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INSPECTION NUTICE
City of Tigard Building Dty;.rtment
P.O. Box, 23397
Tigard, Oregon 9"223
lei Phone: 639-W5
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
Owner —41 e=l-
Builder
The following Building Code d-f'"'" cies aro required to be corrected:
Presented to
Inspector Disapproved
Date
CALL FOR REINSPECTION
[:] Yes ED NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —-- �✓Y��7�Z"__ - -- -- - - - -- -- --
Date Regjested ----- O//-3 Time A.M. P.M.
V � �_ n'
Address _;' �,� Permit #
Owner---_ mom- Lot #
Buil&rThe follo%ving Building Code deficiencies are required to 1-e corrected:
Presented to -__ l ipproved
Inspector -_ -__ _ - - .. �_.) Disapproved
Date -
CALL FOR REINSPEC1701V
0 YEe 0 NO
MmWAUW-A-N-RXM-ANN00Lm-N-ALm--AW-IIILN-1qANNEEARA9P90L�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639,4175
Type of Inspection
Date Requested 7 Time A.M.--n'—P.M.
Address A Permit
Owner __GJ� Lot
Builder
The following Building Code deficiencies are required to be corrected:
A-Al
Presented to
Approved
Inspector V Disapproved
Date
ALL FOR REINSPECTION
Y E 1 0 NO
A
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Orogon 97223
�/P�hoyn-ee: 639-4175 -�---
Type of Inspecti � LL/�1� ��� T _
Date Requested _ Tima A.M. -P.M
;47
Address 1 S �l __ Par.it #
Owner-- Lot #
Builder
Thi, following Building Code defiIncies are required to be corrected:
L/YfA% _
Presented to _. � �] Aid
Inspector _ ._ _-- -- --- -- _- ❑ bbNpprowd
Date _
CALL
.'3EINSPFC'l YUN
a
t YES 0 NO
INSPECTION NOTICE
City of Tigard Building Depar! nent
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175
Type of inspection �✓��- � �_
Date Requested—t '___ Z�/ Time�__ A.M. P.M.
`t
Address Permit #10� �
Owner Lot #
Builder
The followinq Building Code deficiencies are required to be correct-,d:
Presented to _ 1 proved
Inspector _ � � Disapproved
Date
CALL FOR REINSPECTION
❑ YES I A NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Orogon 97223
Phone: 839-4175
Type of Inspection
Date Requested _ Time A.M. P.M.
Address _ ..S! ,
Permit
Owner Lot #
Builder_
The following Building Code deficiencies are required to be corrected:
Presented to
4f Approved
Inspector [� Disapproved
Datel- (�
CALL FOR REINSPECTION
CI YES [�] NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection -- -�� — — �-' —
Date Requested___ Z/S / Time--A.M.� ��P.M.
Address —J-- e `- -� _ Permit
Owner----�� �� Lot #
Builder_
The following Building Code deficiencies are required to be corrected:
Presented to _ — ---- pproved
Inspector ___ - --
[_1 Disapproved
Date —
CALL FOR REINSPECTION
I-] YES ONO
Mom
CITY OF TIGARD 639.4171 DATE - t 19 — 6195 r
BUILDING PERMIT
TAX MAP __—LOT NO.1�' —SUBDIVISIONtall
OWN-R_ -4 %�A4iller 11435 Sw Chelsea Loop
JCP ADDRESS
BUILDER STATE REG.I`4!0._—_ EXP.DATE. lY-�L3i�t. _
BUILDER'S PHONE bb4••7543
ARCHITECT._. _--__ PHONE -._. _
- --OTHER --._----------
STRUCTURE { NEW F1 REMODEL (-i ADDITION l REPAIR MOVE L7 OTHER _ DEMOLITION
A RESIDENCE COMM 1-1 EDUCATION IND RELIGIOUS F' ACCESSORY 11 GARAGE ( 1 OTHER ! FENCE
OCCUPANCY LAND USE ZON� BLDG TYPE _ 6., FIRE ZONE,— PLAN CHECK BY 1�- �HEA1 _
L�`*r nfn. l•t 4umai-1ig dwa111n. 1. i�LIlrhn,fil l pCE_�4e+1L•Avk..i I,I&U ._
Subj0Ct tO b5 code review. MI5SUL OF 6UN
SEWER PERMIT M 29biA 1,1du j 3 beth, 12 traps garage area 4tb2
OCC.LOAD FLOOR LOAD 40 HEIG`iT 20 NO.STORIES 2 AREA 1490 NO.BEDROOAS 3 VALUE
BUILDING DEPARTMENT SETBACKS F=RONT 21j HEAR 30
LEFT SIDE i RIGHT SIDE
Permit_ _ 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 40suO 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
Pl.Ck.Fire RESTH,_'TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.6ti �3SIj( 250..E+
-- SDC-- 6UA).UU
'
Total 34-t•ab APPLICANI9RAOENT
- PDr4 L 150.UU
Prepd.
