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INSPECTION NOTICE
City of Tigard Building Department
P G Box 23397
Tigard, Oregon 7223
Phone. 639-4175
Phon639-411 75 (`�-•- '
Type of Inspection _ —�..--------
Date Requested ( Time A.M. P.M.
/ �0 6�1 • Permit
Address _ ! 19 '�" J-14 -
Owner _- �D`YL � 1 Qa /J C-�c e- -- Lot #
Builder
The following Building Code deficiencies dre required to be corrected:
Presented to � _ —--.---- Approved
Inspector _-- ❑ Dls.pproved
Date --/=—=---� -
CALL FOR REINSPECTION
F= YESC_l NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97213
Phone 639-4175
Type of Inspection -- _
Date Requested _-
- Time ✓" A.M. P.M.
Address 1-..1
Permit # �
Owner _ ,��,.c_..
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector Approved
Date Disapproved
CALL FOR REINSPECTION
Cl YES [] NO
M
INSPECTION NOTICE
City of Tigard Builving Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested / Time. .� A.M.
Address 3 2
Permit #
Owner - - Lot # ---- - ---
Builder
The following Building Code deficiencies a e required to be corrected:
Presenters to
---- -- - __ � Approved
Inspector
Disappro,red
Date --
CALL FOR REINSPECTION
0 YES ❑ NO
q
INSPECTION NOTICE
City of Tigard 8nilding Department
P O Box 23397
Tigard, Oregon 97223
Phone 6`39-4175
Type of Inspection _/ --- --
Date Requested_ __._ Ti ay- A.M. _P.M.
Address 3L 3.5 Permit
Owner -_ Lot
Builder _ — -- ----The following Building Code deficiencies are required to be corrected:
Presented to __ _- 11f1 Approved
Inspector —z - __ _ u Disapproved
Date —
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Buildin-i.hepartment
P.O. Box 23397
Tigard, Oregon 97223 �
Phone: 639-4175
Type of Inspection - ----
Date Requested (T�im�a A.M. ' P.M.
Address �� Z 35 �_/���y---r �=� _ Permit
Owner _,-L�l��d ate- ___ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ -- � � APProved
Inspector __./� __ H bisapprnvad
Date
CALL FOR REINSPECTION
El YES NO
INSPECTION NOTICE
City of Tigard Building Department '
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested "'f"" :'rm4;IP�-n •_�
�,F 0 _P.M._
Address A.M.
A.M.
-`J-.... iG= r;
Permit
Owner
Builder Lot #
The following Building Code deficleneles are required to be oorreeted:
--
Presented to
Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested___ _` Le Time�.M. p
.Address Permit #
Owner Lot
BuilderThe following Building Code deficiencies are required to he corrected:
Preserted to _ _ W Approved
Inspector — _�'/ _ Disapproved
Date
CALL FOR REINSPECTION
0 YE• ❑ NO
CITY OF TIGARD 639.4171 6592
BUILDING PERMIT DATE "iitrctt 7
_._
TAX MAP 1.01- 33U6-LOT No. 61 SUBDIVISION lirittasq
iron :�Or���t:ttQ `..—. — -
OWNEP, JOB ADDRESS 13235 sW. Hr_jtjAnx UrjyQ Square 111
BUILDER 8datC
�� ----- --
BUILDER'S PHONE STATE REG.NO. ;3."$531 t_—_ EXP.DATE
244-X3.14- _
ARCHITECT
PHONE —,-----OTHER
----
STRUCTURE ( NEW Ci REMODEL ADDITION REPAIR MOVE ] OTHER DEMOLITION
RESIDENCE CommEDUCATION IND RELIGIOUS 11 ACCESSORY GARAGE OTHER FENCE
OCCUPANCY ,�1_AND USE ZONE RLDG TYPE ' FIRE ZONE___ PLAN CHECK BY HEAT
I.:onstruct sid4le tuja.ly uwe:.112.jjjj' Widtt8CILeU t.araLe.al_1 " r approved i)14108. -)UbleCt tO 05 curie.
