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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of In.pection
Date Requested P.M
Permit
#._sz
-7
Address 2--L.
Owner Lot #
Builder
The fo!lowir-.g Building Code deficiencies am required to be corrected!
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J
Presented to Approved
Inspector Disapproved
Date Zc3
CALL FOR REINSPECIYON
Er-VES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Time A.M.
Address Y—Y Z2 Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
J-4
LIZ
Zi4'11
Presented to t4proved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 171 NO
INSPECTION NOTICE
City of Tigard Building Department r ,�
P.O. Box 233137 v�
Tigard, Oregon 97223
'o no: 639-417)5
Type or Inspection
Date Requested 2 —� Time A.M.—_ y P.M.
Address z2. U /V� 17)'o-A t_= Permit # l' Z-7S _
Owner '� --.__ Lot #_
Builder
The iollowin Building Code deficiencies are repaired to be corrected:
11 Ar All
Presented to Approved
Inspector _ — _— [ isepproved
Date
CALL F,,,O/RR REINSPECTION
A0<28 0 NO
INSPECTION NOTICE
�-�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r;
r Type of Inspection
Date Regt-ested __—� L -- _ Time �_ A.M. P.M.
Address 1 -Z.z�S�__— -- ,amu C:l�._ Permit
Owner Lot #---- —
BuilderThe following Building Code deficiencies are required to bt corrected:
`- `� �''-`�,"- —lylct...d�.�.��..G`� �`,i"�rl�-a-Ld�—.-J�c.�d�/'" ne►9�P7'�' ��,.
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Presented to Approved
Inspector _. s' 1 ❑ Disapproved
Date
CALL FOR REINSPECTION
[-) YES J I NO
INSPECTION NOTICC
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 (\ v
Phone: 639-4175
t
Type of Inspection
Date Requested_��= • , �5n 1meA.M.— P.
Address Lz- � --- N . e.�.R- � Permit
Owner a� /�u.er�ea. -•�" .�a �[b� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
7- �1 LrC--*)c, ,t- rZf -r- // L-,ii7//tA! 7- —
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Presented to _ _ ❑ Approved
Inspector __--_- -.�._--- r L_fi Disapproved
Date,
CALL FOR REWSPEC77ON
YE9 11 NO
INSPECT1011 NOTICE
City of Tigard B06;nq Department
P.O. Box :3397
Tigard, Oregon 97223
Phone:639-4175
T J A d�.
Type of Inspection -- ---------- ��—
Date Requested,�� -- _ Time..,��A.M. _�__P.M.
Address J�.�-_j'Q—��-�C Permit #__ 7 _
Owner — - - __ �`'�"'� ' -- lot # - --
Builder ---------
The fo:3owing Building Code deficiencies are required to be corrected:
Presented to _-.-- ---- --.— jll App.ti.ed
Inspector - ---- - t Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
�r
CLTY OF TIGARD MFCIiANICAI, PGR.MIT AA —`—��
fermi[ 9-
City of Tigard3y3
IJ125 SW Hal; blvd. - --
P.O. Box 23397 T"&A,MsdNj40011Cpde QTY PRICE AMT
Tigard OR 97223
639-4175 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
Furnace to 100,000 BTU
1) incl. ducts& vents I 6.00
2) Furnace 100,0100 BTU + -
Name of Development Incl. ducts&vents 7.50
3) Floor Furnace'Addraa incl. ver.: 6.00
Job
Address Tax \ MW No. 4) Suspended heater, wall heater
Lot Block Subdivision or floor mounted heater 6.00
Name (or name of business) 5) Vent-not incl. in
applibnce permit 3.00 (J"
S- 1 ` -
Matting Address Ptwne 6) Repair of heating, refrig..
