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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested_ G' ��' . ' Time_A' A.M. P.M.
Address — L�� ? �' �'-sem—% !s op, Permit # _
Owner— — — - --- ----- Lot # —_
Builder - ....------ --- -- — ---------
The following Building Code deficiencies e.re required to he corrected:
f
to G t-`P
I
Presented to _ Approved
Inspector __- _— ❑ Disapproved
Date —
CALL FOR REINSPECTION
D YES 6 NO
W1-4'ECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 47223
Phone: 639-4175
Type of Inspection
Date Requested-- _ Time L A M. P.M.
Address — — [�_� _ IfJ�'/'b`___—.------- Permit #T�---- --
Owner Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ❑ Approved
Inspector ----_ ❑ DisapprovKu
Date
CALL FOR REINSPECTION
❑ YES El NO
INSPECTION NOTICE
City of Tigard Bui{ding Departmem
P.O. Box 23397
Tigard, Oregon 97223
(�f �
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit # 57
Owner. � Lot
BuilderThe, following Buildinq Code deficiencies are required to he corrected:
Presented to — [] Approved
Inspector L_J Disapproved
Date
CALL FOR REINSPECTION
❑ YES Cl NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 (2�)Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested "tel� Time.�!"' A.M. —P.M.
Address _� ._ Permit >�2
Owner ----- ..-_ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _
Ins ctor
� - I 1 Disapproved
Date
CALL FOR REINSPECTION
C7 YES 0 NO
N
INSPECTION NOTICE
City of Tigard Buildinn Department ,
P O. Box n 97 /
Tigard, Oregoon 97223
Phone: 6� 0-4175 f
Type of I�ispection ` �'"'�,
Date Fieyuested �� Time A.M._ P.M. _
Address ( (-�' � SGC.I�r � Permit #—L �
Owner Lot #
Thi following Building Code defi�cies are required to be "orrectod:
Presented to -- _ --__. 4111 approved
Inspectc: --_---_ _ -- 1 1 Disapp►oved
J
C):;tP. I
CALL FOR REIN, ECTION
YES ❑ NO
CITY O TIGARD PLUM13.ING .0 25 wdaR " °'"'
App"ft ffnm hold Oregon lcealstration to conduct a plumbing PERMIT rr� 9�'�
business or must be property owner/operator not hiring owside help. 17
t•
"me of Oswbp"b" Plumbing Permit No
Address Descr"on
:> ?1 /�
Job /L -fe �) � ORS 514.21-A I O CJUIW. P"CE AMT
Tax Lot Map.No.
Address
FIXTf;AES Bl _
/ ock SIR�� .�wt1c _ __.___._ _ ?'SO
Of name of business Lsvetory _ 7.50
c k79 j L t -/rr.. L r Tub or TutwShower Comb _ 7 SO -
rd^ULM ess Shower Only— 1 7
O, Q 2 3 _ Water Cbsel _ 7
Owner / fe �__. _ - — _--
/ 77225 Dishwasher - ISO
Phone Garbage Disposal 1 s0
Name Washing Machine _ 7.s0
Floor Drain 7 SO
i IngtossI�ItOrM Water Healer 7 s0
Ucai{,snf !Stats _LaundryRoomTray_ - !so
zip
Urinal 7 s0
done Other Flxtures(Speedy)— _ _ ? o .
750
--
7 so
J7 SO
Conlr,tAtt;r / to —zip
l�_ JZ 01SULLANEOUS
ry&a Tax No Sewer I st 100' 3000
�r / 7/ 7_ - - --
ia� ' to -;Bus Lk No Sewer—es.Addil 100 _.ts00
Wafer Swvtoe 181100' - � >b 00
I hr rItty adlrq P11 dpa VW I naw read Illus aippOcatlor,"tis Y do"nabon WON Service aa.AddfL�JL?' - _ 1 S 00
yivaet is ow xt,Ittat t an repislr W with rite Stall"Jogs f3owd,and aFu Storm&Rain OrWm 1 at.100' 3000
hers a SVAo Pkattblrtp ttoutoa 1W ow nmt ws tKn ars=mX that as _.
