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INSPECTION NOTICE
City of Tigard Building Departmei +
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address --- '--�'r r f� �+—i.._ �. _ .r '.t 1 d� .►•. Permit #
Type of Inspection -----
The following Building Code deficiencies are required to be corrected: =_ 1:. ---• "`.fir "�� ;—y----
'"Oda._�,...s.. 1.��.1 � � .� � .✓`fit -�..k�sC.+� ''� '� -'r _ .�htL.
-__.-----`--^ d^A['6.G•:a6: .r_. .__�.a�:_'.u_�-sL7�,r'.�".•'?'-'�-,�'C �.C� L r�'�•e._..+:-,'•+-_ ,...,,_"
r
-
__._.._._a.....____.._.
_s• -..�-_tib-•-
Presented to
Inspect6� f .r
._ __..___.._�.- ---
Date e! f
I
CAL FOR REMIS°EMON
YES rJ NO
INSPECTION NOTICE
City of Tigard Brmiiding Department
12420 £W. Main St.
T4garo, C'regon 97223
Phone 639-4171
Permit
Type of inspection ----- -- ._�_—______.---------_-__-- -------
T49 following Building Code deficiencies are required to be corrected�c.�� � '�•" .w:��'-=� -..-� *,.
.,a.. i. .i lr �[,,• .L �... _ y' ..�.-rte' •_--_--�'�:r�� '-n'..'.,.� __._._.__�
Presented to _ _ Inspectet•
Date =—
CALL FOR REASPEGTION
M VES 0 No
BUILDINt—. PERMIT APPLICATION TIG/`RD DATE — `'' `` 19 1'0 514
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6 —.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICATIOW3 OWNER PHONE
. LOT NO. S�Y.__$ r;
OViNER a$' iil.ELr-•1�t1 1'i A_tl
---ADDRESS--��j ,W 32W, G1 M$2 �i&9V --.----- --
'
ARCHITECT
Fit 2, 390 Otis 9�36P ENGINEER
BUILDER Same ADDRESS DESIGNER I':ias-CCy }3AL'C1S_y_--,___
STRUCTURE C11 NEW ❑ REMODEL_ ❑ ADDITION ❑_REPAIR ❑ RENEWAL ❑ FIRE DAMAGE__ ❑ DEMOLITION
Ln RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T FJ RELIGIOUS ❑ PATIO ❑ CARPORT Ll GARAGE ❑ STORAGE ❑ SLAB CJ FENCE
OCCUPANCY _.LAND USE ZUNE A–Mu BLDG,TYPE _FIRE ZONE^_PLAN CHECK BY Ate{ HEAT
lonstn7Ct ,Jingle [•'amily lMellinf., with attached ;-*rare —�
Sae: correction *beet at.twhed. 3 bedroc»g
3 baths
SEWER PERMIT_M_23216 —
OCC.LOAD _ FLOOR LOAD 41) HEIGHT 2l NO.STORIES 2 AREA 154`? NO.BEDROOMS 3 VALUE ;51,100
BUILDING DEPARTMENT — SETBACKS FRONT _ REAR 24 _ LEFT_SIDE 10 RIGHT SIDF -
PErmit 203.(W THIS PERMIT IS ISSUED SUBJECT TO 1 HE REGULATIONS CONTAINED IN THE. BUILDING COD[, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check tl." '`� WORK WILL. BE DONE IN ACCORDAACE WI'H THE PLANS AND SPECIFICA'IONS AND IN COMPLIANCE.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 304"50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- -_--�LT LICENSE.SEPARATE:PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA(0 G.
State Tax- SDC— 4 )04,OLI
I
31x.62 lU Ch; -
Total ! 1
--- - PDCN APPLICANT OR Ad11Nff_'
DR
By
Receipt No. ADDRESS PHONE
Approved
DATE INSP. TYPE INSPECTION REMARKS PLU ING DATE —_
— — Contractor
Permit No.le
Rough-in 70
Final
--- ------- --
1 HEATING
�•�^�Z g a.o:�— _—.-- --- Contractor / pp t<C, -!$60
Permit No. O�oZO —;ZG-'��
-� ---- lio9 or Oil --
SEWER ----- --�-------
—-- — — --- Final -
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approar h
13.DG- DEPT. FINAL TEMPORARY C¢RTIFICATE OCCUPAN Y - — —
CERTIFICATE OCCUPANCY Final`�f/ _y 3_
Landscaping
Zoning Final
City. of Tigard Mechanical Permit NC. _22ZE_
Now Installatiortr, n Replace U Relocaalion,L] Add tion L] Alte,ation F] /1> / DATE:Z-. �� G
riEATING � _ .C����]7L-!� OWNER _ �,C!/_ ,�Cd� � C
CONTRACTOR
J -
ADDRESS JOB ADDRESS Q �L�� O/�(z?,'-�l/V «T�
PHONE'! _ _C C:__�_ _ __.. APPLICANT
e-
Heat Input Rating(RTU per Hour) D Vent Site _ Flue Size
FUEL OIL U GT9� ELECT U OTHER
ITEM OFEE ITEM NO. FEE
For Issuance of Permit" SEE BELOW Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,000 BTU 6 Commercial Hood System 7.50
New 100,000 BUT's & over 7^50 Other E ui nignt - Each 4.50
Woodburning Stove 4.50 1 Trip Inspection _4.50
Wall-Floor- Suspended _ 6.00 1 Air Condition Compressor - up to& incl.3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 15.H.P. incl. 11.00
Repair-Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTR 4CTORS ! !
PERMIT ISSUANCE 10.00 Comments.
FEES _
sus,�i o AL d ----- ----- --- ---
_ % STATE_ - Issued By
546?LAN CHECK
i BUILDING DEPARTMENT, TIGARD
1 PLUMBING PERMIT Nn
holder of a valid plumbing contrdctols license is he,Iel-y
;uthorizerl to cause plumbing >Nork as herein noted to be installed In accordance with the plumbing code of
Tigard. Such installations rewire inspection by the City Inspector whc) shall be notified not less than four
(4) hours prior to the time the installations are ready fcr inspection. City of Tigard Business license required
for all contractors and sub-contractors. Job
!
C �/' Add ess__ 1•_t�•.s'_ y,� ��•,•. A-1; �Date_L=1 C"
i
NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH A.10UNT
R SIDE N T I A 1_
Single Frmily-I bath--each _� 25.00C)
09219x7Each 1 bath unit 25.00
Additional bathrooms—each 10.00_
Moble Home Spar.—eech �— 15.00
INDIVIDIIAL_FIXTURES(COI°MERCIA
1 to 50 Fixture. in 1 building-each 3.00
51 to 100 Fixtures in I build(nc-each__ J 2.50
101 to 200 Fixtures in 1 buildin -e3ch2_00
201 or more Fixtures in ' building--each _1.50
MISCELLANEOUS — _ ---_
Sewer-each additiond 100 ft.
_VNater Service to buildin v _ —_ w _ __5_.0C_ _ I '
i
Other Is ecit :
PERMIT ,56 For Plumbing Inspection Phone 6394171
a_tate ;I � Plumbing Contractor ey
'rr1TA1 QFr•C1?T Pin Nel.neq RSI �= s