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INSPECTION NOTICE
City of Tigard Building Department :5 .3 3
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time _-- - -- A.M._ P.M.
AddressPermit
Owner.
-------- ___ Lot
Builder
The following Building Code deficiencies are required to bb corrected:
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Presented to `— ❑ Approved
Inspector
—y — Diapprovwd
Date _ _�..r--
CALL FOR REINSPECTION
d YES L1 NO
sp �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection
Date Requested k
4 11 Me A.M. P.M.
!Address 1 2 A ds T)+��" 1;�� '�,,t # �
- '�� Permit
Owner Lot
Builder
The following Building
Code defy•iencies are required to be corrected:
Presented to _
_ Approved
I_ �)
Inspector ---_��� r
_A- _ j Disapproved
Date l
CALI, 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 Requested— Time
Address .3Q S ,>�LrtJ j/e/C 1'-r
Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
V4-ts
T r
Presented to
7.c.:--- - _ _ ❑ Approved
Inspector ✓ Disapproved
Date
CALL FOR REINSPECTION
YES C1 NO
INSPECTION NOTICE
City of Tigard Building Department i
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inipection
Date Requested _.T(� —�L�� Time_ A.hi.2� P.M.
Addna 3 c5 �t t � N C� Permit #-59 9
Owner_ ---- ./� —✓� :� I _ Lot #
Builder
The following Building Code deficiencies are required t:, be corrected:
3f —`- ,n c—T` T-
/L F' c s r _ _C��. g* c✓n: >c-�� �1t.�1it/n -.
Presented to ❑ Approved
Inspector fS.'.: , Disapproved
Date
CALL FOR REINSPECTION
C5 YES C7 NO
aw r.
CITY UI• TIGARD MECHANICAL I'ERM1T
Pi.rtnit Y J__-_
t.ity of Ti.bdrd
111,15 SW Nall Blvd.
P.O. Box 23397 TabNsi tA.on.,do.lCoda QTV epic[ AMT
Tigard OR 97223
639-4175 I) Permit Fee 0- -0- 10.00
2) Supplemental Permit L 3.00
1) Furnace to 100,000 BTU
incl. ducts dr vents 6.00
2) Furnace 100,000 8TU
Nam. or Development Incl. ducts& vents �_ 7.50 7 �n
3) Floor Furnace
Jab ;2-Addr"a --Incl. vent 6.00----
' — �.� �—
Addrnaa Tar.Lot MAO No. 4) Suspended heater, wall heater
or floor mounted heater 6.00
Lot Block 6ubdivlalon _
5) Vent not Incl. i
Na mt 0
flame ( .has of twelneoe appli>lnce permit 3.00 J
-(24"a, —, 6 Repair of heating, refrig..
Halling Address ) p
Owner cooling, absorption unit 6.00 —
gly,sya1e— — Dp 7) Buller or comp to 3HP
absorp. unit to 100.000 BTU —6.00----
Name
.00 _NaTe 8) Boiler or comp to 3HP-15HP —
t�, � i absorp. unit to 500,000 BTU _ 11.00
Melling Address Ph,. 9) Boiler or comp 15-30 HP
q a�0 - byq G sy absorp. unit Mi-1 million 15,00
Contractor , ,,; , 10) Bofler or comp 30-50 HP
-fop(. st"orp,unit 1-1.75 million 22.50
state Registration No. City Bois. Tax No, 11) Boiler or comp 50 HP
absorp. tinit 1,750,000 BTU 31.50
I hereby acknowledge trot I have nor! this appticatlon that the Inbrnlatlon 12) Air handling unit to
elven Is eoff*ct, that t am the owner or aufhorized &gene of rhe awrvw, that 10,OW CFM 4.50
Warta at,"Ited we In coil Ilence with sale lawn, that 1 pm ngleiand with
the Stale Builders' Board, that the number given to correct. (Ir oxampt 13) Air handling unit
In" Sate registration plaeae give reason belowl• 10,000 CFM + 7.50- -
14)
.50 -14) Non portable
evaporate cooler _- 4.50
— 15) Vent fan connected
--- — -- to a single duct _ 3.00
16) Ventilation system not
Signature (owner or agent) Date included In appliance permit _ 4.50
17) Hood served by
Describe work Q addition❑ alteration[) repalr❑ machsnical exhaust 4.50 _
to be done _ residential E3- non-residential 18) Domestic type
Exlsling use of `-yt � �� incinerator 7.50
building or properly —T-- 19) Commercial or industrial
Proposed use of type :nclnerator -� 30.00
building of property 20) 0dw I.e..woodstove.water
Type of fuel -- of I❑ natural gas LPGO electric(] ruler, 9olu,olo#m t ens. etc — 4.50
21) Gas piping one to four outlets 2.00
NOTICE -----
THIS PERMIT BECOMES NULL AND VOto IF WORK OR 22) More than 4-pe_r outlet !SO
0(N GTRWT10N AUTHORIZED IS NOT COMMENCED WITHIN INLI&T VITAL T-50
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% GURCHA^as H `
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. MAN 111M Mlftti%OPtllla-TOT"
1 TOTAL 9 47
Special Conditions
rnu� ORtR iaihuad 1 --) L by _wJ
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspectio';�f:,"!'
