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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
J Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __--- --- -- ---r- -------
Date Requested l2- Time_ A.M. _P.M. /
(-�
Address e -S 6—�-'> C,�i- � Permit
Owner_ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
- - - -- ��Approved
Inspector /I Disapproved
Date
CALL FOR REiksmiCTION
❑ YES L7 NO
INSPECTION NOTICE
City of Tigard 8jilding Dopariment
P.O. Pox 23397
Tigard, Oregon 97223
Phone. 639-417
Type of Inspec'-on .__ __
Date Requested ___.. —5 Time_____ A.M. P.M.
((
Address , Permit
r �
Owner _ Lot
Builder
e following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector _ U Disapproved
Date
J �
CALL FOR REINSPECTION
0 YEi 0 NO
WE -1W
TEA
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
T,jard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date, Requested Time ____ A.M.
Address 01�(�L"d `��bJ Permit
Owner_---_____-- Lot # _
Euilder .. Q V ,J
The following Building Code deficiencies are required to be corrected:
i
Presented to � pproved
impectnr — U Disappraved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
CITY OF TIGARD PLUMBING 13125 S" HaLU BlvJ.
Applicants must hold Orton Reglstrution to r-onduct a plumbing TicPI✓R M IT 'ard� WM
business a must be Pvllefl;ownerloprratw not hiring outside help.
Planta N.
N'eV= : /1/LCR�Q�_- - Plumbrnpt Otani Nn. V
I V j ANrosa Desa,tp -�
ORS eta-2i 10 MAU PRICE AMI
Job Tax Lot Map.No. -
i
Address 11 -� -- --- -- - - --
FIXTUR CS
lull Illock Subdivision
Skrk / 7.50 ? )�
ame'ar/rlarTbOT nesss Lavatory _�, - 7.50 2z.,SZI
a / Tub tx Tub/Shower Comb .. _. 7.50 2 ' 51)
Mdr
Slvwer Only - - — - - 77.50 -
Owner (;'�y]�ti Iy I WalerCloset _ �7:3 _ 7.50 :1. 5
_ - - Dishwasher 750 7, $7'
Phase Garbage Disposal 1 .� _L5o 7.St
-v-- Name '--— Washing Machine 7.50 7.St
Floor Drain _ 7 5o —
T�(a�rrg 'ess Phare - Water Heater -_ - _ - ^1 ?S() 7,5V
Occupant - -- Laundry Room Tray � ,50 `)
P City/St�- Zip -
Urinal 7.50
Narywo. a- Other Fixtures(Specify) - - 750 -
t/�7C-C 7.50 +
MSWV Address Phone
C' �3 ,k—' �'7�/ ----- - -- - - 7 SO
Contractor / te ZIP 750
L `; C) -3(1MISCELLANEOUS
City Bus Tax No Sewer 1st too' 30.00
tate-E ips T�-�e�Ra. — to s s o Sewer-".Addit.100' --- - `_ 15.00 - 1
2000 r� l
1;*n n aekrx wh-.Ve u rel I have read this%-Acation,that Ow inlormabon Water SerYce ea.Ad&1.2Mr r - 1 S.00
I
lid to orxnct.tical I am rapfaferrl with the Stat.RvildWs Board,and also -Slor n a Rain Drain 10.100' 30.00
have a Stale Pkant*V boon"tit, ow nrxvimm tt1Ven an oornsct.that an
pkm"V work will be done In soaxwnce wftl app Icable provisions(31 Ore- Storm A Pyn Drain Addti.100' 15.00
{her Revisal Statutes Chapters 417 and 891 P.d alvdlcattle oodes au d that Mobile He-no Spece � - 2500
no 11441)v►M be employed unieas Noeneed undor ORS V3. (11 exempt fn)m -- - ----
S41e rwJW"A-.please ove reason bebw). Back Flow?nnenbon
HOMEO'WMERS--1 hereby ow*that I sm the owner of the ijv perty da- Devioe of An64N)Nution Devres ?so
sorbed above.M trhloh kxxm m 1 propose 10 mal•a pkaabhp trNMaNadw for Any Trap or Waft Not --- i
my own use and ads property is nd being oongidnj d for sale.leans o-nm CWInetbd to a Fixture 7.50 II
CO"Basin -- 750 i
-----------__. ir".of Exist.Pktmbtrtg _ 10 00 Per Hr
Spada Re"
811110d hvecdons 10.00 Per hM
A w o1 Pkanbkq Millin
an Exla+h+p Bldg 15 00 min
AU1 HORIZED til "TUBE -Dals Now Bldg.or Build.Addition 16.00 mat
T1 e fanil
Descftbe work new Ej addition(-� atterowr [] r'%*r r} c i.i 15.00 J
1 !t'M01M r" igintifIR non-ro~flal
E'd'tln°use of l C
U"of ---- __ _ _ MI�•TOT1M-_ _-fr3��
g11,NA10lM1WB Tout -', ,
Th ki po l- 4att"M NA and troll M wwat oarwirumm asllhont:w is rat ON,
IIIanIMd1M &111iQdttglarsrVaa v*U0" orwa*iiiM1Nptind orsibenitk+ntadfor
A aarlod al=aloe M•M fte ttM1a►work M O&lWirtad.
fU41'xAl.00t1�pNB , .
OeM latuued � _7. __ by j CC C C
N 3D INSPECTION NOTICE
City of Tigard Building Department f.
P.O. Box 23397 +
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _9 Tlm A.M P.M.
Address
Porrnit #.
