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16205 SSV COPPER CREEK DRIVE
INSPECTION NOTICE
Gity of Tigard Building Department j
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Ir
Type of Inspection _____ .--- _--_—
Date Requested _= Z// Time_ A.M. _P.M.
Address _ �_�,- �. L-, -- �� Permit #
Owner Lot #
Builder ---- --- --- ---- ---
The following Building Code deficiencies are required to be corrected:
c_. - -
-- - - - -r�--�3 -- - -
- --- -
Presented to proved
Inspector -- Disapproved
Date
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection :7-6-
Requested_____ 3- 21'— a Time !f A.M. P.M.
Address __—L � �� Permit # /
Owner Lot # __
BuilderThe following Building Coded ciencies are required to be co•rected:
Presented to ._ — 1��DiUpprovved
All 4
Inspector ad
Date
CALL. FOR REINSPECTION
❑ YES [-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 (/
Phone e39-4175 ^� J
Type of Inspection
Date Requested __ �_��� � 1Time A.M.__..�._P.M.
Address __1_ '�°^�i�l�._�� Permit #
Owner �:ffl .L2Y� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector - _ __. Disapproved
--- - '�
Date .._
CALL FOR REINSPYCTION
❑ YES f-_7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6319- 1175
Type of Inspection
Date Requested Time A.M. P.M.
Address 2-0-S- 6��
Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented toU,Approved
Inspector Disapproved
Date - ALY6-------
CALL FOR REINSPECTION
❑ YES LJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
71 meA.M._P.M.
Address /(0 nn Prirm[c 2 f
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 9-K-pp-roved
Inspector Disapproved
Al
Date
CALL FOR REINSPECTION
[J YES 1:1 NO
hommusemomp--
INSPECTION NOTICE
City of Tigard Building Departr*ent
P.O Box 23397
Tigard, Oregon 9722'
Phone 639.4175
Typo of Inspection
Date Requested Time— A.M.___ P.M.
Address /y r� �ir� �� ' — Permit #
Owner j�-J�,7_^i. ' __-------- Lot #--
Builder ------ — —- — -- --- - -- —
The following Building Code deficiencies are required to he corrected:
� f/J ,L S 5 i2 co,�6 /z-
f-�a� w r
Presented to -�._ - - L'�- pproved
Inspector - 1 I Disapproved
Date _ Z f ---
CALL FOR REINSPECTION
0 YES 0 NO
INSPEE60N NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested V Time A.M.._ P.M.
Address __1_� ��>j:>r"P Y- Cr- DIr ' Permit #. S
Owner Lot #_ _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to EjApproved
Inspector --'� ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES Cl NO
CITY QP TIGARD ME Receipt#
CHANICAL PERMIT Permit#
Description
Table 3A Mechanical Code OTY PRICE AMT
City of Tigard 1) Pormit Fee 0 U 10.00
13125 S.W. Hall Blvd.
P.O, Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 8.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
�m�of Dt ielopment._ 3) Floor Furnace 6.00
F, incl.vent
Job Address - Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax lot Map No. Vent not Ircl.In
Lot Block Subdivision 5) appliance permit 3.U0
Name(or name of business) ) Repairof heating,refrig.,
8 cooling_absorption unit 6.00
Melling Address Phone Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
City/State Zip 81 Boller or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
NameBoiler or comp 15-30 HP
9) absorp.unit'/e-1 million 15.00
Melling Address — Phone Boiler or comp to 30.50 HP
�) absorp.unit 1-1.75 million 22`50 —
Contractor cityslate r, zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
stere Rogislration No r City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge the! I have read this application that the information given is 1Air handling unit3) 10,000 CFM + �1-130,
correct,that I am the owner or authorized agent of the owner,that plans submitted are In — ---- --
compliance with State laws,that I am registered with the Stale Builders'Board,that the14 Non portable
number given Is correct.(II exempt from State registration please give reason below). ) evaporate cooler 4.50
Vent fan connected
--- -- — -- - 15 to a single duct 3.00
- -- ------ ) Ventllatior system not
18 included in appliance permit 4.50
-- ' Hood served by
17) mechanical exhaust 4.50 -
Slgnatire(o(Nner or agent) T Date ) Domestic type 7.50
Describe work 1-1 additfon I 1 alteration I I repair [A18 Incinerator
to be done residential C_] non-residential I I Commercial or industrial
19) type incinerator 30.00
Existing use of -
building or property _ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
- —
building or property___ 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas I 1 LPG I I electric ❑ —
22) Mnre than 4-per outlet
NOTICE ---- _
SUI!-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - -- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUIS-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---
WORK IS COMMENCED. TOTAL
Special Conditions.
bate issued--_-_— --by-- --
INSPECTION NOTICE
Gtr of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested LL — Time
,_ P.M.
