11408 SW IRONWOOD LOOP 1.1408 SW L'RONi%MD LOOP
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INSPECTION NOTICE
Cit I of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ((1��C11/4
Date Requested—__I L o __ __ Time _ A.M.____ P.M.
Address ��7 ��� •����� — - Permit #
Owner — _ Lot ��__--------_ —
Builder �— — -------- —�—_--.__�——-------
The following Buildiog Code deficiencies are required to be corrected:
Presented to _ - _ (TApproved
Inspector Disapproved
Date --
CALL FOR REINSPECTION
❑ YE8 C7 NO
ne rar � ser � a ser sw s* ese ssse
INSPECTION NOTICE
I
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223 i
Phone: 639-4175
C-ze
Type of Inspection
Date Requested- Time _ M._ P.M.
Address �__ ___—L. � � GIJrmit
Owner------- Lot #
Buil ler --- �—L-[
The following Building Code deficiencies are required to be corrected:
Presented to —�1-- --- -- --- _ ` Approved `
Inspector _ , `/ [_] Disapproved
Date
CALL FOR REINSPECTION
J YES I.�1 NO
we s t.! 1lIR ,� .. .xr ■ s .�
LA I Y VI- I IUAHU nlltUHANICAL Pk:HMI I
ermit N
Doacrlptlon
TAW 3A rsiaohmleal Code WY 11111111110111City at Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -- - 0 0 1000
.
P.O. Box 23397 2) Supplemer"Al Permit 3.W
Tigard, OR 97223
639-4175 1) Furnace tcLID0,000 BTU
incl.ducts&vents II 6'00
,) Furnace 100,000 BTU + 7.50
incl.ducts&vents _
Name of Development "s -- 3) Floor Furnace - �y 600
f incl.vent_ _
Job dress 4 Suspended heater,wall heater 600
Address l� ) or floor mounted healer__,
Tar'of Map No -5) Vent not incl,in 300
t.o! Block Sutx rv,si(jn appliance permit _
Na,ne(or name M business) , 6) Repair of heating,.aIr ig., b 00
cooling,absorption unit
MadmgAddress Phone 7) Boiler or comp to 3 HP 600
Owner -absorp unit to 100,000 BTU _ -- --
(Mete z+ Boiler or cornp to 3 HP- 15 HP 11 00
8) absorp.unit to 500,000 BTU
N me 9) Eoiler or comp 15-30 HP 1500
Co k�i _ absorp unit'/a-1 million -
Ma"Addrsaat 0 Boiler or comp to 30-60 I�IP 22.50
a
;2 L4( ,absorp.unit 1 -1.75 mllllor! ^- --
Contractor cze;aqCNyiSIMe O N✓ zip 11 Boiler or comp to 50 HP 31 5Q
C __ _absorp.unit 1,750,000BTU _
Stale RaalMntkm No a Rus lex No 12 Air handling unit to -+--__.,-_ _. .-. 4
50
43(c�14 } I ,,1_3 ) 100 GFM__
1 dling unit
I herby achrx»wledge that I have read this applicatkm that the information givens 3) Airhhanan10,000 CFM a --� 7 do
oorred,that I am the owner or authorized agent of the owner,that plans submitted are m
oompllanos with$tato laws.that I am registered with the State SuiNera'Board,that the 14) Non portable 450
number piven to correct.(If exempt from State registration please grve reason beCow) evaporate r'ooler
15) Vent fan connected 300
- to a single duct _
- - Ventilation system not
16) 4 50
included in appliance permit
- ----- - ---- -
- 1- - - - - 17) Hood served by
&�MY�'1C.5�� mechanical exhaust 450
_-- --
ii ii(owttw or wy) 1 DowDomestic type - 750
18)
Deecxtbe work ,vEjoEY addition O aNeration C_1 repair Q incineratorto bit done residential U, non-residenti&I 19) Commercial or industrial 3000
Existing use of Incinerator
buking of properly _---------------_-- ---.__--• 20) Other i e.,woodstave,water 450
heater,solar,clothes!l7ero,etc
Proposed use a1 - �--
building or property ----------_-_----__-- - - 21) Gas piping one fir four outlets 2.00 r, 1
Type of if oil f ! natural gas �4' LPG electric. f 1
— 22) More than 4-per outlet
WD" SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK. OR CON-
STRUCTION
ON STRUCTION AUTHORIZED I., NOT COMMENCED WITHIN 180 _ !.>�(� SIJpCf1AROE
DAYS, OR IF CONSTPUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 19(!C WS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL _
Special Conditions _.
