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INSPECTION NOTICE
Gity o1 Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 D V
Phone: 639-4175
Type of Inspection I r, A �__ T Gz
Date Requested . _ A Time _�A�M`. �'--P.M.
Address -` _�_ ermit # __
Owner _ y- --_------- -__�_ Lot
BuilderThe following Building Code deficiencies are required to be corrected:
k
Presented to &-Approved
Inspector �� __ _-__..—_— ❑ Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6/339-4175
Type of Inspection
Cate Requested ,.� ���� Time---- A.M. x P.M.
Address ��12`) S LTJ Yy • Permit #
Owner �v�to a,�e-Y _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __—_ ❑ Approved
Inspector 55'61 epproved
Date
CALL FOR REINSPECTION
L " e8 ❑ NO
l.1 fY 111' '1'ICAKU MECHANICAL PEKMIT
Permit /�,��____
City of Tigard
I31,15 SW Hall Blvd. sine
P.U. box 23397 Co"
Tigard
aTv t•rttae AMT
Tigard OR 97223
639-•4175 1) Permit Fee 4 410.00
2) Supplement:! ^qrmi1% 3.00
1) Furnace to 100,000 3TU
Incl.ducts& vents 6.0
2) Furnace 100,000 BTU--
Nam*
Name of oevelopmsni - Ind. ducts& vents 7.5
.3) Floor Furnace
Aftsea - Incl. vent _ 6.00
Job
A��troao Tax Loi AAaP o. - 4) Suspended heater, wall heater
UK Mocksu�ir+sion or floor mounted heater 6.00 _
5) Ven,not incl. in
14 ( or nam! Sow 8) appliance permit 3.00
Melling Address Phone 6) Repair of heating, refrig.,
Owner ?,, cooling, absorption unit 6.00 _—
Ctyls id zip 7) Boller or comp to 3HP
;2-23 _ absorp_unit to 100,000 RTU 6.00 -
Nam* 8) Boiler or comp to 3HP-15HP
absorp.unit to 500,000 BTU 11.00 —
MaitinQ Address Ptloru 9) Boiler or comp 1530 HP
absorp.unit%-1 million 15.00
Contractor p�,tsia+e ap 10) Boiler or comp 30.50 HP
sl�wpp.unit 1-1.75 million 22.50
state Registration No. City taw. Tax No. 11) Boller or comp 50 HP
_
absorp.unit 1.750.000 BTU 31.50
I NKe" acknowienpe that i have read this pyilcatt0a that 00 Inloeanuan 12) Air handling unit to
eIV" Is correct. "t I am tM awnu w suthsri:ed spM of m. 001 . (11ot 10,060 CFM 4.50
101"s submitted are In compllanoe with Stall Iowa. that 1 PM"4'i+�w11N —_
the Stale Builders' Board. that the number given 1s..neat. (if exempt 13) Air handling unit
from Sate repletretlon viease gibe reason beiowl• 7.50
14) Non portable
_—_ evaporate cooler _ 4.50
15) Vent fan connected
Cif to a single duct 3.00 _
16) Ventilation system not
MCluded In appliance permit 4.50
S gnature (owrieh or agent) Oeste -
17) Hood served by
Nacrlbe work ❑ addition❑ alteration❑ -eolr U mechankal exhaust 4.50 _
to be done residentlel ❑ non-_residentlul(] 18) Oomestk typo,
Existing use of Incinerator - -__ — �'•�
building or property `� i �'.� ---- 19) Commercial or industrial
Proposed use of typ Incinerator X00
building or property >-- .------ 20) Odd Le,woot:1610 .water /
Type of fuel — olI❑ natural gas t.POC7 elfwtrlol] heater,9olar,dod=tLnm -` 4.5
2.1) Cas piping one to four outlets 2.00
NOTICE -- —
THIS PERMIT BECOMES NULL ANQ VOIn IF WORK OR 22) More than 4•pu outlet
OONS"UCTION AUTHORIZEO IS NOT COMMrNCED IMTHIN ATAL
IBD DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ott SUFAM,AIM
OR ABANDONED FOR A PERIOD OF ioo OAYS AT ANY - -�
TiME AFTEP Wonx IS COMMFNCEO - PIAN REVIt3wMXOFOU&TOTAL —
