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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection nZ,c9�rsr� >rG -�.✓
Date Nequeste- Z"/^1,,( 71me A.M._ P.M.
Address -.St4)C/ Zw-9t.-I, �,��- -- Permit #k
Owner 1�� -�"-/�i _J Lot —
builder
The following Building Code deficiencies are required to hP corrscted:
Presented to ,_- f'I Approved
InspPctor — 7 (, U Dlusproved
Doto _- —11L-s1---- -
CALL FOR REINSPECTION
0 YES NC
Cit of Tigard Mechanical Vermix L� � `� N° 3887
City 9 �
New Inst,.!,ation U Replace ❑ Relocation❑ Addition C] Aiteration,K DATE. 1Z-77�5
HEATING .22
unNT,?ACTOR _ OWNER J Uh►1
o0DRESS.—_ — JOB ADDRESS--RD L/.5 LL
PHONE_..__ APPLICANT� `_ f .t r - CSi� l yS
4 Heat Input Rating(BTU per Hour) V-nt Size Flue Size
FUE1 OIL❑ GAS ❑ ELECT Lj CTHE►,
_ ITEM Kn. FEE ITEM NO. FEE
1t For Issuance of Permit SEE BELOW Each Air_H indling Unit or Duct System
t
New-up to & incl. 100,000_PTU _ _ 6.00 Commercial Hood stem 7.50
ti-,w 100,000 BLIT's & over 7.50 Other Equipment Each 4.50—
Vluodburning Stove �,�� 4.50 1 Trip inspection _ 4.50
,Nall-Floor- Suspended _ _6.00_ Air Condition Compressor _ up to& incl. 3 H.P. 6.00
'rent System w/Fan _ _ 4.50 Air Condition Cnmpressnr 3.? to 15.H.P, incl. 11.00
Repair_Heat Cooling _ 6.00
CITY BUSINESS '- ICENSE REQUIRED RY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
_9_MIT ISSUANCE 10.00 Comments:
EES —..� ,5
UB-TOTV SO
L % STATE Issued By
2696 PLAN CHECK r'–r" �\ ,
t TOTAL n REC. tM A&� �.
_—� Signature of Applicant
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INSPFf TION NOTICE
City of Tigard Building Department ,
12420 S.;"! Main St.
I'gard,Oregin 97223
Phone: 6314.4171
T
Type of Inspection
Date Requested +�
Time --- A.M.
Address _ (4 Permit #-6,
Owner G'Gt Lot #
The following Building Code de'iciencies rrquired to be corrected:
da-�7
r
Presented to Approved
Inspector i ❑ Disapproved
Date
A �WEIPE ION
❑ YEI ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
1':420 S.W. Main St.
1gard,Oregon 97223
Phone: 639-4171
Type of Inspection _ !- U r,�...• r�
Date Reque"cd •3 Time�/ A.M. P.M.
60dOwAddress !�U'l J S (,fi.c e�C .L-e Permit et 560d—
Owner
ner_ Lot # _
Builder
The followirg Built.!ng Code deficiencies are re ,uired to he corrected:
{III
1.2
1100,
- I
T
Presented to Approved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
❑ YES Vfl NO i
AM 111011 in Miff aIffJLW—A' VAJA
I
! INSPECTION NOTICE 111
I '
City of Tigard Building Department
Cit
12420 S.W. Main St. ,
Tigard,Oregon 97223
I Phone: 639.4171
Type of Inspection
Dae Requested Time A.M. P.M.
Address -'' ,p-t�'- /.A 7 Permit #�1
r (, ( tt —
Owner Lot—
BuilderThe following Building C de deficiencies are required to be cotre t
CPresented to Approved
Inspector _A Disapproved
Date
CALL FOR REIA(VECTION
EI YES Ci NO i
INSPECTION NOTICE
City of Tigard Building Dtnartment
12.420 S.W. Main St
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection /Vii' �`' 11x� A, ) ---j
Date Requested_ " `"r Time _ A.M.�[_P.M.
Address ,�C(Z,S�S ��w ...c,� r '- Permit # 4y
Owner Lot
Builder _
The following Building Code deficiencies are required to be corrected:
1
°resented to _ --_- Approverl
Inspector -� ~!--
I-.I Disapproved �
r
Date
CALL FOR REINSPECTION
❑ YES J� NO
ae s
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection - L�ftil aa
Date Requested ``lA t/l!T�i/me, _ A.M.
Address �yS- 5r-I11i r-L.1Permit #_ ' h
Owner----- / C 11 i c'�
Lot # _
Builder
The following Building Code deficiencies are required to be corrected: —
I
Presented to —
[❑ Approved
Inspector -_. ��J _ Disapproved
Date
CALI, FOR REINSPECTION
.LI YES rl No
w
BUILDING PERMIT APPLICATION TIGARD DATE _9/20 19 65 i '?
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONEb.�)-ti71#.'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
OWNER ;101vin Waymire JOB ADDRESS �045 SW Churchill CL. LOT NO.
-----
ARCHITECT
BUILDER ADDRESS 9725 S14 I44irduck ENGINEER
_DESIGNER
STRUCTURE 11:NEW 1:1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ElFIRE DAMAGE _❑ DEMOLITION
U RESIDENCE 1:1COMM 1-1EDUCATIONAL ❑ GOV'T 13RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY K-3 _ LAND USE ZONE i;-1 BLDG.TYPE SN FIREZONE — _PLAN CHECK BY L'IIN—HEAT
CONST.RUC7' SINGLL FA14ILY ltyaLLL.ING W/ATTACaij GARA(jL
G b edroows 3 Baths
SEWER PERMIT! 28553
OCC.LOAD FLOOR LOAD 40 HEIGHT 21•x*+ N0.STORIES 2 AREA 1822
N0.BEDROOMS VALUE G 1�.
BUILDING DEPARTMENT SETBACKS FRONT
-- REAR __LEFT SIDE 5 RIGHT SIDE
Permit 316.11U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 20S.40 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLAINS AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal 521.40 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-V RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12.64 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Total 5%1404
SDC— :juu.Uu
f -s
B — PDCN11 lSU.pu lPPLICAN R TIENT � — -
Y
--— — I,�l 4. Receipt No. 1
Approved_ + i /
1
DA rE INSP. TYPE INSFEC?ION REMARKS _ PLUMBING DATE
�� �✓_L ------ i. ��MrOt:tor � �I/ I T—J.st A7
Rough-in i
Fixture I 1 —
�� Final
'— HEATING
Contractor
Permit No. 57 6
4
Gas or Oil
— Rrn 3h•in
�i Fin¢I
SEWER
—_------------• Fhb) � Z
DRIVEWAY —
' Final
Storm Orainege _
Wain Drain)Fin&l W
Sidewalk
Curb&Street Final
App -ach
BLDG. DEPT.FINAL TEMPOFARY CERTIFICATE O CUP NCY
CERTIF';C':TE OCCUPANCY Final
/2 Lancrcapir.p
";7ot ing Final