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10425 SW PARK STREET 91 LO'�c5 �;J PARK STREET I cF''d a+ Ul N O INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 6�3-9�-4175 p .Ype of Inspection ----- Date Requested_ O In Time_ A.M.____--_P.M.. .Address _,_Q L— Permit Ownei Lot Builder The following Building Code deficiencies are required to be corrected: Pr asented to — _ _. Approves h Spector _- 11.=F? _-. _-- _ __ I Dis.ipproved Date — CALL FOR REINSPECTION C1 YES A NO CITY OF TIGARD MI GIIANIGU. I'I'.F.M1'f 1,et-mit U—(-4 City of Tigard IlL15 S)jSII tflvd. q� �--y Weaffp QTV FRICL AMT 11.0. lfa x 23397 T hk SA Medwirleel Cod* _ '1i� ,aOR 97223 �• Tigard 175 1) Permit Fee -0- -0- 10.00 9-4 /t1'J loco td 2) Supplemental Permit 3.00 IPr0,rwtoc 4+ Furnace to 100,000 BTU -bf`l 1) incl. duct4& vents6.00 6 CX7 2) Ftirnaco 100,000 BTU + Name of oevelopment , I Ir cl. ducts& vents _ 7.50 J) Floor Furnace Addrosa incl, vent 6.00 Job <� Address Tax Lot Map No. 4) Suspended heater, wall heater Flick Subdlvlalon or floor mounted heater _ 6.00 Lot Slick Vent not incl. in Na 1( or reme ot(buelneae) applibrice permit 3.00 _-- Ma ling A dreae Ft+on. 6) Repair of heating, refrig.. Owner '7- G 2,5 Sj�� s, cooling, absorption unit 6.00 Gty�staw by 7) Boiler or comp to 3HP absorp. unit to 100,000 BTU 6.00 8) Boiler or comp (r) 3HP-15HP Name absorp. unit to 500,003 BTU 11.00 Mailing A dress Ph 9) Boiler or romp 15-30 FIP absorp. unit th-1 million _ 15.00 Contractor ,1st,e ZIP 10) Boiler or comp 30-50 HP 76-,-rT. % ~ c ?'7 ' absorp.unit 1--1.75 million 22.50 State Registratr No. city But. Tax No. 11) Boiler or comb 50 HP absorp. unit 1,750,000 BTU 31.50 I hereby acknowledge that 1 have read this application that the Inlom+stlon 12) Air handling unit to given la correct, that 1 am the owner or authorized agent of the ownx, that 10,171 CFM 4.53 plans submitted we In eompilence with State laws, that I am registered with __ _ - - - the State Builders' Board, that the number given is correct. (11 exempt 13) Air handling unit rrom State registration please give reseon below). 10,000 CFM + _M 7.50 _ — 14) Non portable evaporate cooler 4.5_0 151 Vent fan connected --.�--�--- -- to a single duct_ 3.00 ` 16) Ventilation system not Sign ury (own or agent) Dale included in appliance permit 4.50 17) Hood served by Describe work [] additions] a-tera,iione"repair❑ mechanical exhaust 4 50 to be done residential non--residential I] 18) Domestic type _ Existing use of incinerator 7.50 building or property— 19) Comme:clal or industrial Proposed use of tl✓pe incinerator _ 30.00 . building or property____ 20) Other i.e., woodstove, water Type of fuel — olI O natural ga�o I-PGE1 electric❑ heater, solar, clothes dryers, etc 4.50 2.1) Gas piping one to four outlets 2.00 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUB-TOTAL 100 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% sunCllAnoc OR ABANDONED FOR A PEmOo OF 180 DAYS AT ANY — -- --- - ---- --- - - PIAN RE"IFI '25%Or SUn•TOTAt. TIME AFTER WORK IS COMMENCED -------- 10TAt 14.-JLi Spoclnl Gondlllor; INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 iype of Ins-action - - �-' r -- — -- - ---- Date Requested Time.�_!`..M. P.M. Address �Q ��_ Permit # — Owner -- ----- ------ -- Lnt BuilderThe following Building Code deficiencies are required to be corrected: Presented to `__�� i_ ___ I Approved Insnectar —" L_I Disapproved Date, CALI, FOR REINSPECTION [] YES / NO INSPECTION NOTICE City of Tigard Euilding Department 12420 S.W. Maiii St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested Time—/ A.M. _P.M. Address —�s S u.