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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigaid, Oregon 97223
Phone: 639-4175
Type of Inspection �� ---------J--
Date Reg11ue��sted �' — Time A.M. P.M.
address 1_.�� 2 �l Permit
Owner Lot # --.
Builders .. —'
The following Building Code deficiencies are required to be Corrected:
Presented to — rrApproved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
DYES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
A
Type of Inspection ___ _—
Date F1usited ___ Time A.M._ P.M.
Address� l Permit
Owner Lot
Builder Lj
The fol owing Building Code deficiencies are required to be corrected:
Presented to _ ___ Approved
Inspector �_ ❑ Disapproved
Date
CALL FOR REINSPECTION
Cl YEs Cl No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection _ ..�
Date Requested 4~ Timr _�_ A.M. P.M.
Address -
-Permit #
Owner_
Builder __ —� L
The following Building Code deficiencies are required to be correctod:
Presented to
Inspector Dim
LJ pproved
Date
CALL FO REINSPECTION
❑ YES ❑ NO
MW MAW R• e�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested.— SZ z' Time A.M. Y _P.M.
Addres✓3�.�_C� .S_ � _�� Permit #eec--3
Owner--_---_-- - -_ Lot
Builder ----.._._._-_--
The following Building Code deficiencies are required to be corrected:
Preanted to Approved
Inspector _ [� Disapproved
Date
CALL FOR REINSPECTION
0 YES 1 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ 1 JIM A.M.__.__._ F.M.
Address C_-� �l
rmit
Owner_
of #
Builder --------__�.
I he following Building Code deficiencies are required to be corrected:
Presented to
— 1#"Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
❑ YES LJ NO
� s s � i■Ir
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box, 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ` c
Date Requested Time ___ A.M.
C—�._J
Address I \`� Permit #
Owner f _ __ --, Lot #�_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to T_1 Approved
Inspector ~� __ �] Disapproved
Date __ v
CALL FOR REINSPECTION
O YEs O No
t
CITY OF TIGARD PLUMBING 1a1.25S"IliIUUvd.
Applicar>ts must hold Urrgor+ Registration to conduct a plumbing
PERMIT 'ice M °R WM
business or must brpropertyowner/operator not hiring outside help. 639-'4175
Nam.M DevbgneM
Plumbing Permit No,
�.��- Atidreu 0"-"wJob D ORS 814.21410 DUAN. PRICE IMT.
Tax Lot Map.No. 41 —f-
Address
--- FIXTURES
int Block Subdivision ------ -- -
Sink / 7.50Narne 7,So
a name ss Lavatory _ _7.50 2.t
Tub or TubrShower Comb _ 7.50 ,5 UL
MaftV ess - - -- -
Showw Only 7 50
Owner City/Stale ZIP Water Close+ _- - 3 - -7.50 Z5
D
Phone arbage Disposal - ---- 7 so— _
:z.
Name WasMng Macrons 7.50 Sv.
Floor Drain _ 7.50
ng A6dress Phone Water Neater - 7_50. - ?• `s� v
Occupant Laundry Room Tray ----- 7.50
P City/State zip -
Urinal 7.50
Nanw
Other Fixtures(Sl+edh) _- _ 750
7.50
ass Phone --
6 SSU G K ?.so
Contrioctor ,Stat. ZIP 7.60
`T 7bZ 3 MISCELLANEOUS
City&ATax No Sewer 14"100' JO W
to s to s Sewer-es AddM 100' —` 15.170
(Residential) IW&W Servloe tat 100' - - - 20.00 2jQ
j
I hereby acknowledge Vint I have read Iib application.MNI w.kNommtkxn WSW Servo.es.Add112Mr -_ _- 15.00
phren is aorreM that I am registered with IVa SWe Nuildoes Doard.end also 156"6 Rain Drain 1/L too' 30.00 -
haw a SNM PkmtV avenge Mat we numbors gWen are ca»d.Mai an -- _.
