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IN10
INSPECTION NOTICE
City of Tigard BUilding Department
12420 S.W. 'Juin St.
Tigard,0,egon 97223
Phone: 639-4171
Type of Inspectio,
Date Requested rime —A
J&--.—P.M.
Address 6/0 Permit
Owner Lot #
Builder
Thr! following Bkjildin Code deficiencies are required to be corrected:
-w'/
74 .999r
e
Presented to Apprnvou
Inloactor L.F
1 Disapproved
Date
CALL FOR REINSPECTION
EJ YES [V NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection . �I IVAL
Date Requested I'2' 1 _� Time X A.M. P.M.
AddresslqelP) u Permit
Owner Lot #
Builder L
The following Building Code deficiencies are required to be corrected:/
711
Presented to _� I Approved
Inspector ,_. �+_ �.__.__ ____..� Disapproved
Date
('ALL FOR REINSPECTION
XYE8 ONO
WW
=BOB
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address ------- Permit
Type of Inspection
The following Building Code def;.,iencies are required to he corrected: 1.% ze-
71
"Y
Presented to Inspector
Date
C4LL FOR REIMPECTI(XV
CI FS ❑ No
L ror-w
AM
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main S .
Tigard, Oregon 97223
Phone C39-4171
Address-,____ _ _._ ._T _. _._�.. � .�_ ..�_�r.
Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected: _.fi �-
.___.__.__ .�--
_y
1
Resented to __-_-- �- --`_—___..._ Inspector
Date
G4LL FOR RF. AMECTION
0 VES Cl No
i BUILDING DEPARTMENT, TIGARD �Tf)
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized cat:se plumbing work erein noted to be installed in accordance with the plumbing code of
Tigard. Suc�1 installations require inspection by the City Inspector who shall be notified not less than four
(4) hours priur to the time the installations are ready for inspectirn. City of Tigard Business License required
for all contractors and sub-contractors.
v
Owner —(- 014: _�__° Address g �.� _ pate /o -.z' 9'0
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT Inffice Use Only)
-1-
j
S n21e Femily-'I tenth-each ---------.— 25.00
--uuulnA-Ed4u1 I bash unit - -- _-- _--_ 25.00
Additional bathrooms-each 10.00
Mobile Horn 15.00 _
INDIVIDUAL FIXTURE FEES
�1_to 50 Fixtures in 1 building-earh 9.00 _
51 to 100 Fixtures in 1 building-each 2.50 _
101 to 200 Fixtures in 1 building-each 2.00
201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS
Building Sewer_l�t 50 It. 10.00
Sewer-each additional 100 ft. 10.00
Water Service to building- 5.00 --4 -0-V
Private Water Systems-each 100 ft._a 10.00 ----
Other
_--`_other (Specify):
For Plumbing Inspection Phone 6394171 /
L395 State � &�' Plumbing Contractor By _
•Iu-TA I- �/ k D RECEIPT N0. Issued By `__
MIAly of Tigard Mechanical Permit NO.
New Installation Ej Replace 0 Relocation l._J Addition Alteration DATE:
HEATING
CONTRACTOR Q/� /''lG -6-4!:�2 2 OWNER
JOB ADDRESS—,
PHONE Aef'`62o22(2 APPLICANT
Heat Input Rating(BTU per Hour) ����,� Vent Size �' Flue Size_ r�
FUEL. OIL[] GAS (" ELECT L_.1 OTHER
ITEM _p NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air ;4andlipq Unit or Durt :system 7.50
New-up to_& incl. 100,000 BTU 6.00 Commercial hood System 7.50
New 100,000 BUT's & over 7.50 Other Equipment—Each 4.50
WoodburnincLStove 4.50 1 Trip Inspection w_Y 4.50
Wall-Flnor- Suspended 6.00 Air Condition Compres,;. . up to& incl. 3 H.P. 6.00
Vent System_w/Fan i �.� —�� 4_.50 Air Condition Compressor-3.1 to 15. H P. incl. 11._00
Repair-Heat Cooh!Iq 6.00 _ _ _
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSUANCE 10.00 Comments:
FEES _ 5 V
SOTAL .5–C-1
i
% STATE b Issued By
I3UILDIr4'G PERMIT APPLICATION TIGARD DATE.--
(HE LINDE'R316NED HEREBY APPLIES FOR A PERMIT F OR Tr,F VGORK HREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL.ANb AND SPECIFICATIONS. OWNER PHONE
LOTNO._' '
OWNER jiicobs ".,unstr. JOBADDRESS k:1860 51„• Leili_qg Street
ARCHITECT
ENGINEER
BUILDER same ADDREssRt.4—Box 394j.5harwood DESIGNER
STRUCTURE VNEW 0 REMODEL IJ ADDITION 1-1 REPAIR 0 RENEWAL E-] FIRE DAMAGE 0 DEMOLITION
13, RESIDENCE 0 COMM F] EDUCATIONAL [] GOV'T EI RELIGIOUS -__� PATIO 0 CARPORT 11 GARAGE 0 STORAGE 0 SLABO FENCE
OCCUPANCY LAND USE ZONE R-7_BLDG.TYPE —IT FIRE ZONE___ PLAN CHECK BY - dWK—HEAT 9
1 ,_jn-4..xuct single family dualling w/atteched garage. 3 Bedroume 2 Oaths*
SEE CORRECTION SHECT ATTACHED.
