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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
c �
Type of Inspection
Time _ A.M.
Date Requested
Address Z-�1 Permit #
Lot -
Owner
Builder ---.—__.--- --The following Building Code deficiencies are required to be corrected:
Approved
Presentpd to — - �
-- Disapproved
Inspector _ --
Date -
CALL FOR REINSPECTION'
0 YES ❑ NO
INSPECTIO14 NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection a'�-___
Date Requested -Time A.M._ :—�P.M. /
Address ...� � .�.-/.,j_ —) - _E -�iiL-- 1-� ._ Permit
Owner Lct #
- ---- --
Builder
Thr following Building Code deficiencies are required to be corrected:
_t,�. c�r__�_ d'sy'G/c 1']�i�'_'�i—_�✓r-rOGE' . on/ ----
Z,/Arev 7-
Sze
Presented to ❑ Approved
Inspector _- r' . �i Disapproved
Date
CALL FOR REINSPECTION
4n YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested - Y Time-----___ A.M. P.M.
Address ��Z ..(.IQf �K/• ____ Permit #_ > L
Owner ._ C - Lot #
Builder
The following Building Code deficiencies are required to be corrected:
t
a
i
i
V
— - s
Presented to - -_ [-I Approved
Inspector y Disapproved
Date
CALL FOR REINSPECTION
❑ YE!
INSPECTION NOTICE
City of Tigard Building l,,partment
P.O Box 2397
Tigard, Oreg,jr+97223
Phone: P39-4175
Type of Inspection
Date Requested__ Time A.M. P.M.
Address 1 Permit #
Owner y�Lot #�
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 0 --_--_ _ __ �rl Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department `\
P.O. Box 23397
Tigard, Oregon 97223
Phone.,639--417755
Type of Inspection
Date Requested __1` Time A.M. _ P.M.
Address 1 ��� � errnit #
Owner }- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ ®Approved
Inspector —�. _.—_. ❑ Dlppprovod
f�a ,
Date _�__.—_-r-----
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of RL
\ �`
Date Re _ Time / A.M. P.M.
r_
Address - l 1 1�_ Permit *-Lc -
Owner ��
-- � Lot �
Builder _ �O
The following Building Code deficiencies are required to be corrected:
Presented to I4( Approved
Inspector
Disapprowvd
Date —tom
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Reqs-asted z_ Time_ A.M. —P.M.
Address ] Permit #
Owner -. � ---__--- Lot # —
Builder
The following Building Code deficiencies are required to be corrected:
a
Presented to _ _ ❑ Approved
Inspector
__ ---- L7 otappvowd
Date -----
CALL ,FOR REINSPECTION
L� YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 --'
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection _-70
!1/ 16
Date
Date Requested Y Time A. , � 3c P.M.
Address M 32 15 Permit #_ CSO E _
Owner --o � r_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ (� Approved
Inspector �_ -- [� Disapproviarf
Date — S' Z7
CALL FOR REINSPECTION
❑ YEs ❑ NO
CITY OF TIGARD MECHANICAL PERMIT Receipt #
Permit #
Description
Tr.ble 3A Mechanical Code QTY PRICE AMT
City of Tigard
13125 S.W. Hail Blvd. h! ( �—U I) Permit Fee -0- -0- 10.00
P.O. Box 23397 .ice
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
Furnace 100,000 BTU -1
2) incl.ducts&vents 7.50
+TName of DevelopmentFloor Furnace
3) incl.vent 6.00
Job AddressSuspended heater,wall heater
Address 4) or floor mounted heater _ 6.00
Tax Lot Map No./f/- ?3f-lb 5) Vent not incl.in
appliance permit 3.00
Lor Block Subdivision ----
Name(or name.- of business) 6) Repair of heating,ref rig., 6.00
cooling,absorption unit
Mailing Address Phone 7 Boiler or comp to 3 HP 6.00
Owner ) absorp.unit to 100,000 BTU
City,stale Zip 8) Boiler or comp to 3 HP-15 HP 11.00
__absorp.unit to 500,000 BTU
NameBoiler or comp 15.30 HP
91 15 absorp unit'/2.1 million 1 x.00
Mailing Addr6�s Phone 10) Boiler or comp to 30-50 HP 22.50
absorp,unit 1 -1.75 million
Contractor City State Zip 11) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus.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 13) Air handling unit 7.51)
correct,that I ern tine owner or authorized agent of the owner,that plans submitted are in 101000 CFM + -
compliance with State laws,that I am registered with the State Builders'Board,that the14) Non portable 4.511
number given Is correct (If exempt from State registration please give reason below) evaporate cooler
15) Vent fan connected
00
to a single duct f i
Ventilation system riot
/ 16) included in appliance permit 4.50
i Hood served by
17) mechanical exhaust 4.50 �.