TOT 111
Special Conditions
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_� _ ntn ��SufiA -� ---� �� �hv
March85 5246
BUILDING PERMIT APPLICATION TIGARD DATE-- --AL4_-�.Te
THE UNDE.RSIGNEd 4REBY APPLIES FOP A PERMIT FOR THE W09K HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE AC,:OMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—226- 111L_
LOT NO.._ � —
__
OWNER Llr1k ori piQMWT Savidr:�rADDREss 9125 SW Borth DalyL8 - ARCHITECT
401 Sw 5th ENUINEER
BUILDER SNS ADDRESS portlattrd, OR 97201 DESIGNER __J
STRUCTURE ❑ NEW _❑ REMODEL ❑ ADDITION El REPAIR M RENEWAL ❑ FIRE DAMAGE v El DEMOLITION
URESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ElRELIGIOUS ❑ PATIO Ll CARPORT 0 GARAGE ❑ STORAGE ❑ 8LA8❑ FENCE I;
-- — NE �.-BLDG2
_TYPE _ N _FIRE ZONE PLAN CHECK BY 1 HEAT
OCCUPANCY LAND USE ZONE _S�iLJ
_ � l
Irrawfer of permit 04521 to new owners permit renewal ---
SEWER PE;ii%nlT# __ - ----
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIES _ AREA — NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT _y REAR LEFT SIDE RIGHT SIDE
Fermlt 15840 THIS PERMIT IS ISSUED SUBJECTµTO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
y REGULATIONS AND ALL APPLICABLE CODES AND ORDI!dr,NCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL. BE DONE IN ACCORDANCE WITH THE PI_;ti'if; AND SPECIFICATIONS AND IN COMPLIANCE
15�.Ot1 WITH ALL APPLICABLE CODES AND ORDINANCES. ';W- ISSUANCE OF THIS PERMIT DOES NOT WAIVE
jb•total _. _- RESTRICTIVE COVENANTS. CONTRACTOR AND SJB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4» 6.32
SDC - _
Total -
32
PDC# APPLICANT OR AGENT
By
- -----_ DDRESS
Approved Receipt No. _...-- - ------
i __ -----------_—� --- PHONE
>�:x s b j A
AT FIN 9_P11, TYPE INSPECTION REMARKS LUMBING DATE
-- Contractor
P -iit No
en
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVC.IVAY
Final
Storm Drainoop
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY
CERTIFICATEE"CERTIFICATE:OCCUPANCY pp
OCCUPANCY Final
1-andvaplf j
Zonlryp Final
'�'���� , '"` .r '�ir'.,'�,��,i �4A�1�.r�!j';1� •�M�,x AN1►'a },,
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INSPECTION NOTICE
City of Tigard Building Jepdrtment
12420 S.W. Main St.
Tigard, 7regon 97223
Phone: 639-4171/1
Type of Inspection _
Date Requested_—_ -:!; `RS . Time A.M. P.M.
Address —_.-_`� L�iC �y _ Hermit
Owner__-- - __ - —•--- Lot #___.—�_
Builder -- ----------— ------ �.
The following
Building Code deficiencies are required to be corrected:
ZZ _V0
c
Presented to [� Approved
Inspector —� Disapproved
Date
CALL FOR REINSPECTION
01 YES 0 NO
CITY OF TIGARD plumbing Permit 4 0 2 6
Building Department No. --
Residential Commercial ❑
New Installation Replace ❑ Addition ❑ Alteration ❑ Date
Licensed Owner
L�
Plumber Y"'^ —_
Address 22 (Q �' �___ -._ VV'L'Job Address
-__45'1-s p ----- VA04Phone __ .- - — -- -- - --- --
l -
--
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
_ ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps_- ^— 7.50 Sewer:First 100 ft. 30.00
Dishwasher 7.50 Each Addit.100 ft. 15.00 _
Garbage D,sposal 7.50 Ejector Pump 7.50
Water Heater 7.50 _ Water:First 100 ft. 2000.
