16480 SW GREENLAND DRIVE 16480 SW GREENLAND r-,K1VE
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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 --��
Date Requested �-_-< �'1 Time_��- A.M. P.M.
/G':�
Address cf n .�i,.L �� +-�- � �--=s-4-+ermit # _
Owner _ — Lot #
Builder
I
The following Building Code deficiencies are required to be corrected:
i --
U
Presented to Approved
Inspector �� 1 C Disapproved
Date
— '
CALI, FOR REINS ECTION
❑ YES L-JAO
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Ut�. ING Dr4ARTh1ENT, TtGARD 1�I�— *TO — _...___.__...._..._..___....._...
•
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as h rein noted to be installed in accordance with the plumbing code of
igard. Such installations require inspection by the City Inspector who shall be notified not lesa than four
(4) Picurs prior to the time the in Ilations re ready for inspection. City of Tigard Business License require
fa- all contrackm and sub contra ors.
Address
NUMBER
Date
Owner- --
NUMBER OF TOTAL PERMIT NO:s
TYPE OF PERMIT ITEMS REE ON EACH AMOUNT IOffice Use Only;
Si I, Family-1 bath-each =/ 1 2500 --
OuC!ex-Each 1 bath unit _ 25.00
Auh
ditional bathrooms-each ___ 10.00
MoUile Nome Space-each _ _ _ 18.00
IN4IVIDUAL FIXTURE-19 I!
_ 1 to 50 Fixtures in 1 building-each 1.00
51 to 100 Fixtures in Lb 2.50
_ 101 to 200 Fixtures in 1 building-each � 200
�701 or more Fixtures in 1 building-•each t.50__
MISCELLANEOUS
Building Sewar-1st 50 ft. 10.00
Sewer-each additional 100 ft. 10.00_ _
Water Service to Uuildinq ____ 5.00 XV
Private Water Systems-each 100 It. 10.00 _
Other IS ecil 1;
PJE RMIT Fcr°Plumbing Inspection Phone 639.4171
State Plumbing Contractor By c ��� :,� ..'!� t �..
TOTAL RECEIPT NO. Issued By �_ _�
Citi. cof Tigard iilechanIcal Permit NO. —
New Installation Replace n Relocation E] Addition ❑ Alteration f_J1 DATE:.
HEATING
CON TRACTOl�' , .z _ OWNER i7 tDY_1A.]— .
ADURLSS �-]y JOB AOD9ESS_
PHONE _�1� �� APPLICANT
Heat Input Rating(BTU per Hour) Vent Size -S Flue Size �? _
FUEL OIL a GAS ELECT OTHER �.
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ SEE BELOW _ Each Air Handl_ ing Unit or.uu.•t System _ _ 7.50
Now-up to & incl. 100,000 BTU _ 6.00_ Commercial Hood Syste:�_ 7.50
New 100,000 BUT's & over 7.50 Other Equipment . Each 4.50
Woodburn Stove 4.50 1 Trip Inspection _4.50
Wall-Floor- :suspended __ 46.00
6.00 _Air Condition Compressor - up to& incl.3 H.P. 6.06 _
Vent System w/Fan _ 4.50 Air Condition Compressor-3.1 to 15.H.P. incl. 11.00
Repair-Heat Cooling
CITY BUSINESS LICENSE REQU'RED BY ALL CONTRACTORS OR SUIS-CON7 RACTORS ! I
_PERIMIT ISSUANCE Y 10.00 Comments:
FEES
SUBTOTAL _ (J
'-j % STATE o�y Issued By�------ -r l- A k-c.
v% P1 AN CHFCK
PICKS T..i
BUILDING PERMIT APPLICATION TIGARD DATE- ' -,is -_ 4034
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE .- U4-1915
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _. -.
LOT N0.a4
OWNER 1:.orc Caj)E 1 JCm ADDRESS ](C 44.t} -_�-
�M -- ARCHITECT
ENGINEER
BUILDER 'O'Or ("-)nntr.. Co. ADDRESS P-01 fox ?,3773,, 'TivardDESIGNER 1'i-rcy/parclay �
STRUCTURELS NEW ❑ REMODEL 1.7 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
LYRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _.-0-7-3-LAND USE ZONE �' Fll BLDG.TYPE Vit''' FIREZONE -- -PLAN CHECK BY �lwh HEAT_rran
Cotistruct single fa'nily 6W011ing w/attfrcrhoo.) aaraae* 3 nodrocnaa 3 Vat:ts.
731.1? CtaT:�?1aC'.i'Ic)?1 >�HFr'^t' P+,'t'^1°ACftFi).
SEWERPERMITN :3r gF? .• lKR1l1.nf? �.1tr2lQa� Ad0 cr . �'t-•
OCC.LOAD _ FLOOR LOAD Q t' HEIGHT '1 NO.STORIES _ 2 AREA 196 ' NO.L;EDROOMS VALUN t.��f ''`t•
BUILDING DEPARTMENT SET BACKS FRONT REAR 25 LEFT SIDE ? RIGHT SIDE r
Permit _ r THIS PERMIT IS ISSUED ^UBJECT TO THE REC..ULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL siPPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
Plan Check 2 17•1'! WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE-(IFICATION, AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OE THIS PECIM1T DOES NOT WAIVE
Sub-total • RESTR. TIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPRENT CITY BUSINESS
1
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1
Total 1
PDCM f?0.(}'`APPLICANT-OT Ai5ENT
By ,Ct 1
--- - �
Receip t No. I j ,, _ / / i1
---__.._.........--
Approved /� , l ADDRESS PHONE
DATE INSAJ TYPE INSPECTION REMARKS PLUMBING DATE
Contracto
k4,--Z-2 V22 Zk-5f-
Permit No.
JR-91,.4n
4- 137,
Final
3 vw HEATING
Contract
Permit No. 2;z
Gm or oil
Rough-in #-e-�"a
Final
SEWER
Final
DRIVEWAY
Final
Storm Dralmap
(Plain Drain)Final
Sidemik
Curb Street Final
Approach
BLDG. DEPT.FINAL TENIPORARY CERTIFICATE OCCUPA
CERTIFICATE OCCUPANCY Flnsl
Land.-pi"9-
Zoning Final