12920 SW GLACIER LILY CIRCLE-1 1.2920 SW GLACIER LILY CIRCLE
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested — �. — Time —.�_ A.M. P.M.
!address 1�-- —. Permit
Owner — ---- Lot .0 . .___..
Builder ,__----
The following Building Code deficiencies are required to be corrected:
Presented t^ ------- ------- L ^spproved
nspecto C711 [1 Disapproved
-- - .
Date --�
CALL F0 REI:PECTION
F-1 YES O NO
MIS:(:TT PERMIT
TIM
CITY OF TIGA RD C `T*WRI)j PEPMTT NO ME139t641,41
oetaar
COMMUNITY DEVELOPMENT DEPAR-rMENT
1,4125 S W Hall Blvd P 0 Box 23397,Tigard.Ow9nit 97223,(503)639AI 75 DA �_-. 15SUCKD: 7/V6/E319
1,114 1*M PMT .NQ - W10:11.61114--]
JOU ADDRESS : 1 .-2920 5W (A.-AL;1UP LILY 03,1410 L
TAX MOW/LOT SUD: L..T FIR
LAND USE
LOT SIZE:.,
I TI M NO N(J :
WORK U.ASS: ADDIIJON FLJPNACE <100K AIR HANDI-W (10
OISE TYPE: SjINGLE FAMILY FURNACE 1.00K+ AIA VIANULP 1.0K
CONST .TYPE: FLOOR FURNACE, EVAP .Cool F.A.
(A:371-1113 . CRP. HEATER VENT FAN
VENT VENT . 5YSTEM
13L.R/COMP (31-11:) 1. HOOD
No . STOPIES: OLA/11:11UMP I:NC :ENF.'-:r4A*I'E1P(DOM
DWEI-L.UN I TS Hl P/COMP 15-301-1r) T.W.INE'RATOR I(7(:)M
I. UEL TYPE F-41 R/CUMP 30 501-IP REPAIR UNITS
MAX . INPUT BL.A/COMP 504-HP OTHEP
FIRE UMPASI? GAS PIPING OUTLETS
mv"1-4 PPESS.?
LOW PRESS7
PL-"M,-.PKS :
INSIALL. AIR CONDITIONLP
FEES:
0
W HENSLEY PERMIT $ 1,0 00
N 12900 SW GLAGIA LILY 1'1. AN WEVIr--'.W
E - *6 00
T*I GA P D 111P SVIR23 1- .'I'.X TUPES
Fl
STAT L: TAX !11 . 80
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1 (503) 692-4320
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14F.A.vISIPATION NO. 380e6 TOTAI $16 110
RECEIPT NO. 1OV7-5-9'
This permit Is i,sued Subject to the regulations contained In Title 14 .......,•,,,,,,,,,,,,,,_,..._,.,
of the TMC. Sate of Oregon Specialty Codes,zoning regulations RL;:.-.QlJIPED INSPECTIONS
and all othor app:! able codes and ordinances, and h Is hereby FINAI
-,greed th;.it the work will he done in accordance with the plans and
specifich ns and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have Current city
business tax perm-ts This permit will expire&nd become null and
void it work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be t'ie responsibility of the permittee to IFIRSUre
all required inspections are requested and approved
Permit UTV
1991.1ed BY I-Ws mrT rm-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 //�� �
Type of inspection �/LC�li1►� .� . �G L-J �—
Date Requested_ 2 3 Time `'/A.M. P.M.
Addressz 9�a �r,, , Permit
Owner 6� t��s Lot #—--
Buiider
The following Building Code deficiencies are required to be corrected:
Presented to _ _ ��/
I� Approved
�J Disapproved
Date
CALL FOR RFUNSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
a _
A
P O. Box 23397
� Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— Q 2' y /Time_ / A.M.. ��. P.M.
Address _j I a U ��� p AC NA (..�_�'w,/ permit
Owner—/ \ VW'� �- T
��1._.Ic_._--------------` . Lot #--- -
Builder
The following Building Code deficiencies are required to be corrected:
�—
Presented to
F1 Approved
Inspector _ _ Disapproved
Dote i •r 9 s
CALL FOR REINSPECTION
.F,e YES C) NO
1 /✓ INSPECTION NOTICE
' City of Tigard Building Department
P G. Box 23397
Tigard, Oregon 97223
Phone 639-41775
Typ9 of Inspection
Date Requested Ticne_—.—__ A.M._ P.M. p
Address .__./25 �.-11---- Permit #
Owner ---- -- - - G -a�. .Lt: Lot #—.—
Builder ----
The following Building Code deficidncies are required to be corrected:
-roci 7 T
Prelented to _._.._—�_ F1 Approved
.01 i
Inspertnr ----- Disapproved
.—s
Date
CALL FOR REINSPECTION
[/YEB 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97213
Phone 539-4175
Type of Inspection —
c"
I(`J Z-Z t� Time_�A.M. P.M.
