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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 C
Tigard, Oregon 97223 �..)
Phone: 639-4175
Type of Inspection 4_etA..
Date Requested p f Time�- A.M.--P.M.
Address -.141 0 `S \ Permit
Owner r ' ) '���� I_ot #
Builder �— ✓� —
The following Building Code deficiencies are required to be corrected:
Opp
loon do
Presented to ---- _ roved
Inspector l _ DCAPW"d
Date
CALL FOR REINSPECTION
❑ Yus! ❑ No
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
�Phone: 639-4175
Type of Inspection ___�'Id�+----- — - -
Date Requested �____ K� Tl r" A.M. P.M.
!address ✓- �t1 � � � Permit #��
Owner _ Lot
BuilderThe following Buildioq 'ode of iences a required to be cnrrecorrd�:.
Presented to 1I.J roved
Inspector Disapproved
Date, -
CALL FOR REINSPECTION
El YES 0 NO
INSPECTION NOTICE
city o` Tigard BuiJing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
—--- -_---. _
Date RequestedTime
— k�J L a A.M. ._ Q.M.
Address �(U G/L Permit
Ownrr_
Lot #
Builder
The following Build .y Code deficiencies are required to be corrected:'
Presented to Y �
I proved- —�
–
InepeotorDate _ F) Diss
— pproved
CALL f OR REWSPECTION
YES FJ NO
INSPECTION NOTICE
City of Tigard Building Departm6nt
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
'2
,&
Type of lnspect;,)n
Date Requested Time A.M. P.M.
Addres5 Z4iz Permit # 62-::;3
Owner Lot
Builder
The following Building Code deficiencies are required to ;je rrected:
Presented to Z-Aprdfied
Inspector r Disapproved
Date
CALL REINSPRCTION
C7 YES ED No
INSPECTION NOTICE
City of Tigard Building Department --�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 7'�-� TimeA.M. P.M.
(-)9 G—`— (— Permit #
Address + —'-'- f1A f�► ,e (,�p�✓lam ' Lot #
Owner -
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —------- ❑ Approved
Inspector ❑ Disapproved
Oats —_------...—— ------ — —
CALL FOR REINSPECTION
[] YES ❑ NO
INSFECTION NOTICE
City of Tigard Building Department at,
P.O. Box 23397 r"
Tigard, Oregon 97223 M
Phone: 839-4175
Type of inspection
p.�cf-cant Q�j
Date Requnstad__ �=1Time., A.M. P.M.
AdrJre�st�- Qi'1 _ Permit #
Owner -- �� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ U.I4pp vved
Il�spei;icr J_ 1
Disapproved
Date / X , — _�
CALL FOR�R-EIINS-P-ECTION
Cl YES 0 NO
INSPECTION NOTICE
:,ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
hone: 639-4175 q ��
Type of Inspection
Date Reque.ted ---Jk—L--f/ ' nmy �- A.M. P.M.
Address / f/ Z7 �r ( 1 _ Permit # `
Owner /P
_ Lot # _
Builder
The fol!owing Building Code deficiencies ary required to be corrected:
Presented to
Inspector
---�— � --__ [J Disapproved
Date
CALL OR REINSPECTION
❑ YES 0 NO
l:1'1'� lli� 'l'1l,AKU MLi;HANI.i;AI, l'LKM!! -
�.:ity'' .�1 Tigard Permit fl�i � �
1!125 SW Hall Blvd. —-— --
P.O. Box 23391 TAM nl
(1leoheeMCode 4TV PRICE AMT
Tigard OR 97223 r
(,39-4175 1) Permit Fee 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl, ducts& vents _ J 6.00 `
2) Furnaco 100.000 BTU + � - --
Nam*of Development incl. ducts & vents 7.50
t 3) Fioor Furnace'
Job /,� �' G) 1,4 y'� incl. vent v--�� 6.00
Address Tax Lot Map No. 4) Suspended heater, wall heater
Lot Block sImlvlslon or floor mounted heater 6.00 _ _�
Name ( or name ase) 5) Vent not incl. in
appliance permit _ _ 3,00
Mal'ling Address Fhona 6) Repair of heating, re.rig..
