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INSPECTION NOTICE
City of Tigard Fuil&: g Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Tvpe of Inspection
Cate Requested ` - L_ —G 7 Time __. A.M.___ P.M.
_�_—�Address _----l ��z / �..ri,lr4^-�. --- ---.._. Permit #_ �- `� �_
Owner ---- - �_.�_ _�� Lot #
Builder
The following Building Code deiici,mcies are ret;uired to be corrected:
i
i
Presented to ——_ �l Aopro�:it,
Inspector _�,,� ❑ Dimpprwed
Date _ .� — F3 ,7
CALL FOP' REINSPECTION
[] YEE ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection
---- L
S '11,
Date Requested
Time A.M. P.M.
Address
L2- OAi
Permit # 2. 412—
Owner
Lot
Pjilder
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
Inspector -- F�'&M"Proved
Date .9 7
CALI, FOR REINSPECTION
10J YES El NO
INSPEC i ION NOTICE
City of Tigard Building Jepartment r. - ••
P.O. Box 23397
Tigard, Orego,i 972.23
Phune: 639-4175
Type of Inspection �' — 4 _
Date Requested_��__ . � �2Time _ _ A.M. P.M.
Address Xt.es.Ji,� _ Permit
Owner ��L\.l t d L�,.1 � - ,�V k, Lot #_.
Builder
The following Bi iiding Code deficiencies are required to `-e corrected:
Presented to fpproved
Inspector v _ _ [� Dltepproved
Date
CALL FOR REINSPECTION
C] YES 0 NO
INSPECTION NOTICE
ri'y of Tigard Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection "'x'49.2 -'
Date Requested
Time A.M. r P.M.
Address
Owner
Lot
Builder
The following B ilding Code deficiencies are required to be corrected:
Presented to F) Approved
Inspector 1"- isHPProved
Date
CALL FORREINSPECTION
r
YES 0 NO
t !
CITY OF TIGARD MECHANICAL PERMIT Receipt# /
C
Permit # ,
Description
Table 3A Mechanical Cotte —� —� aTV PRICE AMT
City of Tigard �� --
13125 S.W. Hall Blvd. 1) Permit Fee 0 U 10.00
P.O. Box 23397 _
Tigard, OR 97223 2) Supplemental Permit_ -� 3.00
639-4175 I 1) Furnace to 100,000 BTU fi d0
incl.ducts&vents
Furnace 100,000 BTU t y
2) incl.duras_&vents 7.50
Name of Development Fluor Furnace J '
3) incl,vent 6.00
Job Address - - _ Suspended heater,wall heater ^
1 ' ' 4) or floor mounted heater
6.00
Address /-� � j'{./ �a t..n '- ----` - ea_ -
Tax Lot Map No. Vent not Incl.in
Lot Black Subdivision 5) appliance permit _— 3.00
Name(or name of business) 6) Repair of heating,refrig., 6.00
cooling,absorption unit
Mailing Address t..( Phone 7) Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
City/Slate zip 8) Boilt�r or comp to 3 HP-15 HP ' 11.00
absrrp,unit to 500,000 BTU
Name - Boiler or comp 15-30 HP -
g) 1500
?tisorp.unit',' -1 million
Meiling Address Phone - 1 p)-Bciler or comp to 30-50 HP 2250
absorp,unit 1 -1.751nillion
Contractor City/Siete v Zip - 1 1) Boiler or comp to 50 HP- 31.50
absorp unit 1,750,000 BTU
State Registration No. City Bus,Tax No 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I here',y acknowledge that I have read this application that the information given is 13) 10,000 CFM i .50
correct,that I am the owner or authorizrd agent of the owner,that plans submitted are it --- — — —
compi ante with State laws,that I am i ggistered with the State Builders'Board,that theNon portable
numbar given Is corr ct.(If exempt from,d14ate registration please give reason below). ) evaporate Cooler 4.50
15) Vent fan connected 3.0f7
_to a single duct
-� �— ) Ventilation system not -
1 j 16 included in appliance permit 4.50
- 17) Hood served by -- -- - 4.50
mechanical exhaust
Signature(owner or ayenp Dal" ) Domestic type
Describe work Ll addition C1 alteration CI repair I I 18 incinerator 7.50
to be done residential I_] non-residential F] 19) Commercial or industrial 30.00
Existing use of type incinerator _-
building or properly 20) Other Le.,woodstove,water
Propossd use of 4.50
heater,solar,clothes dryers,etc.