Date Issued __ _,. _.. __._ __.__ by
ar err ® sae sslr axe et s � aw
CITY ®F' TIGARD PLUMING igar C lkiu RIu<t.
d CR 97223
APHkao.ls ns.rst hold Oregon RegWration to condt-ct a plumbing PER M I i 634-4175
business or must be property owner/operator not hiring outside help.
Nartr r' ,.
lrloq
_ ,_ Plumhintt Permil Nn, —_ g-
O _ aaCrtpflon
Job Tax
t r'Y►� ORS 01421-610 DUAN. PRIG- AMT
Tax LAI Map.No.
Addre"
FIXTURES
Lnt Block Subdvtalon - - - -
Sink 7.50
a name-lo nese Lavatory—- - — 7.50 Tub or Tub/Shower Comb. 7.500
ess - � -
O StKWW ONY -- _7_50 -—
Owner I LA Water Closet 750 _
�� A1 Dishwasher - _ - 7.50 - d Garbage Disposal 7.50
Name WasMrvj Machine - -7`50
i, Floor Dram 750
rens F � t-WalerHeater fcLk ..-5 7-5u r
_ j
Lau, 9oom Tray — _ 7.50 - -
[Occupant Cky/Statszip
UfMAI 7.50
re Other Fixtures(Specify) -
7.50
Nov P40ma ------ 7 50-- - --
oisl 'Coll
GorAnclior Dp — -- 750
MISCELLANEOUS
P,Ify Bus Tax No. Hewer IN 100•-_ _ _ -- 30.00
e Hewer-ea.Addle 100 15.005taft BldgL Board No 3W
? t WSW Service 181100 - -- - -2020l00-
1 herebyacluww%_ dpe that t reed"a appacatlon,"the k*.1*60n Wxw SeMos ea.Addil�)'
otven Is am. OW I am rvioleiarod wtlh the gate BulkWs Boats.and also Skim i Rain Drain 1 st 100' 90.00
have a dale Pllaribing Boers*that the numbers otvan am con+a.that all - - —
pkunbkV wit%*be done in a000MMloe wflh applicable prwlalorlc of Ore. Stam i P yn Drain Addd 100 _- 15 00
gon iaevtsed rAaarles Chapsera 447 and 693 and applicable codes and that Moblls►loins Speoe 25.00
no twlp will be arrlplolied unless Marred under ORS 801 (11 exempt hnm --- --- - —
State reoWsaYen,please give reason below). Bade Flow Proverribn
I4MCOWNERS�-I her"caeft 6W I&, the owner d the property de DevlaeorAnq PoUubon Oer+cs `- - �
sorbed abM.aM wI ld bcall n 1 propan lomaks a pkenbirV krtaMatlon Lor Any Trp or Waste hot
nq own use anis M11e prop"b not bekq cur"x*d for esio.leas or rent Carineoled to a Fixlurw - 7.50_
_ CaAOflt'�aaln _ -- 7 50
krp.of Exlel.Pkxrl>itig 40.170 Per Hr
----
Specialty Requested lnapwxkxns v 40.00 Per Hr
AMP.of Pka t*V wt8ln
C1 oZ S Q ry M tJdaar — ------- - 15.00 min
AU HZED SKINATURE Date Bldg.a Bund.AdMon Ism"oBjjjl n
_--
_csLjrB1e
DeerA work new taddttion ansmtk•n❑ nK:,dr O c�llirra --- 15.00
» raaldenueltj�-�_ rnx,-rtL�.LJ_ ------_• -- - --- ---- --- _.--- --
Exit"use of _
btlMdlror IMX«+y - - -. - --- 01,11111-TOTAL
V"of �' plllClWrQ! �5,
Nam Tela plt+ttsM b1=1111a hell anal WWM wok or cortMneotbn eulfww and N not oom-
ttlMlaw��1f�AaNraf N Oan*trafapn er s1R1AtM M,aeparrlad or abPtd4rlad Lor
a palled al M'wa r any Brno tiller wok Ie rbmars and
Owe Iasued --_ - -- — by �.