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work f ) addition ❑ alteration ❑ repair ❑ Incinerator
to be done residential I.-1 non-residentlal O 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly_ — 20) Oester,solar,cldstove,water othes dryers,etc. 4.50
Proposed use of ---
building or property 21) Gas piping one to four outlets 2.00 _
Type of fuel- oil Ll natural gas _1 LPG ( I electric F1
22) More than 4-per outlet
NQTM — SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - u
STRUC:TION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE / Z
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL J K
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued __ by
CITY OF TIGARD 639-41716506DATE ��
BUILDING PERMIT
TAX MAP, LOT NO. -. SUBDIVISION"C"Ty_
uor, .�c�riaa�tt U;115 SW A;rittany .oris ayuare
OWNER _------- -_-._ JOB ADDRESS ----_
BUILDER STATE REG.N05.533 _— .__EXP.DATE
BUILDER'S PHONE _44-9314
ARCHITECT PHONE _OTHER,------
STRUCTURE
THER.__.__STRUCTURE {_1 NEW REMODEL ADDITION [ REPAIR MOVE 1 OTHER i DEMOLITION
RESIDENCE I i COMM Ci EDUCATION IND F 1 RELIGIOUS ACCESSORY GARAGE C-1 OTHER L-1 FENCE
OCCUPANCY I' ' LAND USE ZONE � BLDG TYPE FIRE ZONE _PLAN CHECK BY HEAT I-as
f-milatrurL G:1 hle1,1,,hjjll ddell u. f.&rg&�c, all Vl:r 2A"tiroveu plaus. �;ull_jcct t() tJ5 curie.
jjest to 'ti,rjrt A366 L LLtott.SlS{j sewer saurct�ar .ea.
Ri ISCSUL of 62131 & 0505
SEWER PERMIT k 3266& 41Uu) 3 both. 9 (.1 . 'e 444) 1.,ara,�e
OCC. LOAD FLOOR LOAD 4LI HEIGHT NO SIORIES 1 AREA 1216 NO.BEDROOMS 5 VALUE
�Y BUII DING DEPARTMENT SET BACKS FRONT i REAR LEFT SIDE RIGHT SIDE
Permit i2�'VU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�U.�6 REGULATIONS AND ALL APPLICA,.LE 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. CONJRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
t4.to TAX PERMITS.SEPARATE PERMITS REtO77-1
SEWER,PLUMBING AND HEATING.
State Tex _ 4.11)
SDC— p �_�
Total J.19060 ��.UO APPLIGAN�R AGENT
----- -� �y-
- PDCM
Prepd. .
�1.(itj t ► _
Receipt No ADDRESS �����_.�__ — PHONE
Bal.Due _ _�3�.6U .
Issuea By_ -- .__Approved By _
_ . ... ..._...,,.....,. . .a.,,.w..., ..,...,. ........ ,...... ,..... .. .. .w..i.w ,.w , ..Mr.-wi�a.eir...ora,Ys,,..e:n1r....u..a,..- - «-- ...,...._ -.
DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE
z y-C'/ � c+r/r. Gln Conlraclor5h 6Q r+1a ll 4 _ j .31
I !- Permit No
7 _ Rough in-- —
-.
Fixture
Final --
y. HEATING
Conlractor
Permit No y W '">--
Q� c
Gas or0l
Rough m --
J
Final
SEWER
- Fina �1yCGJ_C,?7�( � � �l�,'-•
DRIVEWAY
Storm Drainage
Rain Drainl Final
--Y—_.-.-_ Sidewalk - -
___ Cure d Street Final
--- _-- — Approach
BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY —
�� Landscaping
Zoning Final