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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 /
Phone: 6 -4175
Type of Inspection _
Date itequested Time A.M._'-
Address ? yL
---- Permit
Owner - ,
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
1 4"Approved
Inspector
� � Disapproved
Date �—
CALL FOR REINSPRCTION
❑ YES 0 NO
INSPEr'TIrJN NOTICE
i n,�,✓�
City of Tigard Building Department
P . Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested / _ Time A.M.�P.M.
Address �" Permit
/►
Owner Z{-- -- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Preset`ted to Lr-,7
-_ u Approved
Inspector _.e�l—
Date
'� ---- sapproved
--/�� i
CALL FOR REINSPECTION
10 /YE8 ❑ NO
1'1'Culll 11 �_ )
\! ll.y 0 T yd
1312"1 SW Hall Blvd . - -- -
Description
P.O. fi,lx 23397 Tabid JA MeehenlCaa Cade QTY PRICK AMT
Tigard OR 97223
b39_4175 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
) Furnace to 100,000 BTU
incl. ducts & vents _ _ 6.00 ,,c'(
2) Furnace 100,000 BTU + - -
Name of Development incl, ducts & vents _ _ 7.50
3) Floor Furnace _ - - -
Addr••a incl. vent 6.00
Job 3 -S( ) c - -- --
Address Tax Lot Map No. 4) Suspended heater, wall heater
Loi Block Subdivision or floor mounted heater _ 6.00
5) Vent not incl. in
Ne I or no a of twelnoec) 1,
appliance permit �� 3.00
1 ��.� ;6.26-6a _
MAIII.- Addres-a - Phone 6) Repair of heating, refrig.,
Owner cooling, absorption unit 6.00
Zip 7) Boiler or comp to 3HP - -
_ _ absorp. unit to 100,000 BTU
Name/-/ 8) Boiler or comp to 3HP-15HP
., absorp. unit to 500,000 BTU 11.00
Malllni;l Address (j Phone 9) Boiler or comp 15-30 HP
-)�;5 P ��% - absorp. unit Y2-1 million 15.00 _-
(a7��r - _
C0ntrartor Uty/Mals I 23p 10) Boiler or comp 30-50 HP
/ 7yr�c� absorp. unit 1-1.75 million 22.501
Slate negistration No. City Bus. Tax No. 11) Boiler or comp 50 HP
7� absorp. unit 1,750,000 BTU _ _ 31.50
I tweby acknowledge that I he" td this application that the Infomtation 12) Air handling unit to I
given Is correct, that I am the ov rer or authorized agent of the owner, that 10,060 CFM 4.50 —–
plans eubmltted are In compliance with SLlle Iswa, that I am registered with —^
the Slats Builders' Board, that the number given Is correct. (If exempt 13) Air handling unit
Imm state registration please give reason below). 10,000 CFM + __-__-------. 7.50
14) Non portable
_evaporate cooler _ 4.50 _
15) Vent fan connected
t�
to a single duct 3.00
f- 1 - -j; 16) Ventilation system not
i nett a (owngr or agent) Date included in appliance permit 4,50
17) Hood served by _
Describe work O addi ton❑ alteration❑ repair❑ mechanical exhaus 4.50
to be done residential [ non-residential ❑ --------- - ,
18) Domestic type
Existing use of incinerator _- 7.50
;,uilding or properly19) Commercial or industrial
Proposed use of _- _ type incinerator_ 30.00
building or property r 1, 20) Other i.e., woodstove, water
Type of fuel - oil❑ natural gas LPGO electric[j heater, solar, clothes dryers, etc. 4.50
21) Gas piping one to four outlets 2.00 ) ,,
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN sue-TOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURCHARGE
0R ABANDONED FOR A PERIOD OF 180 DAYS AT ANY --- - -•-
TIME AFTER WORK IS COMMENCED PLAN REVIEW 25Y,OF SUBTOtAI }
Special Conditions
-------•---- - — _---. bRlt+ i44URd -
--- -_
x
CITY Of TIGARD 639•4171 6285
PATE
BUILDING PERMIT
TAX MAP LOTNb, I1 SUBDIVISION
OWNER_._ ,Uotn "O r"06tte 1324U SW Brittany Drive 3
JOB ADDRESS
BUILDER .-Salde _ __ STATE REG.NO. ____-__-.-.____--EXP.DATE
BUILDER'S PHONE 244-9314 --__" PHONE _--OTHER _—
STRUCTURE NEW REMODEL Ll ADDITION REPAIR MOVE OTHER CJ DEMOLITION
,RESIDENCE COMM EDUCATION ❑ IND RELIGIOUS ACCESSORY I GARAGE r ' OTHER FENCE.
TLF
OCCUPANCY 1' LAND USE Z04' BLDG.TYPE F-IRE ZONE PLAN CHECK BY HEAT T
Lon-struc ■{n&le family dwelliab viattackled garage all per approved ulaaa.
,-subject to 65 code. Subject to Amart/Wedgwood $360 and Leron lite. $150 newer surcharges.
- d
"LaSUG OF �t U4
a
SEWER PERMIT M 29125 (lou) 3 1,:itt3, 10 n t rays ;.,arage area 462
OCC.LOAD FLOOR LOAD 40 HEIGHT1i NO.STORIES AREA 1j40 NO,BEDROOMS 3 VALUE h�),Ul,ll
BUILDING DEPARTMENT -, SETBACKS FRONT Z; _ REAR �-i LEFT SIDE RIGHT 51DE J
Permit 328.LK) THIS PERMIT IS ISSUED SUBJECT 10 THF REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
Plan Check 4U•OU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IIJ COMPLIANCE
'!WITH ALL APPLICABLE CODES 4ND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS SEPARATE PERMITS R�OUIRED FOR SEWE LUMBING AND HEATING.
State Tax �.soc I I •'ILl ; /1
/ '
i�0li.00 4;&
P 70
SDC— / `
'-- PDCMZ lb(J.UU R AGENT
Prepd. 4 U.UU
Receipt No. ADbRE88 PHONE
Bal.Due __ 341.12 -. - -
Issued By ADproJwd By
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Wit,s� Contractor
Permit No —L
Fixture
Z ( ---.2Final
s� K2ta-t HEATING
Contractor
Pewit No
p 6" iii �` — /�' Gas or Oil
Rough in
1 v►� f�e�+ Final
I
SEWER
Final "
DRIVEWAY
Final
J Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
9• Lendacaping
�_ _ Zoning Final