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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mw,)St.
Tigard,Oregon 97223
Phon639-4171
Type of Inspection Y
Date Requested Time--A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building (:,)de deficiencies are required to be corrected:
4
Presented to Approved
Inspector Disapproved
Date
CALL P R REINSPECTION
YF_8 0 No
INSPECTION NOTICE
City of Tigard Building Department —
12420 S.W. Main St.
Tigard,Oregon 97223
Phone. 639.4171
Type of Inspection — i•-' __
Date Requested�__� — �� A J_ Tir�.�_- A.M._ P.M.
Address zi _ Permit # _
I Owner _ Lot
Builder
I
The following ! gilding Code deficiencies are required to be corrected:
Presented to _ �- Approved
Inspector y [ _— _ �_ Disapproved
Date
CALL FOR RFINSPF,CTION
C� YES i NO
MECHANICAL PERMIT
C17YOFTIGARD ki, PEAMTT NO. ME881949
CRY OF TWAM
nele
T-ON
COMMUNITN' DL-VELOPMENT DEPARTMENT l')A'Y*r-.' 1551.)EA) to/ 3/08
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223•(503)63S 4175 PRI'm Pm r .N( . 90. 1 9A19
-.JOFJ ADI)PESS, 10'35!.a SW KAHLE* IM
I AX MAF'/I 0I, S:iLIW: LJ : HK
I. ANU USE.
L.OT S 11:7 E
I mm: No : N(-)
WORK .11LA%% : ADD , FI-IV1NACJ-:: (1.001( ATR HANDI-14 <10
USE 'TYPIE : SINGI, 1';AM,t:L.Y 1::'LJPNA( E: 10010- AIRI HANDL.14 101
Yr)F: : VN FI-0014 F*LJPNA(:,E r-.-:'V A P ,G 0 U L.U R
0(*;CLJF-'1 . GPP : 143 VENT FON
1JEW1 VIEW'. SYS'TEM
RLP/Otimp <31AP HOOD
ND. til'OPIE'ES : P OL W/01OMP 3-11151-11P :KNL.1NEPA*1'0P(V0M
DWELL .UNIT5 ; I EDLP/COMP 1!`5-301-110 INC.119EPAVOPWOM
FUE L T*yl;jl-., WOOD BI P/li'l(Imr-1 30-.1150HIP V4--i.111AM UN 1. F0
MAX . INPUl F)LIA/L0MV-1 .50+HP (Yri-,iEN I.
FA.Pri. UMPRSI? GAS P'LPING
I-11GI.-I P-114-sti-T
11-Ow V"Ar-iKss'?
Wood—bi.wning %tcive invithilleticiri
FEES
0 Mciriltey .1:1.:1.1. F)krpmll, 111110 , 00
W
N 1.0353 SW Katble L.n PLAN PIEVIEW
E 1 :1.jj aL I-,cl UP 9-7'f.*-.":"5 FIX1111RIES IIII-I.30
R 1:1-400;.. (503) 4*39-4060 STAM TAX 11111 , 73
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REGEIP1, NO. 1. 0 9
This permit Is issued subjeLt to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulatlons ]INSPECTIONS
and all other applicable codes and ordinances, and It is hereby
agreed that the 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 restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is not started within 180 days,or if work is Suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections ire requested and approved.
pe ,ttee 519 atme ? *W 9 EI-Wyv-,
issued By 41 L-
S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE -3.
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-41 i 1
Type of Inspection
Date Requested — 2— ';2 --, --� —) Time A.M 41- P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are req!iired to be corrected:
II
Presented to Appro"d
Inspector Diapproved
Date
CALL FOR REINSPECTION
YES 4 NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Orr!gon 97223
Phone: 639-4171
f Type of Inspection
Date Requested �" / —_ Time A.M. --CP.M.
i
Address /U SSS TCI' Permit *-1;2
f /J
Owner._ C ✓—.. —Sr�-��___ _ Lot #
Builder
jThe following Building Code deficiencies are required to be corrected:
I
i I
Presented to _ _... C� Approved i
Inspector — — Disapproved
i DatN _ -- ---
CALL FOR REINSPECTION I
C� YES 0 NO
es
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Ile—
Type of Inspection P.M.
Time__ A.M.
Date RequestedPermit
E--�- L
Address Lot
Owner
Builder
The following Building Code deficiencies are required to be corrected:
.................... ---------
------------
----------
Approved
Presented to Disapproved
inspector
CALL FOR REIN
0 YrS REINSPECTION
NO
wr w w R w w
_. ... -- 7.� /
BUILDING PERMIT APPLICATION TIGARD DArF
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE el-3 9--e!!6'42
�/�� LAT NO. O
'^X -C'o r /?.�
OYVNERC)-5!Aw /%.•, .SOB ADDRESS % `s 54!f /\
ARCHITECT
ENGINEER
BUILDER /�i;;j/' ADDRESS//D'`' ' i�' �.sf Sr ESIGNER
STRUCTURE_ NEW ❑ REM00EL ❑ ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE Cl DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOV-T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE ::1. ' BLDG•TYPE � ' FIRE ZONE '� PLAN CHECK BYHEAT
71 A
SEWER PERMIT M
OCC.LOAD �.. FLOOR LOAD r' "> HEIGHT ;�c� NO.STORIES ;g AHE/ 3' NO.BEDROOMS
BUILDING DEPARTMENT SETBACKS FRONT ! > REAR �; `/ LEFT SIDE RIGHT SIDE
5_':
Permlt -� _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFti IN THE BUILDING CODE.ZONING040 �
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check V ` 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
Sub-total RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SCC--
Total ('S 6 j �� APPUCANTOR AGENT
- POCK
By s
— Receipt No.
