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,�iNSPE�TION NOTICE �—
Of Tigard Building Departine -r (pAe4 W
P-0 Box 23397 /
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection L
Date Requetted_O Time P.M.
Address G/t/!_/__
-- rmit #t
Owner
Lot #t
Builder
The following Building Code deficiencies are required to be corrected:
Pr,msented tn ;—V— Z
Approvdd
Inspector S'� ,? Disapproved
Datr
CALL FOR REINSPECTION
0 YE= 0 NO
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To
Date �eZ.-C� Time
WHILE YOU 'WERE OUT
of_ ,�2AW-X-
Phone
TELEPH7NEDTLEASE CALL
RETURNED YOUR CALL WILL CALL AGAIN \
WANTS TO SEF YOU IaUSH
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Message oese- _7/ �
V
INSPECTION NOTICE
C11);of Tigard Building Departmomt
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Im;+ection _— _ --�
Date Requested_ __ Time— A,AA _—_P.M.
- 14
AddressI� __ (yZ_ , ,^ Z
Permit
Owner Lot #_
Builder
The following Buildinq Code deficiencies are required o be corrected: +
C —
h
Presented to
Inspector / _. [� Disappro"d
Date
CALL FOR REINSPECTION
❑ YU ❑ NO
INSPECTION NOTICE
le
City of Tigard Building Department Z-1 �
P.O. Box 23397
l igerd, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested . Time
AddressryL-Zi5l Permit # C��3�✓
Owner Lot #
Bul!rler
The following Building Code deficiercies vre required to corrected:
— --
Presented to
Inspector _ �_] Disapproved
Date
CALL FOP REINSPECTION
L l YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection
Date Requested� �� 'dQ ,� Time A.M. P.M.
Address ermit
Owner Lot
Builder
The following Building Code deficiencies ari required to be corrected-
Presented to _� _ pproved
Inspector Disapproved
Date – — /50-4 - —
CALL FOR REINSPECTION
1_11 YES [1 NO
MLWN
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection L
Date Requosted Time— A.M. P.M.
Address -'i6 C--� E A S ;'da Permit
Owner U-t
Builder
The following Building Code deficiencies are required to be corrected:
—------------------
Presented to
Inspector ❑ 016approved
Date
CA I F'FUR REINSPECTION
ED YES LJ NO
w INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ �4LI
Dale Requested L 23 Time A.M. P.M.
Address _, � a� �'l2• Permit
Owner — �.� 4ejfl,( Lot #�
Builder .�. ` An—
The following Building Code deficiencies are required to be corrected:
Presented to 4''- proved
Im:pector *' _ ❑ Disapproved
Date
CALL FOR REINSPECTION
U YES Eli No
Receipt
CITY OF TIGARD MECHANICAL PERMIT Permit# z4 E14
Description
Table 3A Mechanical Code _ _ OTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. t) Permit Fee -0- -0- 10.00
�(
P.O. Box 23397 2) ;upplemental Permit 3.00
Tiprd, OR 97223
639-41751) Furnace to 100,000 BTU 6.00
Incl.ducts&vents
Furnace 100,000 BTU +
2) incl,ducts&vents 7.50
�TName of Development ) Floor Furnace ,.00
., 3 Incl.vent
,Job Address 4) Suspended heater,wall heater 6.00
Address or floor mounted heater _
Tax Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name(or name of business) 6) Repao nabsorption heating,
tin,r i
frg, 6.00
rti to _
Owner Mailing Address Phone 7) oiler or absorp.unit t C 100,0 1)BTU 6.00
city/stale zip 8) Boiler or rom,)to 3 HP-15 HP 11.00
,, absorp.urit to 500,000 BTU
Name 9) Boiler or crmp 15-30 HP
(_ _ �, absorp.unit 1/2-1 million 15.00
MallinjAddress Phuns 101, Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City/State �E�r_ Zip 11) Boiler or comp to 50 HP 31.50
, absorp,unit 1,750,000 BTU
State Registration No city sus 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 18) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plane submitted are In 10,000 CFM + — —
compliance with State laws,that I am registered with the State Builders'Board,that the14) Non portable 4.5U
number given is correct.(If exempt from State registration please give reason below), evaporate cooler
Vont fan connected
15 to a single duct _ 3.00
— ----� -- 16) Ventilation system not 4.50
Included In appliance permit
) Hood served by —
�;�,�_1 /_ l _ 17 4.50
mechanical exhaust
Signature(owner or apart) Date IB) Domestic type 7.60
Describe work ❑ addition ❑ alteration El repair ❑ Incinerator
to be done residential non-residential n 19) Commercial or industrial 30.00 —
Existing use of type incinerator
building or properly 20) Other I.e.,woar, d tov ,water,etc. 4.50
Proposed use of heate--
building or I,roperty _-- -- 21) Gas piping one to four outlets 2.00
Type of fuel— oil ❑ natural gas [X LPG Cl electric ❑
NOTIC 22) More than 4-per outlet
SUB-TOTAL
THIS PLRMIT BECOMES NULL AND VOID IF WORK OR COW ---
—
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 --
� ( i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 629-4175
Type of Inspection
Date Requested _-- Z Time A.M._ P.M.
