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INSPECTION NOTICE
City of Tigard Building Department
_ 12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address-- ----------����:J //., � _.. .•" ism, .:A� �'` ` Permit #
Type of Inspection
The following Building Code deficiencies are required to be corrected: -1•.� - ,it :r9 ,t..r._ ,+`l
Presented to _._ _ Inspector
Date
CALL FOR REllk'4REC7'lf)N
YES ❑ NO
W7.jLUFJUWJL
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 87223
Phone 829.4171
Address PrYMIt #--
Type of Inspectic 4� Y -�.• --
,� yI
The following Building Code deficiencies are required to be corrected: —/� n� tA✓ .L - ;r1 __
—__.r._.--_-'�' i-�f.��ji�°'.- 1".tiC._i..�''�t• _V'�-"f.�""_...__JicLLi�r� 'GT*+>M_ i�"�•*'3._ -�,G. :�2.
' i
Presented to Inspettor �_
Date -
CALL FOR REIIVWCT701V
❑yes ❑ NO
.. ssas sssr s� ssssr s. �- as ssw
BUILDING DEPARTNISN1T, TIGARD 1ti D
PLUMBING PERMIT ly �
holder of a valid p!,tmbing contractors license is hereby
authorized to cause plumbing work FIs herein noted itt be inst.111ed in actor lance with the plumbing cede of
Z igard. Such installations require inspection by the City Inspector who shall be notified not less than four ,I
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business Licen,e required 1
for all contractors and Sub�nis. !
Job 1.L � �� Ll�Date � :: �_ i
Ovmer _ 4—TAddress_ .M_ --. _
Nur.l3Fra or TOTAL jl
L. ._. TYPE OF PERMIT ITEMS _-fEF. 01I EACH -_ O,FMMUNT
_L�lt
f Single Fanil 1 bath-each _.:_-_--_,_--- _ _ I 25.00
h 1 beth unit 255.011
_Ad_ditional bath_raome-each 10_.00___ _
_._ _ _ _�__.._ _
!-htobi!e Home Se-each
N O I V I 9_4_AL__FI X T U R EC(���
9 �I��.i i C H I - __—_ - -- ----- ------
1 to 50 Fic,ures in I buildin -each _ _- _-__3.00
1 51 to 100 Fixtures in 1 building-aach �- __� -_—___ __ 2.50 --
101 to 200 Firturee in 1 building-each __-�-- _ ___�___ --_2.00 - ---- ---�
� 701 or more Fixtures In 1 buildin •-eg ach
1.11SCELLANEOUS �- _ "_-"""'�-' •____ - -..- -
ESewer-each additional_100 It. _____ _ ,10.00
Wa,er Ser,ice to buildi29_ __ ��� 5_00
Y
PERMIT -.('�_( For rlumbing lnspet:tion Phonc 6.79 4171
4';State Plumbing Contractor By -
( TOTAL -� RECEIPT NO. Issued By _—
BUILDING PERMIT APPLICATION TIGARD DATE 19__E� 3274'
THE UNDERSIGNED HERFBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUII_DER PH64''70".2
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT IONS. OWNER PHONE z __._
LOT NO. 47-P1CitiTr -5-rld n
OWNER t�IUAarlclUrpj JOB ADDRESS 10115 561 Kent: P1ac-�-; l�
- ---�— AFiCM1T6C7
[� 1 I?NGfNE•ER
BUILDERAlexandk►r & Son,Hume-V �pri314615 SE l'opaX�(w1w..DESIGNER Piercy & I3ailrcl'a1r_— _
STRUCTURE [S NEW ❑_REMODEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE 0 DEMOLITION
*-R.."FIESIDENCr ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE 0 SLAB f_1 FENCE
OCCUPANCY tT. LAND USE ZONE Ri7Pf1 BLDG.TYPE 5N _FIRE ZONE^ S PLAN CHECK BY dw HEAT
Construct single family dwelling w/at:ta shed garagg. 4r,;edi cllms� �-
SFE CURRELI JON SHEET ATTACHEU.
SEWER PERMIT# 21(.1:,, - S750.00 w--(a :►..- <+�i �.�-- - ----
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES 2 AREA 2284 NO.BEDROOMS 'a VALUt ?9 r
BUILDING DEPARTMENT SET BACKS FROM REAR 41. LEFT SIDE •1�'. RIGHT SIDE
—__
Permit x,245.00 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 THAl ThE
Plan Check 122• s-'0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C OMPL ANCE
�,T rp WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE9MIT DOES NOT WAIVE
Sub-total J- 67. 50 RESTRICTIVE COVENANTS. CONTRACTOR AND �UB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 91"o -1
soC— $400.00 '"''
Total T;-377.;3Q � �- L --- —
— PDCaV
Y R,10f].0Gkli LICANTOI -�•RAdIENT --..