� f.:2li'f' _ Permit #--2 OwnerLot # Builder— ——_--- ---__ The following Building Code deficiencies are required to be corrected: i I PrFnented to —� ❑ Approved InspectorDisapproved CALL FOR REINSPECTION ZYiES 0 NO BUILDING PERMIT APPLICATION TIGARD DATE ''- "''"''r is ___ 4258 THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE fl2 i)-4'.305 OR AS SHOWN .AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA110NS, OWNER PHONE 234-5234 LOT NO..--._---_ _ OWNER I' 1 JOB ADDRESS t `-' t• ARCHITECT ENGINEER BUILDER Owner —_ ADDRESS r1}.UVC DESIGNER STRUCTURE ❑ NEW L3 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION 0 RESIDENCE ❑ r JMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY ry'3 LAND USE ZONE 2- 7 BLDG.TYPE1' FIRE ZONE— — PLAN CHECK BYHEAT_ -- T'riL-,P To. openinc Ix-,teen 1i.vi jnr i linin ,--ii—as fro",I 7 ' 0" to 11' v— ;pparate pr!r;nit rn-i,,irF►d for. Tw)o(i stove SEWERPERMITM -- --- ---- —i "—� --- OCC,LOAD FLOOR LOAD �" HEIGHT NO.STORIES I AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT nEAR LEFT SIDE — RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREPY AGREED THAT THE PlanChe,k 13 • I'' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SP:XIFICATIONS AND IN COMPLIAP is s; WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS 'ERMIT DOES DOT WA, Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURrENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HCATINn'. Slate Tan ` - — SDC- Total -- --- PDCM A LICANT OR AGENT By Receipt No. _ Approved ABORESS —'—� -�--- ---PHONE OATS INSP. TYPE INSPECTION REMARKS II PLUMBING DATE AContractor Permit No. Rough-in Fixture Final HEATING �C—,e Contactor Permi,,No. 277/ &-,Os 1L/1,116Z Gas or Clit Rough-in � $EWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final �r_ Curb 13L"r,. DEPT. F1'�_� TET4i6 R A r Y _CEi-fihCATF OCCUPANCY Final Ldndscaplr,, Zoning Final r a BUILDING PERMIT APPLICATION TIGARD DATE THE UNDERSIGNL:D HEREBY APPLIES FOR A PERMIT FORT!iE WORK HEREIN INDICATED� BUILDER PHONE C26•�- • OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.6Jr'• OWNER,PHONE � LOT NO. 0V4NER�MQ�� L C kr JOBADDRESS 10 2S_.�QW �Aw•� _— _ ARCHITECT ENGINEER BUILDER (9ujma ' — ADDRESDESIGNER L-44)NO-I`,_ STRUCTURE _❑ NEW REMODEL _❑ ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T C) RELIGIOUS ❑ PATIO ❑SCARPORT ❑ GARAGE 0 STOR GE ❑ SLAB❑ FENCE Ou.UPANCY LAND USE ZONE BLDG.TYPE _FIRE 7_ONE---PLAN CHECK BY /1 — SEWER PERMIT.M -- OCC.LOAD FLOOR LOAD �� HEIGHT NO.STORIES_ RHEA r:O.BEDROOMS VALUE 100 Q BUILDING DEPARTMENT _ SET BACKS FRONT RN REAR L EFT SICE RIGHT SIDE Parmit ___�� T41S PERMIT IS ISSUED SUBJECT TO THE REGt1LATIONS CONTAINED IN THE BUILEIING CODE,ZONING REGULATIONS AND ALL APPLICf.SLE CODES A'JD ORDINANCES, AND IT IS HEREBY AGREED TPAT THE PlanCheck — Il WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIT4 ALL APPLICABLE_ CODES AND OR111t ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVS w"total —�2_ �•v RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS • _ 'nD 110ENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING. ;State Tax L SOC— --- PDC* APPLICANT OR AGENT By ----- - Receipt No. Approved AODRFSS PHONE - ----- SDC - _. s _____ -- PDC — _ SEWER CONNECTION 5 SEWER INSPECTION $ SF WER SURCHARC;E Ls _ yU CIS . w u. tax �� s ►3 x 3s = yrs f- �. l3xTc� ?roa �19U �/of