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INSPECTION NOTICE
Crty of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ Time _ A.M. P.M.
Address�I�LJ�� C�(� L rev Permit #-(Za2KV—
Owner . Lot #
Builder
Tho following Buildin�Cd, del �biesare�requir.d�tobe corrected:
Presented to
Inspector _ Dia
- ---- , ,�� , �� — Disapproved
Date _�
CALL FOR REINSPECTION
❑ YEB 0 NO
s W W1W W N 41
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
r
Tigard, Oregon 97223
Phone- 6 9-4175
Type of Inspection �l
Date Requested__ Time .M. P.M.
c
Address �ZL11_� ' Permit #
Owner __ _ �.,__ Lot #_
Builder 1_ 1
The fol ,, ig Building Code deficiencies required to be corrected:
r
6
W
r
Presented to
Inspector ��_ - - - ____ �_� Disapproved
Date 7
CA/LI, FOR REINSPECTION
C1 Y E s L7 NO
INSPECTION NOT!'--L
City of Tigard Budding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ! Time A.M. P.M.
Addre-ss( LUR.. Permit �vr1
Owner 1 ^ Lot #
BuilderThe following Building Code deficiencies ar,r quired to be corrected:
Presented to _ - --- Approved
Inspector ( n Disapprovers
Date ——_ ---— ----
CALL FOR REINSPECTION
❑
YES (-"J NO
■r I� W WAMI
INSPECTION NOTICE
City of Tigard Building Department )
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
,�•"' �� _ Time .M. P.M.
Date Requested__ ___
� Permit
Address(--A
Lot # —
Owner -_
Builder l
The following Building Code deficiencies erg equired to be corrected:
-- r
Presented to J
[� Dlgpproved
Inspector
[?ate _...------.—
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department _.
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Req ested_ _ Tiin A.M. Mi
Address
Qf
Permit
Owner __ �J Lot #
Builder ^`�--�--—�—
The following Rnildinq Code deficiencies a quired to be coi.ected:
Presented to —_. _ phroved
Inspector _ �-� Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE i
and Building Department 1� `
l/ .O. Box 23397
Ti ard, Oregon 97293
Phoney 539-4175
Type of Inspection _ —
Date Requested Time A. P.M.
Address Permit # Q
Owner_.tt.__—_ --
Lot # f
Builder _1-_
The following Buildwq Code aeficiencies are req ed to be Corrected:
t
Presented to pproved
Inspector —.—_ — -- L.� Disapproved
Date —
CALL FOR R -INSPF,CTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard r3uilding Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �-�-- C. - _ ---
Date Requested /r Time A.M. P.M.
Address 1 U.. _ _ Permit
Owner Lot #
Builder�0 �k- ---
he followin Buildin Code deficiencies uired to be corrected:
T g g q
i
Presented tp�_ �r Approved
Inspector �/J --._ Ll Disapproved
r
Date
CALL FOR REINSPECTION
❑ YEI ❑ NO
INSPECTION NOTICE
/ G oT' rd Building Department
.0. Box 23397
Tigard, Oregon 97223
Phone, 639-417
Type of Inspection
Date Requested Time_ A.M._�_.P.M,
Address Permit
Owner — _ of
BuilderThe following Building Code defici mcies ai � required to be corrected.
Presented to ---__ l�.AV-p—,Oved
Inspector _ Disapproved
Date 14 — ' Z
CALL FOR REINSPECTION
YES L] NO
INSPECTION NOTICE
City of -rigard Building Department
P.O. Box 23347
Tigard, Oregon 97223
Phone: 639-4173
Type of Inspection
Date Requested-.,--- _—_ _ 1'me ___ A. P J
Address _ Permit *-652-4--
Owner Owner — Lot #
Builder.------------ - -_— —-- .��
The following Building Code deficiencies are required to be corrected:
Presented to _ ' ' Approved
Inspector, Disapproved
Date 7
CALL FOR REINSPECTION
❑ yieb f_i NO
INSPECTION NOTI-'
City of Tigard Building De. tment
P.O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ._
Date Requested�_ 2`1 Time A.M...,. _P.M.