Owner cooling, abs,-ption unit 6.00
cityfstste ZIP 1) Boiler or comp to 3HP
_ abso,p. unit to 100,000 BTU 6.00 _
JN&ms ,C 8) Boiler or comp to 3HP-15HP
_ -_1i ,� � /•�� _ absorp. unit to 500,000 BTU 11.00
Valli np Addrsas Inane(�,7�, 9) Boiler or comp 15-30 HP
/--)/ absorp. unit W--1 million 15.00
Contractor � f a Lp 1.0) Boiler or romp 30-50 HP -r -
, ��, absorp. unit 1-1.75 million
State Aeglstratlon No. Coy Due. Tax No. 11) Boiler or comp 50 HP
absorp. unit 1,750,(00 BTU _ 31.50
I hernbp ecknowledpa that I have reed th:o application that the Information 12) Air handling imit to
given (• oor..cl. that I am the owner or euthorlrod agent of the owner. that lO,OtiO CFM 4.5Q
plans vibrNtted u♦ In compilanco with stale tow, that I sm registered with _
the state (luilders' Board, that the number r.Iven Is correct. (if exempt 13) Air handling unit
Imm State registration please give reason belowl• 1 10,000 CFM + 7.50
14; Non portable — - --
_ evaporate cooler 4.50 _
15) Vent fan connected
-- — to a single uuct _ 3.00 _
�( 16) Ventilation system not
Signature (owner or sport r Date _ included in appliance permit 4.5U
Describe work i l) Hood served by
�] a ditlon[] alteration❑ repair(] mechanical exhaust 4.50
to be done residential ® non-residential U
18) Domestic type
Existlitg use of ,/� incinerator - _ 7.50
building or property 19) Commerrial or industrial
Pioposud use of type incineia`or 3Q00
building or property _ 20) ether Le.,woodstove,water -
Type of fuel -- oil C) natural gasEj LPGC1 electric❑ 4eatef, Bnlar, clothes dryers,etc - 4.50
-� NOTICE 21) Gas piping one to four outlets 2.00
THIS PERMII BECOMES NULL AND VOID IF wor.ri UR 22) Mors than 4.per outlet _ - --
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN - _ tue•TOTAL )
180 DAYS, ON IF CONSTRUCTION OR WORK IS SUSPENDED �^ 4% tURCNAROE r �_
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY PLAN REVIEW iS10 Of 8118-TOTAL
TIME AFTER WORK IS COMMENCED. S 1'
Special Condillons
Date ig511"G -_.�-
r.r -
6253
CITY OF TIGARD 639-4171V
J
BUILDING PERMIT
TAX.MAP __ LOT P'O. 124 SUBDIVISIO! --
OWNER-.1.A. fladAspll-& San_ _-- JOB ADDRESS ter ' '+ (ifio
BUILDER ltfi 1, Pay:_73f%A_ ^•T_ b&X=X)� -97 TSG.. -_ STATE REG.NO. ._-EXP.DATE __ ----
BUILDER'S PHONE 05-7017 _ -- I
I ARCHITECT_Z_
PHONE A:2it:_.-9a3a._ ---. OTHER —
STRUCTURE jil NEW L ' REMODEL ADDITION REPAIR MOVE Ll OTHER DEMOLITION
1t I RESIDENCE ❑ COMM EDUCATION IND RELIGIOUS ACCESSORY ( 1 GARAGE OTHER FENCE
OCCUPAN(,Y —L'-3—LAND USE ZONE ':.J BLDG TYPE ! _FIRE ZONE PLAN CHECK BY �a HEAT
Ccmufriiet ming ;Iv .lwall lattfinbnd nr i .I • In.+a
SEWER PERMIT M 7..9706 ( 6(1) bratt!a i 3 traps' 1�ia- S ri�L �1G6
OCC.LOAD FLOORLOAD 40 HEIGHT 2Q NO.STORIES 2 AREA Tg/.'l NO BEDROOMS VALUE".ia ,
BUILDING DEPARTMENT J SETBACKS FRONT �t} REAR !q LEFT: DE , RIGHT SIDE
rPlan
mit --Ann-00 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
Check 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
Ck.FIre RESTRICTIVE COVENANTS. CONTRACTOR AVU SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBTNG AND HEATING.
—i
State Tax 6e00 S'it1C ?�U.c.�a
Total 676600 SDC- 60t1.(1C► > c At 0 �7� 4___-_
Pred. PDCNII 15 .00
-- ------ ._
p - - ReeMpr NOi rr ADDRESS �� PHONE
Bal.Due 476.00
--- Approved By
Q CATE INSP. TYPE INSPECTION REMARKS _ PLUMBING — DATE
COniteCtor
j'A i f0mII No.
Rough-in
---
izture
Final -- ----
rc- HEATING -
//— Contractor (�� t. LIO 1 R-
rmit
PeNo, 11 ^
Gas or Oil
7 Q Rough-in T
Final
SEWER
Final
DRIVEWAY _
Final
Storm Drainage
(Rain Drain)Final
Sidewalk.
Curb d Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTFICATEOCCUPANCY --------- --
Landsc.ping
Zoning Final
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INSPECTION NOTICE
City of Tigard Building Departmer!
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ — U
Date Requested �__._�_.—, � Time
n A.M.
Address l 42 9 _�/s�''9��>r AYI-+ Permit
Owner rCJ� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
L.ATFA24//ti/ ,'�C' 6' 0/l- --
coeyNclrcT�•J
i
deQAi ,ts�°
Presented to ❑ Approved
Inspector Disapproved
Date —
CALL FOR REINSPECTION
0 YEs EJ NO