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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection I Al/� / i f) I.A rt -A > `j
Date Requested. TO egi.—_� ! f--^ Time------ A.M. 2yr- P.M.
Addi-ss ��__,f��5 _61Z►' d,' L Permit * U
Owner _ ._ _ Lot
Buil der _A �� I �%< /!V
[ T ne following Building Code deficiencies are req ired to be corrected:
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Presented to _—� [ "proved
!nspe: r r [_� Disapproved
L1AtL
CALL FOR REINSPECTION
❑ YES IJ NO
MA
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BLUDING PERMIT APPLICATION 'TIGARD DATE_ _- - - ,9_-_-- 40?4
THE UNDERSI(iNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICAI ED 41JII.DER PHONE 639-0205
OP.AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
OWNER -- r , l.inschoLo JOB ADDRESS 16170 tiW itirimA011 CQtflt , L07 NO.
---- -_-- _ _
ARCHITECT —
ENGINEER
BUILDER ADISRESS71.85 Si: liendburg DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL _ Q ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cl'RESIDENCE O COMM 17 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT_❑_GARAGE 0 STORAGE ❑ SLABI_] FENCE
OCCUPANCY It--3 LAND USE ZONE !a.7 x'tl_BLDG.TYPE ._5 ` —FIRE ZOIQE`--.--PLAN CHECK BYbC r— _ HEAT '"—
!:efmor3c�l Ox4istnl� r00f trusses per _;ni�tnPer 'a t)lans for Solar Panni.s.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES l AREA NO,BEDROOMS VALUI 114IS,-
BUILDING DEPARTMENT
' --- -- SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit +4 THIS vlERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE ZONING
REGULATIONS AND ALL APPLICABLE COUc'" AND ORDINANCES, AND IT IS HEREBY AGREED ThAT THE
Plan Check — 78-93 WORK WILL 8E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. SHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-Iota! ^^_ 1-1,43 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tail Z 1.78 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Totdi 1 SDC—
By { PnCN APPI IC'ANT OR AGENT -- -T —TTy—
Approver Recelpt No. --— — _—_--- ----�_.
ADDRE8t3 PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
'Perinit No.
Gas or Oil
Rough-;n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
ULM DEPT.FINAL TEMPORARY CERTiFiCAVE OCCUPANCY
CERTIFICATE OCCUPANCY Fins,
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CITY OF TIGARD Plumbing Permit
Building Department NO 3'j 9 7
Residential V Commerrial ❑
New Installation L! Replace ❑ Addition � ] Alteralion ❑ Date
licensed #' "r.- r ,,w• y
Plumbery. rs
- ------� `? ..�,"c' _`�„ �c _' � Owner
Address Job Address, -�!4 mg
Phone < ^< _ Applicant
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures ?raps _ 7.50 Sewer:Fir100 ft. _ _ 30.00
Dishwasher �— 7.50 — — Each ddit.100 ft_ �� — 15.00
Garbage_Disposal _ _ 7.E.0 Victor Pump 7.50
Water Heater--__ _ __ 7 W- _ 'Wal"-_ at 100 ft. — 20.00 _—
Backflow Preventer 50 Each Ad in't.20 - _ 1500
_ — Storm R Rara First 100 ft. �` 30.00
Each Addit. 0 .� _ 15.00
obile Hom .�p�sc3
Other(Specify): Rain Drain ink Fam. well g 15.00
I Z-3 L
PERMIT FEE ,�� Comments: —7
-- ='�
ISSL-ed By-_.__.L.�
STATE % 411, ---- �.
- — Receipt No.�L, J �1 Applicant
TOTAL .� S' --�- Signature
For Plumbing Inspection Phony 639-4171
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W Main St.
Tigard, Oregon 97223
Phone 639.4171
Address-------
Permit
Type of Inspection -- — - - -- --- __v^----- -- ------
The following Building Coda deficiencies are required to be corrected:
Presented to,---- Ins.ictor —
,)ata —_—
CALL FOR I'FIWEMO,'V
[J VES ❑ No
_
PLLMINGPi R1r1lTU
I i
_7-? holder of a valid })lu+nbing contractors license is hereby
authorized to cause plumbing work M,� ht;r^i+: iwtrd t0 I)o histalled in accordance with the plumbing code of
Iigard• Such installations require inspection by the City Inspector who shall tie notified not less than four
(4) hours prior to the time the inswIlations are ready fur inspection. City of Tigard Business license requirr.d
for all contractors and sub-contractors.' Job
NUMBan or- TOTAL
_
I....^T_ .... TYPE OF FCHM17 !Tteh1S , REF ON EACH -�^-ANON-INT
r�AI.fit.__..^ ._�...._..__ _..�. •-- __ s._ _. - --- !!�� — — —
Single Familyr71 hj h-each _ . _._._ — .... .... 25.00
Duplex-£ach 1 bash unit ___... .. _.._.__...._ _.._..25.00
Mj.tional b3throom�ench _..—._ ..._.__........ ..__. t -- --- 10A0
,h1ab-I, Hump Space-each _ _ 15.00
N O I V I C U A L
1 to 50 Fixtures in 1t bui+diny�each-�__ _� _,_•_w _-___3�On._ _— — .�____ -----� f
_51 to 100 Fi�crrres In 1 buildiWcach �» _. —2.54._..._
101 to 100 Fixtures in 1 bulldirtach _ _ _.__..._.—_ _-,_. _2.00
?01 or more Flxt.net� in 1 butldln�each1.5_0
MISCELLANEOUS
I^ Sewer-each addidonol 100 tt.