City of Tigard
INSPECTION REQUEST
for
INSPECT�CIN TIME : l �� PERMIT r1�
DATE: = / DATE ISSUED:--�j
1 7 ~
OWNERS NAME:
ADDRESS :i-Z�CX f-G! s�Z- {C t-el�
CONTRACTOR '
ITEST. Air C, Nater 0 , Visual C , Laboratory 0
I RESULT. Approved, Disapproved ❑ Pending
SXETCM.
I ,
, l
.INSPECTOR DATE
ICUTE: Attach supplemental lost data heret-
es . es war w ae way .is � aew
City of Tigard
INSPECTION REQUEST
for
IN8PECTICN TIME: ;L. PERMIT NO. :
DATE: --// -7 r. DATE ISSUED :
OWNERS NAME : 0 )o► e rc.-L „Y.
ADDRESS: / /yc ' -r'ar%wage t.-g<I
CONTRACTOR : - Y lol,— 5t- drx" Q0 r• >� —
TEST : Air 0, Water[] , Vleuolx, Laboratory p
RESULT: Approved , Disapproved CJ Pending p
SKETCH:
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4
INSPEG 0R DATE
rNOTF : Attach Sup pieme:iNI teet quip bei .r la]
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ADDRESS. _ l fD 9 Lt.�. ,-*'. .�.*'-.� '�.+� PERMIT N O
< PCRMIT CHARGE none
0LINER �� -� �-- �� -��' CONNECTION FEE! S ��
PAID BY
TYPE OF BUILDING _ �- �`��-t--- DATE CONNFCTFD
SERVICE RATE _ _w^ �-t ��..� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTIOM y ASSESSMENT PAID
w
f
INSPECTION REQUEST
for
INSPECTION -! -ME : ?ERM;T N
DATE: S SATE ,~SUED:_..,
A D R 1E-0 J
TEST' air Z:, . -tsr Z� ,- �i��q; D�, �aSa•a• ;.y
La-T 3Y
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I I W0-_ : At'acampntaI •!t• J • he•e']
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City of Tgor'd `
YiNSPECTI N REQUEST
for
IN8PE^TlC,4 T,ME: F-- ;MI NO.
DATE: %; DATE ISS:JED :—LL i
OWNER S NAME :
ADDRESS:
CONTRACTOR
TEST : Ai- C , !�':`g-Z
RcSLLT: Ap,,-rcved,t Pendill p
S XETCN:
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IN ItCTOR DATE
714 emento1 1est doter 1, . ' .J
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CITY of ;.N° 0493
BUILDING PERMIT APPLICATION TIGARD DATE _9-16 ,t9--
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION OWNER PHONE N RPHONE— J
OWNER monogram homes _- ADDRESS 11408 S.Ws Ironwood LoaytUILDERPHONE
ENGINEER
BUILUER I-1t1i' lIr _- ARCHITECT _ DESIGNER _
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATII�-ONAL_ ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE, PLAN CHECK BY_ HEAT
—
c:uwj,t,,i L,, 1., 1566 Aq. ft. Prarn®dwiallinl. with attached garage
no b1t19l:mant.
-- --- 3 bedxtanla
Q(�C. LOAD ___ FLOUR LOAD HEIGHT NO,STORIES i__ AREA VALUE'r *�}i
BUILDING DEPARTMENT SET BACKS FRONT t,l•t REAR 47 LEFT SIDE 9 RIGHT SIDE
Permit 127.00
- -`_— -- _-. _—
()f! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WI TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 3*81 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 140.01
BY ------
- -- APPI (CANT OH ADEN?
Approved Receipt No.
♦.W..u'w:...«v..r.:+«M..a...u..wr..nW .rrrY:•r..+M. "...r..o......:r :+.,,:...a.r..a.+o...er.Giri1�+6.W1Ypwririrhr..., :r.. '. ....: ..., :.p.:uWr.114Y.«IM..rrsYr.+.. w
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor/
Permit No.
Rou h-in
a Ouj31D t �i� ti� Fixture _
Final
Tb r�5�/Gs� l0�✓ -------- HEATING
Contractors l
r "/D"7S �t/►r -- Z -------- —_ Permit No.
r — Gas or Oil
A&V Rough in -
-J�-7C Final —
SEWER/O;,7 -7;
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&S_treet Final _
A roach 11 r_
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATEOCC,UPANCY —
Landscaping
7 b Zoning Final
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JAY HAR1118 G904W
1830 S. W. PAPKV1000 OR
F'On11. Wrl C RELIC IN 972M