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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 peitAte -Thor pcan
Phone: 639-4''75 GjZp a 3 ' µ
7-z7 — SS"7Iw
Type of Inspection —
—YQ —
Date Requested --�I'7_� Time A.M.. cif 'P M.M'.
Address _t O � �� T Permit #. 0
Owner _ Lot # _
Builder
The folloviing Building Code deticiencies are required to be corrected:
Presented ----------_- -- pproved —
Inspector __ L Diwpproved
Date
CALL, FOR REINSPECTION
❑ YES ❑ NO
i
INSPECTION NOTICE �1
City of Tigard Building Department
P.O Box 23397 J
Tigard, Oregon 97223 �nl
Phone: 639-4175 `
Type of Inspection r
07 tDate Requested_1 - �' g Time ✓ . --P.M.
Address /ofODJ��l,��/��V _ �_ Permit # ��✓ _
Owner-- ___ ___ Lot #
Builder _-__ --
The following Building Code deficiencies are required to be corrected:
Presented to _ proved
Inspector Disapproved
Do" _----- ------
C LL FOR' REINSPECTION
❑ M ❑ NO
W!iiii!jLWLW aFF s AIIIi' t!
CITY F TIIGARD MECHANICAL PERMIT
Pormil N y ' 7
Description __ -- --
Table 7A Mechanical Code_ OTY_ PRICE AMI
City of Tigard --
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.0171
P.O. Box 23397 — --
Tigard, OR 97223 2) SupplemenfalPeninit �- 3.00 -
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
Furnace 100,000 BTU +
2 incl.ducts&vents 7.50
Name of rleve"An! Floor Furnace
3) incl.vent 6.00
Joh AddressnQ 4) Suspended heater,wall heater 6.00 --
Address � U � U � u-i �►'1 orfloor mounted healer
rax l.nl Map No. Vent not incl.in
Lot Stock Subdivision 5) appliance permit 3.00
Name(or name of business) F,epair of heating,refr ig.,
6) cooling,absorption unit 6.00
Mailing Address Phone 7Boiler or comp to 3 HP
Owner 7y�� ) absorp. ,!nit to 100,000 BTU � 6.OU
City/State Zip 8) Boiler c r comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
Na Boiler of comp 15-30 HP
9)_absorp.unit 112
1 million 15.00
MaIU Address o. P Boiler or comp to 30-50 HP
r'g � (,`� 10) 22.50
absorp.unit 1 -1.75 million
Gontlaclof —ci`. ` � . 1d•�,a�Q '�cQ �Ut -
City/state. Zip 11) Boiler or comp to 50 HP 31.50
t R-�o 3 y _ absorp.unit 1,750,000 BTU
Stela pegistretlon No. Coy Bus.Ta.No. 12) Air handling unit to 4.50
Yit-so E ?� 10,000 CFA 1, ---
i hereby acknowledge that I have read this application that the Information given Is 13) Air handling unit 7.50
000 CFM +
correct.that I am the owner or auMariied agent r 1 the owner,that plans suvnitted are In 10, -------
compliance with Suite laws,that I am registered with the State Builders'Board,Wat theNon portable
number
rgiven Is coned.(II exempt from State registration please give reasor',+low). 14) evaporate cooler 4.50 I
°LI7�t�'ti
�C" ' ,( ),j ,�,� Z v t' - 151 3
Vent fan connected
�0 -� to a single duct 00i
--- _-i 16) Ventilation system not 4.50
Included in appliance permit _
- 17) Hood served by
4.50
mechanical exhaust
Signature(owner or agent) �— Date 18) Domestic type 7.50
Describe work O addition ❑ alteration 0 repair ❑ incinerator
to be done residential W non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator
� 5 t�
building or properly Other i.e.,ptiodstove,Jvater l /J
20) heater,sola;ctothes dryers,etc, 4.SU
Proposed use of z
_
building or property --- 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas i I LPG II electric [1
22) More than 4-per outlet
NOTICE -SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL --
A',ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - ---
NORK IS COMMENCED. TOTAL I Sj-
Special Conditions_
Date issued L�a:...._----.-_.._by
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ S��/�',�-- _ --------------
Date
Date Requested Time V A.M. P.M.