E. Water Service to building_ __. .�.� __. 6.00____
I' n� er (5n
h �rlfyl: _....... —_._._....=...T._._ ..........,..__.._.W_._...._.,._�....».r.. _._._.._.�._-`_--_ �..._�__ _�_�.�
i _
PERMIT S' 0O For Plumbing Inspection Phnne G.7.9•4111
ad
,State Plumbir0 Conti actor By�
I rTOTAL_� �� FIECE10T NO. Issued 17y _.--
CITY
BUILDING PERMIT APPLICATION OF TIGARQ DATE
THE UNDERSIGN:D HEREBY APPLIES FOR APERMIT FOR THE WORK HI_REIN INDICATED BUILDER PHONE_____
OR AS SHOWN AND APPROV'D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—_.
LOT NO. v •a'aw Ae w
OWNER r --V AG. J48 ADDRESS � � .�1, .-i i f'Limra 0 HOME ADDRESS
131-31 SkJ �t7La� r ARCHITECT -
ENGINEER
BUILDERll��t� ADDRESS tib l� _ �^ DESKrNF.R__ p
L:J
STRUCTURE _ NEW ❑REMODEL ❑ADDITION ❑REPAIR RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAN PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING JCONDIT'IONA�USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY`.=!LAND USE ZONE_i�� BLDG.TYPE FIRE ZONEPLAN CHECK BY HEAT
s..:1tt, S�1luC:t a:it��;l� falgil.x Idwjil,L u,/uL- L1�"akagw, ;�t y�'outrl -- ti, tttc•.
All por $Ila►n& and snags and UhL Loge,
Permit .x,20334 _- 470tJ.00 --
HEIQ.HT----22___.tNO_-STQpIa$____I__AfiEAl1�::_514�BEQfl44M� 3 VALUE �..�,Lli]Ia_.
BUIL DING DEPAH i•IENT SET BACKS FRONT REAR LEFT SIDE NIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL. APPLICABL CODES AND ORDINANCES, AND IT IS HEPF.BY AGREED THAT THE
,` _L — WORK WILL BE DONE 4N ACCORDANCE Will F_H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPI ICABLE CODES AND ORDINANCES, THE ISSUANCE Or- THIS PERMIT DOES NOT WAIVE
—'" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
8y Rpt; #112 ;100,011111
p J.
---
-"—`-- - — APPLICANT ClA AGENT
Approved (.U1 Receipt No,
S,.
DATE INSP. TYPE INSPICCTION REMARKS _ PLUMBING DATE —
�7 Contractor
•Z �,-7 Ve S/ �F- ']P.,4,..� ' F� Ti,v! - ezk
%
rrjtNa.
SL
Rough-in
/- 1 tto Fixture
1 -�Q01, Final
HEATING
Contractor
^?,I-4 a1 t t tr d►u-�r► (�.a�./.e %w 'Sr `--�']6�e � �_t T- f-7
!f_t1- F• �c! .__ y tya/f IVAr L — - Permit No. 7 4
Gas or Oil
Rough-In
Final --
— --- -----------
SEWER
Finri
- - - •' -------------- DRIVEWAY
- —^ --�--v - -- Final
�— Storth Drainage
_ --� -- -- ---- � (Rein Drain)Final
Sidewalk
— Curb&Street Final
----_ ---------- Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUP Final _
CERTIFICATE OCCUPANCY d Go
O Landscaping
Zoning Final
r
Lety of ! ��ar Il-1�chanical Prrrr�it �Tb permit_-___�_a� ___.
Fee_ - 5.00
New Installation Q Replace ❑ Relocation ❑ Addition I n.l wio on ❑ 4%j%state---�.32
TOTA1_ 0.32
CONTRACTOR McCollistAr &ggting_ & Air Cond. OWNER- Tigard High School
ADDRESS 21940 W. Beseliae Rd, Beay. 9700fNORK ADDRESS 16120 S. W. Grimeon Ct.
PHONE 649-5596 APPLICANTMOCollis ter HeatingAir
--
Heat Input Rating (BTU Per Mour) 100.000 Vent oi7e a Flue Size
FUEL OIL ❑ GAS [t ELECT ❑ OTHER
3.• 4 ITEM NO. (EE ITEM NO. FEE
For Issuance of Permit J — 3.00 Air C_onditinn Compressor 15 to 30 HP A 10.00
00
IJPw• Under 1 ,000 BTU 4.00 AH
ir andling 1C,000 CFM 3.00_
100,000 BTU &over 5.00 Air Handling Over 10,000 CFM 5.00
— --
. Furnace _ 4.00 Evaporative Cooler
wall -Floor •Suspended — 4.00 Range Vent Fan _ 2.00
>rt' Install Vents Only — A 2.00 Vent System _ _ _ 3.0_0
Repair • Heat_& Cooling 4.00 Hood Commercial —�- 3.00
Air r:nndition Compressor Under 3 HP 4.00 Commercial Duct System
t:;j r Air Condition Compressor 3 to 15 HP 7.50 _
"'x "r• INSPECTOR'S COMMENTS__.__
rq.4%.-1 CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CO14TRACTORS
'�t•`a APPROVED BY — DATE ISSUED BY
- RECEIPT N0.
'v;`':; »• S n ure of Applicant
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