Bel.Due 3U'.bEs Receipt No���-- ADD Bi PHO EE-
- Issued By__._ Approved By _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
/ 8L Permit No. 14 72"1
Future
q/✓ill l _ -- HEATING
Contractor _
Permit No.
/ 2 3-r a - Gas roll
Rough•In
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
' Curb d Street Final
LFinal
"aCh
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY - - --- — -scaping
ng Final
UI' 'I'IGARD MI:CIIAN1%',AL I LKmIT Per•util. u A
y of Tibdrd
15 SW Hall Blvd. 'w4is3AMMochm"MCade QTV PRICE AMT
t. box 23397
,ard OR 97223 1) Permit Fee •0• •0• 10.00
)-4175
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts& vents 01 CILUJ
2) Furnace 100.000 BTU +
Nun•of Development incl. ducts& vents 7.50
3) Floor Furnace
ZuIncl. vent 6.00�Ob 4) Suspended heater, wall heater
Address w, Moo No. or flocr mount9d heater 6.00
Ua/ Block subdivision 5) Vent not incl. in
Na t w n• of a%: a•1 appliance permit 3.00ti -
Mailing 1kodress Phone 6) Repair of heating, refrig.,
Owner cooling, absorption unit 6.00
plyiStat• Lp 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00
N 8) Boiler or comp to 3HP-15HP
I-lP ' J �- absorp. unit to 500,000 BTU 11.00
Mailing Address Pit" 9) Boiler or comp 15-30 HP
7 S absorp. unit lb-1 million 15.00
Contractor )t; 10) Boiler or comp 30.50 HP
absorp. unit 1-1.75 million 22.50
etas• Registration No. cltr u•• r.. No. 11) Bbilofr or comp 50 HP
p. unit 1,750 000 BTU 31.50
tivin�lri awrwrt,l�"I 1 amt I have read the ovmw orhautho�rltl d t.onto " owrw that 12) 10,06'0 CFM unit :0 4.50
awn• submitted we In compllaro•with State laws, that I am reglsteord with
he stat• Builders' Board, that the number given Is correct, W arempt 13) Air handling unit
fom state r"Istration please give ressal below!. _ 10,000 CFM + - v 7.50
14) Non portable
evaporate cooler _ - 4.50
15) Vent fan connected
to a single duct 3.00
16) Ventilatic,,i system not
— Dale _ included in appliance permit - 4.50
Signature (ov+ner or agent) 17) Hood served by
Describe work ❑ addition[] alteration❑ repairo mechanical exhaust 4.50
to be done residential ❑ non-residential ❑ 18) Domestic type
incinerator 7.50
Existing use of .____ _ ..__
building or property — 19) Commercial or industrial
Proposed u-se of type incinerator u_ _ 30.00
building of property 20) Other i.e .woodstove, water
Type of fuel -- of l Q heater, solar,clothes dryers, etc. 4.50 natural gas[] LPu� electric❑ --- - —
-- -- 21) Gas piping one to four outlets 2.00 ' Q�
NOTICE - —
'HIS PERMIT BECOMES NULL AND VOID It- WORK OR 22) More than 4-per outlet
:ONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BUN•TOTAI
00 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% 8URCHAR02
)R ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ,LAN REVIEW zsx Of tiU6•TOTAI b'
IME AFTER WORK IS COMMENCED - --- -71
TOTAL
,pedal Cordlllons
�` nate 1%mi"o
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Pbone: 639-4175
Type of Inspectic� r G C(C
Date Requested Time vA.M. P.M.
Address ___������. Permit
Owner —___— Lot #_
Builder
The follcwing Building Code def*,,. ies are required to be corrected:
- �aG� � ✓CCN 1"�4G't'� ,,�/� 4'/ � _.
ST7?t;!?j c �r
w o o d
1C s -Z --
Presented to . __�___ _—._` Approved
Inspector -_------------- -- ❑ Disapproved
Date
CALL FOR REINSPECTION
D YES ❑ NO