Address _ ��G�S fit,✓ /wA.c�9T//C/ Permit It
Owner_- __- Lot 0
Builder
The following Building Code deficiencies are required to he cor►ected:
-- - - - -
_?
Presented to Approved
Inspector Disapproved
Date cl—
CALL FOR REINSPECTICN
❑ YES 1J NO
LTLW
jWW
jUW
INSPECTION !NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ► C= T--
Date Requested— y' 2/' Time-A.M. P.M. I
Address �e T1 .e– Permit #�G G�
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ ovod
Inspoictor --_.. –. - --— Disapproved
Date ---- --- .— /
CALL FOR REINSPECTION
IEJ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 2339 (Y)Tigard, Oregon 97223
Phone: 639-40175
Type of Inspection — -v.—+� -----
Date Requested _-- Time A,.Ij" f#_ P.M.
r �(
Address
Owner____ Lot #
Builder
l
The following Building Code deficiencies are required *\ '� erected:
Presented to _ —___.__....__ Approved
Inspector t '- -__ ❑ Disapproved
Date
CALL FOR GINSPECTION
YES 0 NO
CITY OF TIGARD 639.4171 6662
BUILDING PERMIT DATE __ _!�19!__
TAX MAP ' :"j r,,)n !OT NO. 43 SUBDIVISION
OWNER .1c►m t>li..Y,1 __ _ JOB ADDRESS -
BUILDER `;' ST ATE REG.NO. if,l!! EXP.DATE
BUILDER'S PHONE Fjn"'I 13.+__
ARCHITECT. PHONE __OTHER
STRUCTURE I NEW ❑ REMODEL Ll ADDITION C; REPAIR L; MOVE Il OTHER DEMOLITION
REC!DENCE COMM ❑ EDUCATION I 1 IND H RELIGIOUS ACCESSORY I GARAGE OTHER FENCE
OCCUPAN^Y LAND USE ZONE 'BLDG.TYPE 'i FIRE ZONE PLAN CHECK BY HEAT _
711 T,
SEWER PERMIT#
_OCC.LOAD FLOOR LOAD HEIGIAT NO.STORIES AREA NO,BEDROOMS V-kLUE
BUILDING DEPARTMENT SET JACKS FRONT REAR LEF SIDE RIGI IT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CC "AINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL AP'ILICABLE CODES AND ORCINAt' ' ), AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABI-E CODES AND ORDINANCES. THE ISSUANCE OF TI IIS PERMIT DOEF NOT WAIVE
PI.Cit.Fire _ RESTRICTIVE COVENANTS. CONIRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-� TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC— Fr''>s),l;( i
TotalAPPICARtMADENT - -- -
- i1xi 45 PDC#
Prepd. .l1Cl.(10
_ ---
Receipt No. ), ADDFE$B —__------- _ -- PHONE
Bal.Due �'�.q+• x
Issued By__ Approved By�__
i
DATE INSP- TYPE INSPECTION REMARKS PLUMBING �DAATE;Y�—
Contractor 7$e �f-/ '&7
_2 3 _ _� Perout No. 3 --
Rough in r
-aj/ I --- - - - Fixture
Final --_
HEATING
Contractor
s J 13 Pe rnil No
Gas Oil
Rough"in
Final
— --- ----- ---- -------- SEWER
Final •C', --
-� --— DRIVEWAY
Final i
i— — - Storm Draioage
(Rain Drain)Final
-- -- -� -____--- Sidewalk
Curb h Street Final
Approach
BLDG.DEPT.FINAL CERTFTEMP OCARY CUPANCY CERTIFICATE OCCUPANCY Final -
1 - Landscaping
-- - — Zoning Final _--
_ _._.—.•_... - -----...... _-.--_ r:.