Date R,!g1aested
Address _'1 q =-- Q �I .Permit
Owner_►
Ct ^� �]o.. � �.� � _ Lot #
Buildw
The following~Building Code deficiencies are required to be eorreated:
�T
Presented to _ _^�..w/--� — ❑ Approved
Inspector _ ^t Disapproved
Date
CALL FOR REINSPECTION
OYES ❑ NO
r r WIN w r r r
INAM
INSPEC;ION NOTICE
City of Tigard Building Department
P O Box 23397
'Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ---- '1.—_---- -_-- f
—
Date i?eque3ted i U Time_ ._ A.M.._—__P.M.
Address i 9 2 4:±_� PermitOwner Lot� - —__ Lot #
Builder
-i-he following Building Code deficiencies are required to be corrected:
:-.�"'F�o,�,T' vr�.l�:�F/�•' ��. w1 � ..-C�'- STs./r" -'
7.�t�Z a�tl1C.)�.. .��A/���.7F�•. ary/t.� GSL L� L C.� Av"E� i'����
Presented to __. ❑ Approved
Inspector _..-_ _ —.� Disapproved
Date
CALL FOR REINSPECTION
't Y F S 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _I!CtNyl2lr�cl _
Date RequestedG __ Time__.�,GA.M._ P.M.
�� / Permit -Address o 4 _
Owner — Lot # ��
Builder -----
The following Building Code deficiencies are required to be corrected:
_fit �-,�=� •nii7 I`LL _ t fir.
177 I' r= r` i r-- -,
rw' A nl c r ic' c i\' ir4 "T tii/+ i 'Z 7)zoo rrs
x t' Z-e.. _/1 -1 '"S., -` iV -
Presented to ❑ Approved
Inspector tf-
Disapproved
Date _
CALL POR REINSPECTION
,Zl YEs ❑ No
AMI L
INSPECTION NOTICE
Clity of Tigard Building Department
F.0. Box 23.397
Tigard. Oregon 97223
Phone: 639-4175
TYPP of Inspection
Dote Requested--_
_ 15—.— Ti A.M. P.M.
Address—L,2Z LZ-D-- Permit 4"
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected--------
!edl—
P-p
Presented to - F] Approved
Inspector E7 Disapproved
bale
CALL FOR REINSPECTION
8 0 N 0
CITY OF TIGARD MKCHANI.CAI, PERMIT
Permit At_'V32 ?
..Lty of Tigard
13115 SW Hall Blvd.
QTY PaICa AMT
11.0. Box 23397
r °0A w'd""1`.r c°°_-- - -
Tigard OR 97223 f
b39-4175 L) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
Furnace to 100,000 BTU
1) incl. ducts& vents__ (_0 [ (rrl
2.) Furnace 100,000 BTU + -
Name of Development !ncl, ducts& von,., _ 7.50
q _ 3) Floor Furnace - ----
AdAtva• 6.0
Job �t 1 C.�- incl.-vent
---------___.�—_- - -- -
Address Tax Lot Map o. 4) Suspended heater, wall heater
or floor mounted heater 6.001
Lot Block Subdivision 5) Vent not incl. in
NameLAename of twalness) appliance permit 3.00
C v oc t ":L' I -- -------- --
M•Illnq Address ►'tone 6) Repair of heating, refrig.,
Owner — cooling, absorption unit 6.00_
ZIP — �7) Boiler or comp to 311P
absorp. unit to 100,000 BTU_ 6.00
Name 8) Boiler or comp to 3HP-15HP
absorp. unit to 500,000 BTU 11.00 -
.ilina A,Jdress (hone 9) Boiler or comp 15-30 HP
absorp. unit Vz-1 million 15.001____
Contractoryryya1e --- - ; — 10) Boiler or comp 30.50 HP
absorp. unit 1-1.75 million 22.50
State neglstratlon No. — City nus. To- No. 11) Boiler or comp 50 HP
absorp. unit 1,750,000 BTU 31.50
I hereby acknowledge that I have reed this application that the Information 12) Air handling unit to
Qlven 1e correct, Meat I am the owrW Of authorlted agent of the owner, that 10,060 CFM 4.50
plan* au"tted ary In mMllenre with Slate taws, that 1 am registered with
the State nulldert' Board, that the number given is correct. (If exempt 13) Air handling unit
from State reglehatlon please give re Mon belowl- 10,000 CFM + — 7.50
14) Non portable
evaporate cooler 4.50
-- 15) Vent fan connected
_ - to a single duct 3.00 Z
c/ ��„y _ 16) Ventilation system not
included in appliance permit 4.50
Signature o rear or agent) Date
- 17) Hood served by LL
Describe work ❑ addition❑ alteration[] repair(-] mechanical exhaust _1 4.50 �J
to be done residential (a' non--residential ❑ 18) Domestic type
Existing use ofincinerator 7.50
building or property � t-� '' 19) Commercial or industrial
Proposed use of type incinerator _ 30.00---
building
0.00 _building or property-------- 20) Other I.e., woodstove, water
Type of fuel -- oil(] rtntural gasFn l-I'GC1 electric[ l _ heater, solar, clothes dryers, etc 4.50
21! Gas piping ono to four outlets / Z•00
NOTICE ----- - - -
THIS PERMIT BECOMES MULL AND VOID IF WORK OR 22) More than 4-par outlet
CONSTRUCTION AUTHORQED IS NOT COMMENCED WITHIN SUN-TOTAL � V 0
too DAYS, OR IF CONSTRUCTION CIR WORK IS SUSPENOEO 4% SUACNAAGE
OR ABANDONED FOR A PERIOC OF 160 DAYS AT ANY ---- ------ --
TIME AFTER WORK IS COMMENCED PLAN REVIEW 25%OF 8116-TOTAL.