Address ) �� °� C/�'�a�^ C CYC - Permit # 2�J
Owner__ _ Lot
Builder_
The following Building Cud@ deficiencies are required to bo corrected:
Presented to — - Approved
Inspector ❑ Disapproved
Date ID
CAL FO �'7:MSPRCTION
❑ YES C] No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— /U 1 111me A.M. P.M.
Address -Z– 0 S) C
Permit
Owner Lot #
13161der
The following Building Code deficiencies are required to be corrected:
Presented to
)roved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES El No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:: 66!39-4175
Type of Inspection
Date Requested Time_ A.M. P.M.
Address Z6 ;2-.Qr 6'1)A&Vef4iQ Permit #
Owner_ _ �. y _ Lot #_
Builder —
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _____ _. __ �_� Disapprnved
Date ----- 100 /;T
CALL FOR REINSPECTION
❑ YE= ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ,., 2_�.. — LsV Time 11'3n A.M. P.M.
Address -L o Cbo,C _ 1 j f Permit
Owner V+C +.-V\,_ i a3"�,r"&ka inrr, Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector Dimpproved
Datc
CALL FOR RENSFECTION
C-1 YES 0 No
CITY OF TIGARD 639.4171 6295
BUILDING PERMIT DATE ._ 19
TAX MAP >1 4 LOT N0. UBDIVISION I9!J'
OWNER 'J• `gdgson C12U5 sw Copper Ctlrk• Ur. Crk. 4
-- — JOB ADDRE �_ ----
BUILDER same Rtp 3,f2 Z 1 A_g�1Wr1JOOtI gl�4O gTATE REG.NO. 505U`500 _____EXP.DATE 4/22/81 ___--
BUILDER'S PHONE 625-7077
ARCHITECT______ JimVt11ll & �jc,3UL. PHONE �_ __ _____ —_OTHER
STRUCTURE �__l NEW Ll REMODEL ADDITION l- REPAIR O MOVE L 01HER DEMOLITION
„l l RESIDENCE ( l COMM ❑ EDUCATION [ ] IND i I RELIGIOUS Imo' ACCESSORY GARAGE OTHER FENCE
OCCUPANCY h LAND USE ZONE _BLDG TYPE aji FIRE ZONE PLAN CHECK BY ,L►� HEAT_.1
Lunatruct single tamilYr1trL.jj}ay 1,,Atutcl:e�1 _itt r-.c■ all ver uyyruvGci i,L.i a.
Subject to b5 code.
SEWER PERMIT M 2.9731 (ldu) 2 bath■ . zap,& ;arak 45U
OCC LOAD FLOOR LOAD 4U HEIGHT 1�. _ NO.STORIES L AREA 2016 NO.BEDROOMS J VALUE 99,1.0)
BUILDING DEPARTMENT2ti :<i !
SET BACKS FRONT_ REAR LEFT SIDE RIGHT 51DE
Permit _ 4_3U•W THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
279 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Ch •
_Check---- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND ",PECIFICATIONS AND IN COMPLSANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PL Ck.FireRESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— _ 7.20 TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMB;NG AND HEATING.
State Tax S5UC 25010
Total 72b.7U SDC— 600.VU A ICA TORAt3E T
-- PDCNII 15U.UtJ �
Prepd. IU0 TUU
Receipt No/
ADORE- PHONE
[i3�1.Due__ 626.70
— Issued By_ ._Approved By _
..._...�.._. .......+....0+�►6...m.r,.,....,w.wu...y.� .........»...t,w+....,...:/.a:......m..._ -._ .._.._..,wie.�_... ,.,, yuiwi.atiS: --,...
• //, / I
DATE INSP. TYPE IN§PECTION REM,4RKS PLUMBING DATE
0,%7-nop� Rough-in
Fixture
, r � �■IHEATING
M. _ Final
I • 0
mot Permit No
Id �fas or Oil
it
QJi :./� II■IFinal
jv Final
DRIVEWAY
■■ " �! I IFinalStorm Drainaye ■
(RainI �
ApproachSidewalk
Curb&Street Final
OCCUPANCYBLDG.DEPT.FINAL TEMPORARY CERT�FICATE