Fill
I
1
for inspections call 63S-4175
0
CITY OF TIGARD •3A 5171 DATE
JI plLQao q�¢� 9!IT iRard OR 7223 TAX MAP �WT NO. J�—WEaV1610N �G
P JOB ADDRESS l�6_r, S Sd� 7 a_[ ., y)
OWNE STATE REQ.N0. EKP.
BUILDER __,__,. 2
BUIL"wS PHONE
PHONE ! y ?Sy _OTHER
ARCHITECT
ST RE NEw C) REM70EL O ADDITION CJ REPAIR O MOVE L1 OTHER CJ DEMOLITI(
RESIOEWE O COMM O EDUCATION a IND A RELIGIOUS 0 A0LXSSORY Q GARAGE C]OTHER ID FENT
OCCUPANCY LANG VSE dONC SLD3.TYPE SIRE ZONE ''""'" PLAN CHECK BY MEAT
..
SEvrER�'ERMIT s 3 t!i �/,y[�
LU
OC(;.LCAO FLOOR LOAD 0 HEIGHT -20 *- 1-0.STORIES "l. AREAS aG NO.BEORCOMS VA
SUIL0ING DEPARTMENT FRONT REAR 4 LEFT N� RIGHT BIDE
�^ SETBACKS
PWn+lt - ` THIS PERMIT K MWED SU TO THE REGULATIONS CtcES, NED IN THE HEREBY
AG CODE,Z T T1
REOULATIONS AND ALL APPLIGASIE CODES AND ORDINANCES~AND IT IS NERElY AGREED THAT Tth
Plan Cts* S /� wORK twlLl SE pONE IN AOCOROANCE W(TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
11I/ITII ALL A►PLICJIILE CODES AND ORDINANCES THE LSiUAN THIS PER1dR ODES NOT MIAIv
P1.Ct F<'i RESTRICTIVE COVENANTS GONTRAf,'TOR AND SUS CONT CTO 0 HAVE CURRENT CITY SUSINES
TAX PERMIR SE►ARATE PERMITS REOUIREO( R SEWE LUMSt AND NEATIN4
Stara Tax
Total_ A IGANT G N
POG
PrapA. V ONE
MO ADD ESS
Sal Due
Its !T pprowd
SSDC --- $ u
SEWER CONNECTION I
SEWER INSPECTION
SEWER SURCHARGE
Z �.
y L. �S— IZ04
71±j-
r
1
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached 2 sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, / 0 edition.
PROPERTY OWNER:0 r OWNER'S ADDRESS:
CONTRACTOR: �`�� J `�� TELEPHONE:
JOB ADDRESS: LOT NO. & MAP: �,�
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
O Engineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Required
List of subcontractors
0 Business Tax
Calculations
Truss Details
t/ v
OParking Plan
0 Landscape Plan
O Other
COMMENTS:
City of Tigard Building Department
BY: r
D
�pr�Sll�e PLAN CHECK NO.
