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INSPECTION NOTICE
City o1 Tigard Building Qepartrnant
1242.0 S.W. Main St.
Tigard, Oregon 9/223
Phone 639.4171
Permit
Type of Inspection ------
The following Building Code deficiencies are required to he corrected: _ -- -- ——
Presented to _ Inspector --- — ---- _ ----.—
Date — —
CALL FOR REMISPECTION
G1 YES 0 NO
t
IWIN E. P11ilifiVO1 P►VIRiNCI, Jg,$UILDING DEPARTMENT, TIGARD �
P. Q. CPK 129 PLUMBING PERMIT NO.
fiEWSFfiS 0' CON 91131I
authorized to cauw plumbing work as herein noted troobeeinstalled f alin acico dance withactors the Plumbinrl code of
'.'igard. Such installations require inspention by the City Ins,)ector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection, City of Tigard Business License required
for all cor*►actuls :-id sub-contractors.
Owner. 'k Lz� Address 0 S GCI '' , r,Y• '� Y
TYPE OF VER141T NUMOER OF TOTAL
--�- ITEMS FEE ON EACH PERMIT NO.'S
JU$112 F.N T IQj-- - _,,, AMOUNT (Office Use Only)
_Sin a Family-1 both-each ----
--Pa!ex-Each 1 bash unit �-- -" 25'00 )r
Additional bethrov_rnt-each 25.00 "-----
Mobile Home Space-earN -- `� 10.00 �� O O -
TDIVIDUAL FI'.TURE FEES - 15.00
1 to_50 Flxtt,et I'Ll buildirtc-each
61 to 100 Fixtures in 1 building-pa--h 3.00 -
101 to 200 Fixtures In 1 building-each 2.50
201 or more Flxturetin 1 bulldl 1'00
rW-each 1,60
MIS5ELLANEUU3 y -
k 6uIIdI ;,ewar--ltt 50 ft.
f addllionel 100,
(Nater Serviceto ---- 10.00
-" 6.00 w] �•t- -"_'_'_._.._•-
i'riwete Wator S.rteme�eech 100 it.
Other S f — 10_00 IG �_---
PERMIT U , I For PiumbIng Inscrian Phone i?9,, 9
1
i
r i
i �� O � �1� 1' Mechanical Permit N��; Permit,--_�3=QO i
Fee
New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration r( 47.StateHEATING
___ X14!
+^prarRA CTOR c"5la�llfik„�u:.^►_..._• 0>.VfJEn �
s$A!.iDRS3S & WORK ADDRE5S%&'A'' r t.
PHONE _ APPL.IC�\'N I --- � .� }�F `���.�
HOT Input Rating (BTU Per Hour)_ Tpw�Q Vent Size __4-11
Flu° A!iz, --" —'
l'UF,L OIL GAS ❑ ELECT ❑ OTHER
ITEM N0, FEE ITEM NO. FEE
_ _ _
. or Issuance of Permit EE•ABOVE Air Condition Compressor 15 to 30 HP 10.00
Ne,v-up to & inc 1. 00 s 000 BCU - - 4.00 Air Handling 10,000 CFM 3.00
New-1co.001 BTU,3 & over _ _ _5.OU Air Flandling Over 10,000 CFM 5.00
Floor F_urnac, 4.00 Evaporative Cooler 3. 0
y`Iall - Floor-Su,pended " J.
4.00 Range Vent Fan ?.00
Install Vants Only +� _ 1.00 Vent System 3.00
Feoair •Hest& Cooling 4.00 Hood Commercial 3.00
A_ir Condition Compres,or Under 3 HP � 0 sCommercial Duct System -
Air Condition Compressor 3 to 15 HP 1 7.50
iNILPECTOR'S C0i"MENTS___` --
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUEZ CONTRACTORS
vITROVED BYDATE ISSUED BY �= ATE
'ECEIPT NO.
��� SIg an ure of Applicant
,
t
BUILDING PERMIT APPLICATION 'i IGARD DATE--�`�""� ,g 60 3092
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ 639-3101
S SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHLIJE
J
NER UH1� 1n CeV. 'OJOBADDRESS 15960 SW flak Meaduw Laney LOT NO. V
7
i ARCHITECT
ENGINEER
BUILLER Baft1wADDRESS 13300 6!J 116thDESIUNER T.
