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12045 SW NORTH DAKOTA STREET 120145 SW \ORTH DAKOTA STREET N Im � i o Ix; �n r� � cn ! a -it_ E a 'i �7ts1 EA 7 _ D4 Gy CII fn w Lr L - ° 0G� oila t m ,r. INSPECTION NOTICE City of Tigard Building Depp.rtment P O. Box 23391 Tigard. Oregon 97223 PI gone: 639-4175 Type of Inspection Date Requested.-_.— // U TIm9 A.M. __P.M. Perttl{t Address _��� Lot Owner_ Builder i !'he following Buildinq Code deficiencies ore required to ue corrected: I - - - _— �J.Approved Disapproved Inspector —_• - ❑ CALL POR REINSPECTION ❑ YES ❑ NO c _ `i MECHANICRi.. PERMIT CITY OF TIG;,,'Av � Ely PERMIT' NO. : ME99c'!110 IRJCOMMUNITY DEVELOPMENT DEr.PARTMENT 13125 S.W.Hill Blvd..P.O.Box 23397,Tigard.Oregon 91223.(503)63S-4175 r E ISSUED:MT10/i!/pP 9 JOB ADDRESS: 12045 SW NORTH DAKOTA ST TAX MAP/LOT SUB: Lf: BK: I..AND USE: LOT SIZE: ITEM: NO: NO: WORK CLASS: ADDITION FURNACE <100K AIR HANDLR <10 USE TYPE: SINGLE FAMILY FURNACE 10OKf AIR HANDLR 1.0IC CONST.TYPE: FLOOR FURNACE EVAP.COOLER OCCUP.GRP. : HEATER VENT FAN VENT VENT.SYSTEN BLR/COMP (3HP WOOD NO.STORIES: BL-R/COMP 3-15HP INCINERATOR(DOM DWELL.UNITS: PLR/COMP 15-30HP INCINERATOR(COM FUEL. TYPE PLR/COMP 30-50HF' REPAIR UNITS MAX. INPUT PLR/COMP 5041P 01AER 1 FIRE DMPRS? GAS PIPING OUTLETS HIGH PRESS? REMARKS: Install wood stove/owner to do work EFEES: U 1 Charles I PERMIT 0 yy odford Lha es ERM1. $18 0 N 12045 SW North Dakota PLAN REVIEW E ,� R Tigard OR 9,1223 FIXTURES $4.50 PHONE (503) 639-9034 STATE TAX $. 73 OTHER G O N T R P, C T n TOTAL: $15.23 RECEIPT NO. This permit is issued subject to the regulations contained in Title 14 ----------------- of the TMC, State of Oregon Specialty Codes,toning regulations yW and all other applicable codes and ordinances, and It is hereby REGI1TPFD INSPECTIONS agreed that the work will be done in accordance with the plans and FINAL 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 pf,rmit 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 Fill required Innpections ark requested and approved. Permittee Signature r, Issued By: _._.. ___ _ ___, _ _-.. 'Ai.t. F t T H"—Ff`T ION €x.39 4175 -J i SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE . .•,�,,.ry,,.r.rr�yK„w,.w "M�Q1 �..:.. W,.,'rMyr�4,... _ ... ...R.y„_.,��..w..«,..w.....+....+.•w+w�:w.o,w,.�:f.iwK..,r... CITY Of BUILDING PERMIT APPLICATION TIGARD DATE April .13, is 7G HP 0755 T'AE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 'THE WORK HEREIN INDICATED t.,R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-- .)WNER !harks Bodfuro 12045 5,!,F. north Dsvtote ADDRESS v_ __BUILDER PHONE _ "ruwn rildg ' Y ENGINEER >tiL�1LQER � 'U�..•1 ARCHITECT _ DESIGNER _ �STRUCTURE - ❑NEW ❑REMC•JEL _❑_ADDITION ❑REPA19_ ❑RENEWAL _ ❑FI��R1�E DAMAGE ❑DEMOL.ITION IJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE L_;STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVIN(3 ❑CONDITIONAL USE — ❑DESIGN REVIEW CICOUNCIL APPROVED ❑SIGNS �— QCCUPANCY.'—_LAND USE ZONE _BLDG.TYPE___FIRE ZONE..--.- —PLAN CHECK BY HEATH _._.