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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 635-4175
Type of Inspection lr _'—&L _
Date Requested �_ Time
L� W ��
Address / G' � __- r �p
� �/ �l Permit
Owner t 7� Lct #_
Builder
The following Building Code deficiencies are required to be corrected:
t
Presenteu to
Inspector Disapproved
Dat?
CALL FOR REINSPECTION
C7 YES [_� NO
CITY SOF TIGARD MECHANICAL PERMIT
Perm" �� --J< <
t}_� 1l_----
o••
Table 3A Meohair"Code On PING AMR
City of Tigard ~1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. _
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Perm"Y 3.00
6139-4175 Furnace to 100,000 BTU
1) Ind,ducts 9 vents 6'00
Furnace 100,000 BTU +
z) incl.duds 6 vents 7''0
Name of DevekirxnentFloor Furnace
3) incl vent 6.00
Job Addrew 4 Suspended heater,wall heater
ntklress ) or floor mounted heate,
ti 00 _
Tax Lot Map No 5) Vent not Ind.in 3 DO
Lot Back subdIwaton appliance permit - - -- T
- — Name(or name or t)usoness) 6) Repair of heating,refr ig., 6 OC
_ cooling,absorption unit
� 61 re _1�1s 11=eft Ph" Boiler or comp to 3 HP
(-tannC er 7) absorp,unit to 100,000 BTU 6.OU
n �• t z►v - e Boiler or comp to 3 HP•15 HP 11.00
absorp.unit to 500,000 BTU
-� I Name 9) Boller or comp 15-30 HP 15.00
o C aft 7 absorp.unit 1!2-1 million 10) -
M,w,gy.�, Prams - Boiler or cane to 30-50 HP 2250
"c ,C- k absorp.unit 1-1.75 millIon
Contracts -
r "Ier of comp to 50 HP 31 50
-- --
cMl' / ZIP "1 t
'L& LiC.0 040 , Y '/l Y.3 absorp.unit 1,750,000 BTU --
km Nepwamon No City Bus Tax 1,,) Air liandling unit to 450
10,000 CFM
----------------------
hwyt,y arlucrwledge that i have read Ifxs gi Air handling unit
epplKabn that lire rrlorrnetkxr .1M w 1,1)a at 10.000 CFM 4 7.50a.r+eCL tM I em ftowtvr wined agent d the cmww,that rAw st"r~ars k -------.--- --- ----- --
00"Vk c.with Stals taws,net I am regWVovd*,W leve Sttle Buodera Board.nut the 14) rta
Non portable 4.50 _
number gtrert M oohed.(N exempt ham BtaM rogwrabon plea*glvo tn
roswwi hew) evaporate OOoler
15) Vent fan connected 300 - -
to a single duct _--
_
1 Ventilation system not — - -
16) 4.50
Included In m
appliance pe ►it
_ ^ , 1 Hood wryed by meehat'tloat exhaust 4,6O
i;;1in r-W« _ Daft Domaeft type
16) frxirteralor 1.50
Describe work L7 adlflMon O alteration L 1 sepal, I 1 -_.__. . .-----...--_--- -_-
to be dons reskfendel ntial ( r orreterclal or IndusMal -
❑ nal-feslde- I _ 19) Indnerrtor 30.00
Ezit>ding use r� --
buik*V or property.___-.. -_ _- --- ----- 2!►; Otter I.e.,woodstove,wetet 4.90
PropoMt i*of - heater^sow,Clothes dryers,etc.
21) Gss;Aft one to law outlets 1.00
. --- 22) Mors IMn 4-pw outlet
"ti E OU&TOTAL
T191Ar Mr1E8 NULL#ND VOID IF WORK OR CON-
lpf
-'-- -- -"'-^ - --
*Aft,IDOMMENCED WITHIN IAO _ _ .. 4%w1101AROA
'I)p'R1K?WN OR WORK 18 SUS090 OR PLAN MY"0%OF WJWTOTAL
KX!OF 190 VAY$AT ANY TM AFTER - -
•
_7�
}}
- - --- Date Issued
J INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97223 `
Phone: 639-4175
Type of Inspection
Date Requested y/Z Tfine tom"" . A.M. P.M.
Address Permit #--,- - -—
Owner_. -__- _. Lot #
Builder �~
The following Building Code deficiencies Are required :o be corrected: `
Presented to
_ pproved
Inspector f
——-- -- L� Disapproved
Date —
CALL FOR REINSPECTION
CJ YES ❑ NO
asw
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
hone. 639-4175 \\ \
Type of Inspection
Date Requested _ � �% Tlme�__ A.M._ P.M.
Address Permit #_'�_` -�-
Owner Lot # _ --- -- --- -
Builder
The following Building Code deficiencies are required to be corrected:
17
- -
i
.c
Presented to -_ _ _- � Approvrd
Inspertor _ !'�-- __- Disapproved
Date ---
GALL FOi{ REINSPECTION
❑ YE• ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�► if - S arees•�- e r-,
Type of Inspection _
Date Requested
Address _L �-- - Or
— - . --- '--------__—__ Permit #
Owner ___-- ——
Lot #`_— -
Builder_ S
The following Building Code deficiencies are required to be corrected:
- -- - L'^ t ----
Presented to __-_- !: v.- nproved
Inspector Disapproved
Date _ --
CALL FOR EINSPF,CTION
❑ YES Cl NO
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit#
Description
City of Tigard
Table 3A Mechanical Code CITY PRICE AMT
- �--
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl,ducts&vents / 6.00 �!
