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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Qi egon 97223
Phone 639-4171
Address- Permit
Type of Inspection - ------- ---------��=The following Building Code deficiencies are required to be corrected.
--- —L -.6X6--
Presented to _ Ir.-pectot
Date -----
(ALl_ F0.4 REINspEC'TION
Cl YF,S 0 NO
r r r �► r r r
INSPECTION NOTICE
City of T;gard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address _/_s � �l , Permit _
Type of Inspection
The following Building Code deficiencies are required to be corrected:�y
Inspector
Date --
(ALL. FOR R&AISPEMON
�y,..�. ...4",,,,. 0 YES Q No
INSPEPT10" NOTICE
City of Tigard Builoing Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit
Type of Inspection
The following Building Code deficiencies are required to be (:)rracted:
Presented to Inspector
Date 1/v7s..
(ALL FOR RVAUECTION
0 YFS C1 NO
11W,A
1� BUILDI G DEPARTMENT, TIGARD O
PLUMBING PERMIT N' c
f holder of a valid Plumbing contractors license is hereby
authorized to cause plumbin ark as her, 1 noted to be installed to accordance with the plumbing code of
Tib,rd. Such installations require inspection by the City Inspector who shall be notitied not less than four ,
(4) hours prior to the tima the installations are ready for inspection. City of Tigard BusinessLicense required
for all tors andAub-con
Job
/
Owner "tr im4ddress- atl _ ..ctlt.-
NUMBER of TO'r.L
TYPE OF PE- IT ITEMS FEE ON EACH Ai116UNT �
y�$lO T1A L
Sinaie Family-•1 bath-630 25.00 ♦Qn �'
Duplex—Each 1 bath unit _ 25.00
Aaiitional bathrooms—each 10.00
h13b0a Home Space—each 15.00
INDIVIDUAL FIXTURE :IAL _
1 to 50 Fixtures in 1 building_-oach 2.00
51 to 100 Fixtures In 1 building—oach _ 2.50 _ J
101 to 200 fixtures in 1 building—each y 2.00
( 701 or more Fixtures in 1 building—each _ 150
t.11SCELLANEOUS _— _ ��� --'� � _ •—__._
Sewer—each additional 100 ft. _ 10.00
Wa:er Service to building_ 5.00 _ X-17
OV er (SoaritV)! _ ,J
PERMIT7 vl For Plumbing ln.,pertion Phone 639.4171
413;State 4, 60 Plumbing Contractor By � 121 Of r
l TOTAL RECEIPT NO. Issued By _ -
City of T!o a"'d Mechanical Permit M FQ��t
__ ___
w Instillation R Replace ❑ Relocatiun Addition Alteration ❑ 4%Stag_
HEATING �� TOTAL—r—
CGNTRACTO�dr 4CCcz
O',VNEE o
A!SDR WORK ADORES�e
PHONE APPLI"ANT
Nflu
eat Input Rating fBTU Per Hour)�(��J Vnnt Size line
I U E L OIL ❑ GAS El ELECT ❑ OTHER_
ITEM NO. FEE T -- ITEM NO, FEE
Dor Issuanre of Permit GE ABOV?, __ _Air Condition Compressor 15 to 30 HP_ 10.00
Naw-up to & ittc 1.100 r 000 BTU _ 4.00 Air Handling 10,000 CFM
3.00
��aw.106—,0 0-1 BTU 3 & over —'--5.-00 Air Handling Over 10,000 C.=', 5.00 `
Flcor Furnace 4.00 Evaporative Coder 3. 0
4Nall • Floor •Suspended 4.00 _ Range Vent Fan _ 2.00
Install Vents Only 4 2,00 Vent System 3.00
F'eoair • Heat& Cacling y 4.00 Hood Commercial 3.00
Air Condition Com_pras,or Under 3 HP ----4-00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50 '� — T
IN--•PECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
/YPPOVED BY DATE ISSUED BY
DATE
gFCEIPr NO.
��� Signature of Applicant
BUILDING PERMIT APPLICATION TIGA11D DATE
3396
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE u41-0943_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE��,__ _
� err.
OWNER D�aVe LMIT18tt JOBADDRESS10435 SW Grant Court LOT NO. Winecmn j_
ARCHITECT
ENGINEER
BUILDER 91i'me ADDRESSL3Q0 SIA Murray, 0vtn. DESIGNER
STRUCTURE X NEW ❑ REMODEL F.1 ADDITION C1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 11 DEN'OLITION
0 RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 173 LAND USE ZONE F;"7_BLDG.TYPE _5N FIRE ZONE PLAN CHECK BY —"W HEAT------
Construct
EAT—__ _—
Construct single family duelling w/attachea-J�crar!!9e. _ ,3 Searouma 2 Baths.
SEWER PERMiTM 22042 - S7bQs Q0 -- —"- uprage 480 sq. . f t. `.
OCC.LOAD FLOOR LOAD _HEIGHT _ NO.STORIES_ AREA 11b3 NO,BEDROOMS :5 VALUI
BUILDING DEPARTMENT SET BACKS_ FRONT REAR LEFT SIDE RIGHT SIDE
Permit X191.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE DUILDINQ CODE.ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 9`- tan WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH AL1. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FECIMIT DOES NOT WAIVE
Subtotal 2136.50 RESTRICTiVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CJRRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMB.NG AND HEATING.
State Tax -'�,� 7.54
SDC 40U.L11.)
Total '�4 PDC# .1 5100.00 APPLICANT AGENT
By i�j i
Receipt No.
Approved r3 tla AbbREt9S PHONE
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor /
Permit No. —� Its /.
4-]x"30 sl i w�• O�C ___ ----
Flo-,;;h-in --TJ
Fixturr
Final
HEATING
Contractor -r
Permit N- y1 —?o
//-24 Gas or Oil C
kl 6o? iU�(� /�. T— _ Rough in -
'Ctk' lP /✓A_� I-.7;r AFinal
SEWER
_ Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Side lk
Curb&Street Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAXf.YFinal _
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final