- - ----- -..--
building or property .,.__ 21) Gas piping one to four outlets 2.00
Type of fuel- oil I I natural gas til LPG I I electric I I vMore than 4-per outlet
NOTICE — - -
SUB-TOTAL
I THIS PERMIT BE. "AES NULL AND VOID IF WORK OR CON ------
STRUCTION .AUTHORIZED IS NOT COMMENCED WITHIN 1804%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR _ a PLAN REVIEW 25%OF SUB-TOTAL — -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- --- -------- -- ---
V"lRK IS COMMENCED. TOTAL
Special Conditi,)ns _
Dalr;issued - --- by
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oreqon 97223
Phone, 639-4175
Type of Inspectionel-e 4-,%.�
Date Requested 9=/-AM- Ti me A.M. P.M.
Address Permit
Owner —--- Lot
Builder
The following Building Co0 deficiencies are required to be correct.id:
Presented to I IrApproved
Inspector Disapproved
Date
CALL, FOR REINSPECTION
F---� YES 13 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone, 639-4175
Type of Inspection
Date Requested.,-----
Ti me A.M. p M.
Address
Permit
Owner of 0
Builder
The following Building Code deficiencies are required to be corrected:
Prewnl�d Io Approved
Disapproved
I
-----------==�24, �_
CALL FOR REINSPECTION
EJ YFI d NO
CIT`(OF TIGARD 639.4171 ��7YQ�9 6 2. 4 2
DATE
BUILDING PERMIT
TAX MAP ____ LOT NO. yg lorning Hill
S�BDIVISIO
kyview dome, Inc, �'�' �
OWNER ._—_ _ . JOBAD HESS _
SaMa s 860 Ffoatic�33o r V o C adrt-0t UK 9 A)Z I
BUILDER - - _ _-------- __— STATE REG.NO. _44315 _EXP.DATE .,_314/87
BUILDER'S PHONE 637-744$
I
ARCHITECT _ - -_- _ __..A• Pasco l PHONE 225••9161 OTHER __--
STRUCTURE ___ALA NEW___[ ' REMODEL [ ' ADDITION REPAIR [ MOVE OTHER i i DEMOLITION
' 1 RESIDENCE 11 COMM EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY F j LAND USE ZONO• BLDG.TYPE FIRE ZONE PLAN CHECK BYS�'t — HEAT
Construct sinfjp family dwelling w049tached garage, all per app ruved plans. �--- -
< .�
SEWERPERMITN 1970(+ (Idu) 3 baths, 11 Lraps garage 430 -^
OCC.LOAD FLOOR LOAD40 HEIGHT 2U NO.STORIES 2 AREA 1605 NO.BEDROOMS j VALUE
BUILDING DEPARTMENT SET BACKS FRONT2U REAR lS'min. LEFT SIDE 17 RIGHT SIDE 15
- _ -
Permit_ i46.4jU _ _ THIS IS ISSUED SUBJECT TO THE REC !LATIONS CONTAINED IN THE BUILDING CODE, ZONING
i REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 27400 I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUA;4CE OF THIS PERMIT DOES NOT WAIVE
P).Ck.FireRESTRICTIVE COVENANTS. CONTRACTOR AND SUB C;ONTRACiORS TO 4AVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,P'_UMBIN^ `•IU HEATING.
State Tax 13• SSIX 25U.01i
Total rj�j•JG - --— SDC— 61)U@(o AP I ICC O AGENT
— - _-- PDC#
Prepd, 1U0.00 i 168.00
Receipt Nn �7 AOOREBS - - ��MIOME a-�
Bal.Due 4134.74 '� �
Issued By-_' Approved —_��—
...,c.u:,.,,.w...a.x• - ....�....:v.»a,w.o..i.,..5r....,w..:..nc.....,i...w..r.:..,_ •.:�:._--. ,...,......_. ...,.,....., .,...-....,...uw....... ,r+..,..-..�-s�;a�s:�....a..�-6"— �.��. — .