Owner cooling. absorption unit 6.00
c�lyistete ap 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00----
Name
.00 _Name 8) Boiler or comp to 3HP-15HP
absorp. unit to 500,000 BTU 11.00
Malting Address phibe 9) Boiler or comp 15-30 HP
\ f absorp. unit Vi--1 million 15.00
Contractor c ltyls(ats ZIP 10) Bailer or comp 30-50 HP
� '. < f-. \,"`-t � absorp.unit :•-1.75 million _ 22.50 _
stele Registration No. City nus. fax No. 11) Boiler or comp 50 HP
absorp. unit 1,750,000 BTU 31.50
I twreby acknowledge that I have read this application that the information 12) Air handling unit t0
elven to o(hrect• that I am the owner or authorized agent of the owner. Mai 10,00)0 CFM 4.50
plans subnMlled w In compliance with State Iswe, that I am registered with �— _
the State Builders' Board, that the number given is correct. (If exempt 13) Air handling unit
from State registration please give reason below). 10,000 CFM + 1.50
14) Non portable --- -_ - - - -
evaporate cooler 4.50
— ---- ------ ------------ -------- ---------
15) Vent fan connected
------ — _ to a single duct _ 3.00 _
16) Ventilation system not --
Signature (ow er or agent) Date _included in appliance permit 4.FJ -
17) Hood served by
Describe work C7 addition[] alteration C) repair❑ mechanical exhaust _ _ 4.50
to be done residential (•t.,, non-residential [t 18) Domestic type _ _^J _
Existing use of incinerator _ _ 7.50
building or propertyJ�s S, 19) Commercial or industrials
Proposed use of type incinerator__ 30.00
building or property--
20) ether I,e.,woodstove. water -
Type of fuel — all[] natural ga* l_PGQ electric(] heater, solar,clothes dryers, etc. 4.50
NOTICE -
21) Gas piping one to four outlets i( 2.00 2 ' r
_
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per r tlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUS-TOTAL _ D
180 DAYS, OR 1F CONSTRUCTION OR WORK IS SUSPENDED ax SURCHARGE 1 LL
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY — -- --
TIME AFTER WORK IS COMMENCED. i— ^PLAN REVIEW 25%Of.El1B-TOTAL �-"�
TOTAL
Special Conditions ____.___
- -- - --.-----__-- Date isRunA � y..,-- by
�- - 6275
CITY OF TIGARD 639.4171 DATE Aul;uat._
BUILDING PERMIT �p
TAX MAP _ -___LOT NO. 2 _SU13DIVISIOrUN
OWNER it_tY} SChOEtr►xlt? tl JOB ADDRESS _12a1U 51<' �i• U�kuta StXffiet
— ---- —
Sam 6otter Ctmat. 711U SW Gent ee woods Uk.
BUILDr_^ STATE REG.NO. :l402i. _—___EXP.DATE -I—
Tigard
"
Tig
a�
639—
BUILDER.
S PHONE
ARCHITECT Studio ~5'1 PHONE 214-6629 --- OTHER
STRUCTURE 41 NEW ............ I ADDITION REPAIR MOVE OTHER DEMOLITION
I RESIDENCE ❑ COMM I EDUCATION TL`-MND RELIGIOUS ACCESSORY GARAGE 1 OTHER FENCE
OCCUPANCY 1: LAND USE ZONE =c =BLDG.TYPE — _FIRE ZCNF — PLAN CHECK RY t! HEA1_rs�t-m•. g
Loustruct sin4ie idly dwelling w/attache�j !rate, a41 icer appruvou plane.
it.e3issue fjou5 Sui.,.ect to 65 code review and subject to Au;art/Wedgewoou_436U•UU
:avid Lerun fit, a 15t(j.Uu sewer .urcharstes.
SEWER PERMIT N 19719 lUu 1 baths: 7. traps: IU garage area:
OCC.LOAD FLOOR LOAD 4U HEIGHT 2U NO.STORIES AREA NO.BEDROOMS ' VALU6 3#yVt'
BUILDING DEPARTMENT i SETBACKS FRpNT REAR LEFTSIDE Cf RIGHT SIDE 5- - - __. L-
Permit z95.uuTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4Ct•GU J REGULATIONS AND ALL APPLICABLE CODFS AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check _ _ WORK WILL BE DONE IN ACCORDANCE WI1H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITP.. ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire_ _ PESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEFARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
state Tax { 85UC 25U•t!u
SDC_ 600.0t!
Total 366.8U _ PDCIri 150.0t APPLICANT 1RAOENI
Prepd. 4U•UU '
--- Recelpt Na ADDRESS --_ _ PHON -- ___.