for inspections call ',: 9--4175
PERMIT N0. LGG,2.._
CITY OF NGARG 699.4171 oi.TE --+�----
BUILDING PERMIT 2 si sh,� `!"3 —SU061VIs+ON
P.O. Box 2319.1, Tigard OR 97223 TAX MAP _.,__ LOT NO. '
OWNE JOB AGGRESS �b ro
p •1/ /
BUILDER STATE REG.NO. 3�1 7 _EXP.OATC 2 8'
BUILDER'S PHONE _
A,.CIi1TECT_ PHONE_ OTHER
STRUCTURE ,.ANEW _ C) RCMOOEL ❑ ADDITION O REPAIR C1 MOVE O OTHER L7 DEMOLITION
jYRESIOENCE ❑ OOMM O EDUCATION O IND (:1 RELIGIOUS. 0-ACCESSORY O GARAGE (:I OTHER ❑ FENCE
OCCUPANCY USE ZONE
�J BLDG.TYPE FIRE WNF l PIAN CHECK BY TG.�I�£Ar
SEWER"ERMIT o. �— — /--S
OOC.LOAD FLOOR�OAO �r� HEIGHT % NO.STORIES % AREA :2��;e NO.BEDROO A31
BUIL(NNG D AP RE TMENT SET BACKS FRONT U REAR LEFT SIDE RIGHT SIDE
PKrtdl 5 � THIS rERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL04HO CODE,
ZONING
REGULATIONS AND ALL APPLICA"ILE CODES 14NO ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plancb*ck .2.� •� - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Ai CAL F" REST RfCTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�a^ TAX PERMrTS..SF!-A:!ATE PERMITS REOUIREn FOR SEWER,PLUMBING AND HEATING,
Simla Tax / 9 ssx
—
TOIa1 ez
y , SDC— APPLK:ANT OA AGENT
POG
--- 4/77 Recelp+No ADDRESS
Bal.Due - _�
Issued By -Approved By, _
ssDC --- g 25v
RECEIPT N
IOC _; '� �
- DATE PD.
CUE R CUNNI C T I ON 5 ` Jam_ AMJUNT PD.
-(-WER INSPECTION S
EWER SURCHARGE S
-)mmef)tm
yr i iuAnu
Permit M
Description
City of Tigard
Table 3A Mechanical Code OTY FAICs AMT
_ ._ _._
13125 S.W. Hall Blvd. 1) Permit Fee •0- -0• 1000
P,O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6'0
Furnace 100,000 BTU 4
2 7.50
Incl.ducts&vents r .5
Name of Development 3) Floor Furnace F
Oct� Jp �Z- incl.vont
Job Address T Suspended heater,wall heater
Address /C)G 0 5 4) or floor mounted heater t,M)
7a.Lot Map No 5) Vent not Incl.in 300
Lot y 9 Block Subdivision appliance permit
Name(or name of business) 6) Repair of heating,refr ig., t�lkl
y72� cooling,absorption unit
Owner M ing Ad f693 Phone 7) Boiler or comp to 3 HP 600
absorp.unit to 100,000 BTU
ciryrs'ate Zip 6) Boiler or comp to 3 HP• 15 HP 1 1 00
absorp.unit to 500,000 BTU_
,me 9) Boller or comp 15.30 HP 15 00
eGQL,vJ absorp.unit'/7.1 million -
Melling Address — Phone 10) Boiler or comp to 30.50 HP 2250
Contractor absorp.unit 1 -1.7t million
clry/State Zip11) Boiler or comp to 50 HP
absorp unit 1,750,000 BTU 31 50
State Registration No City Bus Tax No 12) Air handling unit to 4 50
10,000 CFM
I hereby acknowt Air handling unit ; 51,1
edge that t have read This application that the information given �s 13)
ccxrecf,'hal I am the owner or authonted agent nt the owner,that plans submitted are in 10,000 CFM f
cn'nptlanae with State law%,that I am registered with the State Builders'Board,that thw Non portable
number given is correct (ll exempt frcm State registration ploase give reason below) 14) evaporate cooler 45,171
-------- -----
--- - 15) Vent Ian connected 1(10
to a single duct ! "
- 16) Ventilation system not 4510
included in appliance lit
17 Hood served by --�— - 450
- mechanical exhaust
- 1
gnature(owrpr a tgant► __ — _
-- oafs Domestic type
750
Describe work ----
171 addit;on F1 alteration Ll repair i 9) incinerator to be done _ residential$`^ non-residential [_) _ 19) Commercial or industrial S0 PO
Existing use of type incinerator
hutlding or properly 20) Other ve ,woodslove,water — 4 so
Proposed use of heater,solar,clothes dryers,etc