6.3
TOTAL
Special Conditions --___ _ - - — ----
Dale issued -.. - by
�t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _- Time A.M. P.M.
�`S
Date Requested__ - �
. Permit #_
Addi ess C ..3Lr.� C" Z... y"
Lot # _ _ —
Owner_ —
Builder —
The following Building Code deficiencies are required to be corrected:
.,� - \� 4:.012 vti - ��L ►-� F�—
L
Ga ni 2�- •.g ,n/ h 7' -rte
Approved
Presented to __ - -
Disapproved
Insper.,tor - — �
Date ---
CALL F'OREINSPEC"""N
YES 0 NO
CITY OF TIGARD 639.4171 6208
BUILDING PERMIT DATE .�'�19 dl�
TAX MAP LOT NO/9____SU8DIVISION,A{mimert,3'�P
OWNER 1`.4@ l.uwams Const. Co. JOB ADDRESS 12920 Sri Glacier Lily circle
BUILDER Os oSTATE REG NO. -4 75 16 _______EXP.DATE— 4-1—ts1
BUILDER'S PHONE55U
ARCI"TELT _--_ PHONE OTHER
SERUCTURE 4J NEW C I REMODEL ADDITION L! REPAIR MOVE OTHER i! DI-N11 I i II
RESIDENCE rl comm EDUCATION IND 1 I RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE tthL BLDG.TYPE �14 FIRE ZONE PLAN CHECK BY i,A HEA F
t.unatrur.t single f-.,,Ily dweiliug w/attached garage, all per ,ayl;.royed Flans.
:;ubject to o5 code review. Subject 00 Amart•-$36U alld LQron—$15k) sewer surchar.geb.
SEWER PERMIT N 2915/2 t lrldtl J Oath. 11 trues clarat,e a r ext 5uu
OCC.LOAD FLOOR LOAD 4V HEIGHT t.0 NO.STORIES AREA 2SuS NO.BEDROOMS VALUE`
_ BUILDING DEPARTMENT___ 'IFT BACKS FRONT REARI 5 r LEFT SIDE ti RIGHT SIDE
Permit THIS PE 1MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CUDE, ZONING
i 1 91 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1H ;
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS .AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire_ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�TA$PERfMIj8.�j�ARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State TLx 11.72 SDC— E?'�0t TUU —
__ c. ..--e +SCS'--- --
Total 746.49 C APPLICANT OR Aa�T
Prepd. 1U0.U0 PDM 150.00
_R648*09 Receipt No{ 7 ADDRESS
Bel.Due _
Issued By.. —._Approved 9y
.,.,.........a,w.a......wrrr.w..w...e.wi :. _.,:..,w rura,.._,.,... -w....yrc,...r:.w.,._� .__.... y,..mss.,..,w.m...,.,:,w.r.W,_..*wL.,rYr-arq.....e..._.,.,_....._- -_....._..r...+..r..�.--. ,` ..., ..a.w.... ....n.Lw..ra....
r ,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
.r� -�.g•i t-�� Contractor CI�%1L 52 2 S 4
rN
' Rough-in
..�'_ r tr:y=z Fixture
Prd ._ �O,_S. N
Final —
«, 4EATING
Contractor—
Permit No
/>•2 t f � /C- �n�S/-? _�"t/= r�_ �'.r' Gas or Oil _
Roush-In
Firial
SEWER —
Final y fl, ='
DRIVEWAY--- —
Final
Slorm Drainage
(Rain Drain)Final
— -- ------— Sidewalk
Curb 8 Street Final--
— — Approach --
BLDG.DEPT.FINAL COCCUPANCY CERTIFICATE OCCCUPANCY Final
CERTFA7E UPANCV
Landscaping
7.oning Final