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INSPECT10% NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97223 C� I
Phone: 639-4175
t
Type of Inspection
Date Requested Time A. ._ P.M.
Address 25?- L Z .3�� _ Permit
Lot #
Builder
The following Building Code dafic:iercies are required to be corrected:
Presented to J 19'Approved
Inspector Disapproved
Date --
CALL FOR REINSPECTION
El YES I-_1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested Time_ A•M• P.M.
Z
Address 1 Q[74 Permit #
Owner Lot # —_
Builder
The following Building Code deficiencies are required to be corrected:
rAJ 1)
j� -X T-/J/L' O
.<'iv'•'f \V t/L--�.�-I.3,L�/f�../�9 f-s�A" 1�-E�� 'c..��C' -
75
�.,� r�X13 ter• =�5�ice_- - - e:,r� c.�;�� ..7 i' L LS.�_
Presented to F.1 Approved
s
Inspector �_�L�—� ` U Disapproved
Date
CALL FOR REINSPECTION
in YES ❑ NO
w
i
i
f
�( INSPECTION NOME
(J City of T' rd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
e
Type of Inspection
Date Requeested/__— __.______. /4 �(
.s�j��1,, �Time A.M. P.M. /,
Address 1_!�_�Z�31—
_/r '��_.____— Permit # zd�
Owner Lot #n
Builder __ (02 t'n
The following Building Code deficiencies are requir-2d to be corrected:
I
t
Presented to — [�'Ipproved
Inspector .��� l H Disapproved
Date
CALL FOR REINSPECTION
L-7 YES [ ] NO
j1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
�\ Phone: 639-4175
Type of Inspection
Date Requested
Time A.M. P.M.
.�� � -1
Permit # n
Address
Lot #
Owner__
Builder
The following Building Code deficiencies are required to be corrected:
17T tit
i
i
Presented to L_I Approved
Disapproved
Inspector
LDate
CALL FOR REINSPECTION
0 YE8 U NO
it
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested`�__— 3 �--- Time �A•M• —P•M•
Address 1'ei mit #
Ovmer __ Cti?�' Lot #
Builder
The following Bailding Code deficiencies are required to be corre.ted:
Presented to j (_1 Approved
Inspector G� r� Disapproved
Date
CALL FOR REINSPECTION
❑
YES L_l NO
ww-LW_X���fiww_m
U'(Y OF TIGARD 639.1171 ; 6620
BUILDING PERMIT DATE
TAX MAP , 4.V3 LOT NO. 21 _SUBDIVISION
OWNER_ -r�I IlC'tX' - - JOBADDRES5 <;.c'..
;_
BUILDER _ _ _ STATE REG.NO EXP.DATE
BUILDER'S PHONE _
—320
ARCHITECT —_ PHONE OTHER
STRUCTURE NEW ❑ REMODEL r ADDITION I-' REPAIR L_i MOVE OTHER DEMOLITION
- t
it RESIDENCE COMM i__l EDUCATICN IND RELIGIOUS I ' ACCESSORY ' .' GARAGE OTHER FENCE t
OCC'1PANCY _LAND USE ZONE BLDG TYPE — _FIRE ZONE PLAN CHECK BY HEAT
±` ')y'C't
1,211lida t tri Airnrt z 1.,rnn
SEWER PEHMI I rr _ _l(�LLY ( LIUI 2 i;ifl , $ ter j x c.ar� i&rva t fit,
OCC.LOAD FLUOR LOAD 40 HEIGHTh NO.STORIES AREA 1«u11+ NO.BEDROOMS s VALUE`J rkA't)
BUILDING DEPARTMENT__ —4 SET RACKS FRONT REAP ll LEFT SIDE 15 RIGHT SIDE `1
424.Uo
Permit ____ THIS PERMIT IS ISSUED SUBJECT TO THF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
lIS•fitt REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED CHAT THE
Plan Cherk WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINAN"ES. THE ISSUANCE OF THIS PERMIT DOES NOt WAIVE
PI,Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU§INFss
TAX PERMITS.SEPARAI E PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax 16696
SDC — €rUO.U�1
Total _ APPLICANT OR AGENT
1PDC8 15U.OU
J
Bal.Due 616s56 Receipt No. ADDRESS -_ ____w�_.—_. ----- PHONE
{ssued'3v___.._.__l ___ Approved By., LTW
.,. ..'.r+.:..._...-.«.--.-,..y,7.......«✓. :...i.r _ .._.. nt.�..-..wsa,..na,...a.w:'wa:..•i,uu»d..a.,�4.,a:.c<:.r....wrr:.r... yam__ �.w+.w..r•...
