10060 SW TIGARD STREET 10060 SW TIGARD STREET
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INSPECTION NOTICE
City of Tigard Building Department
® P.O. Box 23397
T gard, Oregon 97223
Phone: 639-4175
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Type of Inspection �0� ie �
Date Requeste/d� , � /�Timje—.__ A.M._L P.M.
Address —/47a 440 �'✓ C lL—� per: lit _ I
Owner�------------__ _�...�/ ._ ., tot #
t
guilderThe following Building Code deficiencies are required tc be corrected:
Presented to _ ,_ — - _ ___.� Approved
Inmect•)r / / ❑ Disapproved
Date
CALL FOR RLINSPf,;CTION
[ ] YES LI NO
Receipt#
CITY OF: TIGARD MECI°�ANICAI. PERMIT
Permit __ --
�
Description
Table 3A Mechanical CodeQTY PRICE AMT
City of Tigard _ _
1) Permit�'�eo -0- -0- 10 J
13125 S.W. Hall Blvd. —
P.O. BOX 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 — —
Furnace to 100,000 BTU 6.00
639-4175 1) incl.ducts&vents_ _
2) Furnace 100,000 BTU 7.50
incl,ducts&vents
Floor Furnace 6,0f
Name of Development 3) incl.vent -
--- -- - Suspended heater,wall hoater 6.00
Job Address 4) or floor mounted heater
Address � __-- - — ----- ----
rax Lot Map No. 5) Vent not incl.in 3.00
appliance permit _
1.01 Block Subdivision Repair of heating,retr Ig., 6.00
-- Name(or name of business) 6) cooling,absorption unit
Boiler or comp to 3 HP 6.00
Melling Address Phone 7) absorp.unit to 100,000 BTU
Owner
Boiler or comp to 3 HP-15 HP 11.00
City.Siete lip 8) absorp.unit to 500,000 BTU
-4--___
Boiler or comp 15-30 HP 15.00
Name 9 absorp.unit 1/2-1 million
---- -- Boiler or comp to 30-50 HP 22.50
Meiling Address Phone 10) absorp.unit 1 -1.75 million
Contractor City State Zip 11) Boiler or comp to 50 HP 31.50
absui p.unit 1,750,000 BTU
Air handling unit to 4.50
12)
state Registration No. City Bus.Tax No. 10,000 CFM_ —
Air handlinn unK 7.50
1 hereby acknowledge that I have read this application that the Information given Is 13) 10,000 CFM i
correct,that I am the owner or authorized agent of the owner,that plans submitted are In Non portable compliance with State laws,that I am registered with the State Builders'Board,that the 14) P 4.50
number given Is correct (If exempt from State registration please give reason below). evaporate cooler
15) Vent fan connected 3.00
- — to a single duct
Ventilation system not 4.50
included in appliance permit
17) Hood served by 450
mechanical exhaust
91gn ,ure(owner or agent) —~ —� Date 19) Domestic type 7.50
C-,scribe work F1addition Elalteration C) repair C]
Incinerator
to be done rosiderttial ❑ non-residential ❑ 19) Commercial or Industrial 30.00
• type incinerator
building
Existing use Other i.e.,woodstove,water 4.50
building or properly - - 2U) heater,solar,clothes dryers,etc.
Proposed use of
building or property —-- - 21) Gas piping one tc four outlets 2.00
Type of fu•31- oil ❑ natural gas ❑ LPG ❑ electric ❑
22) More than 4-per outlet _
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
4%SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCEC WITHIN 180 —
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
W("nK IS COMMENCED.
Special Conditions ---
Date issued __ — by
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WINIM
BUILDING PERMIT APPLICATION coy TIGARD DATE_ Q ?—
IHE UNDERSIGNED HFREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN 1HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
l LOT NO._
OWNER r =Od t.IrU�lk®r JOB ADDRESS 10060 TJ Tto�f�rt� 74s HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS !— UESIGNER
STRUCTURE 'ENEW ❑REMODEL UADDITION _❑_REPAIR_ ❑RENEWAL. _^ ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE. -]COMM []EDUCATIONAL ❑GOV'T ORE LIGIOUS❑PAT 10E3CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL_USE ❑DESIGN REVIEW ❑COUNCIL APPPOVED ❑SIGI`iS
OCCUPANCY LAND USE ZONE` BLDG.TYPE ' FIRE ZONES— PLAN CHECK BY_r�_T____— HFA f —
canbt., carpar-1-. per pli*,n w/Piberoless rout-,n�i _--- ----
QG.Q�.1.4�AD_-- LVSus AREA NlQ,-UJ?844.[ _.._YAl
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SU13JFCT TO THE REGULATIONS CONTAINED IN 7HE BUILDING CODE. ZONING
Plan Chert. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-lo'.al ALL APPLICABLE CODES AND ORWNANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- -- RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURNENT CITY BUSINESS
Slate Tax 3Q LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 10.30
BY -- -- - - -- ---
_-_�-_ -. APPi (CANT On AGENT
Approved t Receipt No
AOOR S�5-
UATE INSP. TYPE INSPECTION —� — REMARKS PLUMBING DATE
5-/-:L/7 7 -C `- --- --------�- ---- —J Contractor —
_ _ Permit No.
Rough-in
Fixture
Final
— ------- ------ HEAPING
Contractor
Permit No.
Gas or OSI
Rou h in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
----- —_- -- Sidewalk
Curb&Street Frna!
Approach _
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERI IFICATE OCCUPANCY --
_ Landscaping
( Zoning Final
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