okxnbing work will be done kt ooeondanoe with appNcablo proviskm of Ore- Slorm 6 PrJn Drain Adder.100' 15.00
pon RevtW Striates Chapie a 447 end W anti afyillCabae oodes and that M&JAe Ho""Space - - - 25.00 ---
no help will be employed rxw►ss Moaned under ORS On(11 exempt kora -----------.__--_-__ _. --
SIaM r0gWIVIli0n,P6"-9"reason babes). Back Flow Prevention
HOMEOWNERS-1 hereby o.rWy wet I am Ow awls•of MN rrop.rfy d.- D.vio.or ArNI-PbNulion Device - - - 7 s0
srsRasd Above.M whid,bcallon I prapoM b"aim s piant*v SngsMatlon for Any Trap or W.aM Noll
MY 00"uft and ole pi op.tty Is not b.kV corseNiobd for sale.Lase or rent. Con nw d to a Pam" 7.ti0
G41d1 BaNn ---__._. ---- I.60 --
kap.of Fidel,Pkxnbikv 44.00 Per_H• ---
----- SP4! i R*OU and kW441,0 tons - 47.00 PM HM
Allier.d Pkxnbkq within
an 6dMlV 8id0. 15.00 min
AUTHORIZED SIONATunt -- Dais New Sift.or&M,Addition 125..00 non.
• DaW, l_e f�a1i1 _
IDraorR»verba rlew f] addition U &% +C7 fupar C7 Fd�lrosklonfini fel flOf) ld DWIwe of
buMWr -or*o utY �'a d ,c� 41i ll{�10lIAlIQbi r -
NOT
TtMe Qa1111R AaOr'tlsae tali Brad roll«work e►abnMksl9pon al�lOflaad r r1d oam /z.� '2 01
MCM10a/t+1t�lY1�dlglt/Ir M OerlrilreMOR 0►sMDlkltlll�ISMsdlillle abMlAorMd fax _
a IMlaQ ire MO ft"41 any/retie**W 00*N 00V111t(Os0ed.
veal ltK»t1
1KA)vee lrra� �.
aA
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ��-J� 4 J�V �
Date Requested Time A.M. P.M.
Address ___ 3 2-1 C) ti __. Permit #_ 0
Owner_._ t'�-=�'-i Lot #
Builder -------
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector __ -_.. ---------- Disapproved
Date
CALL FOR REINSPECTION
[] YES L] NO
INSPECTION NO i ICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
U Phone: 639-4175
Type of Inspection �b
Date Requested_ ^� 1_l _ Time ,M. P.M.
Address L'� _?`� J _ rmit
Owner
_ Lot #
Builder � �_ Q
The following Building Code deficiencies are required to be corrected:
----------
Presented to Approved
1
Inspector ❑ Disapproved
c� n
Date
CALL FOR REINSPECTION
❑
YES ❑ NO
INSPECTION NOTICE
i:ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 1 (��
Date Requested� T{ms A.M._ '' ,_P.M.
Address 4 Permit ( C )_ J 1,
Owner \ Lot #
Builder--s 1 j `�� fix=. - 4
The following Building Code deficiencies are required to be corrected:
Presented to
�!G!/.[ — � Approved
Inspector _ [; Disapproved
Date
CALL FOR REINSPECTION
(=1 YES LI NO
- CITY OF TIGARD 639.4171 DATE 0003
BUILDING PERMIT "''sr�t'�. 19_ `'' -
TAX MAP131-33UB LOT NO. 69 —_—SUBDIVISION brif-t-4- --
JOB ADDRESS t t _._ oduireI12
OWNER �n .tnrfe•et
BUILDER _ arume _ ___. STATE REG NO. 35533 - EXP.DATE.____ f/11/ 1_
BUILDER'S PHONE --
ARCHITECT -----_----------_.--- PHONE OTHER
STRUCTURE NEW REMODEL 1 1 ADDITION REPAIR MOVE OTHER _ DEMOI-ITION
RESIDENCE C ' (AMM EDUCATION I IND RELIGIOUS U ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _�.'�_LAND USE ZONE BLDG.TYPE FIRE ZONE—PLAN CHECK RYI , _ - HEAT
(,onstruet sidle faudly uwellin w/atta61(-, -..�, nil prr D14136. ;uiject to .sem cam.