Address Permit
Owner_- ��+a�.— Lot # _
Builder
The following Building Code deficiencies are required to bo corrected:
�-
Pro%ento—i to pprovrd
Inspector _ _� Dila
pprov9d
Ddte
CALL FOR REINSPEC7YOP
D yet ' NO
ti
L
I
I
CITY OF TIGA,RD MECHANICAL PERMIT Receipr #
Permit# _..,
Description
City of Tigard
Table 3A Mechanical Code OTY PRICE ,AT
-- -- -- - —T
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 1) Furnace to 100,000 BTU _
incl.ducts&vents 6.00
2) Furnace 100,000 BTU +
_ incl.ducts&vents 7.50
Name of Development --- 3) Floor Furnace
Incl.vent 6.00
J:)b Address--- - Suspended heater,wall heater
Adrtress 1 '' O T—)e !'eek 4) or floor mounted heater 6.00
rax Lot Map No — 51 Vent not incl.in i
_ Lot Block Subdiwsion e.pp(lance permit _ 3.00
Name(or Warne ryr business)j�r Repair of heating,refrig.,
art e ;on s t ru c t,i.on c o. , J 8) cooling,absorption unit 6.00
Matting Address Phnnr, Boiler or comp to 3 HPOwner
1-1-i
Y i ,jr-r 7) ,.usorp,unit to 100,000 BTU _ 6.00
Iry State ZED 8) Boiler or comp to 3 IiP-15 HP
r P 1 ?1 absorp.unit to 500,000 BTU 11.00
Name Boller or comp 15-30 HP
�rripnon }iea'tinr? 9) absorp.unit'z-lmillion 15.00
Melling Address Phone 10) Boiler or camp to 30-5U HP
)_'113 i r .W V i.Q,,a 611 -3 r ] r" absorp.unit 1-1.75 million 22.50
Contractor ciyist.ts _
Zip 11) Boiler or comp to 50 HP 31.50
A 1 oho , hr. eFon 170 absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tax No. 12) Air handling unit to
r f'. 101000 CFM 4.50
I hereby acknowledge that I have read this application that the Information n;dn is 13) Air handling unit a
correct,that I am the owner or authorized agent of the owner,that pleas submitted are In 10,000 CFM + 7.50
(.ompliance with State laws,that I am registered with the State Builders'Board,that the Non vjrtable
numb ,given is correct.llf exempt from State registration please give reason below). 14) evaporate cooler 4.50
15) Vent fan connected
to a single duct ! 3.00
--�-- — -__ - 16) Ventilation system not -
Includad in appliance permit 4.50
Hood served by
" �� 1.2/U/8 6 17) mechanical exhaust 1 1.50 r
Signature(owner o► enq --7' Date Domestic type i
Describe work 0 addition Ll alteration ❑ repair ❑ 18) Incinerator � 7.50
to be done residential ID non-residential F�
Commercial or Industrial
-- -__ -- 30.00
Existing use of 1 type Incinerator
building or properly now construeticrnl 20) Other ie.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property._ re q an(I r,
— 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas [;�. LPG Ll electric F7
22) More than 4-per outlet
NOM _
Th.S PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUS-TOTAL 44. -
STRUCI-ION AUTHURIZED IS NOT COMMENCED WITHIN lea 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 iS;,ued__�� by
NEW W M I
CITY oi- TIGARD Plumbinv rmit
Building Department 639-4175 P.O. Box 23357, Tigard OR 97223
❑ No. _-