6
Date Requested :�� _ Time...� A.M. P.M.
Address l _j..t_� �SrJL/ r L�✓ �1� Permit #
Owner -__- -__ _ Lot #
Builder --------- --- --- -------- --------
The following Building Code deficiencies are required to he corrected:
Presented to _ — _ yJ Approved
Inspector /❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 121 NO
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CITY OF TIGARD 639.4171 5994
BUILDING PERMIT inspection Line 639-4115
TAX MAP LOT NO. SUBDIVISION)"O tl _
OWNER_ Am hpn�__ Karon 1'rallcia JOB ADDRESS 123U5 SW UucCA,V cCt. vrcl►drd
BUILDER jwner
— -- _ STATE REG.NO. _EXP.DATE
BUILDER'S PIONj45-5243
ARCHITECT
l,UTY Dahl -- d®a eicr PHONE � sl`.. OTHER
. —_-—--- ---- - �.._.
STRUCTURE NEW C.' REMODEL [' ADDITION I. i REPAIR MOVE OTHER _ DEMOLITION
r( ! RESIDENCE COMM EDUCATION IND RELIGIOUS f ' ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE LONE !!L—BLDG TYPE _FIRE ZONE PLAN CHECK BYO(. HEgL3::
_—I 11A t_!lvm min&le t"dly Uwellinb w/attacheu garage, all per aloproved plans.
SEWER PERMIT M 39515 (lau} 4 I"Ath, 23 traps �:urage area #S9d
OCC.LOAD FLOOR LOAD 40 t L .3HT :4 NO.STORIES 2 AREA5064 NO.BEDROOMS 5 VALUE
BUILDING SET BACKS FRONT REAR
DEPARTMENT —i _ t4U 114 LEFT SIDE 2 RIGHT SIDE
-------- -_ �
Permit _ bU[l•SU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
339U.Ji 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 i3OMPLIANCE
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 24.0 j ' `'�' '-�11•"i
--�-I^SDC— 51X1.UI s —�
Total a nt l(CANT OR AQENT
Prepd. 111u.u1) PDC:Ill 15U.00
- -- -.. --- .�----- __
Bal.Due 914.0 Receipt No.,- I ADDRE89 ----- -` -- PHONE
Issuer)By Approved By.__
DATE INSP. TYPE INSPECTION REMARKS PLUMBING
C— 'ItContractor
- '--� 0;-/iv(r WPerrnit No.
6-3br$
/ Rough-fn
.�L 7Leu 1. 1 ,/J Fixture
^ 1W1�1* r —,� Final
$` J —_ HEATING
014 E - r�iC _---- — -- Contractor "`7! ` LII vL 7-5 -KL
Permit No. i 29j lA 9 L M
Gasor011
� .. _ CA t �.
Final - ---
> SEWER -- -- ---
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach --
SLOG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATEOCCUPANCY
Landscaping
Zoning Final
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