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16165 SW GRIMSON COURT
IWECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 839.4171
Address Permit
Type of Inspection
The following Building Cote deficiencies are required to bv
Presemed to ----- _ Ine,)ector
Date
CALL FOR RF 1AG-E-C;',7N
n VES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
12,120 S.W, Main St.
Tigard, Oregon 97223
Phone 639-4171
Address------ ----._—._. � °ermit -
;ype of Inspect',on
I. _` ----
The following Building Coda deficiencies are required to be corrected:
Presented to _ _ Inspector
Date
CAl ! FOR REINSPECTION
❑ YES [l No
i
City Of ioard Mechanical Permit N? Permit. _9.00 —
.�Fee- - - - t 92-
New Installation LF Replare F-1 Relocation F] Addition [D Alteration CJ 41%, State ___ - •
TOTAL.____ �• -_--
CCNITRACTOR _ MoCelitater.-$gating & Air Cond. OWNER Tigard $lgh 3aho�1__Bidg,_ Co>n��.
ADDRESS2194'0_ W. Baseli 1d d, s BeaT, WORK ADDRESS-2-6163 3• W,---�3till/O?l Ct•
PHONE 649— _ __-_ APPLICANT M00011istd, r- gtx, & Air
• s Heat Input Rating (BTU Pfr Hour) -,QQ�QQQ�_- Vent Size �N ,��__ Flue Size
FUEL OIL ❑ GAS ® ELECT L] OTHER.^ _
•:'.
ITEM NO. FEE ITEM NO. FEE
Y For Issuance of Permit _ _ 3.00 Air Condition Compresscg.15 to 30 HP 10.00'
N_ew Under 100,000 BTU 4.00 Air Handling 10,000 CFM _ _ 3.00
New 100,000 BTU&over - 5,00 Air Handling Over 10,000 CFM 5.00
�- q pp Evaporative Cooler i 3.00
tr' Floor Furnace — ------
-_ Well - Floor Suspended —�� 4.00 Range Vent Fan 2.00
_ 2.00_ Vent System 3.00
Install Vents Only _ _ _—
"'== `
Repair Heat Gaoling �+ 4.00 Hood Commercial - —� _3.00 ,
r ;M' Air Condition Compressor Under 3_HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50
r. , INSPECTOR'S COMMENTS__ _.. --_- _ -- ------------
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB CONTRAC70RS
` APPROVED BY— _ _ DATE ISSUED BY _ DATE 9I�3/80
1 RECEIPT NO.
774
Signature of Applicant
BUILDING DEPARVIENT, TIC-.C,;:%'D
P L.U INI :3 P L RM I T
iolder of a valid plumbing contractors license is hereby
-
"Ijtjjorize�j to cause pl.!-.;'. I g worst as herein note, to +;e inst:iHed in accordance with we p, mbing code of
Tigard. Such installations reqLke inspection by the City Inspector %vha shall be notified not less than four
(4) hours prior to the time the installations are razidy for inspectian. City of Tigard Business License required
for all contractors and sub-contrictc—s.
z
Ovine, D to
NUNIRFR 00 TOTAL PERMIT N O.'S
TYPE OF PERNII'f ITEMS IIFEE ON EACH AMOUNT (Office LIM Only)-
Simr!e F.4milly A 75.00
Duplex-Fich I ba;h unl! 5-0-0—
Addiflonal b�thrw7rm-each
INDIVIDUAL FIX - ------
I to So Fixture-i in I buililt,
5t to 100 Fixwr2i in I buticlin,
101 to 20n Fixtures in 1 buil+-.
201 ur mor,! 1-ixt,-.-s in I btv' I :4
&I ISCELLAN ;:':)Uq
5a ft,
S -3!-f,-e:n 10.0 ft:-- ----._f IG 11)
5-frdir.a to
101) 10011
rar poin.wng
act, -
�., t��a�..X��.. �•�./.�.t,� a-rte.-Q[.•�.
BUILDING PERMIT APPLICATION TIGARD DATE _- 1 z7� _ 19 6u 3372
T r,E UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -620-1620
OR AS SHOWN AND APPROVED IN THE ACCCMPANYING PLANS AND SPECIFICATIONS. C.7NERPx19N� r�TB
LOT NO _
26
OWNER :Idg,.Corftr.CareavgJAlfoMESS 16165 SW Grimson_Court _- LandinQ 2
AMOMMCX
EW�I>V6QFi
BUILDER Same/Tigard H.S. ADDREssTigard fl_i h School _ DESIGNER Piercy UaicL,l�
STRUCTURE 91 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 11 FIRE DAMAGE lJ DEMOLITION
2 RESIDENCE ❑ COMM ❑ EDUCATIONAL E❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1.-..j---LAND USE ZONE �=. —P D BLDG.TYPEr'N- FIRE ZONE..__PLAN_CHECK BY _a t- HEAT-0-q—
Construct single family dwelling u attached garage. r S Bedrooms 2 Bsths.
SEWERPERMIT# ..:A27 •- 'f750.00 — Uaui-6_U--(LU
OCC.LOAD FLUOR LOAD 4'0 HEIGHT 210 NO STORIES .f AREA 1712 NO.BEDROOMS ) VALUE",41+r 1
BUILDING DEPARTMENT SETBACKS FRONT 22 REAR 2.0' LEFT SIDE '7 RIGHT SIDE
Permit Ili7•00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I0. 00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AAD SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ANU ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 167.00 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ' 6 o 28
SUC-
Totai �17 3.:.'0
$�AC?J.tall
PDCN $I ..'' APPLICANTORXENT
By pl
Receipt No. �; <<.
I Approved atW AGIT9 E -� -- - .--- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. Z3 81
Rough-in
h�r�H �.+►s Lta�:. �'L - _ Fixture
Final
HVATING —
Contractor Q
Permit No.
7�bL Gas nr Oil
Final - —`
SEWER
Final _ 3 -
DRIVEWAY
- ----— — �
Final
Storm Drainage
--/{- (Rain Drain)Final
S{dewel k
Curb&Street Final
ell— � Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
LAndscaping
Zoning Final
,3
i�
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mein St.
Tigard, Oregon 97223
Phone 859-4171
Address Permit #_
_
Type of inspectionThe follo—ing Building Code deficiencies are required to be corrected:
Presented try - Inspector _
Date
CAL!_ FOR REINSPECTION
U YES ❑ NO