10125 SW KENT PLACE � _a
10125 SW KENT PLACE
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MINIMSA111111MINIMINSPECTTION NOTICE
City of Tigard Building Department
12420 S.W. M-,in St.
Tigard, Oregon 97223
Phone 639-4171
Addr,-ss—_ :/ y
-�—3 %` -�• Permit
Type of Inspection
The following Building Code deficiencies are required to be correctet.'�
417
_,+c::.�tr�'ri' "�"'� s9� 'w - ►. �'. '.'sta— �'^'iT' i"2-s+ra{, ` ylAAfi,.?_.�.�-a.-�"..ar �
_• �e;Z-+moi..y.•, �_^_.e:.� =�' n..c�art
Presented to _ Inspector 77
Date
CALL FOR REIA SPEC'1 ON
tO YES ❑ No
■
a� isw ser 'a.
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 9727.3
Phone 639.4171
Address. _-��--•— --_---.. - .—_.�.
Permit # --
Type of Inspection _� — ----—y— -- —_.�— ----
The following Building Code deficiencies are required to be corrected; - --
Presentr : to --
Inspector -----'�'--
Date -----
CALL FOR REWSPEGTION
❑YES ❑ NO
n:
Ate► �!' :I# � N ,� ! � q fi
City 0 T4ar"d Mtchcmical Permit Per rnit ,$3.QrL
clew Installation Replace Relocation [ Addition E-1 Alteration 47.Stara___
HEATING
.-
CONTRACTOR "Ly►2ZiJAA.g Jr. _.__✓Ilk Ale, OWNER
WORK ADDRESS `_.
PHONE `��.�= —, APPLICANT_�_ �
Keit Input R icing (8Tu . 'r H,„r)r_ Qr-i Com@____.._.. Wnt Site _�� Flu? Size
FUEL OIL 1D GAS ELECT' ❑ 10THER
ITEM NO. FEE ITEM NO, FFE q
.=or Issuance of Parmit CE ABOVE _ Air Condition Compressor 15 to 30 HP 10.00
Nei;z-�up to &_inc1.100,000 BTU _= 4.00 Air Handling 10,000 CFM - -�-V 3.00
P:ew_100,001 BTU's & over_ 5.00 Air Handling Over10,000 CFrv1 5.00
'Acer Furnace 4.00 Evaporativa Cooler
�Nall - Floor • Suspended _ 4.00 Range Vent Fan - 2.00_
Install Venn Only 2.00 Vent System x.00
Recair - Heat& Codling _ J 4.00 Hood Commercial 3._00
Tr Condir.ion Compres,or Under 3 HP 4.U0 Commercial Duct System 16.00
Air Condition Compressor 3 to 15 HP v M� 7.50 _ ___ T�
li%PECTOR'S C0Nlj%IENTS_
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
i.PPROVED
By _ _ DATE _ ISSUED BYATE
i?rCEIPT NO. _
Signature of Applican _
i
BUILDING DEPARTMENT, TIGARD NO.
PLUMBING PERMIT
CO' hoider of a valid plLmbing contractors license �s he�ez'/
authorized to cause plumbing w k as herein noted to ba insta.;ed in accordacr-e'Vvith the plumbin, code o�
Tigard. Such installations require inspection by the City Inspector who shall be notified not less Mian `cur
;4) hours prior to the time the installations are ready'for inspection. City of T igard Business License required
for all contractors and sub-contractors. /� /� pl�ks Lw,� ;�s
t/`yi Vi J�.+[•'-�.��f.>�� Add re.�'s,I C 12b KI KIWI
NUMBEIR OF TO-AL. PI:AC
MIT N .'a
"YPE OF PERMIT �. I ITEM"o 7-,: ON EACH I AMOUNT (C)!lice Uvt Cn yi
Sl^(;Io 7nm;1%'-1 beth--each I�_ 25 CO U ea
Dup'nx-Each 1 bath unit Zg 00 'j
Ardit:or'a: bzthrooms-math _ 10.00 3
15,00Q
;NDIV IDUAL FIXTU ►.,19 FEES -�
1 to 50 Fixtures in 1 building•-each I 3.00 i.
3' to :a Fixtures in 1 buildin -errh l 2,00 i
a
01 to 200 Fixtures in 1 bliMin -•each
201 or more Fixtures in 1 buiidino-each
.ELL.AN E 0 U S
aulidii_,r Sawcr-1st 50 't.
S�war-each additional 100 !t. L 10.00 r j
—Niter Snrvire to bulidin. ._ _._ _ 5.00 —
�'r i0.00
For Plumbing Inspection Phone 639-4191 �
3 " Plumbin;, Contractor 8y
`G"!1� RZCEiP. NO. Issued By
BUILDINr PERMIT APPLICATION TIGARD DATE__-____.. t9 310
THE UNDEI SIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED [BUILDER PHONE 639-1"
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-1-
LUTNO._��b - (�1CkB`.—
OWNER--',,AM Gott®r JOBADDRESS 10125 SU Kent oi,ic;6 _ Landiriu _
ARCHITECT
ENGINEER
BUILDERfipRiEt ADDRESS12635 561 Beef p,,nd Rd• DESIGNER
STRUCTURE MNEW _ O REMODEL -_❑ ADDITION ❑ iEPAIR! ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 (RESIDENCE ❑ COMM i-1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUoANCY LAND USE ZONE BLDG,TYPE FIRE ZONE PLAN CHECK BY HEAT
i:ljI'vAzur.t ._ingle faa,.Lly dwellingw attachad r��r. agP. Ei circ�laa_t� - 3 bat_rts,.