.art $360 sewer aurch art,e. '—
--- _ REISSUE of 6189
SEWER PERMIT N 129 ldu) 2 Meth 8 [rxpti
_,arae 42U
OCC.LOAD FLOOR LOAD 4U HEIGHT 16 NO STORIES 1 AREA 1920 NO.BEDROOMS i VALUE U1 UUU
BUILDING DEPARrMEN7,_� 15- -- - ---_ SETBACKS FROIJT REAR LEFT SIDE 6 RIGHT SIDE 6
Permit 31(,*UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
411.U�.r REGULATIONS AND ALL APPLICABLE 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. CO fiACTOR AND SUB CONTRACTORS TO HAVE CUPRFNI CITY BUSINESS
TAX PERMITS.SEPARATE PER ITSPEQUI�ED FOR 3ER
.PLUMBING AND HEATING.
State Tax /l
SDC— 6199.Uu
Total AP , TOR EIS -
Prepd. PDC ! 15�1.00
--- -- wil
Receipt No /�1� ADDRESS PHONE
Bal.Due _ =y�,p4_-
Issued By �ct� Approved By�
I'
DATE INSP. TYPEINSPECTION REMARKS PLUMBING DATE
:ilacc_z s•_�� ' ? •'r Y Permit No 2 V
Rough-in
Fixture
y(r� l2! Ct�•Y_ Final
.� .. .. -• _ __
HEATING
v 4 I
1 Contractor
Permit No (�
S- lnd ae oil
Rough-on
Final
SEWER
Final '/ r,
,�. �' DRIVEWAY
d Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
I
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit #
Description
Table 3A Mechanical erode CITY PRICE AMT
City of Tigard - - ----
13125 S.W. Hall Blvd. ` f Z, 1) Permit Fire -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
Incl.ducts&vents 6.00
2) Furnace 100,000 BTU +
incl.ducts&vents 7.50
Name of Development 3) Floor Furnace
incl.vent 6.00
Job Address -- 4) Suspended heater,wall heater
Address '7 7 fi r- or floor mounted heater 6.00
rax Lot Map No.-o/-3 3 n 9 Yn , 5) Vent not Incl,in
it 3.00er
appliance pm
Lot , , Block Subdivision app _
Name(or name of business; 6) Repair of heating,refr ig.,
T� cooling,absorption unit 6.00
Owner MallhigAddress Phone 7) Boiler or comp to 3 HP
absorp.unit to 100,000 BTU 6.00
city state Zip 8) Boiler or comp to 3 HP-15 HP
absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp,unit'/2.1 million 1;00
Halling Address Phone Boller or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
ContractorCIlty Stat. — Zip 11) Boilsr 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 a.50
10,000 CFM
1 hereby acknowledge that I have read this application that the information given is 13) Air handling unit
correct,that I am the owner or authorized agent of the owner,That plans submitted are in 10,000 CFM + 7.50_
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is corroct (If exempt from Slate registration please give reason below) t 4) evaporate cooler 4.50
- --- - - 15) Vent fan connected
to a single duct 3.00
— - 16) Ventilation system not 4.50
Included in appliance permit
Hood served by
/1 17) mechanical exhaust 4.50
signatu owner or agent) _ Data I;Omestic type
Describe work F1 addition (❑ alteration O repair f ) 18) incinerator 7.50
tobe done residential F1 non-residential ❑ Commercial or industrial
— 19)
Existing use of � tYPa incinerator 30.00
building or properly — 20) Other i.e.,woodstove,water a 50
Proposed use of heater,solar,clothes dryers,etc.
building or property 21) Gas piping one to four outlets 2.00 -7 -
Type of fuel- oil O natural gas Ua' LPG I I electric
22) More than 4-per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1804%SUNCHARQE t
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR _ PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL -
Special Conditions
-- — — _ Date issued ___ _by