12120 SW PAR 4 DRIVE I
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12120 SW par 4 'Drive
King City
INSPECTION NOTICE
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City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639 4171
Type of Inspection _ �1 Yet,pl /j•Q���—
Date Requested F �. 3o Tfn}b"__1 _A.M. P.M.
Address— .z'�_ Q,t• 'V' e—
Parma* #_,24i66�'
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Owner�..__ .� rJ Lot #
BuilderThe foilnwing Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspr-for /� _ ❑ Disapproved
Date —•t--'� =.2
CALL FOR REINSPECTION
Cl YES 3 NO
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2.6 6 8
City of Tigard Mechanical Permit
New Installation Replace Q Relocation 1. Addition 1 Alteration DATE:
HEATING
CONTRACTOR OWNER-
ADDRE:G, JOE ADDRESS
PHONE--------,------ APPLICANT---_--_
Hpat 1nptjt Rating(BTU per Hour) Vent Size Flue Size.---
FUEL. OIL.[j GASE] ELECT OTHER
ITEM
NO. FEE ITEM NO. FEE
For Issuance of Permit SEE. BELOW Each Air Handling Unit Duct
New-ur)to St incl. 100,00_0_BTU 6.00 Commercial Hood System 7,50
New jgp,noo BUT's & over 7.50 —Ochem�et -,Each 4.50
L111 Trip Inspertion 4.50
Wall Floor- Suspended 6.00 Air Condition Compressor - tri to& incl.3 H.P. 6.U0
Vent System Vj�jn Air Condition Compressor-3 1 to 16.H.P.incl. 11.00
R�aii -Heat Cooling__ 6.00
C17 03USINESS L'UNSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
Pifflhf 71SSdACE 10.00 1 Comments:
FEES
SU13-TOTAL
% STATE Issued By
-259�PLAN CHECK
TOTAL REC.
...,.-�,.yw.wn- .q'rw.`rw`.�wA�►.w««. _ . ,.1 .. � 'S_t.,.� (,!j
BUILDING PERMIT APPLICATION KING CITY DATE— IrrL-, 19__-
THE UNDERSIGNED HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER.Martha M cG: JOB ADDRESS HOME ADDRESS
— . 7CHITECT
"-.0nf bur S �ifl. ENGINEER
BUILDER ADDRESS _ _ DESIGNER _
STRUCTURE ❑NEW ❑REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL — ❑FIRE DAMAGE ❑DEMOLITION
Q RESIDjNCE ❑COMM ❑EDUCATIONAL r,GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE CISLAB ❑FENCr_
0130NO ❑MOVING ❑CONIJIT10NAL USE ❑DESIGN REVIEW ❑COUNCIL APPHOVED ❑SIGNS
OCCUP,>NCY_ LAND USE ZONE,_ —BLDG.TYPE—___...FIREZONE _ PLAN CHECK
cart : tl..i tier ir,,3tFaiiwU J.,1 attli
OC _L.QA0___ —fJ.0)fIJS_A0_ __._HEIQHT NQ,ST(ZES__— AREA ---N.O..@�.QBQ4M5 VA1��►____— _
BUILDING DEPARTMENT SET BACKS FRONT REA.p LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT r- THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALl APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN; ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—'
RESTRICTIVE C^VENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY POSINE.SS
State Ta7(i LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By -- P1 -----
APPLICANI OR AGFNT � - --
Appiovcd fieceipt No.
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECTION _
�— Contractor
Parr ilt No. i
L Pough•in
-- Fixture
Firel
-- — HEATING '
-- — Contractor
Permit No.
`- Get or Oil
— Rough-in
Final
-- -- — SEWER
Final
DRIVEWAY
Final
Storm Drainage
— I (Rein Drain) Final
Sidewalk
Curb&Street Flool
APprogch
BLpG. pEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --
Landscaping
Zoning Final
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