Backflow Preventer 7.50 Each Addit.200 ft. 15.00
Storm&Rain Drain:First 100 ft. 30.00 _
Each Addit.200 ft. 15.00
Mobile Home Space 25.00 -
Other(Speclh_) f(Zvi
_ Rain Drain-Single Fam.Dwelling 15.00
._ F_ -.-�
PERMIT FEE — /5. Comments:
j) Issued By:
STATE (J (/
-- r /_n Receipt No. _ Applicant
TOTAL 1✓ 1.0 ature
CITYOF TIOARD
WASHINGTON COUNTY,OREGON
May 16, 1984
MRH Properties
10175 SW Barbur Blvd.
Portland, Oregon 97219
RB: Building Permits, X14521 - 9125 SW North Dakota St.
#4522 - 9145 SW North Dakota St.
Dear Sir(s) :
The above referenced buildings have no records of a Final Inspection.
As this is required by State and Municipal codes, you will be required
to obtain a Final Inspection and Occupancy Permit .
Your prompt attention in this matter will. be appreciated.
Sincerely,
Brad Roast
Building Inspector
BR:ch
-- 12755 S.W. ASH P.O BOX 23397 TIGARD, OREGON 97223 PFI:639-4171 �
T
INSPECTION NOTICE
j City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_—_ —�= 3–�-� Time L —A-.M. —P.M. i
Address
er Lot #_
Builder —_--� —
required to be corrected:
The following Building Code deficiencies are re q
i
I
Approved
Presented to — -------
�� Di
inspector s:�pproved
Date
CALL FOR REINSPECTION
41
YES El NO `
I
-._ IS,
. ING PERMIT APPLICATION TIGARD DATE...-__----._ 19 4521
BUILD
I iiE UNDLRSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _..OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OT NO.NER PPHONE5la�--1 -- —
OWNER JOB ADDRESS_ 912. Ski I Orth- UR.169t{l '] �- - —_
ARCHITECT 84 Hprewq
ENGINEER 'tcl t�t7ilAn t
BUILDER ADDRESS - IOP 7 81! Bar 1lvd.� D�USIGNER
STRUCTURE ❑ NEW O REMODEL CI ADDITION ❑_REPAIR ❑_RENEWAL O FIRE DAMAGE U DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS Ll PATIO 0 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABF1 FENCE
OCCUPANCY _ 12'3 LAND USE ZONE -1 iBLDG.TYPE 5' -, FIRE LONE Y PLAN CHECK BY __D HEAT_CAk2 -
cart9mirr linr.le Family r►aoellipl W18ttAcb(*(1 "araue
-- - �lop correctiol SbePt At.tachPd•
— ---- z fi .. units
SEWER PERMIT B ---
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES 1 AREA 1229 NO.BEDROOMS .1 VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR 211 LEFT SIDE RIGHT SIDE
Permlt IIf)•Q(' _ THIS PERMIT IS ISS,wr) SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlenCheck 205•4t� WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
��'+411 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE ilERMErS REQUIRED FO SEWER,PLUMBING AND HEATING.
State Tax SDC- 4 Uu.UU
--- -- -- -
Total
-- -------- PDCM x 1(11J• U6�
A PL �? 7
By Receipt No
__— --------- - .
ESS---- .
-_-- ------ PHONE
Approved
i
i
maw
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor �Q u
i —
Permit No. J'•S.� ! Y� <,-�3
Fixture
- Final —
HEATING.
