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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ._rr aL_
Date Reques/ted �,�r�___ V "� Time �_A.M. _P.M.
Address L_ Q V a—*- _ Permit *-66-0-2---
Owner -- �!L (�f22�11$.r Lot #
Builder
The following Buildinq Code deficiencies are required to be corrected:
Presented to �I Ap,voved
Inspector
--- w — DiyaFproved
Date
CALL FOR REINSPECTION
YES C7 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-41
T e f
YP o Inspection
Date Requested_ ime A.M. P.M.
Address --, �f--..L�✓ � � Permit j
Owner — ---------- Lot #_
BuilderThe following Building :ode deficiencies are required .o be corrected:
P;esented to roved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES Ej NO
,RW RW
INSPECTION NOTICE
q/47 City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 63 -4175
A"TYIH of Inspection _
Date Requested Time A.M. �p,M.
Address Z4Q / r Permit # w
Owner_ —_ _ � --
Lot -----
#
Builder _
The following Building Code deficiencies are required to be corrected:
Presented to .� Approved
Inspector —
(.] Disapproved
Date
,ALL F REINSP CT ON
❑ YES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ✓/� ''`
Date Requested 4— C?` rTime p� A.M. P.M.
Address . � l \ �T Permit
Owner Lot - .
Builder
The following Building Code deficiencies are r aquired to be corrected:
Presented to _ _ ❑droved
Inspector Diapproved
Date _ --- - ���
CALL FOR REI EMOAT
❑ YES ❑ NO
INSPECTION NOTICE
i
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— r 1 Time A.M.. —P.M,
Address _ Permit # ��
Owner Lot #_
Builder _ i
The following Building Co deficienr.;is are required to be corrected:
Prpspnted !o
Apprrred
Inspector
---- ❑ Diapproved
Date
CALL FOR REINSPECTION
0 YEt O No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — Z"e ; _—
Date Requested 7 �/�,. ��� Time A.M. _P.M.
Address i�l /�Li1 �r — Permit
Owner _- _ Lot
BuilderThe following Building Code de ciencies are required to be corrected:
000,
Presented to
Inspector _-� —
CTPpProved
Ll Disapproved
Date
CALL FOR REINSPECTICIPT
Cl YES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 7223
Phone: 639-411 75
Type of Inspection C`7 �'— / --
Date Requested_._ Time Ae—__'A.M._._ P.M.
Address CIO 1,.../c�oeu"t — Permit # ZP4_gc)Z,
Owner_ '� Lot #T
Builder_ M
The following Building Code deficiencies are required to be coderted:
r
Presented to r / ved
Inspector roved
Date /
CALL FORR.fJAQPMTtON
Ei ❑ NO
INSPECTION NOTICE
City of Tigard Bu Iding Department
P.O Box 23397
Tigard, Oregon 97223
Phone:
^039-4175
Type of Invpection
Date 'equested._ Time A.M. P.M.
Address —� Permit
Owner__ -�__ �L�'1 Lot #
Builder
The following Building Code deficiencies are required to be corrected:
I
Presented to _ Approved
Inspector ❑ 011approved
De*e
/CALL FOR REINSPECTION
0 YES ❑ NO
=WW HIM W
INSPFCTION NOTICE.
City of Tigard Building Denartment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Typo of Inspection
–21
Date Requested Time A.M. P.M.
Address _�' ;� / JdjGi r Permit #--G D 2�
Clivi or _ ,,!1,�'ti �,.�-.t.? Lot #
Builder
The following Building Code deficiencies are required to be corrected:
1
Presented to zpp'-"'d
t `
Inspector
--- — --- Disapproved
Date
CALI, FOR REINSPECTION
0 YF.8 ❑ No
IV I
INSPECTION NOTICE
Citv of Tigard Building Departme,it
P.O. Box 23397
Tigard, Oregon 97223
Phone: 039-4175
Type of inspection
Date. Requested p, Mme �'P.M.