— T r)�, a L l l v�.i q s j of n yj 'j v C' r I.►T E+ t E►E (1 L -_. _ "C.-LOA-) FLOOR LOAD HEIGHT NO,STORIES AREA VALUE BUILDING DEPA T SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE — Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT )'HE WORK WILL.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE q RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State • 54 LICENSE. SEPARATE PERMITS REQUIRED FOR S,EWF-R, PLUMBING AND HEATING. T,-tal 54 F3 Y --. ---- — ---._.—. APPLICANT On AGENT _.�_--- APProVPA Receipt No PHONE --------- t I DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE — — _ Contractor --- Permit Pough-in —- _ Fixture Final _ — HEATING — — — _ Contractor Permit No. — _____-___ Gas or Oil _ j Final --- -- -- ---- _--_—___� SEWER --_. ---..-- - Final DRIVEWAY _----- ---- --- -- ---- Final Storm Draina e ---------- �a._.�- - (Rain Drain) Final ---- -----_���_�. Sidewalk ^ — -------- _�— Curb&Street Final BLDG.DEPT. FINAL _ — — _ Approach TEMPORARY CERTIFICATE OCCUPANCY _ CERTIFICATE OCCUPANCY Final / c Landscaping Zoning Final LIJ a a8d'JI1 T � « o 1 y � �� l,,, �� r Os F— L� 4- ' '7 I LL o � > a 40 a U � z , Ul co J 00 �y low o Oct � � �' �� s � � 'tet. s e� �'?a►.R+ '17 iia n L-'/ A 1 (x D L4-> r IL n It tv c Pov�� 3' 1 /-,)o o ,( W -o -< m Q1 X4 I � i n c� frl V f Tl /1 J� 11973 Ra ° I� CITY Off. TIGA m � 1 I� r CITY OF TIGA►RD 124H fW. main INV" ' rIAR". ORIOoh "ni APPLICATION FUR SUILDIN(' PERMIT New Conptruetion ❑ Detr�Iiah ❑ Addition 0 Remodel © Move❑ ZONING R-7 DATE ISSUED 8-1-73 BUILD ^tEPAILT DATE RECEIVED BUILDING FEE s; _ No. "' . 171 BY PLAN CHECK $� --- __, OTHER $ VALUATION S15W-00 TOTAL $ 22.50 RF,CEIPT No.- TWO o._TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1_ MAP 1 CENIJUS TRACT JOB 1 Architect or Engineer Address _ - Phone Owner� Cbarla• Dedlpsd Address IM45 B.Y. N. Dakota Phone Address Phone BUILDING USE Single Rem. Di_ Multi Res. ❑ Comm. C] Industrial❑ OCCUPANCY G�RUP —____ No. of Sto* ies Total Height____— eight_-_ Area.Of Lot Type of Cvnstruion I II III IV V F1 Area B� 1`�___ 2 Set Becket Front \ Backs--- L.SJde ` A.Side_ Private $� parr Pipe Sita _ Sewer - tic Tank ❑ Water Service Pipe Size- Storm Sewer ❑ Ditch DryweII❑ Street and Curb Requirements-� Driveway width_ No. of Parking aces SEPARATE PERMITS EpUIRED FOR SEWER AND PLUMBING SPECIAL INFONMATION ADDRESS ASSIGhEL IM45 I.V. br" IMAM street FIELD CHECK BY_y _T ,_- 8-1-73 PERMIT APPROVED By It is understood that all work will conform+ with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Ocupancy has bean issued by the City of Tigard Building Inspector. ' as gna ure o p ca `�- PERMIT TO CONNECT Tigard Sanitary District PERMIT N9 1122 DATE --------__._—__—___— PERMIT IS GIVEN TO --------*— — OF TO CONNECT .^a -----_--—TO THE SYSTEM OF TIGARD .'UNITARY DISTRICT ATTHIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION 1. 1S BEEN COM- PLETED. PERMIT FEE PAID $... ........ ....................TIGARD SANITARY DISTRICT B9 CONNECTION INSPECTED AND APPROVED --------------Date- -- ------ ----_.. _.