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INSPECTION NOTICE
City of Tigard Building Dr-partment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Cf
Time A.M.—=P.M.
Address Permit #
Owner Lot #
Builder
- I
The following Building Code deficiencies-bre required to be corrected:
--
Presented to &QApprovod
Inspector Disapproved
Dote
CALL FOR EINSPECT ON
71 YE! ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 63941 35
Type of lospection -f--b _ _
Date Requested _ _ '�f �� Time_, A.M. P.M.
Address /Q-1Q-1 -- Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector _-- --- 0924 _ ❑ Disapproved
Date r
CALL FOR REINSPECTION
0 YES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection F '� k� _
Date Requested Time _- _ A.M.—L PP' X
Address L�_ _L� U��Y n�` Permit #
Owner y n Lot # OL _
Builder
The following Building Code deficiencies are required to be corrected:
AF
Presented to
Inspector ❑ DI MISProvMd
bate _
CALL FOR REINSPECTION
❑ YES ❑ NO
P
f
(' ITY OF TIGARD PLUM 131 NO .1.;gard CP 97223
Applicants mus! hold Oregon Registration to ccxsduct a plumbing
PE,R M IT 639- 175
IH:siness a must be property owner/operator not hiring outside help. S Z
Nalllp d rm
Develop Plumbing Permit,No.
-7----4,1/e - ------ --
D°��on PRICE AUT
Q�� ORS 814-2t-010 DUAN. 1
Job Tax Ld Map.No.
Address __----- FIXTURES ---- - -
1 of Block Scbdivision
Stark 1.50 _
1 avatory
ams a name Ov LPub"m--i7.50
Tub or Tub/Shower Comb
Shower Only 7-�50
Mailing esa - - -_. -
/��/' 1.50
V �L --��- Water Closet --
Owner Isuitte f� ZIP p2 Dishwasher 750
� .._-
Phrxre n Garbage Disposal �_ ! -7 50
G Washing Machine F 7.50
-- Narne---- 7 50
Floor Drain ----
/ 750
---F;W"- Water Healer -
airng rasa -_-_ 1.50
_ Laundry Room Tray _ -- ---
150
Occupant Gry%Slale ZIP Urinal --- -
other Fixtures(Specify) - - -750
----- \ e - - 7.50
750 -
re55 750
Contractor Cay/State JwX SW BURNHAM A150-E MSSCEU.ANEOUS
TIGARD OR f1722;t_-_---_. S tat too' ___.. 30 00
Due T x No
�p 1S.00
---i*—} ars s Tic o '«ea.AddN 1 W' _ _ _ -
Sia1r. tete u Water Service tat too-
(Residential)
oo- _ 20 00
cRe:► b 3 /6 -P -
6�- Wolof Servla ea.Addis=l __... _15.00
1 hereby er*nowtadge that I have read this tlppMc"on,Cut the Information — 30 00 _..
gtven is oortw.;L Cut I am regiateced with the State Builders Board.a al;o Stam 6 Rein Drain 1 al.100' 1500
have it State Pkxr bVV boons that Che rMxmben given as A01"I'lict' Storm 8 P rJn Drain Addd,100'
pkKnbvq work will be done in aocordusos wtth applicable previsions d Ore" - 2500
Fievtsed Srasules Ctutpten 447 and 893 and applicable oode i and that Mobib Horne_Spaos
unless NosnMd under ORS f�3.
tno p will be employed ll a►armpt from Dash Flew PrMntion 150
Stale regrarlatitln,p1oaM give reason babwl. De%4oe at ArtC-11olk11ion Device �.
HOMEOWNERS-1 hereby ow*Y CI am Cie owlvm d
xet Any Ttap a WaeM Not
wrfbed above,sit whist+loc�lCon I propose b make a pkxnblr+0 - '-
r y o0natrsxled for cele.tsar a rerM Connected to•Fixpxe
own use and Cris property is not being
Cath BOOM ----
----- 40.00 Per Ht.
