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INSPECTION NOTICE
City of Tigard B iildirg Department �,r
-
P.O. Box 23397 �//(__-A—
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ,J ��7 ,rima A.M. P.M.
Address ,L/ �-c' �/alC Permit #, j�
Owner.,—.-.-- —. $p��C.� —_ Lot —
puilder
T;ie following Building Code deficiencies are required to be corrected:
Presented to _ [7� Approved
Inspector I Disapproved
Datta --
CALL FOR REINSPECTION
❑ YES ❑ NO
I Y VI• I IUAHU MECHANICAL PERMITZ�
Permit+K � -_--..-
Description _—
Table 3A Mechanical Cods CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. fox 23397 — --
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 1 oo,000 BTU
1) incl,ducts$vents 6.00
2 t Furnace 100,000 BTU +— 7.50
�' incl.ducts&vents
Name of Developnwm. —�—' Floor Furnace
3) incl.vent_ 6.00
Job Address --- Suspended heater,wall heater
Address /// o2.5 >J-a p'49,t [- 4) or floor mounted heater 6'00
Tax Lot Map No. Vent not incl.in
LA [flock subdivision y) appliance permit � -- '3.00
Neme(or name of business) - 6) Repair of heating,refr ig., 600
e � c cooling,absorption unit -
Malift Address Phone _ Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
cny slat. Zip - Boiler or comp to 3 HP-15 HP
e) absorp.unit to 500,000 BTU 11.00
Name - Boiler or comp 15-30 HP
9) absorp.unit eA-1 million 15.00
Ma"Addrew Phoria 10 Boiler or comp to 30-50 HP --__ - 22.50
_absorp.unit 1-1.75 milllon
Contractor - - zip 11) Boiler or comp to 50 HP
e�T unit 1,750,000 BTU 31.50
,
Stalls RsphtraMon No y �aus T,,,No Air handling unit to
12) 10,000 CFM 4.50
horebo &(*jxmledve Owl I have read 0,49 application Nkat Mm fkdormabon given is 13) Ali'handling unit 7.50
gonaca,that 1 am the owner or a+Ahorlisd agent of the owner,that plane subml7ted are kk 10,000 CFM + _-----
oompliance with sale laws,Marl I am replarerad with the Mata Bunders'Eoard,that thn Non portable
number/even is nonec.(it exarnpt from stainnWOMI b
pipwo reason bew) 14) evaporate cooler 4.50
"-.4j ,o - G�/2te,� _-- 15) Vent fan connected — -- 3.00
to a single duct
16) Ventilation system not 4.:0
included in appliance permit
Hood served by --- ---- -
f 17) mechanical exhaust 4.50
90we"+fcwwor W1e Domeocbme
Describe work ❑ addition p alteration 0 repair F] 18) incinerator v _- 7.50
to be done _1684dential ,®- non-resWential ❑ ---_ 19) Commercial or industrial _ 30.01
Existing use of ,type incinerator
building or property__-- 1,-' lf.C) ,.0 _ Other Le stove "or �
Pt oposed use of - - 20) heater, ar,clothes dryers,etc. _ 450 =t
building or property - -- 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas F 1 LPG ❑ electric C I
22) More than 4-per outlet
NOTICE — -- - - SUB-TnTAI - - -
.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ Ac 1N 4111116-SURCHARGE 3
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW W%OF Wd-TOTIAt.
A13ANDONED FOR A PFRIOD OF 180 DAYS AT ANY TIME AFTFR - -- -
WORR IS COMMENCED. TOTAL /S.
Special Conditions
r
- ---- - Irate i!s3ued ZUL/;�2 1t .b (�c
y
if W
P.O.Li)x 2 III
CITY OF TIGARD PI ,UM X31 NG 13125 IN I-6u Blvd.
