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12460 3W BROOKSIDE AVENUE
1-MPECPION NOTICE
City of Tigard Building Department
13145 811 Ball Blvd. Tigard. C r"gon 97223
Inep-iction Lina (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspect len:
Footing P?.bg. Underniab
Mach. Rough-in Appr/edwlk
Found. Plbg. Top out Cas Lino IINALI
"est/Beam Struct. San. Sever Framing -Bldg.
Post/Ream Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor r`Water Line Gyp Rd _1c ech.
Date Reguestedt r r !C Timet _ l�
AM !Ri
Add.rees:, �C L/
Permit -
Buildor:
THE rO,LLWINO CORRECTIONS An REQUIRED-
44e.1
Inspectors -
---- Dates
_ __APPROVED DISAPPROVED
r— APPROVED SUBJECT 'f0 ABOVE
Call For Reinap
i n
CI7'Y OF TIFA RD MECHANICAL
CGMMUNITY DEVELOPMENT DEPARTMENT \CffY0F7WARD PERMIT
13126 SW HWI Stvd. P.O.Box 23397,T•pW,Oregon 97223(5W)M4175 \77,7 PERMIT #. . . . . . . : MEC91---0149
-I-
6,39-4171 DATE ISSUED: 08/20/91
SITE ADDRESS. . . 12460 SW BROOKSIDE AV PARCEL: 2S',02BB-00805
SUBDIVISION. . . . : BROOKS I L'--. PARK ZONING-
BLOCK. . . . . . . . . . L . T. . . . . . . . . . . . . :5
CLASS OF WORK. . ;ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FPNS. . . -
OCCUPANCY GRP. . : R3 VENTS 1410 APPL: VENT SYSTE=MS:
STORIES. . . . . . . , : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------ 0-3 HP. . . . : DOMES. INCIN:
- /WOD/ 3-15 HP. . . . :: COMML. iNCIN:
MAX INPUT: BTU 15--30 HP. . . . .- RE'DAIR UNITS:
F IRE DAMPER,r'7-; . 30-50 HP. . . . : WOODSTOWES'. . : I
GAS PRESSURE. . . 504 HP. . . . o CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. :
'-URN ( 100K BTU: (= 10000 cfm: GAS OUTLETS.
TURN > =100K BTU. > 10000 c-fm-
Remarks: EXISTING WOODSTOVE
Owner: i:'EEq- __---_----__-_.
HELEN ELI-ERBROLK type amol-tnt by date recpt
2 2573
SE MEADOWLARK, DR PRMT $ 25. 00 JI-H 08/20/91
5PCT $ 1. 25 JLH 08/20/91
OR 97l.-3
Pt-wrie #:
Contractor,:
CONTRACTOR NOT ON FILE
---------------------------
Phone $ 26. 25 70TPL
Reg
REC1.1JIRED INSPIFCTIONS
This pervit is issued subject to thp regulations contained in the Fina). Inspection
Tigird Municipal Code, State of Cp,e. Specialty Cedes and all other
applicabit laps. Ail wort will be done in accordAnce with
approved plans. This otroit will expire if murk is not starred
within IN days of issuance, or if work is suspended for svp
than 180 days.
Vlprmittee Signature:
v-L A e—w I
Issi-ted Pv :
Call for inspection 639-4175
CITY OF )-V-C4RD RFCFIF-'T OF PAYMENT RECEIPT NO. :91—.:'x6488
CHECK (IMOUN'T - 26. 215
NOME o LAKANEN, L-OsIETTA CA8H AMOUNT 0. 00
ADDRESS t c"513 SE MEF-tDOW,,ARV, DR PAYMENT DATE 08/20/141
SUBDIVISION
HILLSBORO, OR 97123--
PURPOSE OF PAYMENT AMOUNT PA 11) PURPOSE OF PAYMENT AMOUNT PAID
25. 00 ST. BUILD PER I. Ps
*60 SW BROOKc,.',IDE=
?A. 14 5
L 0MOUNT Phi )
� t®
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
O
Type of Inspection
Date Requested_ �v � Time_ A.M. ,c�P.M.
Addresswl"Lr G _ Permit # 3 y
Owner �P D
— Lot
Builder
T
he following Building Code deficiencies are required to be corrected: _
i
Ptesenteo to /Approved
Inspector _ ❑ Disapproved
Date ��V
CALL FOR REINSPECTION
L] YES V NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested �_"/.�" —r Time _ H.M. P.M.
Address Permit ��6
Owner _ Lot #
Builder
The following Building Code deficiencies are required to ue corrected:
Presented to _ I Approved
Inspector
❑ Disapproved
Dote
CALL FOR REINSPECTION
❑ YES /I NO
BUILDING PERMIT APPLICATION TIGARD DATE�`� __ —,19_x' ' 4444
T HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WVRK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _--
arve .;Iierhrobc: 12460 ,r► Aruokside Av.:.
LOT NO.
OWNER Y JOB ADDRESS _
--- _-- � ARCHITECT -i — --—
ENGINEER
BUILDER ADDRESS S ILI10' DESIGNER
STRUCTURE LI NEW ❑ REMODEL El ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DL'MOLITION
❑ RESI'JENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ® GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE —BLDG.TYPE _ FIRE ZONE__—PLAN CHECK BY HEAT^ _
I.OTlstruct: 2.2 x 16 Addition to Existing garage
'10 pturnl,int, or Hestin:►,
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.BEDROOMS JALJE
BUILDING DEPARTMENT SETBACKS, FRONT REAR ' LEFT SIDE RIGHT-SIDE
— -- -- —_.
Permit ����• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIOWS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ ter'' ' WORK WILL BE DONE IN ACCORDANCE WITH IHE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
3.43 WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT UOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�T LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total SDC—'`�.._ � --`--
By __._-----
PDCN APPLICANT OR AGENT
�>n3
Approved
XT� Rereipt No. ADDRESS -- —�— PHONE
>eIr w ua as !ter o► Irw taa
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
/G— D—� T Permit No.
Fixture
Final
—� C-+ � ��j � MEA 1'i W C3
y(/yf
Contractor
T— Permit No.
Gas or Oil
Rough-in
—� Final
9EWER — �--
—� Final
DRIVEWAY --
_._ ----------- Final - ---
—— - — —�— -- Storm Drainage ---
�� IRain Drain)Find
Sidevwl k
Curb&Street Final
_ Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final__
CERTIFICATE OCCUPANCY
LaoAvaping
Zoning Final
p�
Addrea �O G' Sy 1 r - Permit No. 9 6
Name of Occupant Permit charge
` r
Q V _ Connection fee
r
Paid by .1 -c
_ —�-- Date connected
Type of Building �'--•- Inspection fee_ ZQ —
Service Rate -� Paid by a ,Date :_ 24
ice'
Contractor =- F � Asres�nent.,Z(�,...._Paid _
Sise of connection
i
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due and before such charges become delinquent
I fully understand that all unpaid sewer service charges become a lien upon the
property s• ved as stipulated in O. R. S. 224,220.
Con.ections to the District's system must he made by bonded contracturs and,-'or
bonded and licensed plumbers.
Owner
APPROVED BY
Su erintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
f
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 6 91) DATE.
PERM/IT I8 GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICTAT
/
THIS PERMIT MUST BE POSTED ON THE DESCRIIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS nEEN COM-
PLFTED.
PERMIT FEE PAID $.... ............................TIGARD ANITARYDISTRIC'Y'
CONNECTION INSPECTED AND APPROVED
Date SiFeAfitenclent