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development Floor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No. Vent not incl.in
Lot Block subdivision _ 5) appliance permit 3.00
Name(or name of business) - Repair of heating,ref r Ig.,
6) cooling,absorption unit 6.U0
Mailing Address PhoneBoiler or comp to 3 HP
Owner 7) absorp,unit to 100,000 BTU 6.00
citylstate Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name - 9) Boiler or Comp 15-30 HP
absorp.unit 112-1 million15.00
Melling Address Phone 10) Boiler or comp to 30.50 HP 22,50
absorp.unit 1-1.75 million
Contractor City/State ZipBoiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
State Registration No. city Bus.Te12)r No. Air handling unit to
10,n00 CFI•.1 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I an the owner or authorized agent of the owner,that plans submitted are r, 10,000 CFM F
compliance with State laws,that 1 am registered with the State Builders'Board,that tho Non portable
number given Is correct.(If exempt from State registration please give reason below). 14) evaporate cooler 4.50
Vent fan connected
1 to a single duct 3.00
----" ------ - I Ventilation system not
18) included In appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
Signature(owner or agent) Data Domestic type
Describe work 11 addition [_, alteration [7 repair II 8) incinerator -_ 7.50
to be done residential D non-residential ❑ Commercial or industrial
Existing use of 1 u) type incinerator 30.00
building or properly_ / ` "' 20) Other I.e.,woodstove,water ! 4.50
Proposed use of — heater,solar,clothes dryers,etc.
building or property 21) Gns piping one to four outlets / 2.00
7
Type of fuel- oil ❑ natural :has L! LPG n electric [-1 —_- -` —
22) More than 4-per outlet
NOTICE
SUB-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 SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -
WORK IS COMMENCED. TOTAL
Special Conditions
- Date Issued- _by
e
CITY OF TIGARD 639.4171 6445
BUILDING PERMIT DATE. __ 19___
TAX MAP 2,)'1 14BALOT N0. _105 SUBDIV!SION _,cz Creek
it
OWNER Carol. Carpaat�n 16254 %,', Copper Creek ,)five SII
-- JOB ADDRESS --•--�.—___ —
BUILDER _Mel elf$ Carat. C'O. E REG.NO _43306 EXP.DATE _91191"
BUILDER'S PHONE 636-1723
rs r l. 8arc la
ARCHITECT � y_ PHONE .__OTHER
STRUCTURE NEW C REMODEL ADDITION L..i REPAIR MOVE LJ OTHER DEMOLITION
RESIDENCE COMM EDUCATION IND Cl RELIGIOUS ACCESSORY ❑ '_ARAGE OTHER F_] FENCE
OCCUPANCY ' LAND USE ZONE f ' BLDG.TYPE FIRE ZONE — PLAN CHECK BY ' HEAT 3R3
Construct aint-lo I~amily Umlling w/attached ;rarvtge, alt per approved plans.
,'object to 85 Code.
SEWERPERMIT# 32(j2G ( Idu.,: 2 batlte2 9 tra ss s;ara's arca: 440
OCC.LOAD FLOOR LOAD 40 HEIGHT 16 NO.STORIES I AREA 1227 NO RF.DROOMS' VALUE 65x000
BUILDING DEPARTMENT ;ET BACKS FRONT r' REAR I ' LEFTSIDE
RIGHT SIDEF�
Permit �'IZE3.Q0 THIS PERMIT IS ISSUED SUBJECT 'i0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 �?� REGULATIONS AND ALL APPLICP9!2 CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AI4D IN COMPLIANCE
---WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.12 #X. PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC-- �!.1'•.).l u..
Total 554.32 T 15010171APPLICANT OR AGENT
Predd. 1001� PDC#I
-- -- -----�.. Receipt Noi 1 { 1 I ADDRESS --- — ---- -- _ .---PHONE
Bal.Due 4_54.32
Ieaued By Approved By
• /1/I 1E- �P��i�tom- �'// d4�/�.1' �,e� /�d4,�.o TY��.c��v—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
dv Contractor 3A: 1. 21
Permit Nc. o CO
/ /
in
Fixture
Q.Q Final
HEATING
_.,o _ Contractor' 1,'5 R
Permit No. 4 52
qz
Rough-in
orz _ Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
r —*—
_ (Rain Drain)Final
-- Sidewalk (17_5/r
Curb d Street Fl at
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
r
1E
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard, Oregon 97223
Phone: 639-4175
�C/
e
Type of InspectionDate Requested Time A.M. P.M.
Address �.��`� --/+* �'7 �i
�a Permit
Oviner__-_-_- — _ Lot Ilt
Builder _--- 77// � ---
The following Building Code deficiencies are required to be corrected:
Presented to Ia4pr d
Insaector Disapproved
Date v L�
CALL FOR REINSPECTION
f_=1 YES 0 NO