Applicant must hold Oregon Registration to ionduct a plumbing � 'Tigard CR 97223
bLsiness n must be property owner/operator not hiring outside help. Pl-`M 17'1 639-4175
N of nent
/- r✓TOH1 � -` __ Pluribing Permit No. .5 L2,6.Z-
Address Description
ORS 814-21-610 QUAN. PRICE AMT
Job Tax Lot Map.No. ----
Address
FIXTURES
lnl Bock SubdMskxi ---- ---- ---- -- ---
Sink 7.50 7. SP
arr►e of name r Hess /� _ Lavatory - -- 7.50 72,1-U
/LGf _ d r Tub or Tub/Shower ss Comb. Z 7.50
- $ti Z4 '
tiAwi - _--
2 S`- S , u l, Ta/c/( C 7-1
Shower Only % 750 -- '7 S U
Owner ty/ late Zip Water Closet` -_-- - 7.50 Z,
I L
Phone Dishwasher --_ -- 750 b
Garbage Disposal -- -- 17.50 �. SO
-- � .
W Name Washing Machine -- y L„ 7.50 7- SL
Floor Drain 7.50
Mailing Aildress Phone Water Healer _ 7.50
Occupant City;Stale - -------- Laundry Room Tray L 750
7.
ZrP
Urinal 7.50
Other Fixtures(Specify) - 7.50
I, eLaa y3 17 - -
7.50
2 0 5.1,tJ
.716 u 1-1 i-L Y L 7.,o _-
Contractor /State - .zip 7.50
MISCELLANEOUS
(',h1y Bus Tax No '-.
Sewer t at 100' 30.00
Stes Bldp.6a NU ate lumbers Elus LTc lJo. Sewer-ea.Addit.100' 15.00
(R ` tial) - -- Water SerAce tat 100' 20.00 , in
1 herahv acknowledge that I have read this apprtcatlon,"Ihs Informati)n Water Service ea.Addit."r 16.00
given is Oww;.Ihat 1 am registered with the State Bt~s Board.and alsoi
hos a State F%MbkV Yowlea OWthe nurrilmit given are con .that all Storm iL Rain Drain 1st.100' 30.Ou - -
pkrrnbing wbok wilt he dxie In acnonJan s with appli-ti r proyWons of l7re Storm 6 Pyn Drain Addh.100' 15.00
gon RevisMd%kAft Chapters 447 rend 093 and applicable oodes and tha! - -- ---
no help will be anployed unless lloermwrl t rider ORS 603. (If exomtA from Mobile Mlo�n°SMD° -- - 25.00
SuNa reositration,please glue mason below). Back Flow Prevention
HOMEOWNERS-I hereby txs Vy OW l am Mw owner of Vie properly de- DrAw or Anti-F'olkAlon Device - 7.50 -
saissd abovs,N wit iioh Ioce5on 1 peopme to malm a pksnblrp kssteMMbn for Any Trap or Waste Not --
M own uee mid I1his prgpsrfy Is not bsbV construiried for sd4,lease or rent Conrlaclad to•Fixhxs 7.50
- ---------- -- - - Ca�c_Hask1--- -- - -)50
kap_hof Pilot.Plumbing - --- -� 40.00 Per Hr --
_ 40.00 Per Hr -
-
Allier.of Pkanbkq wflhin
an ExisYng Bldg 16.00 min.
AUTHORIZED 1310NATl)RE Dery Now Bktg.or Buld.AddWon 16.00"on.
surale Eatrtily ---- -
Describe work now I{Kf&)Morn❑ altwila"on E] repair(_] dwell' 15.QQ
be done __ - resldertt;al illi _- r1ot1-MSRWntlN -
Etp use of
1sAMV orpraipertY
-
-- ----- ----- TOT" Y.p q
"*Pm baoontae eruN tr+ut sA1dM work a oafntuoMetn auMtottted M not Dorn V - -
IV"" tad"W*1 Iso deyerer M 01-161 Non orwoms Malpertdsd er sbandonwi for
a Oerted of 110 ft"lat arry dints 1MMr work in oerrtttwlrw
CITY OF TIGARD 639.4171 �... C 6685
BUILDING PERMIT DATE� ��—.19��
TAX WO L-34CS _LOT NO. 16 SUBDIVISION'\rlrC'rl_
C
OWNER - uston i iraiut"_by TAAVn JOB ADDRESS - 11115 VAI Ib11y Ct. Y
BUILDER `�> _ _. SPATE REG.NO. -43466 EXP.DATE 4-9-88
BUILDER'S PHONE _ (y3ra- ��1Q -. _ A. .