—--- --- ------ krp.of fades.PknrbirW - - --
-- 9pedally ReQusated ksape s
10�He
--- -- ASW of PkNMMV wNwn
-_-. - - 18,00
an EAVOry
_ �� s New Mdg or Bulld.AddNW
AUpCA-VED SK3NATURE Dass
B 1 a fartlil MCI)
`-- tion
repair❑ d iellir
Deecrtou worts rrew E::_eddit p altars CJ
Lv-be dome resldentialn nw-mo§!rttlatL ---------- —._ _ –
FxlatMp use of MTOT"
tx'ldktp tx property 4%M111a{A110t
Ww ;E ----�
ThM ptsrsttM bslomtt+rN rtuN and rvld N mark a otxswuwMorr nuC�orued r nd of /
r V1"WA trsMllm W deysrer M 001a+06an or sroAt is alaloerded aWmintioned kx
/
a puled of t80 date all any wine dla wrxk is oonsrp-md
f51UC1AL
a°"Imm" Owed ! '/ ��by �C)
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 r
Phone: 639-4175
Ty Pe of Inspection _ � _cot �,,��_
Date Requested Time A.M._1 �p,M,
Address _
Permit
Owner
`�----- T_ Lot #
Builder J�K
The following Building Code deficiencies are req ' ed�o-rrrrecte�d: —
Presented toApproved
Inspector _. �J Disapproved
Date
ALL FOR REINSPECT ON
0 YES 1-1 NO
U I Y Ut- I IUAHU MECHANICAL PERMIT Porn,ifar
Dearrlpflon
Table JA Mechanical Code OTV PRICE AMT
City of Tigard 1 I 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 100,000 BTU 6.00
incl,ducts&vents
Furnace 100,000 BTU I
2 incl.ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00
6�73 incl,vent _
}}� D 4) Suspended heater,wall heater 6.00
Address mer!V R- '� �4 C7'� , or floor mounted heater
Tax Lot Map No, 5) Vent not Incl.in 3.00
Lot Block Subdivision _ appliance permit
Name(or name of business) 6) Repair of heating,ref rig., 6.00
��X Grp - - cooling,absorption unit
to HP
-^-^ Boiler or comp
Meiling Address one 7) 6.00 3
O -ryer Phabsorp.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
Name Boiler or comp 15-30 HP 15.00
c 9) absorp.unit 1/2-1 million _
MailinAddress Phoneme- 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor City state Zip 11) Boller or comp to 50 HP 31 50
_ absorp.unit 1,750,000 BTU - -
State Registration No city B(ja Tn.No 12) Air handling unit to 4 50
10,000 CFM
I hereby acknowledge that i have read this application that the information given is t 3) Air handling unit
10,000 CFM � 7.50
correct.that 1 am the owner or authorized agent of the owner,that plans submitted are in — — -
compliance with State laws,that i am registered with the State BuildersBoard.that the 14) Non portable 4.50
number given is correct.(If exempt from State registration please give reason belowl evaporate cooler
Vent fan connected
t 5) to a single duct y 3.00 / 2
- - - - - - 16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50 f/•$�
mechanical exhaust
-_ig ure(owner or apentl , I torr 18) Domestic type 7.50
Describe work CI addition C1 alteration C3 repair [] incinerator
to be done residential 0 non-residential 0 1 g) Commercial or industrial 30,00
Existing use of type incinerator -
building or properly _ '� "�' 20) Other i.e.,woodstove,water 450
Proposed use of heater,solar,clothes dryers,etc.
building or property-__ 21) Gas piping one to four outlets - I 2,00 2
Type of fuel- oil ;_1 natural gas frl LPG electric 1 1
— — 22) More then 4-per outlet
NQTISE SUS-TOTAL 3 Y.5
1HIS PERMIT El-COMES NULL AND VOID IF WORK OR CON-
SIRUC71ON AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE 1. gR
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL £'s•6 2-
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED TOTAL
Special Conditions
-— ---- Date issued.t--Z_1 I' by . �l�i)
CITY OF TIGARD 639.4171 6676
BUILDING PEFMIT DATE 19
TAX MAP -,' 2M LOT N0. -_- _SUBDIVISION TX-)V2r
OWNER_ " '�lt1�LC - —_—_-- JOB ADDRESS ;'_::;,j ZX It -
BUILDER '"dYtC __ STATE REG.N0, 37976_ _- EXP.DATE 1/1/88 __-
BUILDER'S PHONE 639-6742
ARCHITECT PHONE Y !)1LL°I J,1,1(1 }a�1�1.� -J - PHONE _-- -- __-_-- .OTHER
STRUCTURE NEW REMODEL _ ! AUDITION REPAIR MOVE El OTHER i DEMOI,(TION
I.I RESIDENCE COMM_ EDUCATION IND RELIGIOUS ACCESSORY 1-1 GARAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE _ _BLDG TYPE FIRE ZONE FLAN CHECK BY HEAT
l •it .
_I XJ Vi��"ll:t'.i.lf.:�ICXI 'M'� iL--� .._ :1j'n� •ti' i:.;l[T."c. t,,.
6602
I
SEWER PERMIT# 14
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA NO.BEDROOMS `� VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 167•tX) ITHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
j REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT THE
Plan Check 40.0n !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 `NAIVE
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 1.11.fiL— I" 4A),IJU ,r �,
- f -
�,rx).Oo _ r
Total � nPPUCANT UR A(�ENt
- PDC#
Prepd. _ "ri.f)(' 1ro.(K1
-- - T
Bal.Due
. 3'-.f, RJ pt N-6. ADDRESS PHOW
-- --- --�- Issued By ___. Approved By
..w r.....LL�...�..w.w..M e:...�.w.srr ur.w...,•..•.;,. ........ .. ... ...u..r.rJ,t•.urit r �.-.�nIW-...w. ...._-_f...._
DATE INSP. TYPE INSPECTION EMARKS PLUMBING DATE
—Ao'8 _ Contractor LJa D �3�dtl f
6U _ Permit No, J
6 T CU 7W
pFlzture
Final
_Q. _ HEATING (�
Contractor�� 9yO
Permit No.
Gas or 0il
/ Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
_--- Sidewalk _--_-
Curb d Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Le dscaping
�11I _ Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23.197
Tigard, 1 7223
Phone;e: 639-839-4175
r
Type of Inspection C-111 �-�--—
Date Requested_ Time A.M. __ P.M.
Address _ PQrmit #_
Owner ...— Lot #—
BuilderQ
The following Building Code deficiencies are required to be corrected:
Presented to __ roved
Inspertor 1 1 Disapproved
27 DAtP ----------- .
SLI, FOR REIT.�PECTION
0 YES 0 NO
i
I
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ' Time A.M. P.M.
l r
Address -Q � f._____ Permit
Owner — ----— Lot # -- -------
BuilderThe following Building bode deficiencies are required to he corrected:
Presented to __ roved
Inspector _ _I Disapproved
Date ___--
CALL FOR REINSPECTION
❑ YES 0 No