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contraclor TI&
Permit No
FoughAn
-10 Cy Fixture
7- 4 Final
0° HEATING
Contractor
Ly b
/,y Permit No.
7 41 If C iasorOil
Rough-in
Fir a'
t S'_WER
Final , , -
DRIVEWAY
Final
Sloim Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
A (2 y
for inspections call 639•-41 /5
CITY OF TIGARD 639-4171 DATE 71s1 19.r"G
AUILOANO PIMIT
! , 'Tigard OR 97223 TAX MAP �._� _LOT NO. !ZQ .-SUBDIVISION
OVVNE1l JOB ADDRESS
BUILDER _l k Y V'l J�h N )_ -s __ STATE REO.NO. �J 3 1 j ExP.DI1rE _
ti
ARCHITECT ��1-ISN n �L 11�I PHONE
STRUCTURE NEW U REMODEL O AUDITION U REPAIR O MOVE U OTHE7 0 DEMOLITION
U RESIOENCIR ❑ COMM O EDUCATION ❑ IND ❑ RELIGIOUS U ACCESSORY U GARAGE ❑9THER ❑ FENCE
OCCt1PANCY ow r _LANG USE ZONEy' BLVa.TYPE% `� FIRE ZONE=—.PLAN CHECK B� HEAT
SEWER PERMIT a
w
0Cr_LOAD FLOOR LOAD HEIGHT Z0" NO.STORIES �- AREA /kC'j: BEDROOMS .3 VALUE 0!6
BUILDING DEPARTMENT yET BACKS_FRONT Q REAR If AA PpOLEFT SIDE / RIGHT SIDE. /
THIS PERMIT IS ISSUED SUBJECT TO HE REGULATIONS_ CONTAII:_-D IN THE BUILWNG CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT THF
Plan CMCk + WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND 1114ECIFICATWNS AND IN''^Mp!AmCE
1M1TH ALL APPLICI BLE CODES AND ORDINAMCES.THE ISSUANCE OF THIS PERMIT 0foES NOT WAIVE
P_L CIL Fki V - REST140CTWE rOVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREM CITY BUSINESS
TAX PERMIT'' SEPARATE PERMITS REQUIRED FOR ER,PLUMBING AND HEATIMQ.
State Tax 13'
-�.. s 7.
total :�T Yy ,7 J•J` A NT A N
prod. rl!eQ POCI 7 r, ,. ;) r i,' -/.� f� < $ civ 7 7
Bal.OW ��P Receipt No. A DR S4 F"O`NE
Iaawd By —___.__.A^G(orad
.SDC
0C - 00,52� ,csxeu-
CWER CONNECTION 5 97,E
EWER INSPECTION
CWER SURCHARGE 5 /C-C,) deAf 60'0
___..
fe
1-: '
r6 CA e C ot- r- 1 S Fw� ��r111
1
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CITY OF TIGARD BUILDING DEPARZ141M PLAN CHECK NO. :�� Jam`
L
PLAN CHECK APPLICATION DATE RECEIVED:
�L 1
P.O. Box 23397, Tigard OR 97223 P/C DEPOSI'i PAID:
W
This is to' certify that the attached sets of: plans have been submitted plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, e> edition.1
PROPER'i Y OWNER: 1 1v���f� ' /�'��s OWNE:i'S ADDRESS: I?F60 rT GNi�C.F6 G a L7h
(r</}n •Y 2047
CONTRACTOR: .�y�l` tt _ TELEPH(NE: 5'7- 7'l�t't
JOB ADDRESF : ^_ . 'CST % �% /���,�,�/////,o LOT NO. s MAP:
/
DESCRIPTION OF WORK: -/ Ak
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
Engineering Dept. O Flood Flnin/Sensitive Lands
O Fite District G Sewer Availability
OOther O Other
Items Required
OList of subcontractors
0 Business Tax
0 Calrulations
OTruss Details
OParking Plan
Oi.and a Plan
Other �/��/
COMMENTS:
City of Ti&a. d Blopding Department.
BY:—