STRUCTURE CX NEW ❑ REMODEL --ft-ADDITION ❑ REPAIR O RENEWAL �❑ FIRE DAMAGE ❑ DEMOLITION
IN RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT (l GARAGE_❑ STORAGE O SLAB❑ FENCE_
OCCUPANCY LAND USE ZONE "'4'_7 PD BLDG.TYPE _ 5P; __FIRE ZONE PLAN CHECK BY, WH HEAT @rte•
Con�t�ruct z�in�lc� Pr�m�l1Y c1u� llin� wfattarhad_ garage. _3 Bedrooms — 2 ueth,-,
-- Ps—Ilsnua of Kinn City Permit x`1248 (16135 8W Paciric Huy)
SEWERPERMIT# 211x7A-71— ."rp � OD
OCC.LOAD FLOOR LOAD /�0 HEIGH1�12 NO.STORIES lgp ]I D - �
---- _ NO.BEDROOMS VALUE$44 000.
_BUILDING DEPARTMENT SET BACKS FPONT 10 REAR i'0 LEFT SIDE :, RIGHT SIDE16
Permit X1'72•[➢0
THIS PERMIT IS ISSUED SU9JECT TO THE REGUL.1;'IONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE COU-23f+ivD ORDINANCES, AND IT IS HEREPY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal ZfI2.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FEHMII DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax �:' £5•88
Total 11E 13.f3E) SDC r400•IJC:
By p1 PDC# If $10r.�PLICANTORAQ ,—,T _.
Approved L)WFi Receipt No.
PPHONE-'�!
DATE �INSP. TYPE INSPECTION - REMARKS PLUMBING DATE
�•IO-3+0 — Con_ractor _
Permit No. e� 1 ' /.6a �/'a'! &e
Rough-in
�►���t� � Ni{�/�/Ing. • IP � �.. ------
Fixture
Final
FIEATIN+i —
Contractor
Lit
_�. Permit No. I8.�5 `/-.t; -
Gas or OP
---- -- —`
Final
'SEWER �.-
--- — - Final
DRIVEWAY
Final .—
— -- Storm Drainage
(Rain Drain)Final
Sidewalk
Curb 8 Stmt Final
Appro—
BL.OG-DEPT.(FINAL _ TEMPORARY CERTIFICATE OC NCY Final
CERTWICKM OCCUPANCY --• —
Landscaping
Toning Final
4 fi
wt(i
s 1 ;
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BUILDING PERMIT APPLICATION cOF TIG;�RD DATE Erg Z— - X30 1.�.Q� 1
THE LIN('- N7ILj%' D HELPESY APPLIES FOR APERMIT FOR n4E WORK HEREIN INDICATED Bull l OER P!-ir,)f.JF_�F?Pr0r4r
OR AS Sh1(--1 WN AND APPRO"50I IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO i �uwll•l��i�It4�I�
_pT�alc� ►�. � '.C-o. Jo4�ODRESs , Gb �w_oak,_�n -L �� _ �.. . ..__:
ARCHITECT •
,l ENGIwEECR
OCR QI� 4DURESS is 300 �J�\ �1�0 M.4VL° .
)CTURE NEw []FItMngEL_ _UAD0ITION« - C]►��?a!p _��RENEV+AL ❑FIRE DAMAGE ❑DAHpLIrIJN
ILIENCE_QCOMM-L.JE000ATIONAL LIGOV-T-❑"IELIGIOuSLIPAr10 UCARPORT ❑GAF7AGE� ❑STORAGEOSLaB ❑FENCE
:PAt�'v R'3 In"+D ! `Q I-P;) D!.OG f rPE `5^_ FINE LONE_✓_PLAN CHECK B�_-\. N� '='!
WER.. rERM1T
1-08PF' ',i a tf'n ' -!EIG.HT �� NO SftrRIES .. I �A9EA�1Q�_ NQ . �OR09M5 _! ,V4&', - -
SUILC C c -••,—,'j Nr , �; r _ ,'w5 FRONT �� IIEAIR ?i� LEI-' SID
E �
RIGHT 510E-_I� -
TJI�_ _ -I2 ate _
• SMIT IS ISSLIF.D SLIBJFCT TO THE RFGULATIONS CONTAINFD IN THE BUILDING CODE. 20`..Nu'
Check ��/� I -'IONS AND At L APPIJCARLE GOOFS AND ORDINANCES. AND IT IS HEPEBY AGREED IHAt IME
ILL BE DONE IN ACLORC4.%CE WITH THE PLANS A?40SPECIFICATICNS AND IN CO`MLIANGE V.ITH
"total f .2.O� "! rLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS ;ERw11T DOES NOT WAIVE
Q� _rIVE COVE%ANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFIENT CITY BUSINESS
to Tax 6,Pj�J i E SEPARATE PERMITS RECjuIRED FOR SEWER, PLUMBING AND HEATING,
at
AFD� • ANS Qp oGENT
IC — ------ - -- ��'�
IC
WER Cr'" -[ 10-N
WER INSPECTION
WER SURCHARGE
_ n�
r� Q
Irnments :