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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 971223
Phone 639.4171
Permit _--
Address_ .— -- - ----' ""—
Type of Inspection
The following Building Code deficiencies are required to he corrected: – --
Presented to. ____ --- -_-_ --- --------- ----
Inspector
Date
CALL ICOR REIWECTION
YES D NO
f;
PL.UVB1iVC PERMIT
holder of a va{ia plt..mbincg contractors license is hereay
authorized to cause plumbing work as herein noted to le insta.:ed in accoraance with the plumbing of
Tigard. Such installations require inspec-tion Ly the •Ciir Inspector who sha;1 be notified not Icss :11an four
;4j hours prior to fila time the instal{atio s ata ready f r inspecyion. Cir/ of Tigard Business Licecse re�;uirea
for a;l contractors and sub-contrdctors"&adq ,r/ pe&I
sJU ��� Adr;- -1- 1 S =� Cate c
Nu?'S=I= or 70.A I PERMIT.`:C:.'r,
TYPE OF ?�: 3".':T I iTc`:. F:� 0X ZACH 'OL`,T I (Office U&n vn;yi
__•`' 'bio 'amiiv-1
bah—ci:h
�Ojj)x--Ea:h 1 bath unit r _ 25.00 I s 5
�1 •1._an: b-throom s—each L_ 10.00
i Home, SACCC—(!:Cn � 13AO
— -y•
_NDiViDUAL FIXTURE FEES
t�) SO Fixture, in 1 bui!din^—each 3.00 l
6' to 'CJ Fixtures in 1 huildin —encu 2,50
'4't w Z�G In i L'U :I;ny y�!� a 7x0 i I
�20' or r ale i ixtur•:s in 1 building—arch j —i - 1 80
I -
Jui.,lrt� 5cwn.'—i;i 50 t,,
Srwnr—C,ch addition'' 100 ft, -
��;._ -5t^,I;:c to bui;;lin; _ B4Op
_ for Plumbing lnVec;tun Phone 630.4191 —^!
Plumb;% Contraczc, ay _
AZf:EiPT N0. Issued Ryf��—
t � W illy rw r I, r1wa
BUILnING OEPARTMENT, TIGARD �C)
PLUMBING PERMIT
holder of a valid plumbing contractors licenses is hereby
authorized to cause plumbing work as herein nated to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours p,;(.).- to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. job
Addessl`-�'�(lL_1�I ..� �p
NUMBER OF TOTAL
TYPE OF PERMIT ^» ITEMS FEE ON EACH —AMOUNT
-FIESID
Sin !e Family-1 bath-each �.-.— +--- .-_-- 25.00
r:t
Cu lax-Each 1 bath unit 25.00 1;
Additional bathrooms-each 10_00 L'
Mobile Home Space-each 1500
INDIVIDUAL FIXTUREe(CQLIM'�RCIA
1 to 50 Fixtures In 1 building-each 3.00x'
51 to 100 Fixtures in 1 building-eact 2._ j —
__101 to 200 Fixtures In 1 buildin2_ear L__ —y 2.00 — __—_�-
201 or more Fixtures in 1 building-each 1.50 --
MISCELLANEOUS
Sewer-each additional 100 ft. 10.00
'Nater Service to building 5.00
Othor (Specify): — —
PERMIT For Plumb;ng Insp,,ction Picone 639.4171 ff/
4 ,State r Plu-nbing Contracto,
7nTAl 1 Prr FIPT Nn Icainrl RV -t—
BUILDINV PERMIT APPLICATION TIGARD DATE- 11 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOF. I HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINU PLANS AND SPECIFICATIONS. OWNER PHONE -
OWNER J.Ent Constr. C0.10BADDR_ESS 14160 11W 80th Lutlrt LOT NO.
ARCHITECTEGINEER
—
OUtLDER SaPle __ ADDRESS 6203 SE 26th i)tltl. DNSIGNER
STRUCTURE KYNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
11 VIESIDENCE ❑ COMM ❑ EDUCATIONAL ❑_GOYT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE I❑ STORAGE Fl SLAB❑ FENCE
OCCUPANCY "`3 LANDUSEZONE- BLDG.TYPE �:a(r' FIRE ZONE PLANCHECKBY �WH HEAT_ _Aqaa _
Oonstrur.t t3ingi® fap,�ly_attachud dwelling,_ ulattachad gaLacia, 1 8pdrmAf7 jL
SEE t.:0 �R[C'TION SHUT TTAf. HE D.
SEWER PERMIT# 211719 - '570;).1113 --
OCC.LOAD FLOOP LOAD 40 HEIGHT 14 NO.STORIES_ 1 AREA 1078 NO.BEDROuivw 2 VALUF.
