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INSPECTION NOTTE
City of Tigard Buildi-ig Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address w1 —.� Permit
Type of Inspection
The fol'owing BuNing Code deficiencies are required to be corrected:
Presented to
_--—�__-. _-- Inspector
___ � _
Date —
(ALL FOR REINSPECTION
0 VES O NO
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform L'uilding Code, the
following item(s) require correcting:
r,
E F,.r-a
jr—
Date: -`-- t - Permit No. ,
Inspector _-
CALL FOR REINSPECTION
RAM
PLUMBING PE9MIT I N0
- - �``�'`` _� holder of a valid Plumbingcontractors license(cense is hereby
authorized to cause plu bing work as herein noted to L2 installed in accordance with the plumbirg code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all car tractors and sub-contractors.
Owner_a )
Address ' Date
NUMBER OF TOTAL PEFMIT NO.'S
TYPF OF PERMIT _ ITEMS fEC ON EACH A1�10UN'r
I c (Office UW Onl I
--U ^ "�-UAL '��'}'� s Y
Sin la Farn�yZl b.ith-e,, / 15.00
_ !�u�ex_E-,._., 1 b,3 t?-. unit
-- 25 00 s
_dditiun sl barhro_oms-each / 1000 L) —
M,jb la Home S ace-rarh �_ — -
15.00
INOIVICUAL FIXTUHE_FEES
I-1 to 50 Firtures in 1 buildirn-each — 3.00 _ +�
i 51 r., 1n0 Fi.trures in S bu•�r'in,..a,.r. -- _�-
_.._ .- - ----- 2 50
I(� 101`o 100 Fix•ures in 1 build rg-each --�
2000
-------
��Ji or mc)re Fix to•es In 1 bu�lrlin9-each _
8uilciing 5?wer-1st 50 ft.
:0 00
5P'Nyf-.Ach additional 100 ft. - -
- a^rl�r 1Q.00
Wrcrr a to building -r
5.00 '�;�-
' private VL- Systems--errh 100 ft.
i 0ih�rr IS vrif•rl 1000
P E_F��1 I T ! � `�-`-
_ For Plumbing Inspection Phone 639-4171 "---�
Plumbing Contractor By
TOTAL _ RECEIPT NO Issues By --- --
t
r J.
01%.JIi DING PERMIT APPLICATION TIGARD DATE ,ts 79 3002
THE UNDERSIGNED HEPEHY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 636-7667
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._7-���p
OWIJERf::::f rt Aesuc. JOHADDRESS 8500 SW Colony Cry; I. F�OUrt _- Estates
—`--- ARCHITECT
ENGINEER
BUILDER same ADDRESS 6 126 SW Jean Fid• p L.O.DESIGNER Jerry Dotter 636-3730
STRUCTURE L3 NEW U REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
E�RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO G CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABLJ FENCE
OCCUPANCY __R"3 LAND USE ZONE I paBLDG.TYPE �rj FIRE ZONE_.PLAN CHECK BY Mill HEAT
Construct single family duelling w/attached garage. '" Bedrooms - 2 Baths,
SEE CnIMECTION SHEET ATTACHED,
Sauer Permit 1121.104 - $70S.00
SEWER PERMIT M -
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES AREA 11370 NO.BEDROOMS 3 VALUE
BUI DING DrEPARTWENJ SET BACKS FRONT 1' NEAR I b LEFT SIDE ' RIGHT SIDE t
Permit 5201• 0 THIS P"-RMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALI- APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check .1000 50 WORK. V.•ILL HE DONE IN ACCOP.DANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N^T WAIVE
Sub3OlSG total • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
I 8.04 LICENSE.' ')ARATF PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax `_ µOU UL
Total $309.b4 -- :jut,- ' ---
PDC# l O0. _ PLIC. 0 A. T /
By _pl ,,/ r.1 'v/ v "
Approved
DUH Receipt No. b�" PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
IAV-9-6 ej � �/,�G �,k _ _ Contractor
Permit No.
Roughdn
.��ii-s• _✓� p r /�' Fixture
Final
3.S-Lo ci A,stifHEATING
1--7-Sr 10a.•- CAs� Contractor n�
Z-to na t /�Iq',G _— Permit No. D •3a"L
Gas or Oil 11b}}✓✓✓
I�ffAI� Rough-in
✓Si 'r' �' tiy.�:^CAf —� Final
SEWER
Final .2- 7- ;.o _ �f.�.
DRIVEWAY
Final i
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscapirg
Zoning FHal
x
i
a
... ,Jn F�tt
City of Tioard Mechanical Permit � " Permit sIQQ
Naw Inst311atiojr X Replace ❑ Relocation ElAddition ❑ Alteration ❑ ( i"Now Fee S,"'% State . 34—
Hf':ATING TOTAL -I-
CONTRACTOR �� �J�I _ OWNER
AISGCi~jj P
AD09ESS__1123 f t. ��i3 /ueal• WORK ADDRESS-_ eQ Sp0 c.,, (e/a t R•c` ,
PHONE _ JJN- 06// APPLICANT--�>* :.L,I. J�,,i• t4�%
Hen Input Rating (BTU Rr Hour) r,c _ Vent Size ' S Flue Size_
r-(2EL OIL CJGAS ❑ F.LECT ❑ OTHER
ITEM NO. FEE I' EM NO. FEE
For Issuance of Permit SEE ABOVi Air Condition Compressor 15 to 30 HP 10.00
i'Jz'w-up to & inc.100,0_00 BTU 4.00 Air Handling 10,000 CFM
Nast
100,001 BTU & over _ _ _5.00 Air Handling Over 10,000 CFM y-00
door Furnace 4.00 Evaporative Cooler 3.00
V!all - Floor •Suspended 4.00 Range Vent Fan _2.00
Install Vents Only __ _ 2.00 Vent System 3.00
R?pair -Heat Jae Cooling —' _ 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP _ 4.00 Commercial Duct System 10 M
'Air Condition Compressor 3 to 15 HP
NSPECTOR'S COMMENTS
:ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
'-r?ROVED BY DATE ISSUED BY DATE
aECEWT NO.
r� Signature of Applicant