SEWERPERMITN 220;�9 — V
7 0.0 0
470 sq. ft..
OCC.LOAD FLOOR LOAD 4QHEIGHT1, NO,STORIES 1 AREA 148A NO.BEDROOMS VALUE
BUILDING DEPARTMENT S,-:T BAG KS FRONT 22 REAR r LEFT SIDE RIGHT SIDE
Permll___ w20:-1• 0_ -1
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDiNANCES, AND IT IS HEREBY AGREED THAT THE
Plan Chenk 102-5() WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH Al-L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Or THIS PERMIT DOES NOT WAI'1E
Subtotal 3(17 r) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSNS
State TaxLICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING,
SvDG 40;�#U0
Total lb 70
FIDC4 1b (70.111.! APpLICAN7 GR AOENt
Receipt No
y
LApproved dwh . ADDRESS —PHONE ----
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor '
Permit No.
Rough•in
/ 2- JSLL �Oµ,L� /,�s _ Fixture
Final
— I T .
HEATING '
_fy�..waf .nCJ
Contractor p
Permit No. �v 7 J.;3 J�—3_r1_0
Rough-in
Final
- za- c��.v LZ.c-,.ya.� SEWER
L 2 Final
DRIVEWAY
Final ---—
Storm Drainage
(Rein Drain)Final
Sidewel k
Curb P.,Street Final
Tiiiz Approach
"L PT.FINAL TEMPORARY CERTIFICATE OC CUP N
CERTIFICATE OCCUPANCY Final
�.- -- landscaping
Zoning Final
CITY i�u,', D DATE � o._ ,q N2 3340
�'JILDI":G PE APPLICATIONuF o q76
HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
_' %D APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIUtIS OWNER PHONE
LOT NOW _-
0wne-T. �'�',r()p.� ( JOr? ADDRESS �11L. -fi-r►" r!E ADD?E55 P
�i - ARCHITECT
//�� O 39 J 0 Elf--EER
BUl�Ar. Sc�.'►'�'G _-- 4DDRESryS��__.��__-_.._._�-._-. ^-- - OE5rGNER ��...
RE-MODEL •_ ,d?D(iI IC)ti _ OREPAIR --_n=iENEWAI ❑�IrR'�EDAMAGE DEMOLITION
NCE n . . 'r+I DEDLICATIONAL ❑'30V'T ORELIG10USlJP�TIo []CARPORT_ ❑ aRaGE ❑STORAGEOSLAB ❑FENCE
�pOND �7 MOVING ❑CONDITIONAL USE -[]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
ss`NCYR_J L-•NO USE ZONEBLDu TvvE _�_ FIgF LONE_'_ PLAN CHECK BY HEAT
dk
A78ZNO.BEDRQQM,S 3 VALUES9 W
—BUILDING DEPAFTMENT SET BACKS FRONT REAR Y LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
F!an Check /Q� • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
rah 10taI 3 Q .�ro ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- •-• -- -- RESTRICTIVF. COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
late Tex 8•ZD LICENSE, SEPARA►E PERMITS FIF.01JInFD FOR SEWER, PLUMS!NG, AND HEATING.
� Total �•�• 0-0—
� I
by
APPUOA AGEN
p oved Receipt No
ADUPE55_ MONE
00
;L SQ
dif
70 -
88Co p �W C2�a���,� goo LA '0 q4 . ?&"a.Pte"
0-3 x /d- 1 $ i
2�
l,f 194 e- 35."0 //f,, 5
to-(, 2 a 7
4? o C!v /B X'O 10936
i
Permit__�S3,00
jty 0 iLl hiedianical Permit Fee
❑ Addition ❑ Alteration ❑ _ % State_
i
J:�1 InsiAlation ZI Replace ❑ Relocation
TOTAL_
KEATING
OOWNER(�NTRACTOrR :
I
�r I
O9E4� WORK ADORES �. �?� ,i._..
HONE APPLICANTS _ _Vent Si;�3 Flue Siza_-__
_r
eat Input Rating (BTU Per Hour) _ i. ----
UEL OIL ❑ GAS ❑ ELECT ❑ OTHCR__J —
ITEM W0. FEE ITEM NO. FEi
or Issuance of Permit SEE ABOVE Air Condition Compressor 15 to 30 HP 10.00
inc.1.00 000 BTj s 4.00 Air Handling 10,000 CFM 3.00
100,001 BTU & over 5.00 Air Handling Over 10,000 CFM _ 5.00
�•ar FUrnaC� 4.00 Evaporative Cooler 3.00
.'all •Floor •Suspended 4.00 RargVent Fan 3.0C
;tall Vents Onl �! _J 3.00 Vent System 3,0C
i i r•He3t& Cooling _ 4.00 Hood Commercial 3.0C
Condition Compressnr Under 3 HP 4.00 Ccmn_ercial Duct System 10.0
condition Comps es.or 3 to 15 HP 7.50'
:SPECTOR'S COMMENTS — --
�— 1
i Y BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
?MOVED BY DATE ISSUED BY_- DATE
=CEIPT NO.,,____
4