Address Permit #_ J
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _.._ _.-. . �- _..._.- proved
Inspector __ �J Disapproved
Date. -- 11 0 _.-
CALL FOR REINSPECTION
YES I I NO
CITY OF TIGARD MECHANICAL. PERMIT Receipt
Permit#
Description
Table 3A Mechanical Code QTY PRICE AMT
City of Tigard
13125 S W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
incl,ducts&vents �.Ov
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development Floor Furnace
3) incl.vent 6_00
Job address- -- Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map NoVent not incl.in
5) appliance permit 3.00
Lot Block Subdivision
Name(or name of business) - Repair of heating,retr ig.,
8) cooling,absorption unit 6.00
Mailing Address Phone 71Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU _
City,State Zip Al Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name Boiler or comp 15-30 HP
9) absorp.unit Y2-1 million 15.00
Meiling aidress — Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor City state Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have read this application that the Information given is 13, 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that I am registered with the State Builders'Board,that the 14 Non portable
number given is correct.(It exempt from State registration please givo reason below). ) evaporate cooler 4.50
) Vent fan connected
to a single duct 3.00
) Ventilation system not
18 included in appliance permit 4.50
----�------.__ _
17.� ) Hood served by --
4.50
mechanical exhaust
wiature!owner or agent) Date Domestic type
Describe work IJ addition F] alteration LI repair i I 19) Incinerator _ 7.50
to be done rE sidential I I non-residential ❑ t 9) Commercial or Industrial 30.00
Existing use of type Incinerator
building or properly 20) Other Le.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
building or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil C I natural gas I I LPG I I electric I I
22) More than 4-per outlet
NOTICE ---
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- --3DB-TOTAL—
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TO1AL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --
WORK IS COMMENCED. TOTAL
Special Conditions
— ___ Date issued by _
CITY OF TIGP,RD 639.4171 6526
� DATE _ �
BUILDING PERMIT
TAX MA0!+!�Ak-_LOT NO.S suBDIvis1*At_1er T4!rac
OWNER +earning Star Coalst. 9405 SW Inez Sir•
_ JOB ADD�ESS 5U) _ -_—
BUILDER ._— _ —__. . .-.- _.--__._ STATE REG.NO. E(P.DATE - _--- --_---_—
BUILDER'S PHONE 639-1036_
ARCHITECT _- --- ---- _iii1�1W— PHONE OTHER
STRUCTURE xf I NEW HEMODEL ADDIIIUN REPAIR MOVF OTHER C7 DEMOLITION
RESIDENGE COMM EDUCATION L_I IND L; RELIGIOUS ACCESSORY I.i I OTHER LI FENCE
OCCUPANCYLAND USE ZONE K4•S BLDG.TYPE ��` FIRE ZONE PLAN CHECK BY it Tw H :AT
" wag
_ wuin�lg rarLily r1walji +u w/a arl 1 -arAi L,, all Wr j1pproyeck plans.
��j�'.t Lt��_► coos. •�
If
SEWER PERMI i'# 326AT (id.) 3 hath 9 tram marage 4U0
Ott 2!) 2 1779 4 YO U00
OCC.LOAD FLOOR LOAD HEIGHT NO. TORICS APEA NO.BisOROOMS ALU
J-P6
BUILDING_D_EPARTMENT _—�� --
_ SETBACKS FRONT REAR L,"FT SIDE _ RIGHT S0E
Permit 361.OU THIS PERMIT IS ISSUED SUBJECTTO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
258.55 d REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR 0 ")SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
J ?ER�IV�3SPARATE PERMITS REQUIRE OR SEWER,PLUMBING AND HEATING.
State Tax 14.68 b0t3.UU
SDC—
Total 62U.23 00LI'CANT0AADENT -^
Prepd. 100•U() ffiC* 150.00 ! rte^ () _
Receipt No.,A/f/ ADDRESS
Bal.Due _ S2U.23 _- _ C71�
Issued By------ Approved By
...._......,...,..,w.oer.�.....wr,:,..ur,ruiivr.�.r.. .".-...,..,..__ ....ww�M....J,..rW,. as .r., ,.i'•- e.r....::,ea._.........,,..:...,....r..l.�.�.,�.- - ---"-'"""-
J
�DATE INSP. TYPE INSPECTION REMARKS PLUMBING�j DATE
gi
2- L _ate Permil N,37
SI
2--v Z Roklgliill
Flxture--------_— ---
' Final
o - -----� -- HEATING46- —
__ Contractor�`y lig, 2r z.-7
Y
2 Permit No.
Gas or 011
5.(Q� a --- - -- Hough-In
O � - ----- - ---- ---- Final --
- SEWER
T� Final
-----___�— ._---- DRIVEWAY —.
�— Final
Storm Drainage
(Rain Drain)Final
Sidewalk
—__ - Curb R Slreel Final
Approach --
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATFOCCUPANCY I
Landscaping
Zoning Final
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