-----Sup�rlutendent---------____ Address ��8 `,/5 ��c�Jrly �a. o �i Permit No.�/o?aZ Permit charge_ Qane.: Conl—�ction fee Paid bY 'au Type of Building_ _ Date connected Ins Fection fee���t� Service Rate Contractors�, � uYyL _ ?'aid by✓ � ��,Y �' 1te �. Size of connection � � Assessment Paid ` 1� I i City of Tigard Receipt# 13125 S.W. Hall B;Vd. MECHANICAL PERMIT Permit N P.O. Box 23397 Perm -- Tigard, OR 97223 Description — - -- 639-4175 Table 3A Mechanical Code _ OTY PRICE AMT 1) Permit Fee -0- -0- 10.00 NaR1e of Developrnent 2) Supplemental Permit 3.00 Job Address 1 Furnace to 100,000 BTU _ .00 Address I IU JW �fp J i incl.ducts&vents 6 T&KLotMW N0' 2) Furnace 100,000 BTU + incl.duds lig vents 7.50LAX Block SubavMbnl _ ------ — Floor Furnace Name(«name d business) .- 3) 6.00 —_ incl.vent Ll _ I Suspended heater,wall heater Malting Address Y Owner Ma �/ - �o-?( 4) or Moor mpunted boater _--_ 6.006 - � — Vent not ind.in /Stab H D L 5) appliance permit 3.00 Repair of heating,refr ig., NanW 6) holing,absorption unit 6.00 Address -- Boiler or comp to3HP� A Phone 7) absorp.unit to 100,000 BTI± _ 6.00 Occupant Ckytstefe zip - 6) Boiler(x comp to 3 HP-15 HP —- - 11.00 _ absorp.unit In 500,000 BTU _ 9) Boiler or comp 15-30 HP _ absorp.unit rfz-1 million 15.00 ►toeing Aderess Phone10) Boiler or comp to 30-50 HP absorp.unit 1-1.75 million �' 50 Contractor cityisub r�, Boiler or comp to 50 HP — 11)__ab_sorp.unit 1,750,000 BTU 31'50 Stale Registration No. City Bkr; Tax No 12) Air handling unit to 4.50 10,000 CFM I hereby admaw$&VO that I have read Ih's app"tion that the inronnation given is 13) Air handling unit —_ — 7.50 corned."Nal t I am the ownor auttrorized agent of the owner.that planratf s xnitted are r, _.10,000 CFM 4 v—-- — — orxttpRartoe with Slab laws,that I t m registered with the State Bulders'Board,thatthe 14 Non portable 4.50 number 9K"n is correct-(if eremp(from Stain registration pde,se give reason bekwv) ) evaporate cooler Vent tan connected ------_------------ -------- - - 15 ton single dud 3.00 ------------- - - -- - ) Ventilation system not 16 included in appliance permit 4 l Hood served b� - - 17) mechanical exhaust------- - 450 - ^,4pnature lowrgr a agent) Date ) Domestic type Doscribe workaddition U alteration D repair H leincinerator -- 7.50 D to be done residential p - non-residential p1 y) Commercial or industrial 30.00 Existing use of -- type incinerator building or property_ _ _ 20) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers,etc. — -- ---- building or proper ly _ — 21) Gas piping one to lour outlets 2.00 Type of fuel- oil I I natural gas C) LPG 1_7 electric ❑ L--T- -- - - 22) More than 4-per outlet NOTICE — -- -l-- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ------ SUB-TOTAL PY -6 STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 51/6 SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR —PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIME AFTER - — -- WORK IS COMMENCED. -_ TOTAL i�J Special Conditions__. _-