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INSPEC-TI 0F N45 ICE
City of Tigard Building L)epartmpnt
P.O. Box 23397
Tigard, Oregon 97223
Phor"39-4175
r
Type of Inspection
2.l rimIe _�A.M.__ P.M.
Date Requested_
��4 — _r�� Permit # —
Address —
Owner_ -- —_-- �_/�_ ------ Lot #
Builder
The following Building Code deficientrs Are required to be corrected:
Presented to roved
/ — 1iy� p
i
Inspector , — Disapproved
Date -- —_
CALL FOR REINSPECTION
❑ YES 0 NO
QVI M
•i
VC
INSPECTION NOTICE
ity of Tigard Building Departntent
�iP.O. Box 23397
Tigard, Oregon 97223
Phone: C39-4175
Type of inspection
I Date RRquesced ��`-' Time
Address -_ ' " ' ? � ® /--- Permit #_
Owner__._ Lot # _
BuilderThe following Buildinr Code deficiencies are required to be corrected:
Presented to Approved
l � ---
Inspectir __ __ -- - -- L_� Disapproved
Nite
CALL FOR REINSPECTION
[-I YES I _) NO
AM I
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 5'223
/�- Phon. : 6339-4175
Type of Inspection
Date Requested �� Time/ — A.M.—' lP.W
Address -1` ��`-�— Permit
__ #_
Owner�— -- 7,_ Lot # —
Builder _�------ L� —The following Building Code deficienci(((es are required to be corrected:
Presented to �' / vd Apwnved
Inspector _ 1 Disapproved
Date
CALL FOR REINSPECTION
❑ YES U NO
i
-� INSPEC i ION NOTICE
City of Tigarr' 'iuilding Department
P.J. Box 23397
U Tigard, Oregon 9722,1
Phone 639-4175
Typo of 1>Tpection '� 4*'., �1(-G�l _
Date Requested Time / A.M. P.M.
Address �_1 I �`J =J—. — Permit #_
Owner—----_-- Lot #
Builder -----
The foi;-.vii,q Building Code deficiencies are required to be corrected:
Presented to roved
i
Inspector I Disapproved
Date .r $'41 �...-----
CALL FOR REINSPECTION
YES CJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Fox 23397
Tigard, Oregon 6.223
Phone 639-4175 )_A
Type of Inspection
`..
Datp ",.:quested 2 r 7 Time ✓A.M. P.M.
Address _ 1 (.1 -, �' Permit # �t J
Owner_ .._'�_� Lot ,is
Builder — 601
The following Building Code deficiencies are required to be corrected:
•
Presented to
Inspector - --...-.-. .. Disapproved
bate ✓�� �-
CALL FOR REINS;cWTION
❑ YES ❑ NO
I
W_ W-1! ffjIIj W 1kF
INSPECTIOA NOTICL
City of Tigard Building Department COox 23397 11 Jd`��
Tigarj, Oregon 9722:5
Phone 639-4175
339-417 5
Type of inspection _ uL t ��---- -------
Date Requested 4 _If i V6. ,/ Time-------. A.M. _� P.M.
Address — - cel -.._ Permit ----
Owner _ —- ..-- Lot #- ------
Builder �---— -- -- - — ---The following B,jilding Code deficiencies are required to be corrected:
Presented to _ —_ _ LA'pproved
Inspector __- _� _.____. —___ [J Disapproved
Uate _- -- -----
CALL FOR REINSPECTION
01 YE! ❑ Nfj
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 635-4175
Type of Inspection --� —- H - — -------.
