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INSPECTION NOTICL
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phon-: 639•4175
Type of Inspection
Date Requested �
AdTime
----- c.� A.M. --P.M.
drea��.�, �� ..�
Permit # ��
nwnwr --
Lot
Builder The following Building Code deficiencies are required to be corrected:
Tcs
------------
Presented to - - -
Inspector Approved— ''�,�� C
Disapproved
Data _- G -'//- �'` �
CALL FOR REINSPECTION
Wit'_1 YES 0 NO
t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 C� iq s rL
Type of Inspection — V� t �__
Date Req�ast'
d_! Time. _.__- A P.M.
C - J°A�Address . '__� J� -K_ Permit #_
OwnerQQ — Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to IUAKProved
Inspector - _-- _ -- - _� Disapproved
Date
CALL POR REINSPECTION
C1 YES ❑ NO
s �
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone. 639 4175
Type of Inspection -ILD z_
Date Requested __ 1/_ 81
Time�_- A.M._ P.M.
Address �.y7 !U �q� f� �"% • -__ Permit #
Owner--_ �/ (/ � Lot #
Builder
The following Building Code deficienci quired to be corrected:
w
Presented to __ --_—� Appro
Inspector tsapprovad
Date _
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.D. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection
Date Requested /ice
A.M.--k�'-P.M.
Address /I AV.A
Permit
Owner Lot
Builder .,
The following Building Code deficiencies are required to be corrected:
v WT Awc 44--loje
/Z 09J9 .
1. T A0eX
cel
7&-
$ C C A-0
6 L�y
Af
01
40
4
Presented to
Inspector iIJ-�Sapproved
Date
CALL FOR REINS `ACTION
El YEI 0 No
UF��AWA
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
C -
Type of Inspection
Date Requested -�_ Time A.M. P.M.
Address _1G (�! (,,yt�w7 (�/� j
�'�7 Permit #
Owner 1 �-
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
- --- - T I Approved
Inspector —
//�J Disapproved
Date
CALL FOR REINSPECTION
L7 YES F] NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection --
Date Requesteda �^ �O Time____. A.M._ P.M.
Address k� � = t'ermit
Owner-------_ __-- _-- _ _ Lot #---
Builder .---- ------- —y, e" r D :S •---The following Building Code deficiencies are required to be corrected?
Presented to /Apved
Inspector Disapproved
J
Date __-
CALL FOR REINSPECTION
n YES (_7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ h l Time A.M. P.M.
Z
Address � '20 _ - Permit
Owner Lot #_
Builder
Thp following Building Code deficiencies are required to be corrected:
Presented to 44-Approved
Inspector _ ❑ Disapproved
i
Date
CALL FOR REINSPECTION
❑ YES EI NO
MMUL
1
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�.r
Typo of Inspection
Date Requested Tlme �.M, P.M.