Owner _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ _?POR
! � D sapproverlDate
ALL REINSPECTION
YES FA No
tl� tltll► � � � 1
CITY OF TIGARD 639.4171 6634
BUILDING PERMIT DATE__.—�-._�__ x
S1—llAC1 tier •tern.
TAA MAP _____—LOT N0. _SUBDIVISION_ -
OWNER --,V-KL JOBADDRES 95615N Inez 4t.
BUILDER __. 'jam 246-8803__ __ —_ STATE REG.NO. _—_. ____ _._..EXP.DATE
T
BUILDER'S PHONE � --- --•
ARCHITECT Trtfority nr PHONE OTHER —.---
STRUCTURE )CI NEW C REMODEL I ADDITION I I REPAIR MOVE OTHER DEMOLITION
Ll RESIDENCE COMM EDUCATION I IND l RELIGIOUS ACCESSORII GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE BLf 3.TYPE FIRE ZONI.___P=AN CHECK By!, H F A T
ConotruGt sitije ttrmll,L tlto llbw w/&LLAci-ed ;�:irdvL "11 '•^ Lr to �•.ul.a_-_—
/Z /LI
SEWER PERMIT# 3;1il60 '41 1t1t11 3 b:sf.h, �E► Lrwl,s �:e.r�l:c '�'�+�* —.—
OCC.LOAD FLOOF LOAD 4ti HEIGHT Lt, N0.STORIES 2 AREAO O.BEDROOMS VALUE Kh� lt,l
_
BUILDING DEPARTMENT _ SET BAC :S FRONT 11 REAR)5 LE FT Sl(_'r r'1 RIGHT SIDE 1+�
39t 40(j
Permit — THIS PERMIT IS ISS'.IED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�1/5' REGULATIONS AND ALI,APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4&rtht-. WORK WILL BE DONE !N ACCORDANCE WITH TI:C ;:LiNS AND SPECIFICATIONS AND IN COMPLIANCE
`— WITH ALL APPLICASLL CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.CK.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 15.64 E,1'i'C 25U.Ut!
-- SDC— uUU.UU
Total M►Irs6V+ a APPLIOANT OR AGENT
PDC#
Prepd. �+ � �� d i 1A.01)
BaXl) e 4Uh.tt4 Receipt No. ./ J ADDRE88
-- -
�E Issued By 1 O Approved By -
.L-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�i Contracror 3 7
_ Permit No. '
S: 7 Rough-in
Fixture
Final
HEATING
yYA% 4•8'87
y Contractor
Permit No. Li ILL
___ 2— __ _ __. Gas or OII
• 8 _Elf- �� Rough-in
Final
SEWER
Finni
y DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATIfOCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
�i
Z ��
�,I I v ur I II.iAMU IVIC'�.W!:AIViL.HL f'CtilVll 1 ,, , N y
Description
Table 3A Mechanical Cods _ CITY PRICE- AMT
City of Tigar,i 1) Permit Fee •0- 0 10 Ott
13125 S.W Hall Blvd. --
P.O. Box 23397 2) Supplemental Permit 3,00
Tigard, OR 97223 --
62q-4175 /„ I) Furnace to 100,000 BTU — 600
incl.ducts 8 vents
2) Furnace 100,000 BTU + 7 !10
Ind.ducts 8 vents
Name of Development 3) Floor Furnace (; oo
Ind.vent
Addres , > 4) Suspended heater,wall heater
Job
.S l0 3 f, or floor mounted heater
Address
Tax Lot r Vent not incl.in
Map No 5) t tilt
appliance permit
Lot Block Subdivision Repair 01 heating,refr i
Na (or nam of sines) 6) P g' g. t oil
cooling,absorption unit
Boiler or comp to 3 HP
01,kng ,dress Phone 7) G lilt
Owner dress unit to 100,100 BTU
- zip R) Boiler or comp to 3 HP-15 HP t t 00
^..iry state absorp.unit to 500,000 BTU
Boiler or comp 15.30 HP
Name / ' r�Os'i'er 9) absorp.unit 1/2•1 million_
Mailing Address`? phone 10) Boiler or comp to 30-50 HP
absorp.unit 1 -1.75 million ;
Contractor —zip i t) Boiler or comp to 50 HP
city state absorp.unit 1,750,000 BTU
Stele Registration No u City Bus Tax No 12) Air handling unit to
t0,000CFM_ ,
Air handling unit
I hereby acknowledge that I have read this application that the information given is 1 3) 10,000 CFM +
correct,that 1 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) Noo portable a •,,,
number given is correct.(it exempt from State rrglsiration please give reason below) evaporate cooler
t 5) Vent fan connected k
to a single duct _
--- - 16) Ventilation system not
Included In appliance permit
----�"� Hood served by
1 � t 7) mechanical exhaust
signahire(own.*or olds t 8) Domestic type ,,t
Describe work O addition [_1 alteration O repair D Incinerator
to be done residential �7 non-residential EI 19) Commercial or Industrial 30 tkt
- type Incinerator
Existing use of
,
building or properly 20) Other .e.,woosove,
water
_ heater,sola.,clothes dryers,etc
Proposed use o1
building or property --- — 21) Gas piping one to four outlets = tx'
Type of fuel- oil ❑ natural gas LPG Cl electric [I — 1
- 22) More than 4-per outlet
WTI" SUB-TOTS 4L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON `—
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 — 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW ft616 OR SUFTOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORT. IS `,OMMENCED.
Special Conditions --- - ----_ -- ------------_
Date Issued _ by .. '