Date Requested
2 - 7 T-
Date .__ __ A.M._ P.M.
f k ; _ Permit #----
Address ---
Owner—_ __ f ---_- Lot #_
Builder -_._� ------- ----The folio wing Building Code deficiencies are tFquired to be corrected:
Presented to
Inspectcr _ _ Disapproved
Date _
CALL FOR REINSPECTION
❑ YES [.J NO
ul
429
CITY OF TIGARD 639.4171 6
DATE
BUILDING PERMIT
TAX MAP ?51_12w_LOTNO. _ SUBDIVISIONi Ijt� tll c'.:LL`
OWNER (jetty Conatructivtl _ JOB ADDRESS 14516 SW 83rd Court
BUILDER 1>��44. Nixon West_ Linn,,._«k glilhi m __ :,i ATE REG.NO. 55b8.—_ EXP.DATE 12LlLbJk-__-_
BUILDER'S PHONE _ _-030---015 —
ARCHITECT __ PHONE __ OTHER
STRUCTURE )U NEW ❑ REMODEL ADDITION L I REPAIR C MOVE OTHER -_� DEMOLITION
RESIDENCE COMM ❑ EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE BLDG TYPE —i!AF LONE PLAN CHECK BY HEAT
Construct aiuule fap►ii,,; Dwellinp wiaFLaCtied kora -c, .:ll ,Ier approved plans.
Subject to 65 Code. '�o so q2 2/
SEWER PERMIT# 32614 Odu) 2 baths 1. b traps= 460 garage area:
OCC.LOAD FLOOR LOAD 40 HEIGHT it; NO.STORIES 1 AREA 7 IJO.BEDROOMS 3 vPLUI"
BUILDING DEPARTMENT_ SETBACKS FRONT Vit' _REAR 416 LEFT SIDE �r? RIGHT SIDE
Permit _ Yi1, $til T►IIS PERMIT IS ISE,UFD SUBJECT TO THE REGULATIONS CONTAINED IN T'.L. BUILDING CODE. ZONING
tJ� FiEGULATIONS ANC ALL APPLICABLE (.ODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check �i l.t� WORK WILL BE DONE IN ACG'OHD.ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�- WITH ALL APPLICAb'.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM1- DOES NOT WAIVE.
PI.Ck.FlreJ RESTRICTIVE COVENANTS. CONTRACTOR ANL SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�_.. � ISA'`ER2ITS ,S PAP ATE PERMITS REOWRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax Alm
Sa- tI _ SDC- 150.Uo
Total Ll 150.00 APPLICANT&AGENt
Prepd. IUU.UU__
- Q Receipt No,/jw/cs
Ai)GRE$S _- ---AQ&A PHONE
Bel.Due
Issued Approved By
DATE INSP. TYPEIPiSPECTION -- REMARKS PLUMBING DATE
'1- y..8 ! _ Contractor .1rl6w S'$7
Permit No. 5 1 /2,7?v _
AL Fitilure (y
Finif
HEATING
LA
Contractor"t 6f tad �1J6 3 �Z 9'F 7
/Y�P
Permit No ySIV
3 .��� ? Gas or Oil —
Rough in - — —
/�--G� rT� - t ---_ ---- ---------- __ Final —,-- - --
SEWER
Final
DRIVEWAY --.
Final
Storm Drainage
-J---- -- —__ -- (Rain Dram)Ffnai—
Sidewalk
Curb A Street Final
Approach
BLDG.DEPT.FINAL �- TEMPORARY CERTIFICATE OCCUPANCY Fi,rat
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Parmit#
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 f 1 I Furnace to 100,000 BTU / 6.00 csO
incl.ducts&vents -
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00
incl.vent -
Job A.ddreseSuspended heater,wall heater
Address S-/Fs -T L� +�` 4) or floor mounted heater 6.00
Tax Lot Map No. �_;�_ i2 r} 0 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name(or name of business) 6) Repair of heating,refr ig., ' 6.00
(- T - cooling,absorption unit
Mailing Address phone Boiler or comp to�MP"
Owner 7) absorp.u it fp 0,000 BTU 6.00
�s `
City/State Zip Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit'/2-1 million 15.00
Mailing Address Phone 10) Boiler or comp to 30-`,0 HP 22.50
absorp.unit 1 -1.75 million
Contractor City'State Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
State Registration No. City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50 10,000 CFM +-
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that I am registered with the State BuildersBoard,that the 14 Non portable
number given is correct.(if exempt from State registration please give reason belowl ) 4.50 evaporate cooler _
-- - — _ —_ 15) Vent fan connected 3 3.00 ,-6
to a single duct �-
c.