JAwb y wmft.rN be dom,in.n mUmor,aro*w0lestiki p wl.icm of ors, Sturm a pNn orein Addle too' __ t s 00
9011 ReviW SW da Cho*n 447 NW M and Vpkfb7ls codex wv)that MobNe Horne Spam2S oo
m help WINbe w%Aoyed unless Ilmood arch ORS isle] (H o-wnpt trom
A"-9iW**r%plsaW 9fI>o mason below). Boa Fkw
d P P� tion n Devtce 7 t0
14M C�7I tCRS-1 hemby curb 1wi"A u»ow w of ow property Ae- ----- _
eatsad above,ld wIdd Wagon 1 pWase to Wale s pkmnbbV bnMaMadm to Any Trop or Wads Not
ny awn tale artd 11th prtaps+ty is r1CA b.w+p aonMnrdea lo►sell.kales a rant OannKUd b o_Ptim"r 1.54-
C4vwh soon t m
dar
_— — — —-- -- — �" d FA _!K`-" — — 40 00 Por K
SparilNY Requeowd kupsollorm 40.00 Par►O
1 _ Afte of Pknrb"MV
MOD 00"wh
- �
n Y e itiNATUR— `�% - DIN H"8149,or BuN.Ad~ N oO"M l
Utilleflbal WO&n«M► " arWW*n 0 AWOOWCJ MPMr D 1S.cv J
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1'Mll plutttM MSbmItD tatll srtb rralhlr t1rplM Mw t14rts%eaoMon slAhcrrV�e�o M noA oortt '_ '� - •
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CITY OF TIGARD 639.4171 U O 5 7
BUILDING PERMIT DATE
TAX MAP LOT NO. -1 SUBDIVISION ,yT�3Tlf
OWNER JOBADDRESS i�✓r!Z T`t'1
BUILDER S.(l l STATE REG.NO. __.�'(1 f r7 7
__-- --- �.._�_ EXP.DATE
L:
BUILDER'S PHONE
ARG'HITECT PHONE OTHER
STRUCTURE )_l NEW 1 REMODEL 1] ADDITION ! REPAIR MOVE_ OTHER F DEMOLITION
Ll RESIDENCE (l COMM [ I EDUCATION I IND RELIGIOUS ACCESSORY F- GARAGE 'OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE PLAN CHECK BY _--- HEAT_
SEWER PERMITS t t ;trTr, 4(14
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA '` '' NO.BEDROOMS VALUE
BUILDING DEPART MEN I SETBACKS FRONT REAR ' LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII.DING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check ' �ri•'tir WORK WILL BE DONE Il: �"CORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�— — WITH ALL APPLICABLE Cr':ES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI,Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
,TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax
SDC—
Total -- - - -
��` PDCS APPLICANTORAGENT
Prepd, i, r.r
Bat.Due i, 3 .,, Receipt Nq*"I'! ADDRESS PHONE
Issued By Approved 9y__
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DATE INSP. TYPE INSPECTION REMARKS —� PLUMBING JATE
f � Contractor - G_r
Z
_ Permit No. 5-217
6 � Rough-in
Future
Final
-1-8, ' p p �, .. HEATING
Contractor44
ov,
- - ��� -_-
Permit No [l/7c�S
�— - GasorOil
Rough-in
Final —^ — --R,-
SEWER -------
— Final
DRIVEWAY
Final
Storm Drainage
!Rain Draln)Final
Sidewalk ^—
Curb 8 Street Final
Approach
BLJG.DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final
CFRTFICATE OCCUPANCY --
Landscaping
Zoning Final
i
1
%..I T Ur I Il AKA MhUHANICAL PERMIT ---
Permit#
Descdptlon
City of Tigard
Table 7A Mechanical Code QTY PRICE AMT
--��— -
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.U. Box 23397 - —
Tigard, OR 972237 2) Supplemental Permit 3.00
635-4175 Ll,,' I Furnace to 100,000 BTU
1) incl.ducts&vents / 6.00
Furnace 100,000 BTU +
2) incl ducts&vents 7.50
--� Name of Development 3)) Floor Furnace
r incl.vent 6
Job Addre Ta buspended heater,wall heater
Address 7j�� P'Ll'-I �LQk 4) or floor mounted heater—_ 6.00
Tax Lot Map No. 2 l 5 Vent not incl.in �Y
t.ot V Block Subdivislon _).. appliance permit -- 3.00 - -_
Name(or name of business) 6) Repair of heating,refr ig., 6.00
___j ,/,y 2'c,e'(,_, cooling,absorption unit
Mailing Address Phone Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
CIty/State Zip Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name Boiler or comp 15-30 HP
9) absorp.unit 1/2-1 million 15'00 _
Meiling Address Plane — Boiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor City/State Zip Boiler or comp to 50 HP
