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+� INSPECTION NOTICE
City of Tigard Biiildiny Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
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l Type of InspectionUfJ�I
D.to Requested_.1.LL�n _ 28 ime A.M.__—P.M.
Address - 3 ZS_r/_'—�P � Permit #
fOwner_ -- ---.-- --— Lot #_ G
Builder
` The following Building Code deficiencies aro required to be corrected:
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Presentotl to Approved
Inspector Dise,proved ±
M Date -
CALL FOR REINSPECTION
❑ YES K NO
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misnomer_--
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Citi o 1 1 JLTI rd Mechanical ( ermit N9 Pe:r�it_ -- -5 00------
J Fee A�•dq_
New Instal;a6un A Rv:)!ece ❑ Relocation 0 Addition ❑ A!t'•rat on .J �
-
!/ TOTAL
CO^:TRACTOR _,B cv.R,---- .H, 97i /,F YW C.,_ OWNER
ADnRE-s:,?o/I AtLi _ a C. WGRK ADDPFSS_
r PHONE �t"�-7�� - - - APPUCAN7- 1►r -
Heat Input Racing (BTU Per Hour) P4,06 fa Vent S ze �" Flue Size^ -~
FUEL OIL ❑ GAS ❑ ELECT OTHER -_ -
ITEM NO. FEE ITEM NO. FE
For Issuanceof Perm•t __ _ �� � 3.0_0 _ Air Co-idioun Cumpressor 15 to 30 HP 10,
New• Under 101,003 BTU _ �--�AO-**,- 4.00_ Air Handling 10,--665 Flo
_ 3.
_New• 100,000 BTU & over _1-� 5.00 A_ir Handling_Over 10,000 CFM 5
_Fluor Furnace . 4A0 --EvapLrativeCooler 3 '
Wall . Floor Suspended 4.00 �RanVE-Vent Fan y
Install Vents Only- —� _.�_. W-� - 2_.00 Ven; System �-
_, 3.
Repair • Heat & Coaling _! _ �- �_- 4.0_0 __Hood Commercial~_ � `�-3
Air Co edition Cornpres or Under 3 HP _ Commercial Duc; System 1p
�i%ir Condition C.orri;iressor 3 to IS HP- _ �- - +'7.50
:: -._.� _... .....-..._- -.._..-�:.t'-i':!•.SSS.. ......... —. .... - - _
i..._�.- -_. ._ -.�....__._.__—_ -.....'-)_' ._.-.�-tY•!Y:-....�:�- .�._._11'��...�..a 1.�SY..Y-.Si 4..ww.e•.an-s _�i� 4::^...-�'�r'.�..-..._
INSPECTOR'S COMMENTS„--_
' CITY BUSINESS LICE NSF REOUIRED FOR ALI CONTRAC-f ORS OR SUR'CONTRACTURS
�oPPrW1:r1 nv rATE ISSUED BY C, BATF
BUILDING PERMIT APPLICATION 11T TIGARDOATE
0 F
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO_
OWNER JOB ADDRESS -HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS NEER
DESIGNER
STRUCTURE ONEW E]RtmnDEL ❑OADDITION OREPAIR OFIENEWAL OFIRE DAMAGE CDEMOLITION
0 RESIDENCE El commOEDUCATIONAL E]Gov'T EIRELIGIOUS OPATIO DCAR PORT OGARAGE EISTC)HAGE 0SLAV [:1FENC1
CIBOND OMOVING OCONDITIONAL USE ODESIGN REVIEW EICOUNCIL. APPROVED OSIGNS
OCCUPANCY-- LAND USE ZONE :---BLDG.TYPE------FIRE ZONE___ PLAN CHECK BY-- HEAT_
"!HLET iTTACHEU.
A
QC O1iF1wflL_ 17 95 1— AREA NO,
_aEWQ0MS ALQE
SET BACKS FRONT 32 REAR 11+
BUILDING DEPARTMENT LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SIJBJFCT TO I HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALI+ APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALI.. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
nFSTRICTIVF. COVENANTS. CONTRAC7JR AND SUR CONTRACTORS TO HAVE CURRENT CITY RLISINFSg
State Tax 4 LICENSE. SEPARATE PFqMITS REQUI IED FOR SEWER, PLUMBING AND HEATING.
Total ,:3400 34 q.
By P1
APPLICANT OR AGENT
Ap,wov,ed ,ji Receipt No.
DATE IINSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
C&I'MrA + Rough-in
A,*!"L Fixture
Final
HEATING
Contractor
Permit No. 7,>8 //-,/?-7f
Gas or Oil
Plough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewtilk
Curb&Street Final
Approach
BLDG.DEPT. FINAL Tf.:MPORARY CERTIFICATE OCCUP
CERTIFICATE OCCUPANCY 7CY FI!,al
7-77 Landscaping
Zoning Final