-V X
Residential Commercial -^'
New Installation 41 Replace ❑ Addition [_� Alteration
[J Date&;�A
Licensed
Plumber A.�._. P
Owner < o4l+t
Address IS 9.2 S C- s�,s L � _ Job Address
Phone 4,�/__.__--.----.-- _ Applicant
-_ -_ CITY BUSINESS rA% REQUIRED FOR ALL CONTRACTORS AND SUBCONTRACTORS
I ___ ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fr><lures Traps — y 50 Sower:First t OG n. 30.00 _. -
Dishwasher� 7.50 Each Addit. 100 n
15.00
Garbage Disposal 7.50 Ejector Pump 750
Water Healer _ 7.50 Water.First_1 00 n. 20.00 �--
Backfl0w F'r-avenler 7,50 -a -- -
_ Each Addu.200 n. _- _-. _ _ 15.00
Is
tor_m 6 Rain Drain:First 100 it 30.00 --
- Each Adilt.200 n. 15.00 - _ -
M1NIMLIDL _ _ Mobile Home Space 25.E
Other(Specify)._-- Rain Drain-Single Fam.Dwelling 15.00 - �-
FTA
T FEE I Sri COMmenta: —•---•-
O Issued By
Recefnt No Anllu dnl
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested A.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
P�dsented to PA;pproved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
P YES 0 KID
CITY OF TIGARD 639.4171
DATE 6250
BUILDING PERMIT
� . 0 i s
TAX MAP __ _LOT NO. 3 ; SUBDIVISION Capper .��
OWNER „P-rry b Lind2 EricksoeJOB ADDRESS rl *'" �'
BUILDER ::li`4l11t_ COR$t. 5252ZO TAW Ri er kt i Flilli�_ STATE REG.NO. t r% EXP DATE —
BUILDER'S PHONE G4q--%jfi3.tj,
ARCHITECT _—.-- --- _-_- PHONE - -- OTHER
STRUCTURE J_l NEW REMODEL U ADDITION C REPAIR C MOVE OTHER DEMOLITION
RESIDENCE l COMM 1 EDUCATION F' IND f! RELIGIOUS ' ACCESSORY GARAGE OTHER FENCE
OCCUPANCY , LAND USEZONE BLDG TYPE F IRE ZONE PLAN CHECK RY HEA1
�'(,nstruct single farfily w/atttiche( ^,nage, al I per approved plane
SEWER PERMIT M 29 704 ( Ida) Irnim! 10 hathn 1 3 Carat;eY 4. 1
OCC LOAD FLOOR LOAD &b HEIGHT 7E; NO STORIES 2 AREA ^fj',' NO.BEDROOMS L VALUE:,71(',{!L
BUILDINODEPARTMENT �? I% 1 7
___--_- SETBACKS FRONT REAR � l E I T SIDE
RIGHTSIDE
Permit r,1`_� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- -- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PI 1IMP N(;AND HEATING.
State Tax IS.76 -),) 4�11.(!0
9bC—600.00 .�• .
Total 665.86 APPLicA—NTOR AGENT
PDAI 150.00
Prepd .00
505,A6 Flecelpl� /�� ADORESS PHONE
Bal.Due ___
Issued ay Approved .y
-.--.. ...., .J..wy..L�al.i`�1a� _— � _ � -__..Yr/w MA�4�- .....a...s'la�' .."—+wwu.J...1.. ...,.��......W..rr•.u...
DATE' INSP. TYPE INSPECTION _ REMARKS PLUMS14G DATE C��
02-2 / ��,,,/ - -- ontractor •
-2_��•�L r L��L -- -- - -� _ Permi No. 3ft
�e-7 od-- h in
AX-A 60--ti�4e. 1.0-- �.. 1 ✓t Fixture
Final
-zS-� Lew,- / 77•� - f
I HEATING
ContractoG)
r
-$� Permit No.
�.-�-g7 vYGi tfY^ Gasoroil
r
Rough-In ---
Final
-- — -------___ —_- ----- SEWER
— Final
DRIVEWAY -
--�•— ---- �� — — Final
Storm Drainage
(Rain Drain)Final
------v`� — Sidewalk
J' Curb&Street Final
Approach
BLDG.DEPT.FINAL CERTi=TEMP
EORARYOCCUNCY CERTIFICATE OCCUPANCY Final
� -7 Landscapinc
Zoning sinal
i