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INSPECTION NOTICE
City of Tigard BL ilding Department
P.O. Pox 23397
Tigard, Oregon 9722.3
Phone: 639-4175
Type if I n s P e tie '� �
de
_ t
Date Requested (�_. rTifna M•.J�/P.M.
Address ^-�' �-' E Permit
Owner — - G
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _ _. Approved
Inspector ( �'�'i r� Disapproved
Date -
CALL FOR REINSPECTION
Cl YF$ d NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97.123
Phone: 639-4175
Type of Inspection
Date. Requested Vell — Tlrre_ .__ A.M.----- P.M.
Address / s 2_ t __-.--- Permit
Owner Lot #- --- - —
Builder —L � - ---.--_ ,.---..--
The following Building Code deficiencies are required to be corrected:
r'
-- - -- _
Presented to
Inspector /�•-t ___ - _ ❑ blupproved
/ Z / �-
Date
CALL FOR REINSPECTION
[] YES I.] NO
FA
/ MECHANICAL PERMIT
PER
RD cny MIT NO. : ME892611
0
COMMUNITY DEVELOPMENT DEPARTMENT oM.o« E ISSUED: 12/ 7/89
19125 5.W Nell Hivd.P.O.box 23397.Tigard Oregon 97223.(503)639-4175
— ----__-- P M.P 892611 _
ION ADDRESS: 13220 SW GENESIS LP
TAX MAP/L.Or SUB: LT: BK:
LAND USE:
LOT SIZE:
ITEMt NO: NO:
WORK CLASS: ALTERATION FURNACE (160K AIR HANDLR (10
USETYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. . HEATER VENT FAN
VENT VENT.SYSTEM
BLR/CUMP (3HP HOOD
NO.STORIES: BLR/COMP 3-f5HP INCINERATOR(DOM
DWELL.UNITS: BLR/COMFI 15-30HP INCINERATOR(COM
FUEL. TYPE BLR/COMP 30-SBHP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
—_LOW PRESS?
REMARKS:
installinq qas water heater
O FEES:
W ionathon h. korbin PERMIT
N 13220 sw genesis lip PLAN REVIEW
F tigatrd or 97223 FIXTURES Rf,„CFI
PHONE (503) 684-7915 STATE TAX 4.83
OTHER
C
O
N
T GEO. MORLAN PLUMPING CO.
A 5529 SE FOSTER BLVD.
A
C Portland or 97206
T
PHONE (583) 771-1145
R RESISTRATION NO. 26-60pb TGTALtt 1111;'.33
(/ �j
T' RECEIPTnis permit Is issued subjec!to the regulations contained in Title 14 / 7
of the TMC. State of Oregon Specialty Codes.zoning regulations ���---NO.
—
and all other applicable codes and ordinances, and it is hereb,r REQUIRED INSPECTIONS
agiend that the work will be done ire accordance with the plans and GAS LINE
speciflcalionq 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 FINAL
business tax permits This permit will expire and become null and
void if 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 the responsibility of the permittee to assure
all required Inspections are requested and approved
0�11
Signature
Iseued Hv
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
l City of'rigard Building Department
f 12420 S.W.Main St.
Tigard,Oregon 97223
one: 639.4171
Type of Inspection — ?�
Date Requested _� I I ' Time A.M. P.M.
Address ___ / w7�3f)
Owner Lot #�
Builder _-------__-_. _ --The following Building Code deficiencies are required to be c�xrect d:
7 �
J� I
Presented to +–'.- ❑ Approved
Inspector XDisapprovedDate //--'`G f�
CALL FOR REINSPECTION
AIM O NO
nn
INSPE.;TION NOTICE
City of Tigard Building Departfrc; t
12420 S.W.Main St.
Tigard,Oregon 97223
P ne: 639.4171
Type of Inspection __—
Date Requested.___ A.M.__./�-P.M.
Of
Address _ I.CJ - __ lermit
Owner ot
Builder — ------ — —__—.—�The following BuilJing Code deficiencies are required to be corrected:
Prer rted to --- --- ❑ Approved
Inspector 'VDiapproved
Date
CALL FOR REINSPECTION
L-1 YES 0 NO
BUILDING PERMIT APPI (CATION TIGARD r-ATc _► Ust 2f3 _tg 84 4993
THE UNDEr 'SIGNED HEREBY A.PNLIEr, FOR A PERMIT FOR - HE WORK HERFIN INDICATED BUILDER PHONE W:tt.S3._I
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND GPECIFICATIONS. OWNER PHONE
OWNER Shelburne U@1/Q10 �11bADDRESS 1322u SW Genesis i!-Oq
LOT NO.----__ ;1'GoTu.,s16 IXI
ARCHITECT
ENGINEER
BUILDER Sit _ ADDRESS 155 B Avenue DESIGNER
STRUCTURE 12 NEW Cl REMODEL ❑ ADDITION ❑ REPPIR ❑ RENEWAL D FIRE DAMAGE ❑ DEMOLITION_
til RESIDEN'E ❑ COMM I=7 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO 171 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY lir+ LAND USE ZONE __ R' 7p8bLDG.TYPE _ 5N
-FIRE ZONE_ _PLAN CHECK BY g' `HEAT�4W
_ Cmatrurct single taaily dwelling v/attschad garage.
3 bedroom 3 Bathroom _
SEWER PERMIT K 27148
OCC.LOAD FLOOR LOAD 40 _HEIGHT 111_+ NO.STORIES 7. AREA 1870 NO.BEDROOMS 3 VALUE 70#000.
BUILDING DEPARTMENT-- l SETBACKS FRONT 20 REAR 18 LEFT SIDE 294 RIGHTSIDE it7
Permit 343.Uu THIS PERMIT 18 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE FUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 221.95 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
Subtotal 565.95 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax 13.72v5U�.t,�-
Total 5_79.67 SDC—
PDC# 15U.UU AppLl ANT OR d T-
By _ CZ SSu4 25o.M
Receipt Nr _
`
Approved E1M PHONE
I
I
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING — I DATI[
---
jf�— Contractus --`
CLLR Q �1
-0 Permit No.
... I Roue,-ln
Fixture -
7
— ---- ~— MEATiNO
— >f Contractor
Per
�_ D Gas or OII
Hough-in
Final -
- SEWER
' Final
DRIVEWAY
Finan
Storm Drainage
Wiln Drain)Final
Sidewalk
— --- _—_�^—�`— — Curb&Street Final -
- �+ Approoch
t7LDG. DEPT.FINAL. � TEMPORARY CER7IPICATE OCCUPANCY
CL'RTIFiCATE OCCUPANCY Final
l_an eNcap i'�9 �d
Zuninn 'anal
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