Approved ADDRESS PHONE
i 0 C `� ---- --
!EWER CONNECTION S
;EWEP INSPECTION $
EWER- SURCHARGE S�� ,
n m m o�}.C s ...�Ci �� C.� 4� / r✓ r..- .-1�%L"' ..1 Li(f,/�`)!1_. __ _
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21
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4:5-, /
<7 X
20 O r�
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BUILDING PERMIT APPLICATION TIGARD DATE__ __ ___ r,t9. _ 4 474""',
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE __�A
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE.
OWNER _: _ _ JOB ADDRESS x_07 NO.
ARCHITECT
ENGINEER
BUILDER ADDRESS " I "I'' '" "y" »A' DESIGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMP.". ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _ FIRE ZONE---' PLAN CHECK BY HEAT-----..—
SEWER
EAT__—__-..—SEWER PERMIT# Idw
OCC.LOAD FLOOR LOAD _ HEIGHT r NO.STORIES AREA _ NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE R'_3ULATIONS CONTAINED iN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE LODES AND ORDINANCCS,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
Subtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax
SDC_
Total
PDC# T7 WO.UP UP APPLICANT OR AQENT
By
Recelpt No.
Approved ADORE" ^.__�� PHONE
DATE INSP.� TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No,
AAA. Rough-in
Fitt
���7�i� r rC? ___� •aM� ��` Finan _—.—
��� HEATING
Contractor
Permit No.
Gas or Oil
Final
SEWCR�, —�
Jl dEJ �� L ��_ Final
DRIVEWAY
Final
Storm Drainage
— (Rain Drain)Ficel
�v P r�C etvtlk—� —
C.ub S Street Final
Approach
BLDG.DEPT.FINAL ^TEirPORARY CERTIFICATE OCCUPANCv
CERTIFICATE OCCUPr?C'Y Fi+.el
Landscaping
Zoning Final
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I IUAKU MLIGHANICAL PERMIT
Permit k /9 � -
Description
City of Tigard -
Table ec
3A Mhanlcal Cods���-"— QTY PRICE AMT
-~-- � �y --
13125 S.W. F1all B(vd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 -
Tigard, OR 97223 2) Supplemental Permit 3.00
639-3175 Furnace to 100,000 BTU r
1) incl.ducts&vents 5
Furnace 100,000 BTU +
2) incl,ducts&vents 7.50
Name of Devniopment Floor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heater -�
Add,e>s 4) or floor mounted heater 6.00
Tax tot my Map No Vent not incl.in
I.ct Block 5) appliance peratit 3.(lU
Subdivision
Name or name of business) (,3-)_ /0(00 6) Repair of heat' j,refrig.,
`L &L c y 3" _ q1 7/ cooling,absorption unit 6.Q0
►flair„g Add7
Address Phoria Boiler or comp to 3 HP
Owl".1 r ) absor unit to 100,000 BTU 6.00
c;y�8ate Zip Boiler cr comp to 3 HP-15 HP
8) absorp.unit to 5C0,000 BTU 11.00
Nemo 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Mailing Address PhoneBoiler or comp to 30-50 HP
10) absorp.unit 1 -1.75 rnillion 22.50
Contractor City/Slata Zip Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
Siete Regislratian No. Cit Bus. rax No. Air handling unit to
City 12) 10,000 CFM 4.50
I he any acl,rruwic•1ge that I have read this a Air handling unit
ppticaUon that the information given is 13) 10.000I✓� t 7'$0
n
coed,that 1 am the owner or authorized agent of the owner,that plans submitted are in
compl,ance with Stale laws that I am registered with the Slate Builders'Board,that the Non portable
nu,nt-it given is correct (if:rxernpt from gtele -tistration please give reason below) 14) evaporate cooler 4.50
15) Vent tan connected 3.00 `
to a single duct
Ventilatio-t system not i
— 16) included in appliance permit 4.50
Hood served by
t 7) mechanical exhaust 4.50
Signature(owner or agent) Date Domestic type
Desc.ibe work E] addition ❑ alteration U repair U 18
) Incinerator _ 7.50
to be done_ residential D non-residentlal ❑ _ Commercial or Industrial
Existing uze of l 1)_type incinerator - 30.00
building or properly ?0) Other i.e.,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 (] natural gas n LPG (.1 electric FI `
22) More than 4.per outlet
NOTICE - ____ 1— _
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL r
STRUCTION AUTHORIZED IS NCT COMMENCED WITHIN 180 Sqo 406 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY.TIME AFTER PLAN REVIEW 25'✓.O�SUBTOTAL
WORK IS COMMENCED. _ TOTAL
Special Conditions
- — ----- -- Dale issued