Bal.Due 306.80
-- Issued By - _ Approved By__—
.._L•.r rrv. .-. ,. r.0 ...yxf. ..... _ .-.,.�..._ �..,�..t.,a .ax wu.YMd.aNwrw-.,.,.ob.Y _�.".. .. .-..t�+.Y.Yr....r.......�._ ..rM,�..
DATE INSP. TYPE INSPECTION REMARKS _ PLUMBING DATE
Con!ractor- G
-r-/760^3 y rd - ----- Permit tVor ��-
/Jn/ Y9.r_l`- �jy'�fL����•�i�.���'.��_. �_ Rough-in
Fixture
Final
HEATING -- —
/L�� ! ��� tY... _ -- - -- --- - Contractor t` --
Z— L+l e�-�.- �y�,Q /� --_— _ Permit No. I,3 V-15
Gas or Oil
Rough-in
SEWER
u � Final
DRIVEWAY
Final
Storm Drainage - - -
(Rain Drain)Final
--�—V -� -_ Sidewalk �-
- � Curb&Street Final
Approach --••--•� - -
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY - -
rt�((� Landscaping
Zoning Final
,,,f% ?'!f 1! ' -.. .. ... -•r r............
at atw ar♦ Car s aaa aw aai s
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y i
f'l AN CIIf CK N0. Gr^_
lot 111SPec( loll., call 619 r7 CO t a� '
PERMIT N0.
CITY OF i ICARD 639-4171 DATE
BUILDING PERMIT ~Z?A�
P.U. Box 23391, Tigard OR 97223 TAXMAP _LOTNO. �� SUBDIVISION >�_.
OWNER ' `C 11 r' Fi(r_I_ JOB ADDRESS s me we r4 s T
BUILOcR R Com%I1 /'/C C� �1.5�f STATE RF_G.NO. f '^ EXP.GATE 1 7
c� C,
BUILDER'S PHONE
ARCHITECT— C PHONE —OTHER .-----------
—_—__
SYRUCTURE _(NEW ❑ REMODEL ❑ AODIT1ON ❑ REPAIR ❑ AOVE ❑ OTHER 11 OEMOLtT1UN
RESIDENCE ❑ COMM ❑ E00CATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY is GARAGE OTW R U FENGE
�1. FIRE ZONE '"'"PLAN CHECK BY , ttEA T "
OCCUPANCY .AND USE 20NF �'' P� i—'�-- —'�7.i'S-
_ Construct single farni 1y dwelling v�/aLLAS�_p' � ' "" ' r'I ", — C
SEVJERPERbt1Ta, ths
� � ldu) baL�iitra s f'y g�CigCarea '� �T —
' - _ tt
VALUE c0 111,40bb
7 71`
OCC.LOAD �� F'LOORLOA���HEIGH; Q NO .,TORIES Z• AREA NO.BEDR _OOMS� e
_ --1---
_
BUILDING DEPARTMENT _ SET BACKS FRONT REAR 30 LEFT SIDE Ll RIGHT SIDE
Parmll �t _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS COATAINED IN THE BUILDING CODE, ZUNIN(, 1
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED IrHAT THE
PIanChock Q WORK WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- WITH ALL APPLICABLE CODES AND ORDINANCES. THE *SSUANCE OF THIS PERMIT DOES NOT WAIV E
PI.CIL F" '� _ RESTRICTIVE COVENANTS, .70NTUCTOR AND SUB CONTRACTORI TO HAVE CURRENT CITY BUSINESS
p — TAX PERMTTS.fEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HFATIN(1-
Slate Tax ��� O 40
_ Js ^ 1
0c - nu
Total yb V AGENT
� _--
p /�
Prepd. w �T 0 Pf)C I -�/ � w [�Iy_1 ___ ��"Z2Y r
RecelPl No Ao0i1ES5 ^ rNr1Mk (7.3 9-y`�F/
Bal.Due ` '
Q
Issued By -APProved Br_.t�/
SOC -
-- --- RECEIPT rr
�� 00
Poc - —� --• DATE PD. V t�
_____C_0 N N E C_ TION_ 5 AMOUNT PD.
SEWER INSPECTION 4 - ' __—_._
SEWER SUR NARGE S
O- N 40001
o mm e n to.,
---