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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigam, Oregon 97223
1 Phone: 639-4175
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Type of Inspectio -----
Date Requested �� ime__ - A.M. P.M.
�.
Address �1_."� Lam- rmit #�__� _
Owner 1�+���fC—� /✓ �j!-��°G�<��idrCd� # -
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to Approved
Inspector q�-- -- —_ Ll Disapproved
Date 7 /.S'� C? —
CALL FOR REINSPECTION
❑ YES [--] NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __—___ ¢� _ _
Date RequestedL_L�/ Time_ A.M. .M.
Address q 4 5 _ L�1 --_ Permit #_611/
Owner -------- Lot # ---
Builder --
TLe following Building Code deficiencies are required to be corrected:
Presented to ____— ? _ [!T-Approved
Inspector �- —_ __ -- _.----_-----_-.___..__, ❑ Disapproved
� p
Date l7
CALL FOR REINSPECTION
o C7 YES C7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- —
Date Requested. I ' A T!Mo A•M•— _P.M.
Permit --
Address
Owner a Lot
Builder
The following Buildinn Code deficiencies are required to be corrected:
i
Presented to -ed
Disappro
Inspector �y ----- -
Gate
CALL FOR REINSPECTION
[_1 YES LJ NO
'NIL
6111
CITY OF TIGARD 639.4171 DATE . JUP!_ .19-6a
BUILD114G PERMIT
TAX MAP __..—_LOT NO. _ SUBDIVISION
,l:14114wr11 international Properties JOBADDRESS __14y:i__51�+-leCl►-��"�t'� -�1�
OWNER __� -. —• -------- -
BUILDER STATE REG.NO. - ____._ EXP.DATE
BUILDER'S PHONE _ _ _-. __...____�
1"1, gidtler PHONE '141-1095 _ OTHER
ARCHITECT -
STRUCTURE NEW (k RFMODEL f 1 ADDITION REPAIR MOVE OTHER DEMOLITION
RESIDENCE COMM f-11 EDUCATION IND RELIGIOUS ACCESSORY - GARAGE OTHER FENCE
(.c.
OCCUPANCY __ _LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY HEAT
r ii'I I t rCf.)Uif.ir:ritlull all ppr apprt)Vpt4 plansril.l(f CU(tt! TC(141CP.telf!tlte, :iUUj'. L4• L" —�
T, lit
SEWER PERMIT M l_u �-
OCC.LOAD FLOOR LUAU ,;Upt: HEIGHT NO STORIES 1 AREA �:v NG.BEDROOMS VALUE51,.0 1
BUILDING DEPAR�TME_N7SETBACKS FRONT REAR '_EFT SIDE RIGHT SIDE
Permit -_-� THIS PERMIT IS ISSUED SUBJECT TO THE REGU� CATIONS CONTAINED IN THE BUILDING CODE. ZONING
- - --- REGULATIONS AND ALL APPLICABLE CODES t.ND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 1BY •65 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COP PLIANCE
- k,U-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire U5.0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
- — -- TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING
State Tax 11.:nth
—_ - SDC– ----.----
Poch
--
Total o04,Ul APPLICANT UR AG ENT
LDuftl.p .e_
Receipt No,
ADDgEB PHONE
- I•sued By Approved By.---- -..
__ _ __ _ ___ ______ _ � tom. �j' ya'!,5°� 7.2/•&L
DATE INSP.1 TYPE INSPECTION — REMARKS PLUMBING DATE —
J/ L� C•� Conlracicr
eermll No.
ough•ln —
Fixture
Final -
`Llv '`( HEATING
9L/2 BG ld--f „ _ / Contractor A
Permit No. t 3
--_ GasorOil 4 (j5-1,y 3Y.83 _//^2J *-,7
Rough-in
Final
-- — - -- ---- — SEWER --- --- —
Final ---
DRIVEWAY
—, i �---- Final
Storm Drainage
T (Rain Drain)Final
— - ----_- ------------_-- Sidewalk -- --
Curb A Street F inm
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTFICATE OCCUPANCY — ----
Landscaping
_--- Zoning Final _--
for inspections call 639•-4175
CITY OF TIGARD 639.4171
BUILDING PERMIT _ t DATE 1,,21
Y.U. Box 13391, Tigard OR 97223 7TTAX MAP LOT NO. ----SUBDIVISION
.—� ' ^� �T� D'
or.
JOB ADDRESS 7•W �_Llc, r
BUILOE9 STATE REG.NO. �._ EXP.DATE
BUILDER'S PHONE
ARCHITECT�•�,i ' 11 r-�c�. IL_._ '_�---- - PNONE/ �---
Z L� �� _._
-. -OTHER _
STRUCTURE f1EVH REMODEL ❑_ADDITION U REPAIR ❑ MOVE II OTHER DEMOLITIO
❑ RESIDENCE COMM ❑ EDUCATION 13 IND U RELIGIOUS LJ ACCESSORY LJ GARAGE U OTHER ❑ FENC
OCCUPANCY IAND USE ZONE ;J _k� BLDG.TYPE FIRE ZONE_,__„_PLAN CHECK BY HEAT
— /1
14 P,-.:;;Q
SEWER PERMIT q l ">
OCC.LOAD FLOOR LOAD HEIGH "" :.'DRIES I AREA NO.BEDF40OWS VALUE
BUILDING DEPARTMENT SETRACKS t-td)NT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATt'ONS CONTAINED IN THE BUILDING CODE, T.ONIN
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T►
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN(
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV!
