12285 SW KATHERINE STREET-1 12285 SW KATHERINE STREET
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CITY OF TIGARD BLDG, DEPT,
1242.0 c�.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
fallowing item(s) require correcting:
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Inspectof e:r _.
CALL FOR REINSPECTION
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CIT`t OF TIG/ARD BLDG. DEPT.
12.420 S.W. MAIN STREET
TIGARD, OREGON 9722.3
PHONE 639.4171
C0NTR'AC T 4R:
i
Pursuant to Section(s) of the Uniform Building Code, the
)flowing item(s) require correcting:
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DatP:, Permit No,__-__. —
Inspec"t =--, _ _
CALL FOR REINSPECTION
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Tigard MechanicalPermitPermit _p,_00
/ '
Fee--—��
New Installation Replace 0 Relocation � l Addition ❑ Alteration L-1 4%State__ .__._.- - -'
Lf Arty TOTALING 11
_.___
CCrNI RACTOR — _V OWNER Tana- A - -�
AvrDREss '_q,� _n« ► t_ WORK ADDRESS_1 <Q I IHj keC' ry .
PHONE_ _!Cl 1 ���1_r APPLICANT -P,
Heat Input Ratio (BTU Per Ho� w^p. Vent Sita �
F 9 ). $QFlue
FUEL OIL El GAS(T1 ELECT Cl OTHER
ITEM N0, `FEE ti ITEM W�NO. FEE �.
For Issuanr: of Permit 'E. VF Air Condition Compressor 15 to 30 HP 10.00 ,t;
_New-up tc _& inC1.�00�_00 4.00Air Handling 0
_ 100FM
_, _0 C 300
_ _ .
_ 1:
Ple'1-100 y 001 BTU's & over — 5 00 Air Handl ng Over 10 000 CFM —� 6.00 I
400 EvaporativeCorlcr 3.0_0 i
Nla11 Flour Sumended 4.00 Range Vent Fan 2.00
Im��il-V-
int 0 riy—�—� - 200 VentSystern�- __ r•
-- _ _ - _ _ - — 3,00
_ 0
Repair • He_t F� C--t-3 4.00 k.:�rJ Commercial 3,q0
.._.._._..__. _. *1-1-1-------.- .— ____.._ _.._ ._._____.._ ._..._.._________._---------
Compressor
_.____ _
Air Conditi:.n Corepressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50 __ �yy►�---�=
INSPECTOR'S CONI'4ENTS
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CI-r)' BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
ANIHOVED BY---- DATE —� ISSUED By � _ DATE t
RECEirr NO. c•- - ^
114 Signature of APSit
BUILDING P 11/
D G P ERMiTA PLICATION TIGARD DATE_�Z. ,19 111 BO 3042
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-_—
LOT NO._ 9 _UJAIL— __
OWNER IU(n Nillv.J' JOBADDRESS 12255 SW Katharine Strlast _ indmill
_ —_-��_-�- ARCHITECT
ENGINE
BUILDER soma ADDRESS 9694 5W Kimberl DESIGNER
--------__ADDRESS ____�Dr. DESIGNER KnfQhts_ 281-0067
STRUCTURE 09)WEW CI REMODEL LJ ADDITION ❑ REPAIR_ ❑ RENEWAL ❑_FIRE DAMAGE C] DEMOLITION
a 14ESIOENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T C-I RELIGIOUS ❑ PATIO C1 CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 11"'3 LAND USE ZONE - fi- BLDG.TYPE ah! FIRE ZONE- 2�_PLANCHECKBYV4d1H HEAT—24-9
COnstrurt single family dwelling u/attached qs pr k� . 3 Badrooms - 2 Bathe._
SEE CORRECTION SHEET ATTACHEC.
SEWERPERMIT# 211114 - °,70').20
HEIGHT OCC.LOAD FLOOR LOAD Qi _ s "
4 NO.STORIES _ l - AREA _.346 NO.BEDROOMS ;3 VALUE1S1. 7ni"
BUILDING DEPARTMENT _ SETBACKS FRONT REAR `�� LEFT SIDE b RIGHT SIDE
- --- _
Permit THIS PERMIT IS ISSUED SUBJEft f0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check `�. :_�0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-��WITH ALL APt LICABLE CODFS AND ORDINANCES. tHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotalt'E,b» RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 LICENSE.SEPARATE PERMIt> IREQUTAE�IEOP S�rER,PLU,�IR�IIJ�.JA J�GNEATING.