building or property
21) Gas piping one to four outlets 1.00
Type of fuel -
oil ! 1 natural gas Y LPG I 1 electric I I
�— 22) More than 4-per outlet
Horace --------- sup-TOTAL _...._ «f__
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON - - ---- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHA11O11111 f:4 t1
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONEDPIAN REVIEW 15X OF t1U�-TOTAL
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---- ------------ — -- -
WORK IS COMMENCED TOTAL
Special COnd"lons
- - - .-_ -- — -- --.-.- ---- Date Issued —.. - . .. - by
��
! ! ! ! ! ! ! ! fa 1W
IUAMu 1W1LLof 1AN1lLoHL VLHIVl1 1 Permit
Description
Table JA Mechanical Code _ QTY _1'1111ce AMT
City of Tigard 1) Permit Fee •0 _0• 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit - 100 -
639-4175 1) Furnace to 100,000 BTU 600
1111 Incl.ducts&vents
Furnace 100,000 BTU 4
2 7 SO
incl ducts 6 vents -S
Name of DevelopmentFloor Furnace 3) incl.vent 0�- -
Jou Address ---- 4) Suspended heater,wall healer
t'or floor mounted heater rill
Address 16 G o_ ���_„ ���,,:` ,�� 1111_
Tax Lot Map No 5) Vent not incl.in 1 0(1
_ sol 4j 3 Block Subdivision appliance permit
Name(or name of business) 6) Repair of heating,refr ig , t;00
yn cooling,absorption unit
M ing Ad Deas phone 7) Boiler or comp to 3 HP 6 00
Owner absorp.unit to 100,000 BTU
ciryrSlate — 7,p -- - -- 6) Boiler or comp to 3 HP- 15 HP t t OD
absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15 00
absorp.unit'i2. 1 million
MailingAddress phone - 10) Boiler or comp to 30.50 HP 5o
absorp.unit t -1.75 million
1111 _ 1111__1111 __ ---- ------------ ----
Contractor clryrstate _ Zip 1 1) Boiler or comp to 50 HP 3 50
absorp unit 1,750,000 BTU
Stele Registration No City Bus Tax No 1 21 Air handling unit to 50
10,000 CFM
hereb ad rbwl 13) Air handling unit 50
y odge that I hay, read this application that the information given is 1 0,17n0 CFM
rouect,that i am the owner of authorized agent of the owner,that plans submitted are,n -------------- - - - -- -
compliance with Stele laws,that I am ragimered with We State P.uilders'Board,that theNon portable J 50
number given i-come,, 14(If exempt from State registration please give reason below) ) evaporate Cooler
Vent fan connected
15) to a single duct < 1 00
16) Ventilation system not 4 50
-- included in appliance permit
-- 17) Hood served by 4 51
mechanical exhaust
t
-- -- - . . 1111 -------
Spnalurs(owner or agent) -`— Dale 1 fl1 Domestic type 50 –
Describe work 11 addition t-1 alteration [ I repair incinerator -_�_--
to be done residential•�Fl- non-residentl9l ❑ - 19) Commercial or Industrial %000
_ type Incl ierator _
Exi3ting use of YP -
1111_
building or property _ y�J J<3 6- _ 20) Other i e ,woodstove,water 4 411
Proposed use of
heater,solar,clothes dryers,etc
-- ---- --- -
building or property _-11,11_1111_ _1111 _1111__1111__ 21) Gas piping one to four outlets :00
Type of fuel - oil I '. natural gas fyl LPG I 1 electric [ 1 -
22) More than 4•per outlet
__-.-- _-_.. ._. 1111_
tl4?1S� - - - IitJWTOTAL _
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - - --- - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 �- 4%SUACNA11111 f S
DAYS. OR IF CONST RUCTION OR WORK IS SUSPENDED OR PLAN REVIEW*I%OF SUS-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- ---- --~--- - I
WORK IS COkiMENCED TOTAL
Special Conditions
-- Date Issued byf