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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Otegon 977'73
Fhone. 639-4171
Address permit
Type of Inspection
The following Building Ccde deficiencies are required to he corrected: Zl *
Presented inspector
Datp
CALL FOR REIWECTION
C3 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Departme-i'
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171 1
Address. — — — -- _-- ,1—�..flt. ---•�G -- Permit # ---------
Type of Inspection ._. ------ - --- t— � - ----The following Building Code &ficiencie9 are rtquired to be corrected: —
Presented to __ _ -----____._.. _-- Inspector _—._------- -
Date --. ` %8 Q/ _
(ALL FOR RE 11 GPECT/ON
❑ YES ❑ NO
BUILDING DEPARTMENT, TIGARD Lr 0
i
PERMIT J.� •
ZLUMBING
' holder of a valid plumbing contractors license is hereby
authorized to muse plumbing work as here; notec; to be nstall.A in accordance with the plumbing code of
Tigard. Such installations require inspecti3n by the City I ispector who shall he notified not less than four
(4) hour; prior to the time the installatioi re ready for inspection. City of Tigard Business License required
ft,- all ccAtrartors
land syb•contractor . /
7 L �'" Address
Date_ .�
Owner — ------
j' / NUMBER OR TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only
1.QF TIAL
Single Family-1 bark--oath _ _25.00
Ouclex-Each 1 bath unit
Additional bathroom%-oactr - 10.00
Mobile Nome Space-each _ ,- - 15.00 —
INt`I_v_I_DUAL FIXTURE FEES
1 to 50 Fixtures in 1 building-each 9.00
51 to 100 Fixtures in 1 build�ch 2.50 -- --- _� --_.
101 to 200 Fixtures in 1 building-each 200
201 or more Fixtur!s in 1 building-each 1.50
MISCELLANEOUS _ --
Building Sewer-•1st 50 It. 10;00
Sawer•-each additional '100 ft._ 10.0_0
Water Service to building_= �- _ 5,00
Private Water Systems-each 100 ft.-M 10000 _
Other f5 ecil 1: --
PERMIT ^� For Plumbing Inspection Phone 639.4171
26 State Plumbing Contractor By
I
a�
Is
1'tew trt_:allation: x c Replace ❑ RelocationE] Addition Alters+ion Q DATE:
HEATING Imperial Mech. Dave ]•mi!i_-tt
CONTRACTOR OWNER _
ADDRESS hU Box 06327/97206 JOB ADDRESS 13045 SW Crant Ave. _
PHONE 777—aRt1J _- APPLICANT Tmpp-ri a l Mar•li_
Heat Input liating(STU per Hour) 45 , 000 Vent Size " __ Flue Size
FUEL OIL GAS L:J ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
,or Issuance of Permit _ SEE BELOW _ Each Air Handling Unit or Duct System 7.50_
New-up to & incl. 100,000 BTU _ 6.00 1 Commercial Hood System 7_50
New 100,000 BUT's & over 7.50 Other E uip_m_ent - Each _ 4.50
Woodburoing Stove_ 4.50_ 1 Trip Inspection _4.50
Wall-Floor- Suspended 6.00 Air Condition Compressor - up to& incl. 3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Gornpressor-:1.1 to 15. H.P. incl. 1 1.00
I1Cpaip Flea.Ccc!irg 600
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: _
FEES Si' CID
SUB-TOTAL
% STATE Issued By
25%PLAN CHECK --�—�
i
.4
BUII-DING PERMIT APPLICATION TIGARD DATr--__-__ 't — » �1 3604
THE UNDE14SIGNED HEREBY APPLIES FOR A PERMIT F_)R THE WORK HEREIN INDICATED BUILDER PHONE _ 641-0943
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO. 1—Uinsoms Terre
OWNER .3yu E.rfifnl•rLt JOBADDRESS I.1i(145 Ski 6ik isnt Ave-illuu
ARCHITECT
ENGINEER
BUILDER SOME) ADDRESS L-00 FU Murray, Bvtn. DESIGNER Larry Taft
STRUCTURE 14 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[!(RESIDENCE O COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PArIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY F7' 3 LAND USE ZONE A'^_BLDG.TYPE 5N _FIRE ZONE— r PLAN CHECK BY d61f1 HEAT y8s
Construct single family w attached garage._ 4 Bedrooms 1 Baths. +-
SEE CORRECTION SHEET ATTACHED.
SEWERPERMITk 23273 S750•00 ,.aga 43
OCC.LOAD FLOOR LOAD _ 40 HEIGHT_ 12 NO.STORIES AREA l 1 2_ NO.BEDROOMS 4 VALUI649,QUO
BUILDING DEPORTMENT SET RACKS FRONT REAR LEFT SIDE n RIGHT SIDE `ifs
Permit 184.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
l Q�) REGULATIONS AND ALL APPLICABLE CODES AND OgDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
27600 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub .
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND i1EATING.
State Tax `'1 7. 3G
Sou-- S400, 00
Total l,.,i,3b _
--- pl PDCI► I 5100.00 -APFLICANTORC„FN1 —
By
Approved
duh Recelpt No. 7 ADDRE85 - - --- PHONE
9
DATE INSP. TYPE INSPECYION REMARK, PLUS GING DATE
Contractor
Permit Nd.
Rough•in
Fixtuwe
Final
HEATING
Contractor +—
�y/ Permit No.
Gas or Oil vV
R ough-i n
---- — � Final -
SEWER
-- -- — Final
—� DRIVEWAY
Final
Storm Oreinagp
(Rain Drain)Final
— � Sidewalk
Curb&Street Final
-- — —•--. —� ..__� Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP CV Final
CERT(FICATr OCCUPANCY
Landscaping
Zoning Final