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INSPECTION NOTICE
City of Tigard Building Department
,? r G dTztin P O Box 23397
V(/&S //1/ WPVC7 Tigard, Oregon 97223
5'PAT-- Phone. 639-4175
dt4- r
Type of Inspection ____.--_.. _ � r -� [J ` Oki_
----
Date Requested__-__ __—_// Time_L L __ A.M. ----P.M.
r�
Address A ___ 1.4`�—_�—. Permit # ?F
Owner _ _ _ Lot
Builder
The following Building Code deficiencies are required to be correc'ed:
Presented to __ ______ --._ _______ 1I /approved
Inspector __.-_- __---- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES LJ NO
�w w
INSPECTION NOTICE
City of Tigara Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone::,63.9-4/175
Type of Inspection __ �� ►�l�`—.---..---
r �
Date Requested ' 1 I Time A.M. P.M.
Address Permit # -7
Owner —__-- -- Lot #
Builder -_.--- __- - V / 6 C-" `� )
The following Building Code deficiencies are required to be corrected:
Presented to / I Approved
Inspector Disapproved
Elate —
CALL FOR REINSPECTION
97'YES ❑ NO
CITY UI' TIGARD PLUMBING 13125 94 fbU
hold
rbircaPERMIT Ti�aakWW
s rkmull Om" scep!shafion b curlduci a plurrlbinM 639-4175
rxrriness a lrAM be propmty owrw;/operator not hiring onside help.
N.nv1 of M"toprnsrtt - �/22S—
PlumbrnK i'ermll No. 7✓
Address
Job lel � r ORS 114.21 1410 AUAN. MICE AMT
Tax Lot Map.No.
Address
Col 81xk Blbdirls►on —� FIXTURES
Sir*
a nomo (sys 7.60
Tub or TubrShower Comb Z S0
-
7� Shower Only - 7 50
Owner
or Z'
WalsrCbsel _ - - 750
77..g Dishwasher
Gaftgs Disposal
Name ¢ J G/ Washing Machine 1 Sp ?fe
Floor Dram 7 bo
ar.f.9 ress Phone Water Healer _ - 7 SO 7
Occupant %Sti � zip -- Laundry Room Tray - 7 50
Urinal 7 50
Other Fixtures(Specify) -- 7 so
7.50
?so
Contractor ?5q/State zin _ 750
MISCELLANEOUS
Buis Tax No Sewer I at 100'
3000
AW Acw� oF7� late -[W--WoS+.w+ea Addrt 100 - - — 1500
_ ( .'1 ,n Wolof SerAos 1 at 100 _ 20 00 Ll,
I debt'nde+olstad9l M1af I how read t%s vppaeidlon,"the Wilonvigbon WaW Service ea.Ad*t.2M' 1600
Oven b oontd,tis I am nplabred-+Mt rw Stale Bu bees Board,and also Storm i PAIn Drain I It 100' -- -- 3000 _
fsaMa a slat.Pkrertbkl0 kvrv»,ul Mw rru W, plum aro norrect•Mut all —
ptlnrttwV work wN be done k,aocorv.-ros with applicable peovisk. of ay. Storm&P*jn Drakt Addle 100" 1500
Son Revised StsUaae Chapwrst 447 and tsM3 and appscable oodaa and Mui Mobile f
no heip wM be Wrpbyed ises It wwW under ORS 603 (11 exarrlpt ham _ Spm -- - - !6 00
M
Stele re9letrtalon,0-0 ,IM rpeaon below) Bark Flow Preyv*on
M AEOV**tS-I twm ly owoy Mtaf I am"owner d the property de- or Ant Pakie rt Devoe - 7 60
nat>ad aboM a/aNdol la aMon 1 polwea to mrtw a pllsrt11r1p klaleMarkn kw Any Trp or Wawa Not -- --
MY Darn um and Mrs poper9y is not b*V cnnswutftd for sale,We"or rent an It 4 soe Rrnes T.60
CafiohOssln _ Iso
Inp.of ExW Pkort mV 40 00 Per w
Wqur ad kispoeb" - 40.00 Per►u
— --------- __—�_- -___ Aaw ofNklnsbktpwW6
an F-Ws k ------ — 16 00 mrr,
AUTHORIZED ll1Q,NATw+F — - t)aa N_-864 or&M AdMon MOD t>71tn
Otsactrlba wxk rlavv odctltbn�� a0vre0on❑ repak[-I i+e]1 if-9 / MOU +- —
_-_—�Malear►dal�"_ ncxl�ll nttiil_1-. -- --- ---_ _
ExitM v we of
btA or propo tr _. WJ
__ .._ fi.irk ✓/T
�w
TMI pflltti/0001 ft 1111 and void a =fV hrlMon euMertaad r Rel tion
wnreaela�rM11t10 �
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a �*AR N owrlx+Mon a wakM w+apartAad a abMnderoad to
1 ap at WW Mss Mer"A M cMlrlMMd
MyIIYAL QW011IofllM
CITY OF TIGARD MECHANICAL PERMIT
Hecetpl* �` 'l_�
Permit f/ ���(//,r �,�_
pdon
Table 1A MleeMnIe l Code OTt/ MICR AMT
City of Tigard -�
13125 S.W. Hall Blvd. 1) Permit Fee0- -0- 10.00
P.O. Box 23397 --- _
Tigard,OR 97^23 2) Supplemental Permit 3,00
639•4175 Furnace to 100,000 BTU i
1) Incl.ducts&vents 8'W (� -
Furnace 100,000 BTU +
2) incl.ducts&vents 7
Name of Devekvmerrt _ - 3) Flora Fumaca-- —
Y/ 6 al
incl.vent
Job Aklress Suspended heater,wall heater
Address // ;'Sj �1a` 'lp v 4) or flour mounted heater 6.00
