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INSPECTION NOTICE
City of i igard Building Department ,
P O. Box ?3391
Tigard, Oregon 97223
Phone 6.39-4175
Type of Inspection ---,_— Aj /-f
Date Requested_1J.____�1� Timc A.M. `�-_P.M.
Ai dress A) 33y '
+ �" �=------ Permit 0
Owner:: - -- _ I-ot ---
Builder
The following Building Code deficiencies vi required to be corrected:
/0eS
Presented to � #6r7pproved
Ir,�pector Disapproved
Date
CALL FOR REINSPECTION
FJ YES Il NO
BUILDING PERMIT APPLIC-'ATION DATE
THE UNDERSIGNED HEREBY APPLIES F ORA PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
on AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO...-__ -.- .iePs 'So rlts .Jeu
b
OVNER ..?_Lan ?1:i7PUrL.iOL, C L'#OBADDRESS
_ _ ARCHITECT
ENGINEER
Sam' ^.^CRESS 2700 N 185t�l- u2Q14 DESIGNER`
BUILDER _
STRUCTURE E% NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
In RESIDENCE ❑ COMM ❑ EDUCATIONAL O GOVT O RELIGIOUS C7 PATIO ❑ CARPORT ❑ GARAGE L-1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCYILL—LAND USE ZONE RUM BLDG.TYPE ._:L_FIRE ZONE---PLAN CHECK BY LTO.L'_—_HEAT
Ck.nistI4ut;r single family 6wellLip, w/atUicooJ gPa'-4,e per aj.mroved palls.
Subject to 85 code
— ------ --
_ tei.;s se Of 17022
45xnth12 tsps � )SEWER PERMITM12 i
OCC.LOAD FLOOR LOAD HEIGHT Z"'t N0.STORIES AREA 158n NO.BEDROOMS VALUE W 17(.1l)
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFTSIDE RIGHT SIDE
Permit 3314.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
(If).f -� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH TKE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDIN^.:::.:ES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOri AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ���"�tl
LICENSE.SEPARATE PERMITS REOUIRFO FOR SEWER,PLUMBING AND HEATING.
L . TU SDC -
Total _
— - --- -
PDCq APPLICANT OA AdENt
By .14)0
�. Receipt No.
Approved �i).70 ADDRESS PHONE ---
_DATE INSP. TYPE INSPECTION
REMARKS PLUMBING
DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
3,'/A 7/
V
r-1-0 Permit No.
Gas or Oil
n
k, nugh-In
Final
SEWER
Of Fine;
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Firal
_7 -
5
-.-F—INAL----T--TE4PORARY CERTIFICATE OCCUPANCY Approach
CrITIFICATE 0'C1 JPANCy Final
Landscaping
Zoning Final
CITY OF TIGARD MECHANICAL PERMIT
TWO 3A N Cod. oTr AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W.Hall Blvd. ____—_
P.O. Box=97 2) &JWWffW"PWn-A 3.00
Tigard,OR 97223 ----
639-4175 1) Fumawn lo 100,000 BTU 6.00
kid.ducts Q vents
2) Furnace 100,000 BTU + 750
Ind.duds&vents -
Nwft of rwmoprw d 3) Floor Furnace 6.t 3
incl.vent
-� Suspender;healer,w JI heater
4) or floor mounted heater 6.00
l
Address /0 .3-5 U _�2� LY — -- -
VeM not Incl.M
Tax LAX Map No. 5) 3,00
CA)6_s - appliance permit _
L.c1 Bbck Su6cNvlabrt •-�-<�-- --
Wma(a rwna d f�uaMtaaa) 6) Repair of heafinp,raft lg.. 6.00
cooling,absorption unit
Aderaaa - rent» Boiler or comp to 3 HP 600
Owner MWWV absorp.unit to 100,000 BTU
to 500,000 BTU
CltyrStale - -- ZIp - - 8) Boiler or oomp to 3 HP-15 HP 11.00
absorp mit r_
Boiler;w oAV 15-30 HP 15.00
Non.�: 9) Unit'A-1 now
eMi+p 10) 8�',astOrfxxrtPbJ�aOHP 22.60
_ abaarp.uNt 1-1.76 rtlWort
Boibr or comp b 50 HP 31.50
aibsorp.stilt 1.750,000 BTU _
ahMi rAayakwart No. Cly&,*.Tex W. 12 Air harla*V unit to 10
10,000 CFM
Air handling unit 750
I hasty wkwwWdpa"1 how rand Nis R Catlort fhal Mw V*MWNW plum 14 13) 10,000 CFM +
comock OW I am to owwx or oullvdzed op"t of Nw owmw.nkat pwo aubrrlNlac+en In ---
OWVG raa wo stall hwa.Nw 1 am nglMwed VM ow E46W&Ad"'acre.rvM 6* 14) Non purtebie 4.50
mr
.Ko.dw Akan it oaa.(M ago rmm 9b"ro0walbn loom*f1�r9own b*-1. evaporate 000ier _.