Adaress lUJ 1 .5(�J ���C� C �s•mit # ez-)
Owner
BuilderGCS[
The following Building Code deficiencies are required to be correi-ed:
77
Presented to _. Approved
Inspector
�^ ''7�-- ------ _-- _ isapproved
Date
CALL, VI SPECTLON
[mac C7 ao
INSPECTION NOTICE
Cit! of Tigard Building Department
P.O. Box 2.1397 i
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time_
�1
Address Permit
Owner —`_ C��IL4/T7C l•�(�Z._ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ tt--�� roved
Inspector _ Disapproved
Data -------
--L' ---
CALL FOR REINSPECTION
❑ YES I _.l NO
nin
CITY OF TIGARD MECHANICAL PERMIT __r
Permit*
Description —
Tat"3A Me.4liaftkal Code OTY PRICE AMT
City of Tigard - - - -
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 �j --
Tigard, 997223 l/ 2) Supplemental Permit 3,00
639-41755 ((�(D 1) Furnace to 100,000 BTU - 6.00 ----
incl.ducts&vents
Furnace 100,000 BTU i
2) incl.ducts&vents _ 7
Name of Devaknxnent —� Floor Furnace
�j o�� L� -�^ 3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address �� ('/ L7 ,� C 4) or floor mounted heater 8'00
Tax Lot Map No -- Vent not incl.in
Lot L (� Block Subdivision _5) appliance permit 3.00
Name of business) 6) Repair of heating,refrig., 800
me «na
Wcooling,absorptici unit
Meiling Address 3 (J —pn«,e 7-- Boiler or comp to 3 PP
Owner ) absorp.unit to 100,000 BTU 8'0
cny�state ap -- Boiler or comp to 3 HP•15 HP
8) absorp,unit to 500,000 BTU 11.00
Name Boiler or comp 15-30 HP
9) absorp.unit'A-1 million 15.00
Atatlii Address -! Phone Boiler or comp to 30-5u HP
10) absorp.unit 1-1.75 million
CityiStatr Zip 22.60
f ontractor — - -- Boiler or comp to 50 HP
t i) absorp.unit 1,750,000 BTU 31.50
State Regisiranon No G Bus.Tax No. Air handling unit to
ry 12) 10,000 CFM 4.50
herreb acknowledge V Air handling unit
y that I have read this application that the information given is t 3) 10000 CFM + 77.50correct,that I am the owner or auttwnzed agent of the owner,that plans aubmib ,
ed are in — --
compliance with State laws,that I am registered with the state Builders'Board,that the Non portable
number given is correct (If exempt from State registration please give reason below). 4.50
g 1 t 4 evaporate cooler
15)
Vent fan connected
to a single duct 3.00
I Z•
--` — -- --- - Ventilation system not
16) inclueed in appliance permit 4'50
Hood served by 4
17) 4.50
_mechanical exhaust S
S e owner or enh Date
18) Domestic type 50
iuesctibe work ❑ addition I . alteration [_l repair ❑ Incinerator
to be done residential 11S) non-residential ❑ Commercial or IndustrialExisting use of 19) type Incinerator _ _ ' 30.00
-
building or properly, �j 9 ,� _ _ _ _ Other i.e.,woodstove,water
Proposed use of T 20) Other
solar,clothes dryers,etc. 4.50
building or property.__-_ 21) Gas piping one to four outlets f 2.00 2
Type of fuel- oil I I natural gas F} LPG ❑ electric ❑
22) More than 4-per outlet
��� -----------i
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL 3450
---- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE ( j
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL a V
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---
WORK IS COMMENCED. TOTAL J
Special Conditions
J
— — — Date Issued
+raa .ea •� ••
w
6602
CITY OF TIGARO 635.4171
13UILDIN(' '[R1,A!T •. DATE . -_ _ -_ __ 19—..�s1--
TAX MAP JQ,?1-1-'•Q-LOT NO. 16 SUBDIVISION hover
,r
LU'L t,�a,ye�ir►..� Jr.Ji. , [;over Gt. Landiti��
OWNER �.
---- — _—_ �_. �'�.__ JOB ADDRESS - -- -----
s aiue3 5916 3/1116e,
BUILDER --_----__—_— — ------ --__. STATE REG.NO. EXP.BATE_--—
BUILDER'S PHONE 639-6742 I
--— Alan hascortl 02111 124_9161
ARCHITECT ,___ PHONE .OTHER
STRUCTURE L1 NEW REMODEL L� ADDITION REPAIR MOV'_ L.] OTHER DEMOLITION
RESIDENCE L; COMM EDUCATION IND 1 RELIGIOUS f ACCESSORY C] GARAGE OTHER FENCE
OCCUPANCY i- • LAND USE.ZONE i•-.'._ BLDG TYPE 56a FIRE ZONE PLAN CHECK NY &f_ HEAT�—.
:,truct :single :family itwelliut, w/:attrj*lied �;aru' ^, :sll Isar aj)proyedto u7 CarJr:w
::r.1S:UE of 56U2. Last reissue 6465
u bath, W traod garage 43c,
SEWER PERMIT N
OCC LOAD FLOOR LOAD 40 HEIGHT ' NO.STORIES 2 AREA 1655 N0.BEDROOMS 4 '/ALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR 60 LEFT SIDE RIGHT SIDE i„
Permit 161*uO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE. ZONING
�40.fIU REGULATIONS 01D ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check I 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 PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.66 5salic 25U•UU i !
_ — 1N).UU
Total _ APPLI
421.6K 6CANR A( NT ~'�
--- -— -- 4C; UU PDCj j. 15u"Ou
.
Prepd. _
Receipt No. �I� ADDR S PHONE
I.iel.Due -- — "•�
Issued By —Approved By
1
n.e-�n_ 1-�-�'"�° �u-o-' t-•i crew- � .�1 �A
OATE INSP. TYPE.INSPECTION REMARKS PLUMBING DATE
(,ontractor
/6- Ir 7 Permit No
Rough in --
Fixture
Final
HEATING
Contractor `>
� - -- — ---- Permit No yG(6,
Gas er Oil
y- �� - -- — ----- Hough in
Final
✓ —� Final
- ----- - -- DRIVEWAY
Storm Drainage
-w (Rain Drain)Final
Sioewalk
Curb&Street Final
- `--- - - Approach _
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY - —
;andscaping
Zoning Final
I
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