DATE INSP. TYPE INSPECTION REMARKS PLUMBING — -DATE
..7-Z.g,-S7 � '�c_i-��� --_---- — - Contractor �-
�/�-�J -9 d — �2- - - Permit No. /
Rough-in9f�VQ -- - ----
•1 Fixture
Final
HEATING
Contractor
-- ----. -- - Permit No 5/(i
G-Z3 to — eyCy� — — Gas Oil
- ---- ---- - Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final -
.---_—._-- Sidewalk —
__ — - Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- —-- - --
Landscaping
Zoning Final
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ul l 1 Vf 1 i�Mnu IVILVrINIVIlrNL i-'Gf11V111 P"fmltN
Dent"lon Coda —QTY PRICE AMT
Table SA IAechanloN Coda
City of Tigard I) Permit Fee •0• 0 1000
13125 S.W. Hall Blvd. -- -
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-4175Furnace to 100,000 BTU 600
1) incl,ducts&vents _
2) Furnace 100,000 BTU + 7 50
incl.ducts&vents
Name of Development 3) Floor Furnace 500
incl.vent
—---- Suspended heater,wall heater 600
Jnh Address ` ` 4) or floor mounted heater
Address �
Tex Lot Map No 5) Vent not incl.in 3 DO
appliance permit
Lot Block Subdivision
Namq(«name of business) 6) cooling,
of heating,refr i8 DD
�` � ,• � absorption unit .__
Mailing Address Phone 7) Boiler or comp to 3 HP 600
Owner absorp.unit to 100,000 BTU- _.
Crty'state Zip 8) Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU
Name q) Boiler or comp 15-30 HP 1500
absorp.unit L/2 1 million _
Malkng Address Plane 10) Boller or comp to 30.50 HP 2250
absorp.unit i-1.75 million
Contractor Citv State -- - Zip 11) Boiler or comp to 50 HP 31 50
absorp.unit 1,750,000 BTU
Stele Registration No City Bus Tu No t 2) Air handling unit to 4 50
10,000 CFM ._ --- — - --
13) Air handling unit 550
hereby acknowledge that I have read this dpplwalron that the information given is 10,000CFM
notfec,l.that I am the owner or authorized agent of the owner.that plans sutwnitted are in "'---- --�
compliance with Stale laws that 1 am registered whh the slate Builders Board.that the 14) Non portable 4.50
ber
r,umgNa
en is correct fit exempt from Slate registration please give reason t*10*1 evaporate cooler - _
_- -----------._-.__ - -- 15) Vent fan connected 300
to a single duct
— ---- - Ventilation system not 4,50
18) included In appliance permit
----
17) Hood served by ♦ 50
A�AX—
apmechanical exhaust
tx er — -- _ -- Dale id) Dom"ic type 7 50
Descrto work ❑ addition F alteration ] repair 13 Incinerator
to be residential 0 non-residential ❑ Commercial or Industrial 3000
1 s��neratw _ _
Existing use of
building or property - 201 Other I e .woodstove,water 450
heater,soler,c 'hesdryer.etc
Proposed use of
t:ullding 1)r property 21) Gas piping rine to four outlets 2.00
Type of fuel - oil I natural gas ('J LPG ❑ electric 1-1
22) More men 4-per outlet
NOTICE r SUWTOTAI
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 4%SURCHAIO
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 --
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR pLAN Ruillo l 25%Of SUWTOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORK IS COMMENCED
BPa"Cor>Idlttons — - -- —
---- Date lsawd�, ` _-� b1►!�'
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 3 �o
PLAN CHECK APPLICATION DATE RECEIVED: 3 ��� F,7
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 4
This is to certify that the attached o2_ sets of plans have been submitted to:- plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, � edition.
PROPERTY OWNER: '! OWNER'S ADDRESS: _
CONTRACTOR: Gv»t 2, TELEPHONE: 7
JOB ADDRESS: L / / y fJ /3.�.9r-e. LOT NO. & MAP:
DESCRIPTION OF WORK: `� J 'j,
Approvals Required SPECIAL NOTES
O Planning Dept. O Reissue
OEngineering Dept . Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther 0 Other
Items Required
List of subcontractors
Business Tax c.
L1 Calculations i �'
OTruss Details
O Parking Plan
0 Landscape Plan
v Other
COMMENTS:
City of Tigard Building Department
r.
�. I LAN LriLLn Nu.
tot inspections call 639 -4175
_ PERMIT N0.
CI fY OF TIGARD 639.4171Io _
BUILDING PERMIT ;i�{E '71
P.O. Box 23397, Tigard OR 97223 TAXMAN, LOT NO. --SUOOrvISION' _
ot
OWNER, ._J Joe ADDRESS S
_
/ 3 7 .EXP.DATE.