Address - L Parmit sr` ..O�.-� o C),
Owner
lot
Builder
The following Building Code deficiencies are required to be correctee'-
Presented to Approved
Inspector i Disapproved
Date "
CALL, FG,? REINSPECTION
L7 YES ❑ NO
CITY 4F TIGIM6 MECHANICAL PERMIT Receipt#
Permit#
Description
City of Tigard
Table 3A Mechanical Coda OTV PRICE AMT
— —
13125 S.W. Hall BIvr, 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
_ incl.ducts 8 vents 6.00
2) Furnace 100,000 BTU l
incl.ducts 3 vents 7.50
Name of Development 3) Floor Furnace
_ incl.vent 6.00
Job Address --- - --- 4) Suspended heater,wall heater
Address or floor mounted heater 6.00
Tax Lot - Map No—��- - 5) Vcnt not incl.in
LotDlock appliance permit 3.00
`iul�iiwsion
Name(or name al business) 6) Repair of heating,refr ig.,
cooling,absorption unit 6.00
Owner Mailing address Phone 7) Boiler or comp to 3 HP
absorp.unit to 100,000 BTU6.00
City State Z;l, - Boiler or comp to 3 HP-15 HP_8) absorp.unit to 500,000 BTU
11.00
Name — 9) Boilerorcomp15-30HP -
absorp.unit'/2-1 million 15. 0
Mailmg address Pnone -- 10) Boiler or comp to 30-50 HP
absorp.unit 1 -1.75 million 22.50
Contrar-tDr cit - ---_-- -- -- --
Y state Zip 11) Boiler or comp to 50 HP 31.50
_absorp,unit 1,750,000 BTU
State Registrahon No City Bus Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit
correct,that I am the owner orauthorized agent of the owner,that plans submitted are in 10,000 CFM 1 7.50
compliance with State laws,that I am registd, d with the State Builders'Board,that the 14 Non portable _
number given is correct.(I1 exempt from State registration please give reason below) ) evaporate cooler ( 4.50
_ --_— 15) Vent fan connected
— _ - -
to a single duct 3.00
-- Ventilation system not
16) included in appliance permit 4.50
17) Hood served by
mechanical exhaust 4.50
Signature(owner or agent) Dale Domestic type
Describe work [ 1 addition ( 1 alterationL l repair U 16) incinerator 7.50
to be done residential g _ non-residential I_J Commercial or Industrial
19) e incinerator 30.00
f
Existing use of — � _ YP -
building or properly _ _ __- Other i.e.,woodstove,water
20)
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property -- ---�_--_-�`-- --- - - -
-- ---- 21) Gas piping one to four outlets 2,00
Type of fuel-- oil I 1 natural gas [_1 LPG l-1 electric f -�-- ---- ---
22) More than 4-per outlet
WTI-Q-9 -- -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- _ SUB TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18n 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR A` 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
CITY OF TIGARD 639.4171 6560
,UILDtNG PERMIT
TAX MAPIS1—l413A_LOT NO. _1S►_! _SUBnIVISIONCgk2Qr CIL.,
OWNER ION 6 Catherine Shauklas 1627U S1r Copper Creek ,rive
— ---- _-..--_- JOB ADDRESS _
BUILDER _ilWrCt Bros* Yom). box 1403 Tualatin STATE REG.NO, .A4278 /7�
_ EXP DATE
.5 _/137
BUILDEA'S PHONE 692-�3GU5 _.
ARCHITECT_--_
-- PHONE
-- --
STRUCTUR'� +' NEW REMODEL ADDIT'ON F . REPAIR C' MOVE LJ OTHER DEMOLITION
1, RESIDENCE COMM EDUCATION F1 IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE'" i` BLDG.TYPE FIRE ZONE PLAN CHECK BY ' ^HEAT
l.umatrue i lr Yas i1Xduwgj1inj, wiattacheu . uriiE iLl wer ,-IauS. aubdict to b1 COc1c.
SEWER PERMIT# 33008(ldu) 3 hath, 11 traps i;araye 40L,
OCC.LOAD FLOOR LOAD 4u HEIGHT j LV NO STORIES 1 AREA 19 jt,, NO BEDROOMS 4 VALUE 7 j(0
BUILDING DEPARTMENT SETBACKS FRONT Z(�'` REAR if'r 'LEFT SIDE ` r 61 RIGHT SIDE I'
Permit _ 371J.U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDRIG CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A,3REED THAT THE
Plan Check L4U.5U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.8u >5►+(' 2,)0.o(j r .
SDC— YUtJ.UU
Total APPLICANT C''AOINT
S*'
Prepd. IUU.UIi PDC 15U.UU
Receipt No. ADDRESS -- -- PH-OW
52,5.30
Issued By __ _ Approved By
DATE INSP. TYPIF!NSPECTION REMARKS P MBING DATE
8 7
Permit No.
Rough in
Aj S
412Lhe 1
co H HEATING
Contractor
_7 coa,
Permit No. Z/6
Gas or Oil
Rough-in
Final
VA Final SEWER
1LL-63-Ez,-92t DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
I Sidewalk
Cirb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY 7-c-E-R--TIFICATE--OCCUPAN—CY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final