PI.Gk.Fire - RESTRfCnVECOVENANT!,.CbNTR,AICIOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE`,
TAX PERMITS.SEPARATE PERMITS QUIR 0F SFWEFW,PLUMBING AND HEATING,
State 7 a
SDC
Total _�c_� ¢• • fit to p
--
APPLIC..PDCN A AGE T
1 '
Prep. !ISQ�n.
-. ReCslpt No. ADDRESS
Bel.Due PHONE
Issued EIV_ _ --Approved BY�__�.,__
SSDC
soc
POC
SEWER CONNECTION0 P
5EWER INSPECTION
Fye+ /� / •c'J Y/ �P ij
5LUEE.R SURCHARGE S
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CITY OF TIGARD 639.4171 KATE �
BUILDING PERMIT
� TAX MAP __--LOT NO. ,,UBCIV'SION
OWNER- _ JOB ADDRESS �- - ----
(� r
UUILDER I ``' !�i-:.1 ��.,�^�` STATE REG.NO. _ _..—EXP.DATE _ — -.-
BUILDER'S PHORE 'L ,. a
ARCHITEGTLi � l �� PHONE f 2 �� _OTHER
STRUCTURE ❑ NEW C] REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE LJ OTHER C] DEMOLITION
❑ RESIDENCE ❑ COMM O EDUCATION LI IND L.7 RELIGIOUS O ACCESSORY ❑ GARAGE ❑ OTHER U FENCE
OCCUPANCY LAND USE ZONE L f BLDG.TYPE r FIRE 7-C7N9�"_PLAN CHECK BY HEAT _
dq
SEWER PERMIT N T rG / =�t�t I //
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES ARE2.,1Dv NO.BEDRO_OM4g;;_—_- VALUOp QA
BUILDING DEPARTMENT_ BFT BACKS FRONT LEFT SIDE RIGHT SIDE_^�
Permit 2_ 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 AGRECD THAT THE
Plan Check 1I t 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"
PLCY..Firs RESTRICTIVE COVENANTS. CONT4ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEk'ER,PLUMBING AND HEATING.
State Tax
--- SDC--
T, tal r/p I APPLICANT OR AGENT
� PDCN
- -
Prepd. �j eipl No. ADDRESS PHONE
Bal.Due '� �s�-
ued ey--._ --approved BY—
SSI)C -- -� �
SOC I ,--
Poc
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SEW CONN CT ION
SEWER"'fy T ON 4
SEWER SURCHARGES / � y 7�'r co
PIA!v
comments:
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�� Receipt#.�--!� --
CITY OF TIGARD MFf"#hH,ANICAL PER Permit#..
Description — _�--
Table 3A Mechanical Code CITY PRICE AMT
City of Tigaro �) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. -- —
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1 Furnace to 100,Or10 BTU 6.00
incl.ducts&vents _
Furnace 100,000 BTU + 7.50
2) incl.ducts&vents 0< rs 00
-- Name of Development 3) Floor Furnace 6.00
incl.vent
w J• 0 Suspended heater,wall heater 6.00
Job Address 4)
or floor mounted heater _
Address 7 y '7 5— TPC A( �.
Tax Lot — Map No. 5) Vent not incl.in 3.00
0
appliance permit _
Lot Block Subdivision
Name(or nemp,rf business) 6) u Repair of heating, i 6 nil
cooling,absorption unit _
Mailing Address Phone 7) Boiler or comp to 3 HP 6.0%,
Owner absorp.unit to 100,000 BTU _
City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
_.._ Boiler or comp 15-30 HP 15.00
Name 9) absorp.unit 1/2-1 million
Q H ? A Boiler or camp to 30-50 HP
Mail Ing Address Phone 10) 22.50
�w S7� $� - S� absorp.unit 1 -1.75 million
Contractor City/Sle'5 5 5 Zip I $ 11) Boiler or comp to 50 HP 31.50
itk�� t��� • �1 ,� 3 y absorp.unit 1,750,000 BTU
State Registration No. City Bus rax No t 2) Air handling unit to 4.50
10,000 CFM
13) Air handling unit 7.50
I hereby acknowledge that I have read this application that the information given is 10,000 CFM +
(;orrect,that I am the owner or sulhurizad agent of the owner,that plans submitted aro in
compliance with Stale laws,that 1 am registered with the Slate Builders'Board,that the t 4) Non portable 4.50
number given is correct (if exempt from Slate registration please give reason below) evaporate cooler
15) Vent fan connected 3.00
--- -- _ to a single duct
16) Ventilation system not 4.50
Included in-appliance permit _
— 17) Hood served by 4.50
_ mechanical exhaust _.
Signature(owner or_@gent► —--- m — Data 18) Domestic type 7.50
Describe work O addition ❑ alteration ❑ repair ❑ incinerator
to be done residential O non-residential ❑ 19) Commercial or industrial 30.00
--------- type Incinerator
Existing use of Other i.e.,woodstove,water
building or properly_—_ _ 20) d 4.50
heater,solar,clothes dryers,etc. _
Proposed use of
building or property 21) Gas piping one to four outlets / 2.00 J_ U
Type of fuel- oil 11-1 natural gasXK LPG 1_1 electric L I
22) More than 4-per outlet
NQTICr� SUB-TOTAL 1
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 4%SURCHARGE
SIRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OP PLAN REVIEW 25%OF SUB-TOTAL 1
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORK IS COMMENCED.
Special Conditions _ _----
_�. _ _ Date issued____ _by