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INSPECTION NOTICE
City of Tigard BuVding Department _
12420 S.W. Main St.
Tigard, Oregon 9/223
Phone 639-4171 -
Permit *� _
Type of inspection
The following Building Code deficiencies are required to be corrected'—:
Preseoit.d w _ — —.— Inspector ___--.—
Date -- ----__ _-- --.—._- —��
CALL FOR Rti11dSPEC710N
�i VES ❑ No
CITY OF TIGARD BLDG. DEPT.
1242n S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
pursuant to Section(s) of I he Uniform Building Code, the
following itemi(s) require cz)rr-,acting:
T :T7 _.....__2—e
Az
Date: Permit No.
lnspectoT-
CALL FOR REINSPECTION
�■r
CITY OF TIGARU BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
"' .�. C.-, __ �:..s •- -•-..� is/�" _ �._
l ((
Date: ��_ �h- _! Permit No.
Inspector --
CALL FOR REINSPECTION
City of Tigard Mechanical Permit JcWt Permit—
New I
L ,I �(
Irstallation � Replace ❑ Relocation 343"' Fee_
❑ Addition ❑ Alteration f� - ._ ----
HEATING 4 7 State_
CONTRACTOR Sunset Fuel & Enaineerin TOTAL- _fes
--� -- OWNER Der-Har_ t-As soc ates___`_�
ADDRESS 2944 SE Powell Blvd. Portland
PHONE 234-0611 ext. 523 �� WORK ADDRESS_6450 $W Colopy Creek D_Urt
"- -- _ APPLICANT Sunset Fuel & En ine1 r ng__
Heat Input Rating (BTU Per Hour)—T����^-� -- - - ---_
Vent Size
FUEL OIL r1 GAS ELEcr ❑ OTHER---~ `� - '------ F;ue Size_ s`•• `-
ITEM_ NU. FEE
F�-,r ksua�'-ncSEE e of p-lr it ITEM NO. FEE
ABO_V Air Condition_Compressor 15 to 30
WP—
incl- 100
,000 BT - 1 . 0
4.0_D `Air Handling 10,000 CFti1
100.001 BTUs & over `_t� - 5.00 Air Ha_ndiing Over 10CFN CFNI 3.00
Floor Furnace _-. 5.00
Nall - Floor iuspendad - -- 4.60 Evaporative Coater -�-` -
4 00 Range Vent Fan -�`- 3.00
Instah Vents Only �`` - - 2.00
VentS sRepair • Heat& Cooling �`-' __ 01 _ Y tem T - -0 HoCorn-^-merrjl 4ir ConrJi[ionComr�ressor3 Hn3.00
air Conmtion Co __ .00mpressor 3 to 15 H 10.00
INSPECTOR'S COMMENTS
..ITY BUSINESS LICENSER UIRED FOR ALI. CONTRACTORS OR SUBCONTRACTORS
APPROVED BY
r- _ DATE � ISSUED BY
'f'_'CciPT NO r _ DATE
nt
Slq,-:a'ur3 of Applica -
w
BUILDING PERMIT APPLICATION TIGARD DATE__ 72_ 3001,
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR I HE WORK HEREIN INDICATED BUILDER PHONE 536-766`
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
OWNER .wNER _ ' I�®rt Assoc. JOBADOReL�
E88�45Q SIJ Colony Grk Gl_OTN0. 16'LJ nnYCreep
Court —
Estates
ARCHITECT —
ENGINEER
BUILDER same ADDRESS6025 SW Joan fid. 01.*Oe DESIGNER Jerry Uettar 636-3736
STRUCTURE — L� NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
El�RESIDENCE ❑ COMM ❑ EDUCATIONAL_0 GOV'T_❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �LAND USE ZONE fi7PD BLDG.TYPE �!N FIRE ZONE_3 PLAN CHECK BY _RWM _HEAT i
—O
r'onatruct single family duelling W/atteched garage, -3 Bedrooms - 3 Acit.hf .
_ _SEE CORRECTION SHEET ATTACHED.
` saver Permit ;#21103 - 1705.00
SEWER PERMIT M _
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES _1_ AREA 16X3 NO.BEDROOMS 3_ VALUE
BUILDING DEPARTMENT T BACKE FROr4T 2L7 REAR 34 LEFT SIDF IV(," RIGHT SIDE
Permit 1189.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 94.jQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sub-total 28;5• ;�() — WITH ALL APPLICABLE COUES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_ RFSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR$EWER.PLUMBINQ AND HEA TING.
State Tax 4,' 7. 56
Total $291.06 SDC-
PDGtI 4 APPLICANT OR AGFJV F! �"
By p 1
Receipt No.
C1WN _— eV
Approved ADDRESS ,, 'PHONE
DATE INSP. TYPE INSPECTION R'a•MAIRKf,
PLUMBING
-�-- DATE
el-I r-77Contractor
6--�v /"VIP nl(-_ Permit No.
'2-G-- 4 Rough-in
•�l - e.0 �4!tY �s ,� i1C� _- Fixture
T Final
J4�� • ��.2/�SrI HEATING --
�� tR Contractor
3-3-f-� l ParmitNo. of-1,7-7e,
`� � Gas or Oil
Final
SEWER
-- _ -- -- - Final pt.
DRIVEWAY
r-
DRIVEWAY
Final
Storm Drainage
-- _ (Rain Drain)Final
-- Sidewalk.
Curb&Street Final
_ Approach
dLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCt CY — -
CERTIFICATE OCCUPANCY �} �y�, Final
Landscaping
Zoning Final
S
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I
PLUMBING PE9MIT. .V. ., " N
ho.der of a vali(i plumbing contractors (irlv„,a is hereby
a,lthorized to cause plumbing work as herein noted to be irlstLiled in accordance with the plumbing coda of
Tigard. Such installations require inspection by the City Inspector who shall be notified riot less than four
(4) hours prior to the time the installations are ready for inspection. City .:)f Tigard Business License required
for all contractors and subcontractors.
Address§_zf� Date _
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT _ ITEMS FEE ON EAMOUNT (Office Use Only)
R Fy_iIAI —_-
Sin li f=amily-1 bath-each
_ D" 25.00ulex -Each 1 bath unit _ _ 25.00
Additional bathroom,-each
htob,le Flome mace-each
P
SDIVIDUA_L FIXTURE FEES -^—
I to 50 Fixtures in 1 building-each 000 I--- i
l t0 100 c +tar.• in 1 5iiiidi.. �,�h _
-- _ 1.50
10i ;0 200 Fixturat in 1 buildir -each _ 2.00_
20i or more Fixtures in 1 budding-each -`- - 1.50 ^
NY I S C E L L A N E 0 U 5
Building S4war-1st 50 ft _ _! - __1000_ —
Sew+r--e+sch additional 100 ft. 1000
Y'ld;er Service to build nq 9.00 `�j.C►�1 �- -----
rPrivate Water Stems-oath 100 ft. 10.00
�—o ther (.Spocuy) -_
PERMIT For Plumbing Inspection Phorl,? 6394171
_S ate Plumbing Contractor By
TOTAL .S�:Z,C�) RECEIPT NO. Issued By