O- IIs+a® or Permit X3105 - (16 �t,� ,� Graanl�nci Urivo
Er PRIOR PLANSFQR CUIRRECTILOFJS, ---
REWERPERMITN
LCC'-LOAD FLOORLOAD 40 HEIGHT 19 N0.STORIES 2 AREA 20 39 N0.BEDROOMS 4 VALU 613 1 2010.
BUILDING DEPARTMENTY- SET BACKS FRONT 30 REAR '19 LEFT SIDE 10 RIGHT SIDE )
PermitU221.: .01.1 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 THAI THE
Plan C_neck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS I)ERMIr DOES NOT WAIVE
Subtotal 23.x.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REr)UIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 9.nn LICENSE.
440'uu
Total SDC-
00 _
PDCIt 100.Q P—LICAN`T 0 AQ NTBy —-- —_
Approved
CIIIFi Receipt No.
-----__-
_ PHONE
I
nla a � � i� tta tat ala t>t
DATE INSPP, TYPE INSPECTION _— '—REMARKS _ _- PLUMBING DATE
Contractor
9 Permit No, ?y
Rough in
Fixture
S� �---___------- Final
S♦♦^� S^O w. � ZpLO�."� HEATING
Contractor
Ice j04r w^e1 NA!(, — -- -- Permit No.
Gas or Oil
d�-�- Rough•in
-- —�v-- Final ——�
-- SEWER --
-- ----�_—..__ _— - Final !✓- 7V-�D
-- ----�._--_� --- --- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
S idewel k
-- _` -^------ Curb&;tree!Final
Approach --
BLDG. DEPT. FINAL TEMPORARY CERTI-ICATE OCCUP/yryCY Final
CERTIFICATE OCCUPANCY � U _—
7- -7- h-,� �L
Landscaping
Zoning Final
i
r 1. i('ATI N "" T{GIRD DATE�A�R.__s�___._, to
BUILDING PERMIT AFP . . . Q of �78G'`R,�
THE UNM HSI GNt D HEPE5Y APPLIES FOR APE RMIT FOR THE WORK HERE IN INDICATED
BU11_DERPHONFG�' 4.
OR AS SHO�%N AND APFIROV ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV.NLFT PHONE
LOT NO ..va a u
EH -CD —JOyAnDiiE55
A-,,!T _E
FtCHC_T
`S fY`® '�v'+`_ ..___
ENG NF_ER
ct
OCR ACUE55 ` . .---, • DFSIGNF_R
1CTUFiE NEW CJF1I '.OVEL CIADOITION. _ L-_JF'EPAIR ❑RENEWAL [IFIF1 DAMAGE ❑DEMOLITQN
r�_ -
E DE NCE OCUMM C.JEDUCATiONAL IIGOV T 0REI GIOUS��PAT10 LUCAR PORT ❑GAPAGE ❑STORAGE❑5LAB C]FENCE
„PANCY t ANr3I'�� '�G TYPIF J A FIRE / r ✓__ PLANCHECK SY d`�t► ,-_ HEAT__ -_
C-app 3�oS �l6�es-s�vm -1�c _ are�3
. . S� p*&,- p GTS* -
,JER_.PERMIT # Cx _
LnAD F!0(Ip t a:a 40 1EIQH I NO 4TVR:FS •2 _AR51 o3gNg vEvRooMs VA.LUF(Ole,260
GcI ARTh'fN' v,S FHONT 30 DEAR 3� LEFT SIDE AIGHTSIDE /
nit�
1 !.AIT IS ISSLIFO SIJBJFCT TO THE RFCiULATIONS CONTAINFO IN *HE W1ILOING CODE, 201v:NG
Check ' I IONS AND At L APPLICARLE LODFS AND ORDINANCEF
S, AND IT IS 'EPEBY AGREED THAT THE
��It IL 1_ BE 001,41E IN ACLORC11-tiCE WI TH THE PLANS AND SPECIFICATIONS AND IN CCS%P!.IkNC.F. V.ITH
-total - I ' ! LICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NCT W:.IvE
�C. �✓ IVE COVF%ANTS CONTRACTOR AND SUBCONTRACTORS TO HAVE CURRENT CITY CUS NESS
e Tax I �`, SEPARATE PERMITS REGLIIRED FOR SEWER, PLUMBING AND HEATING
31 I I oo
4u93— AN+ r;a aGENT '
'IOv(-d
C
c - - 3L _. /00
—
.JER_ f f""' I f ION _ & 80
.JER INSPECTION :2
.JER SURCHARGE "',,...►s_
•nmentss ���' ?•Z `• T_-`t',re,�: -�+� y �.r