1) absorp.unit 1,750,000 BTU 31.500
Stale Registration No C Bus,Tax No. Air handling unit to
CRY 12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10_OCJ CFM +
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct.(If exempt'rom State registration please give reasori below) 14) evaporate cooler 4.50
15) Vent fan connected
_._—------ / /
to a single duct 3.00 V_
Ventilation system not
16) included in appliance permit 4.50
p 17) Hood served by
mechanical exhluust / 4.50 e/.j
lrah"( agent) Date Domestic type
Describe work Eladdito r1 alteration ❑ repair E118) incinerator 7.50
to be done residential 9 non-residential ❑ Commercial or industrial 30.00
Existing use of 19) typq incinerator s
building or properly Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc. 4.50
building or property 21) Gas piping one to four r its i 2.00
Typo of fuel- ell Elnatural gas ( LPG ❑ electric IJ '- --
22) More than 4-per outlet
NQTLCE
T HIS PERMIT BECOMES NULL AND VOID IF WORK OR SUBTOTAL
CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED O'T PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- — `
WORK IS COMMENCED. TOTAL I/e J r�
Special Conditions
-- -- -- Date Issued
i
INSPECTION NOTICE
City of Tigard Bull.'ng Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ��y� -- —
Date Requested 2 .nn. op.M.r
Address _�_(� Permit #
Owner ___ Lot #
Builder 4— Q 1�
The followin Buildindeficiencies are equired to be corrected:
Presented to �.___. _ roved
Inspector _ _ ❑ Disapproved
Date –
CALL FOR REINSPECTION
O YES 0 NO
for inspecticns call 639-4175
CITY'®F TIGARD 699.4171 DATE '�� �• I �O YP
>�UILOIN61 PEpMIT � � �- iS-' '
.0. J'4 23397, Tigard OR 97223 TAX MAP "_,��LOTNO. ._.�`L—SUBDIVISION
_ .oe ADDRESS 1 a 7
OWNED ----(-- ..�- -- 3G 10 EYP.DATE �- 1 b^ 'k I
Wl�
BUILDER V 1 e`, �ld IV) STATE REO.N'J.
BUILDER'S PHONE y` q 7Sy
ARCHITECT c v r v IL, 7r 1- . .
PHONE � S -O lli •�_,,,OTHER_,,,________._._._�.�.
STRUCTURENEW' U REMODEL d ADO, O REPAIR O MOVE
OOTHER L7 DEMOLITI(
RESIOIE'10E O QOMIA 12
O EDUCATION O INC) O RELIGIOUS O'A�SSORY Cl GARAGE O OTHER O FENT
S'/V FIRE 2DNf PLAN CHECK BY ,Z;{ HEAT
00C'UPANCY LANb L►SE ZONE ,�.__,__.BLDG•TYPk — /
SFWER PERMIT
OCC.LOAD FLOOR LOAD HEIGHT N0.STORIES '- AREA
No.SEOROOfr15 VALUE..4
4 .0
BUILDING DEPARTMENT SET SACKS FRONT LEFT SIOF. RIGHT SIDE
Pwrt►I; THIS PERmrT 16 ISSUED SUBJECT TO THE REOULATIONS CONTAINED IN THE BUII AMNO CODE.20141114
I
1,,,)"REOULAncws AND ALL APPLICABLE CODES AND ORDINANCES.AND IIT IS HEREBY i%OREED THAT TI.ClWORK WILL BE DONE IN AOUORDANCE WITH THE PLANS AND SPFCIFICATFONS AMC X COMPLLANC
p
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT w1% NOT WAIS
FMi 11ESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACrTIO TO HAVE CURRENT CITY BUSINFS
PI.CIL TAJ(PERMITS SEPARATE PERMITS REQUIRED SEW LOMB AND HEANG.
Sl.l•Tai �,
SOCToll ADPL CANT OA AGE
u ,. C A q- 5 y.3
Pv.pa. � �� ►R�y a.3� I 7
oNE
Rocolpl No. ADDRESS PN
Bal Due Approv.G By___
ssDC --- $
scwE R CONNECTION s
121. 7
SEWER INSPECTION f
SEWE.A SURCHARGE s
<
Comments;
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: 3/2 7 ��7
P.O. Box 23397, Tig :rd OR 97223 P/C DEPOSIT PAID• !C>
This is to certify that the attached _ sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: �1
JOB ADDRESS: U jar "-'`� � LOT NO. & MAP:
DESCRIPTION OF WORK:
Ap r� ovals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
O Engineering Dept. 0 Flood Plain/Sensitive Lands
n Fire District O Sewer Availability
O Other O Other
r
Items Required
O List of subco-itractors �I\11 V �.L •c�CJ
r
Business Tax
Calculations
0 Truss Details
OParking Plan ' ,
OLandscape Plan
0 Other
COMMENTS:
City of Tigard Building Department
BY: �.