By _ 1 � Receipt No. �/ ���._ , a-' -- ) - � �'5/Z,
Approved duh �'-, ESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING— I DATE
C.,.• �'`�p( --- `—' i Contractor
/ t — Permit No. Z 1?90 ,S.2•"
Rough-in
Fixture
Final —v—+
Ok IIEATING
Contractor y n
�—_ --- --_ Permit No. �p�
—._ Csas of GN 1W SkoDC .2/IZ f• �� '/S'8Q ;`I`
Rough-in
Final
---- ---- SEWER
---- -- ------ _.....-------- Final I
DRIVEWAY
—,_-- -- —1 -- —
Final
-,- - —Y — -- Storm Drainage —
(Pain Drain)Final
— Sidewalk
Curb&Street Final
Approach
BLDG.. DEPT. FINAL TEMPORARY — Cr-mmCATE OCC UPA CY -- —
CERTIFICATE OCCUPANCY p/, Final
V
0 -------- — -landscaping
Zoning Final
BUILDING PERMIT APPLICATION sir TIGARD DATE_ L —, 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR -rHE ',:ORK HEREIN IND!CGTED VUILOERPIIOT"E�'O
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS, OWN EF'•PH
�c
A _ LOT r4A. S_
OWNED. V,�l�A .��. JOB AODRE55/y/�' �J� � ���� �I w�p,
oy/��jn��;��•j�p� LQ/S Wfip 01
P1R
STRUCTURE NEW �nE,-ynDEL CQADDITION ❑—RGPAIR ❑RENEWAL ❑FIRE DAMAGE L..,IDEMOLITIDN
•RESIDENCE UCOMM ❑EDUCATIONAL. C�GO�/'r CIPELIGIOUSOPATIO L.JCt\Fi POFIr ❑GARAG': D STORAGE DSL4B ]FENCE
11`CCUPAr AN USE 20N" .[�.P SLOG:TYPE .�.&-__FIRE ZONF.? PLAN CHECK By
A A0
S ES E W C• RC R PERMIT
LOAD wEi .GtJ _ .TSR!
BUILOING DEPARTMENT SE r BACKS Fnor4r ��-_REAR �/ LEF r SIDE /.2 MIGHT SIDE 7-G
Permit 2�g.�a p
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plin CheCk Z.� REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HERESY A.GREED THAT THE
VSORK WILL BE CONE IN AC(.ORDANCF: WI TH THE PLANS AND SPECIFICATION„AND Iri COMPLIANCE WITH
SU9•total (�7.,j� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4,�O LICENSE. SEPARATE PERMITS REQUIRED FOR SEVVER, PLUMBING AND HEATING.
Tnta! 1??$0 SDC �t 1�
- pDC„ n
----�• APoLI C.aNT CR AC EN i
Approved Receipt No
HoMZ �-
S D C -
PDC - # l00
SEWER CONNECTION 7,2,L
.SEWER INSPECTION S •� r
SEWER SURCHARGE S -
s z(5V -61S. 7
- -
11 z�
30
VC AL C)tAO'D MYZ
10115- g w KSA,4 Pl o ee- t.-V ' f7 , 1pfj a 14,, t%f I.
//fjs. w".,— 11– 9- x 2 9 132 4
to -q x 3151
(0 ,0 x (v 7-ST
1
¢
Lvwv- p(oa.-
l-p- °I )c
200
�°XOIx 1
?8,
14000
Pe,in
City of Tio - rd Mechanical Permif M
Fee
Addition A!-,�-'r2lion A,. S--tate 3L-
New lnslaliaiion
C%-".%.'TRACTOR
R OA'NER
ADDRESSE,
WORK ADDRESS le9l.
PHONE
n' APPLICANT
Heat Input Rating (BTU Per Hour)__._ Vent Size
Flue Size
FUEL 011, GAS ELECT OTHLR
ITEM NO. FEE ITEM NO. FEE
For Tlwuance f Verri;it 3.00 Air Condition Compressor 15 to 30 HP
-66-CV r10-61
New- Under 100,000 BTU 4.00 Air Handling IC1,0 F
5.00 Air Handling O1FNF. --
5.0
New- 100,OUO BTU& overang ver 0.0
_New
—Fur-n—ace-,
i,00
30
Wall - Floor Suspended 4,00 Range Vent Fan
ie—nt
2.0
Install Vents Only 2.00 Vent System
-Acpair - Heat & Cooling4.00 Hood Commercial
30
Air Condition Compressor 1j;dL-Ti HP Commercial Duct System
-Air Condition Compressor 3 to IS HP
10.Ci
INSPECTOR'S COMMENTS
TRACTORS CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRAC70RS 08 SUB-CON
APPROVEDBY.--------- DATE ISSUED BY DATE
RECEIPT NO.
Anir
City of 'Tigard Mechanical Permit
New Installation lJ Replace ❑ Relocation F] Addition D Alteration DATE:
HEATING
CONTRACTOR _ OWNER-_
ADDRESS_ _. JOB ADDRESS _
PHONE,__ � _ APPLICANT-
Heat
PPLICANT_Heat Input Rating(BTU per Hour) _�__-__— Vent Size___�_ _ Flue Size
FUEL OILE] GASE] ELECT Cj OTHER _ _•___ _
_ ITEM - NO.I FEE � ITEM NO. FEE
For Issuance of Permit SEE'BELOW Each Air Handlincy-oit or Duct System_ _7150
N_ew•uoto & incl. 100,000 BTU _ _ _ _ 6.00 Commercial Hood System 7,50
New 100,000 BUT's & over _ 7750 Other Equipment - Each _ 4.60
Woodburning Stove 4,50 __Llrip Inspectior _ 4.50
Wall Floor amended 6.00 Air Condition Compressor - u to o&incl.3 H.P. _ 6.00
Vent System w/Fan _ 4.50 Air Condition Compressor-3.1 to 15.H.P.incl. 11.40_
Re air•Heat Cooling_ 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB.-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Commonts: r
FEES
_ % STATE _ Issued By
25%PLAN CHECK ^
REC.
Signature of Applicant