15) Vent fan connected 3 3.00 I
_to a single duct
16) Ventilation system not ---- 4.50
__loch fled in appllarloe perms _
/ Flood served by
17 -
) 4.50 mechanical exhaust
sipwura(ownar or wr+f) °i'' 1 g) Domestic type 7.50
Describe work -n sodition n elteration 11 repsir (Jincinerator __-.. — -----
to be done l,-Lf non-residential Ll ^_ 13) Commercial or industrial 30.00
T1
Existing use of -Incinerator_ -_---. _ ----- -- _
Other i.e.,woodstove,water 450
building or properly.—. ---- - 20) heater,,solar,clothes dryers.etr,
Prvpo+sed tree of _ _ - -
building or property Y _ _ _ _ ----- -.- 21) Gas piping one to lour outists / 2.00
Type of fuel- oil 1 natural pas i_ LPG (A electric I 1
---- 22) More than 4•per outlet
NOUS SU6 TOTAL SrJ
THIS PERMIT BECOMES NULL AND VOID IF WORK OH CON __-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ _ S 06 SU-aCHAROE
DAYS, OR IF CONSTRUCTION OR WORK IS WSPFNDIE-0 OR PLAN REVIEW 25%OF RUS-TOTAL 7
� 1ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AF1 FR --" `TOTAL
WORK IS COMMENCED I TCIU �S
Special Cor0tions
Dale issuutt
.sr � wn .ar +�. wa ■a wu ws .eo
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : �-
PLAN CHECK APPLICATION DATE KSCEIVED:_9 7 8
P.O. Box 23397, Tigard OR 97223 P/C D-' POSIT PAID: y�j
Thi; in to certify that the attached �,� sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edit :ul
PROPERTY OWNER \./�_ J�2^. ,-L_ _ OWNER'S ADDRESS :
CONTRACTOR: TELFPHONF.:
JCi1 iwiIRFSS03Jy (-4'__ LOT NO. h MAP: - r > r1fJc`,i__.•
DESCRIPTION OF WORK:
A rovalr-.Required SPECIAL NOTES
OM anning Dept. Reissue y 2
OEngineering Dept . O Flood Plain/Sensitive Land,
0 Fire District o Sewer Availability
Other Other
Items Required
lM� List of :subcontractors
0 Business Tax
0 Calculations
0 Truss Details
Q Parking Plan
Landscape Plan
Other
1:()MME NT S
Ci .4� Zl' :Qlparts►ent
BUILDIN(; rFRMIT Pic. 7 •s C_
T PEttHIT NO
CITYOF PFAAW UED:
DAIS Iss _,------------
GOMMUNmY DEVELOPMENT DEPARTMENT Pw+.�•�
:w.NorON,r.o.Mtq>I/t.11�M0.owMnMm,Apl rn
,IOB krDWGSS:
TAZ HAP/LOT
LAND USE,
�'ALUAT7JN: _ � O ° u _ - SETBACKS
I,OT SIZE:
__^._ _ rRONT: - REAR:
MIORK CLASS
DIJELL/UNITS: LEFT: RICHT:
: � G W — -_
USE TYPE: S MO.BEDROOMS:
CONST-TYPE: W0.BA1tis: / 2
OCCUp.GRP.,
OCCiJP.LOAD: _
TOTAL AREA: 5--fr!2-- FIRR RET:
Z
IST:
ROOF CONST,----
NO.STORIES: —�--AREA SEPAR: __
HISIGW: 3RD: oCCUP.SEPAR:
NZZZAWM: GARAGtT _ —�FIRE =pms: .^_. ALJIRl�: --
FLOOR LOAD. � - FLOW (on). _---__—- DILTECT:--
CORM: —
HKAT TypE: HGCP.ACCUB:
PLAY CHECK BY:
LAST RXISS1111 -- —_—_--
SEWER ?EMIT: "� - ----- -- --- �.—_
Hama
WA_S�IB_• 2 '? �
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N _ �lc/�T1 c ur.
E FLU RMXW
Phone t !T �G FIRE DRPT �� O
STATS TAX -�-
-^-
c Nm
� , '" =- - DRVTWPHENTr CHARGES:
T Address: SDC (STORM) _ _.z?�5��
Jct SDC
A. �s
C - - PDC .,.. .. _. PREPAID
Phone:
RECE EPT NO.
REQUIRED INSPECTIONS
TOOTING SEWER
FOUNDATION WALL, RAIN DRAINS
POST i DUN WATER LINE
PTA. UNDERSLAB CITY APPROCH/SW
SLAB ?INAL
PLB.T POUT
TRAxING
FIREPLACE
GAS LIvm
• rr jvm"TION
ti Sig attire —J- - GYp.BOARD