ARCHITECT Studio r 111nn 1, 708 PHONE _ c44-0627 -.____OTHER
STRUCTURE NEW REMODEL I _ ADDITION I- REPAIR L- MOVE La OTHER DEMOLITION
1 4 RESIDENCE C COMM EDUCATION ' IND RELIGIOUS ACCESSORY GARAGE I L OTHER FENCE
OCCUPANCY -• a _LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY HEAT
'If ')•r td AS Oa
SEWER PERMIT't 'i14iid (lulu) 71 14111, 12 Lrtlsr. { irzgji'•
OCC.LOAD FLOOR LOAD 40 HEIGHT ANO STORIES AREA 1927) NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE �` RIGHT SIDE
Permit :191..1111 ITHIS PERMIT IS ISSUED SUBJECT TO THE REGJLATIONS CONTAINED IN THE'B.UILDING CODE, ZONING
-' 'La T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. 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 APPLICABLE CODES 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 FERMJTS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 39.()4 SDC- /
Total- (i.�tl DCk APPLICANT OR AGENT
- - //
Pre d. 1.00.m 1.!,f1.CPO �l fi/ /V'
Receipt No, ADDRESS PHONE
8a1.Due 560.7q
Issued By_--__- Approved By...
DATE INSP. TYPE INSPECTION REMARKS PLUM31NG _ DAT
B 7 —
— Contractor />✓1 U S{�8 ��
Z DL AV- Permit No. s%3bX_
-r 130 � .7r„ pQl � Rough-in
of iii f Oi( Fixture
s'-rrt�1t-f _._O K i Final -.—_ --
K s HEATING
Contractor -/
Z7/8"/
Permit No 11 7
Gas or Oil
d S `jd r Q Rough-in
Final
_ SEWERS
� Final .-
DRIVEWAY --
'i1 — --_--_ - Final
Storm Drainage - -
_ (Rain Drain)Final
Sidewalk R 11✓
_ Curb d Street Final
_ —_ _ Approach „l
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Finet W
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
i^. .�Hr�1F' ;:�►'�& i'}Yt },�Ti��iln��y ,.�r der i,;e;r •� ,r ,
tr, Yiet ti• .lk
CITY OF TIGARD BUILUNG DEPARTMENT PLAN CHECK NO. : L/ 3
PLAN CHECK APPLICATION DATE RECEIVED: `l t &7
P.O. Box 23397 , Tigard OR 97223 P/C DEPrC'': PAID: / �U
This is to certi4 that the attached sets of plans have been submitted for plan
check p,drsuant to the Oregon SCructural Codi: and Fire 6 Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: fir, 3 Li Io 31 !1
JOB ADDRESS: LOT NO. ti MAP:
DESCRIPTION OF WORK.:
Approvals Required SPECI. .. NOTES
OPlanning Dept. O Reissue
OEngineering Dept. 0 Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
OOther 0 Othet
Items Required +/
OList of subcontractors
OBusiness :ax
L1 Calculations
0 Truss Details
OParking Plan
0 Landscape Plan
0 Other
COMMENTS:
City of Tigard Building Department
BY: �..
I�
WO PLAN CHECK NO. N- 31 f't
for inspection,; call 639•-4175 —
PERMIT N0.
CITY wF TIGARD 639-4171 DATE
BUILDING PERMIT
P.Q. Pox 23397, Tigard OR 97223 (� TAX MAP -- LOT NO. �_._SIUODIVISION ��•
OWNER ` L T�►+� t vv�C� �1..) 'Vcnl f ��1JOG ADDRESS 11 i 7 T t'r\,.) C4 .
T
BUILDER , STATE REG.NO. I �y -L ._EXP.DATE 9- y- 6 S
BUILDER'S PHONE 6' -
ARCHITECT _ _ PHONE _ — --OTHER �--
STfil TURF NEW C) REMODEL (:3 ADDITION O REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION
RESIDENCE O COMM EDUCATION
C) ANO O�.RELIGIOUS, ❑ACCESSORY C] GARAGE ❑ OTHER I] FENCE
,1 PC,_BLDG.TYPE _.ZIP'.—FIRE ZANF ter-. PLAN CHECK BY I-*AT_!!f
OCCUPANCY L1N0 USE ZONE � - -
Construct sia]e fami I dwe11 i n q w/attached aardgn-,_a1 ► yo, proved p1anc
_ Subj—L Lo $y code. �� _ ------ —— --- ---
SEWERPERMITa,.2.) -(1 du) -Tbaths, traps — QaraQc, are_ a4u �/ --
OCC.LOAD FLOOR LOAD HEIGHT-10-0 " NO.STORIES AVEA�a NO.BEDROOMS
�. VALUE(J Q
—� �y
BUILDING DEPARTMENT SET BACKS FRONT 90 REAR / �� LEFT SIDE RIGHT SIDE
Permit 7 THIS PERMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE,,AND IT IS HERESY AGREED THAT THE
Plan CtwCk S / WOAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WfTNI At L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.(Ac Fire RESiSlCTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TA)(PEFtmrr,u.SEPARATE PERMITS REQUIRED FOP,SEWER,PLUMBING AND HEAL ING.