Tax rm Mar,No. Vent not incl.in
I.!! Blod Subdivision appliance appliance permit _--_ 3'00
M3rm(or name of business) 6) Repair of heating,ref r Ig.,
��-C�` _ cooing,absorption unit 6.00
Owner Malkil;Address f'ftoneBoiierorcompto3HP
7) absorp.unit to 100,000 BTU 6.00
G,ylswte i Zip —--- Boiler or comp to 3 HP-1511P
8) absorp.unit to 50J,000 BTU 11'00
Boiler or comp 15-30 HP —
_ aLsorp.unit 1/2-1 million 15.00
Mawrw Address — Pftorte--'--` 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor cnyistate — — -- Boiler or comp to 50 HP
1 t) absorp.unit 1,750,000 BTU 31.50
State nagi"k),Nu. -- -� (,fly Rus rax NoAir handlingunit to
17_) 10,000 CFM 4.50
I hereby ock+o'Mdps that I have read nNs srlrNk:atton that the intonnatkxt gf"n Is 13)`A0000 CFMir hai idling
7.50
oared,that f sm Cu owner or suftwlzerl ausm of the owner,thnl plans aubmltted are in , _
eorttpisrm with stab taws,Cut I em mglstered with the State Buklerf'Board,gist Cu Non portable --
rnsnbw even IN career.(C"WrO from State registration phase give remn below) 14) evaporate cooler 4.50
-----------_---- --- __-- _ -- 15) Vent fan connected 3.00
to a single duct � �-
—`-- ----�— - Ventilation system not
16) Included In appliance permit4.50
Wood served by -- �1
17) mechanical exhaust__ 4.50 �� t
(owr w 01 M Date Domestic type
Describe work nct✓ addition ❑ alteration 0 repair Ll 18) incinerator _ 7.50
to be done __residential 5& non_-r'esidantial L Commercial or Industrial —
Existing use of --� 10
O 19) type Incinerator -_ 30.
building rx property .----_ 14._ —_ 20) Other i.e.,woodstove,wets; — -- -- 4.50
Proposed use of _ heater,solar,clothes dtllers,etc. _
building or property-_--.-- — 71) Gas piping one to four outlets 2002 -
—
Type of funs- oil H- naturalgas U LPG [ I electric (] —_
22) More than 4-per outlet
THIS PERMIT BECOMES NULL AND VOID 11" Wont< OR
CON-8U!!-TOTAL L n `gcSt
STRUCTION AUTFIORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE /, '13
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ASMDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WOPtK 13 OOMME"CED. TOTAL I=(- 3,1-,.71
404dal Conditions--_-__-_ _ 2, v
-___ Df le Issued �__ _. b ����
4 8
BUILDING PERMIT APPLICATION DATE____;;_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEIREIN 'NDICATED BUILDER PHONE ?d,f ...&W'13
OR AS SHOWN AND APPROVED IN TH C ACCOMPANYING PLANS AND SPECIFICA MONS. OWNER P ONE_
LOT NO., GAT
OWNER 11. Moriseette JOBADDRESS li /�- -SW Cia1.1.0 AvEi. _ 1S134DC ]filXri
ARCHITECT
Pla ENGINEER Tri-City#1
BUILDER ADDRESS _ DESIGNER
STRUCTURE [I NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
K RESIDENCE 0 COMM ❑ EDUCATIONAL C GOV't ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY R3_LAND USE ZONES K BLDG.TYPE _5N FIRE ZONE _PLAN CHECK BY ETW_-HEAT._
Construct single, family dwelling w telch gernge, a12 �r,$nornti�ed�yI Iz.
SubiACL t0 85 CQ4o- _� *
SEWERPERMITM 3: 441 ( 1(3_aL;? ta, th. 8 tr_1� _y7 slrJe 440
OCC.LOAD _FLOOR LOAD 40 HEIGHT _ ZGNO.STORIES 1 AREA 112%0.BEDROOMS�3 VALUE !)3.000
BUILDING DEPARTMENT _ SFT BACKS FRONT 21 REAR � �' LEFT SIDE In RIGHT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
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 APPLIC^BLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTI'.'►' COVCNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1.(:r.�8 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC - (000.u(I
Total
-- _
PDCN ry D�nQ APPLICANT OR AGENT
By 00 _
Receipt No. ---------.—__._._--
Approved g ; PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
(3
Permit No, Li
Rough
Fixture
ej Z' Final
/Ls— HEATING
Contrsctot&�A���
ep 'iUr Permit No.
Gas or nil
<
Rough-in
f Final
01SEWER
Final
Final --
DRIVEWAY
Storm Dreinap
(Rain Drain)Final
Sideywatit
Curb IN Street Final
Approadh
VERi. DEPT.FINAL _CEWTInCA7TE CC -AN-C.N'
OCCUPANCY Final
Landscaping
Zontig Final