State Tax 4` 7.64 JJ (( I(( / TT`` tt Lt ++1V J�tttt
._. � SDG-. .n411U.00Total 9494.14
— —
By PDC# Glu O.02VPLICANT OR AGENT
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Receipt No. 1 ADORE88- ---- F+ ONE
Approved LiI.IH �D
`DATE INS ..I TYPE INSPECTION REMARKS PLUMBING DATE
Contractor -�v-
- '!- ��.err�.•i'.. - /C'ot'�t.0 �K'�\ !I-'Al i1/..1�-� _� r7'[l0 G�1
_.L�1ILL1]:riu...�c- !'ooh !2h�'�o✓�Jt1�. AeJ Permit No. ,2 .300 �.�� 2-!
.t, 24K « Z Z!nC 4s6-j. -,{�'�_.,��c� Rough•in ---- —
Fixture
1-0 �L 0 377 4 Final ------
HEATING
Contractor
Trn - _ !M/A/y �.�� Permit No. 1773
Gas or Oil -
Rough-in _
Final
--"SEWER ---
-- ------- -----..__�___--_._ Final .,2-•
DRIVEWAY —
------ --- —_—_—_._ —�_ _.-� ------------- Final
Sturm Drainage
(flain Dtain)Final
Sidnwelk
Curb&Street Final
Approach
13LM DEPT.FINAL TEMPORARY CERTIFICATE OC6 �Y Final
CERTIFIC ATE OCCUPANCY
,/ y �C� ' --�-----__---._ —.
!� T
I_ondscaping
Zoning Final
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PERMIT APPLICATION IT T'IGARD DATE Ln-
BUILDING
6�-/9sd
THE UNI". HSIL,NF D .ILPI 6Y APPLI`..b FOR APERMIT FOR T14F WORK III NEIN INDICATED BUII_OCRF Ir:r,rF
OR AS SHC':."J AND Arr,AO`'ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Ir
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VN I-!! �/` I�Qry _.,_. OE Ar,! '7F 5S_.I22$S S\Y Ka`1�1P,t►n�_� �- �rw. eT— __.._ L►'a t _)
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IILDEIt �Cl.�'M�r - -__._...�.._.�:i�•UF7�SS�L 5MV
❑
R'JCTURE_ C�A001TION �JI. U
PATH RENEWAt ._U; 'lir �. .,4nGE E',' IN
�'�` FII%V)DFL - —J--J�U-
RESIDENCE �_i - '•'" I ]EDUCATIONAL []GOV'T tJ aEI-il;i 'USLIPATIO I ]CARPORT ❑GAPAGE �C]]STORAGEDSLA6 LJFEN-E
- - n (� n Q HEAT_
_CyPAtjCY R'3 R- ( U+ Ot, TrPE N r-IHE MNF .:L PLANCHECK 8�.._
_.._ gee, C;�,d.-•,,ti S'�arc� a���Re�. _.._..w_.__._. _. __ T. - . 3.__I���+e�3
40.1 f
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;EWER PERMIT `-i� i-
;C_L.OAp NV EIQHr Nr� StuFt,cS AP...EA 6EOp��� .7 VAl.YE�
—. .BUILC N'; C.c .S FM )Nt ' 'IP'rAR � "ate LEE' SIDE raIGHT SIDE
ermtt� 19�• iT IS II•SIiFD SUBIFCt IO THE RFGULATIONS CONTAINED IN T BUILDING CODE, tON;'` G
Ian Check S•So )NS AND At L APPLICABLE L o nrS AND ORDINANCES, AND IT 1� �Egt AGREED THAT THE
•'• """ L BE (,i,NE IN ,tiCk,ORCANCE WITH TH THE PLANS AND SPECIFICATIONS AND IN CGMPLIAN A WITH
��•tatal '�( s° L'CABLE CODES AND OHDINANLES. THE ISSUANCE OF THIS FERMIT DOES NOT NAIVE
IIVE rO\,;%ANIS (GNTRALTOR AND SUB CONTRACTORS TO HAVE CURPENT CITY 9U31NL55
ate Tax SEPARATE PERMITS REC101FIED FOR SEWER, PLUMBING AND HEATING
utal
:'d pia, ro aGENT
\pprpYEd ,// r, ,,41,N -
i f W f R I .
KdER INSPECTION
iEWER SUHCHARGE___S IJ' _ �.pRoy, H41 •
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