BUILDER <`'" -�� STATE REG.NO. s _—
BUILDER'S PHONE--- 67
Z O! Z-
SN�t PHONE --
OTHER
ARCHITECT-_
STRUCTURE NEIN ❑ REMODEL ❑ ADDITION C REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS, ❑ACCESSORY O GARAGE O OTHER ❑ FENCE
/OCfX1PANCY _ LAND USE ZONE . BLDG•TYPE/ _�u FIRE ZONE = PLAN CHECK BY �►1£AT -. _
�ct rz �it t:,L'f1Pd Daran[�- -a111 par ;approved 1Jq= -------
Construct single family dweiling w/- P - -�
—duh;p c t t o 85 code, _ — -------- ---- --
SEWER PER T0, (/ �1du; baths, trQns _9.r3.L.a arr ' �r(1 ----- -- __ ----
NO.STORIES AREA- •' NO.BEDROO�Sv
LUE
OCC.LOAD FLOOR L AO HEIGHT -
BUILDING DEPARTMENT SETBACKS
FRONT ��� REAR -S� LEFT SIDE RI�HT 1OE
P�mll ' THIS T IS ISSUED a'�BJECT TO THE REGULATIONS CONTARNED IN THE BUILDING CODE, ZONING
REGULAnoNS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
Plan Check .�. J ) WORK WILL B[DONE IN ACCORDANCE WITH THE PLANS AND&%ECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Firs RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER. LUMBING AND HEATING.
Stale Tax SS DC T �-
Tolal S APPLICA OR AGEN r
Pores
Prepd.
ReCelpt N ADDRESS rrt Nf /�Z /
Bal.Due — s
Issued By pproved
SSDC
50c - G 0 v
s � RECEIPT #
PDC
Q DATE PD.
SCUER CONNECTION 5 `! 1�� ( JS"U AMOUNT PD.`_/i
SEWER INSPECTION S ,�
SF UER SURCHARGE S
7-1bo m m e n t e:
----- --
ty
Ell
U 1 Y Ut- I IUAHU I h- CHANICAL PERMIT Permit *
Description
Table 3A Meehan"Code CITY MIC! AMT
City �f Tigard t) Permit Fee -0• •o- 1000
13125 S.W. Hall Blvd. Q
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
incl.ducts&vents 8.00 _
2) Furnace 100,000 BTU + 7.50
_ incl.ducts&vents _
Name of Development 3) Floor Furnace 600
incl.vent
Job Address4 S ) Suspended heater,wall heater
600
Address Z ,S'a/ -f t A ve!!� or floor mounted heater
Tax Lot Map No --" A,y 5) Vent not incl.in 100
Lot / Block Subdivision ,' '4 L appliance permit A__
Name(or name of business) 6) Repair of heating,refr ig., 600
14�4QT cooling,absorption unit— -
Melling Address Phone �-- -- 7) Boiler or comp to 3 HP 6.00
Owner S r absorp.unit to 100,000 BTU
Zg SGtJ 13/J �Boiler orcom to HP _ T
citylstate Zip ---- 6) P 11.00
L Z absorp.unit to 500,000 BTU _
Boiler or coin 15-30 HP
N 9) absorp.unit t/2-1 million 15.00
Mailing Address Phone ;0) Boiler or comp to 30-50 HP 2250
absorp.unit 1 •1.75 million _
Contractor City/State Zip t 1) Boiler or comp to 50 HP 311 50
absorp.unit 1,750,000 BTU
State negisirstion No. City Bus Tax No 12) Air handling unit to 150
10,000 CFM
I Hereby rxicrtovrledge that I have reed this 13) Air handling unit - - - �_-- . ,���
application that the information givens 10,000 CFM +
cared,that I am the owner or authorized agent of the owner,that plans submitted are in
compliffiml with State laws,Mut I am registered with the Slate BtuNlers Poard.that the 11 Non portable 1 50
umber gi'len is correct.pt axe from State registration please give reason below) ) evaporate Cooler _
� --- - 15) Vent fan connected 300
_ to a single duc' W
—- - - Ventilation syster•not
16) included In appliance permit 450
- - —-- 17) Hood served by 450
mechanical exhaust
SlpuWre(owrur or agent) —� Date 18) Domestic,type -- 750 --
Describe work O additlon O alteration O ri, ,.!it L7 incinerstrir ---
to
to be done residential 0 non-residential LJ_ 19) Commrrrcial or Industrial 3000
Existing use of type Inclnera
building or properly _ _ 20) Otho(fc'.,woodslove. lar 1 Sn
Proposed use of heatoll* rvors,etc ,/ y
building or property —�
21) dee piping tine to four outlets 200
Type of fuel oil I I natural qu o LPG -1 electric f l ---T - .r
---��-- 221 More than 4-per o Met
NOTICE ----- -- sIJ�TOTAL y SP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -— - -- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 4%w11111IC"Allift S
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN!1lttlllW 1111111%OF tillFTOTAL
ABANDONED FOR A PERIOD OF 1 So DAYS AT ANY TIME AFTER —�`--- TOTAL
WORK IS COMMENCED.
SPPdal Condltions
Dals issued _. _ by