Contractor
/ �L/� /1.5V�NtiC�✓� ,- --- ----- - ParmitNo �, �•
f,)
Proil _-
S✓
Rough-in
— � Fin61
SEWER
Final 'L
DRIVEWAY
___._ - ----- —--._-.— Final ---_---
- - — Storm Drainage
(Rein Main)Final
Sidewalk
Curb SServetFinal
y - --- --'-�-- Approach
BLDG.DEPT.f 1[�A4 -T T,-MPORARY -T CERTIFICATE OCCUPANC'✓ i
^SRTII'ICATE OCCUPANCY I
+ I 11 -611L Sr.1,ing
T•onir "•incl
20
BUILDING PERMIT APPLICATION TIGARD DATE_ �"� 1916.7
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. OWNERPHONE "�
LOT NO.
OWNER _JOB ADDRESS ( �W IYI r+AJs
S+• Mob—
ARCHITECT
_
ARCHITECT y 1"tt3
Q
�/� ADDRESS n"l►fr SIU 5 OL µ~ '✓�N/(,DESIGNER DESIGNER /of
EINGINEER
BUII�ER _
STRUCTURE NEW ❑ REMODEL_ Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE OAMAGE Cl DE►dOLffIO
RESIDENCE Cl COMM ❑ EDUCATIONAL ClGLV-T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ClSTORAGE ❑ SLAB FENC
OCCUPANCY _.LAND USE ZONE BLDG.TYPE 5-AV_FIREZONE PLAN CHECK BY HEAT
OPP
03
SEWER PERMIT# 2 ? Z `— _ ---- " - C.c.y12 /�---
OCC.LOAD FLOOR LOAD HEIGHT_ NO.STORIES AREA f_ ,.< j NO.BEDROOMS J VALUE=
BUILDING DEPARTMENT SET BACKS FRONT REAR d LEFT SIDE 22.�^ RIGHT SID ° C740
Permit THIS PERMIT IS ISSUED SUBJECT O THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT TH
�Pln Check _ C';S WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
trtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
9t its
EATING_Stats Tax l �. /
_ SOC-- ��f !�lot 6I�11A RM
Total - ----------------- -----
PDCN APPLICANT OQR AGENT r
,Q rj
By
Approved
Receipt No. ADDRESS - �---- PHONE
_
SDC -- _ d o
PDC -- S _. �— — iso N ed TO- 11 1119A.
SEWER CONNECTION $ �j'�+Qac#• �")6'rNaN. vR"4�. I)Ck.�kWAs
SEWER INSPECTION $
SEWER SURCHARGE s _„�.,.�.r�
Comments: ��, &-7-$3 ei•lCr-�� t`tv�- 1 �.is . �� �� ►+►�"�'�. k-�1�
y 7
9� � G
13UILDING PERMIT APPLICATION TIGARD DATE_ 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED ��R PHONEZ
PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, LOT NO..
OWNER JOB ADORESS _ _ Q ' ,ARCHITECT
LNGINEER
DESIGNER
/ r y
GUILDER �'��` t E- ADQRESS� "= i�'
STRUCTURE _ ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEIAOLI
Cl RESIDENCE ❑ COMM O EDUCATIONAL CIGOV•T ❑ RELIGIOUS ❑ PATIO C.t CARPORT Cl GARAGE ❑ STORAGE Cl SLAB❑ F
HEAT—
OCCUPANCY LANDUSEZONE _-
BLDG.TYPE
SEWER PERMIT it
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA
NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE hIGHT SIDE
Permit ` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZO
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HE
AGREED THAT
Plan Check -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLI
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT
Subtalar RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUST
LICENSE SEPARATE PERMITS REOUIREP FOR SEWER,PLUMBING AND HEATING.
State Tax
SOC— ' c> OAD Y —
Total
P" APPLJCANT OR AGENT
By Receipt No. — PMONE
ADDRESS
SSDC --- $
SDC
PDC -
SEWER C_ONNEGTION 5
SEWER INSPECTION $
SEWER SURCHARGE 5 -