:;ur.3ect LC iti.t;drt $JbU and Leron $150 4Pwer sltrchargea. ! 1.": of C.�04
SEWERPERMIT# .13()31i. iLO J Lz Liir lU traps &aral;e 417
OCC.LOAD FLOOR LOAD 311 HEIGHT 211 NO.STORIES 2 AREA i ' NO.BEDROOMS VALUE 99V000
_BU!LD!NG DEPARTMENT SETBACKS FRONT X11 REAR 1 LEFT SIDE RIGHT SIDE
Permit 430•0u THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 114 THE BUILDING CODE, ZONING
4U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
l3U
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.FireREaTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— — - TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State
Total Tax APPLI )Ifff OR A6EN
T
�•, i 2:Pv.Ut1
48 1.211 SDC— to().U0O _ _ �:
PDc+M z 15u.W
Prepd. 4 U.uU
ReceiptNo,, ���itr ADDRESS PHONE
Bal.Due 44/.ZU
---
Issued By--Approved B
1�New.
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DATE
y'
Contraclor 13
Permit No.IF s 1 ;Y^� �s•�
Roriph•in �yD_
Fixture
Final
HEATING
Contractor
�Z .7 — -- Permit No
� Gas II
4-z
_ ouph•In —_
Final
v-..•L SEWER `
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drainl Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
CITY OF TIGARD MECHANICAL PERMIT Hucuipt# —j --
Permit#
Daserlptton
Table 3A Mechanical Code OTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. t> Permit Fee t3.00 10.00
P.O. Box 23397 2) Supplemental Permit Tigard, OR 972.23639-4175 1Furnace to 100,000 BTU / d)
incl.ducts&vents b
2) Furnace 100,00013TU i 7.50
incl.ducts&vents _
Name of Developrnere 3) Floor Furnace 600
_ incl.vent
Adure�a _ ) SuspendEd heater,wall heater
4
Job ,,Q,�,� ) or floor mounted heater 6.00Address 13220 amu/ 7, _ —
lax Lot Map No 5) Vent not incl.in 3
.00
Lai Block s" appliance permit tvision
Repair o1 heating,ref r i
14 (or nae of business) 6) -- 6 00 —
Jmcoaling,absorption unitt
Boiler or comp to 3 HP 6.00
Owner Meiil�Addreas Phww 7) absor, unit to 100,000 BTU
CttyrState Zip 8) Boiler or comp to 3 HP-15 HP 1100
absoi7.unit to 500,000 BTU
- Name 9) Boiler or comp 15-30 HP 1500
_ absorp.unit 112-1 million
Mauing ptgne 10) Boiler or comp to 30-50 HP
absorp.unit 1 -i.75_million _ 22.50
_
Contractorcxyrstate 11) Boiler or comp to 50 HP 31 50
absorp.unit 1,750,(100 BTU
State RepMrauon No cAty eue.Tax No, 12) Air handling unit to 4.50
19,000 CFM _
Air handling unit 7�
I her" ad mowledge that I have read this a(K)"tion that the Imormetion given In 13)submitted 10,000 CFM -4-
ne4 the,that I em owner or suexxired agent of the owner,that pt•rar titled tore In ---
oompfisnoe with State ie+s,that I am registered with the State BuW.era'Board,that the /4) Non portable 4.50
rxrmcorrect ("bw ptven is rect (H exempt(ran!;late roglatretion p4esse give reason below). evaporate cooler
15) Vent fan connected 300
to a single duct
--- - -- - 16) Ventilation system not 4.50
included in appliance permit
17) Hood served by _--- 4.50
mechanical exhaust
eture�ser or egerN) Da• 18) Domestic type 7
.50
Describe work —❑ addition L I alteration Ll repair [Iincinerator
to he done Presidential,Pt- non-residential ❑ 19) Commercial or industrial 30.00
Existing use of p !, type incinerator u _
building or properly_--�]-��C-f CJ s-/ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clo hes dryers,etc` _
p building or property_ ---- 21) Gas piping one to four outlets 2.00
t Type of fuel- oil I-1 natural gas ER- LPG O electric [7
22) More than 4-per outlet
Ng-TIQF. SUB-TOTAL �S'Sti
THIS PERMIT BECOML-7 NULL AND VOID IF WORK OR CON —
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1130 496 SURCHARGE 1,46
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 250X1 OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---� ----' - —
WORK IS COMMENCED. TOTAL c{p 43
Spe lal Conditions
i
Date Issued------- by__77'^