Slate Tac ---�� "-'X_
_ - SDC:
Total G a�7 9 APPLICANTORAGF.NT
PL�CI
Prep-d.
- — fteaelPt No ADDRESS rrrt�r+!
Bal.Due G V
Issued By _--Approved BY _.
SSDC
SOC -
�,7�r1r'� (Ord RECEIPT H
POC
S/� D DATE PD.AMOUNT PD.
SCUER CONNECTION 5 _ ,/ —
SEUCH INSPECTION g �
SCUER SUHCHARGE 5
.u mm e n t e : _-------- --- ----
- - 7 7 F q
jr x 4
--
CITY OF TIGARD MECHANICAL PERMIT
Permit 0
Description OTY PMC2 AUT
Table SA ttMahanbd Codes
City of of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. — -P.0, Box Box 23397 2) Supplemental Permit 3.00 _
Tigard, OR 97?23
639-4175 1 Furnace to 100,000 BTU 6.00 L ,
Ind.ducts 5 vents -
2) Furnace 100,000 BTU + 7.50
incl.ducts 6 vents
Name of Devebrxnent 3) Floor Furnace 6.00
/ Incl.vent
Suspended heater,wall heater 6.00
Job Address i) or floor mounted heater
Address
Tax Lot Map No 5) Vent not incl.in 3.00
appliance permit _-___
Name( name of business)
Lot stock // Subdivision Repair of heating,refrig., 6.00
Ep 6) cooling,absorption unit --.--
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU
Boiler or comp to 3 HP-15 HP 1100
7Jp 9
City/Stale ) absorp.unit to 500,000 BTU
_ Boiler or oomp 15.30 HP 1500
-
Name 9) absorp.unit th-1 million
Boiler or comp to 30 50 HP 22.50
Mal*V Address Ph" 10) abaprp,unit 1 1.75 million ___—
C�ntractor CttyiStete
ZIP 11) Boller or comp to 50 HP 31.50
absorp.unit 1,730,000 BTU
State Registration No City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM _ _ __...
Air handling unit 7.50
I heretry s(*nowledge mat I have read ttws amiw;atwxr that the Information given to t3) 10,000 CFM + - -
(zxrwl.that I am the owner or aulfarized agent of the owner,that plans aif-f~we In N�portable
00")lunce with Stab,awa,that I am registered with the State Butkfers'Board,that the 1 4) pO 4.50
number glue b correct In exemp from State registration pteas,s give reason helowl evaporate cooler
Vent fen connected 5- 3.00 Jr'_
_- -- ---- -- 15) to a single a duct J
Ventilation system not 450
t 6) included in appliance permit
17) Hood served by r 4.50 Lj ti
mechanical exhaust
t ,M oateDomestic type 7.50
18)
Desclibe work ❑ addition ❑ eration D repair D Incinerator _
to be done residential 91 non-residential ❑ 19) Commercial or Industrial 3000
-- =Incinerator
Existing use ofe lC
Other i.e.,uvoodstove,water 4.50
twilling or property 20) heater,solar,clothes dryeT,etc.
P ,sed use of
baf
building or property_-- -- 21) Opiping one to four outlets 2 0Q J
Type of fuel- oil L 1 natural gas 1PO D electric ❑
22) Mor-ethen 4-per outlet
"gnu 5119-TOTAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CON 4%sURCHAW311 f
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 r ----- ----- -
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUd-TOTAL `P .r z'
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORK IS COMMENCED.
� ��
SIN , ---
osis igat,ed