/�fll� mechaniral exhaust • �
sipnaur.Io o►e:�l o.ie
18) Domestic type 710Describe work O idition L I alteration [1 repFir 1 ) incineratorto be done- residet .1 non-residential LI _- - 19) Commercial or Industrial
type Incinerator 30,00
Existing use of --- ----------- - --
building or properly V" 'A J `� 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
Type of fuel- oil [7 natural gas LPO n electric F]
"- - --- --- -- 22) More then 4-per outlet
d4IlSrJ; ---------^---- SU6-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- ---- --
STRUCTION AU11-1091ZED IS NOT COMM'=NCED WITHIN 1W4%SURCHAP.OE 155
DAYS, OR IF CONSTRUCTION UR WORK IS SUSPENDED OR — PLAN REVIEW 28%OF BUS-TOTAL y y .S b-
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME Alf TER --- - --- -
WORK IS COMMENCED TOTAL 8
Special Condittlorul
J _ '
- -- ------- — - DtI1M
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C�'
Date Requested A.M. P.M.
Address Permit
Owner Lot
Builder
The followin�8 ilding Code deficiencies are required to be corrected:
Presented to
Inspector Approved
Disapproved
Date
CALL FOR REINSPECTION
El yes 0 No
• �
CITY OF TIGARD 639-1171 DATE ss37
–19—
BUILDING PERMIT
TAX MPP _i-- _ LOT NO. y .SUBDIVISION ___._:
OWNER- -0 --- -. IOB ADDRESS -- l
BUILDER _a�7�+�'— — -- STATE REG.NO. __.'t1._jZ�_— —_EXP,DATE
BUILDER'S PHONE
ARCHITECT_ .......
PHONE OTHER ——--
STRUCTURE I NEW LI REMODEL_ L ADDITION - REPAIR MOVE Ll OTHER DEMOLITION
RESIDENCE COMM I 1 EDUCATION_ IND RELIGIOUS LI ACCESSORY I GARAGE ❑ OTHER FEN:;E
OCCUPAN ,Y LAND USE 7.ONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
;
_.r�itrf_ aittal. Vm'i !'� jlsa�. l 1 --b +
SEWER PE?MITMTll
OCG.LOAD FLOOR LOAD rr HEIGHT NO STORIES AREA ` 7 } NO.BEDROOMS VALUE
—_
N BUILDING DEPARTMENT_--' SET BACKS FRONT - REAR LEFT SIDE 1 RIGHT SIDE r
Permit -'I e r}•n' r' -- 1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ti„n WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE. CODES AND ORUINANCES. THE ISSUANC- OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 70 HAVE CURRENT CITY BUSINESS
� ,
1 TAX PVRMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex
SDC— •
Total APPLICANT0 ADEN—TT
J Pc. • yI t
Receipt No, A D ES 7 PWpNte
Bel.Due "'
_-- Issued By_.—__.----Approved By-_-
DATE INSP. TYPE INSPECTION REf1ARKS
PI.UMBING� DATE
Contractor � $J
Q4j ( Permit No.
Rough-in
�f re, Ffxlure
Hf✓/ W,al
HEATING
01 /Pclov,;r /3 eco, ractor tftiLt,� Ll }� 3Iz7.1R7
S'• -- —
_ Permit No. 4(e
Gas or Oil
ough-in
-----J�1�=. -- -- Final
SEWER
_ Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
--- --- — ___ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
1.andscaping
Zoning Final