BUILDINGDEPARTM'SNT — SETBACKS FRONT . t REAR 20 LEFT SIDE RIGHT SIDE
Permit "20 THIS PERM11 IS I5.3tJFC SUBJECT 1.0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICAULE CODES AND ORDINANCES., AND IT IS HERFf!Y AGREED THAT THE
Plan Check t3'.E)CI I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE
WITH ALL APPLICABLE CODES AND CRDINANCES. THE ISSUANCE OF THIS PERMIT DuEc NOT WAIVE
Subtotal 249.00 RESTRICTIVE COVtNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6.64 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 4o,^5:,.,64 l�4Uf i.t�tJ {,.._..z /' '1
PDCR ''r 1�[�. APPLICANT OR AGENT --
Approved O;�H Receipt No. _
ADDRESS — PHONE
— e
O IL► W 1w
DATE INSP• TYPE INSPECTION REMARKS PLUMBING DATE
.•/r QO QK / v O� Contractor
Permit No. =r vow
Fixture ---
((. Jre Ems` Final
HEATING — --�
Contractor
Permit No. �
Gas or Oil
--_— _� Hough-in _
Final — ---
-- — -- -- SEWER —
� — ---- � e--- --------- Final '— -
DRIVEWAY
_—.--- --- --
Final —_
— — — Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approu..''
BLOM DEPT.FINAL TEMPORARY CERTIFICAT:nCCIPANCY — — —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Finnl
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BUILDING PERMIT APPLICATION DATE Ael It --_--. 19.90_ �
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 9LI11.0ERPH0NF_.�32"?�/�!�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO;JE_-..
�1 ___.._/.(.
`' LOT NO"._ �//I
VNER \'s M� �r/V�✓d�t.R/ I;)UR SS I4- o _c W VQ o��•
gIJILDER Q �� q ryO�•'s� �jS ?40
ENGINEtR
1RUCTURE r,l_yy I Rt '1'i7E� �-7
-- ` [ t DUli[ION REPAIR LJHENEWAL OF RE OA WAGE LJD100t I1'1C
aE510t NCE []COMM I�[CJ iG�' _'. [�1.( \' T [114,,r10U5 OPANO [ )CAR PUHT ('3r RAGE [,]S(=a^ '•F[]51 AB f": . '+_E
�CCUPANCYQ`3 "ir Q7.P ) RL CG TtPIE ./ N !`,PV ZONE.- PLANC 8� aCAT—
_. ."I �Ido�.Qeo( �: PP,�� w� � Ci r► e .
BAR,
`,_ElJER PCRMlT x
Cy Ln�D F!,or)r � Hcitar_T IT NQ $rQ-oES '. APEA/O78 %Q 9EOFRIi, ^ 4'?2'CIO
EltntUlNG r,F, s�Cr.S I CIO _ REAP L c r SI '
1 F. GE � � ,HT81UE Q
If mot
PERMIT IS IS',UFD SUBJECT TO THE PEGULATIONS CONTAINED IN THE BUILDING C CLUE
Ion `_heck �r d� ,IILAtIONS AND ALL APPLICABLE CODES AND ORDINANCF..S AND IT IE HIREEIY AGpEEJ 1641 THF
WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 1'NTF
u.b total I� L/9, bQ APPI lr_ARLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES 'JOT 1%AIVt
IST G� ;RIC7IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUP RENT C17Y o;L)SINE.
`div Ta* /: - '..E SEP4RATE PERMITS REQUIRED FOR SEWER PtUMBING ) •..7 HEATING.
Ota!
v �i d
OTJIOVio-d �I Receipt No -
SDC
PDC - d a
SEWFR CONNECTION 4t _
SFWf R INSPELTION
SEWER SURCHARGE
1 n A
Comments:
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City Of TIo - ` N2 Permit 3.00
��'� MechanicalP�:rr��ir
Feq____.
New Installation A Replace ❑ Relocation [I Addition [.I Alteratinn [) 47.State ��--
HEATING GMF.R14I.FURNACE&!,M CONDMONTNG,INC. _ T TAL___
CONTRACTOR OWNER '-
tse-6o(3-426
15536 S.E. 82nd Drive L101
Vb'ORK DDRESS I �__�!7
t,'1kt�tr5-C�tBg?3E 97Q �"
PHONE_ APPLICANT
Heat Input Rating (BTU Per Hour),-7 Vent Si/e _ r1 _ _ Flu.- Site
DUEL OIL r.J GAS (Xl ELFCT ❑ OTHER "
t i
ITEM NO. FEE ITEM NO, FEE
Dor Issuance of Permit SEE ABOVE -_ Air Condition Compressor 15 to 30 HP � 16.0-0
New-up _to & inc 1. 00,000 BTU -� 4.00 _Air.Handling 10,000 CFM 3.00
`law-100 001 BTU s & over 5.00 Air Handling Over 10,000 CFM 5.00
':icor Furnace _ 4.00 Evaporativa Cooler
Mall - Floor • Suspended _ 4.00 _range Vent Fan 2.00
Install Vents Only 2.00_ Vent System 3,00
Pecair • He3t& Cooling _ 4.00 Hood Commercial_ 3.00
Air Condition Compressor Under 3 HP 4.00 ` Commercial Duct System_ 10.00
Air Condition Compressor 3 to 15 HP 7.50
!id:.PECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS~
i.PPROVED BYDATE ISSUED BY DATE
!E C E I P T NO,
��/� _ -�
pis
Signature of Applican