-------- ---- ------ ) Ventilation system not
16 included in appliance permit 4.50
- -- ------------ _ '------ 17) Hood served by 4.50
mechanical exhaust / t
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work C1 addition CJ alteration LI repair F 1 Incinerator
to be done residential FL3' non-residential 17 19) Commercial or Industribl 30.00
-xisting use of type incinerator
building or properly_ r 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property_ —_ 21) Gas piping one to four outlets i 2.00
Type of fuel- oil O natural gas FY LPG CI electric L I
22) More than 4-per outlet
f-QTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE -�L
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL J
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL a
Special Conditions
Date issued __by
PLAN CHECK NO.
for inspection:; ca 11 639-4115
PERMIT N0.
CITY OF TIGARO 639.4171 DATE 0__to_Tt__L
BUILDING PERMIT ZS l i z jj�''] / sua0lvIS10
P.O. Box 2339/. Tigard OR 97"L23 TAX MAP
�/l OT NO.
--4�-► JOB ADDRESS
OWNER - — Z' 7- 8
STATE REG.NO. _�.�� �i F_XP.DATE
BUILDER
BUILPER'S PHONE
/
OTHt9 ---
ARCHITECT_— ��_._ PHONE_ —
STRUCTURE LSI NEW ❑ "EMOOEL El ADDITION
C) REPAIR r ❑ MOVE E) OTHER [] DEMOLITION
b RESIDENCE ❑ COMM C1 EDUCATION ElIND ❑ RELIGIOUS ❑ACCESSORY O GARAGE ❑ OTHER C) fENC.E
[[// ?? V FIRE U
ZONE PN CHECK BY E—11£AT y
OCCUPANCY _jam_LAND USE ZONE �BLDG•TYPE �:LL-"-
sapp
d_ l ir►c -
Construct single family dweilin w rr--- =='P P
—
SEWER PERM/i/, �2.G /y (ldu) baths tra s 'A
f VALUE.'
NO.STORIES AREA "� NO.BEDROOMS
OCC.LOAD FLOOR LOAD �O HEIGHT '� --
I— BUILDING DEPARTMENT _ FRONT REAR LEFT SIDE RIGHT SIDE
SETBACKS s..
Permit ' " THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CO
NTAINELI IN THE BUILDING CODE, ZONING
RE4ULATIONS AND ALL APPLICABLE CODES AND OPOINANCES,AND IT IS HERB! AGREED THAT THE
man Chock n'7 , WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Fkw RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVC CURRFNT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING
State Ta. 7 7
- — SDC
Total J q. APPLICANT OR AGENT
PDG
Prepd. —– --—.-- _ – —PHONE
Recelpl No ADDRESS
Bal.Due J _ _
IuuedBy_.__--- - .JcPProvedBr _
SS Dc
SOC �> `'/ -- RECEIPT # ! '79Z
2'
POC - DATE PD.
AMOUNT PD. -
SCWER CONNECTION S _ _�-
SEWER INSPECTION g —
SEWER SURCHARGE S
o mm e n t e: _ - ----- -----_ .-- -
i
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : ItI 3-Y 2
PLAN CHECK APPLICATION DATE RECEIVED: / y
P.O. Box ''3397, Tigard OR 97223 P/C DEPOSIT PAID:_ �LiJ O
This is to certify than: the attached — sets of plans have been submitted for plan
check pursuant to the )regon Structural Code and Fire & Life Safety Code, ,-- edition
4 Luna 8
PROPERTY OWNER: ���< Z .� OWNER'S ADDRESS: Lq Ll V -. 9
CONTRACTOR: TELEPHONE:
.JOB ADDRESS: / c-( c4 LOT NO. b MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other Other
1X ms Required ��� --�
/ List of subcontractors
siness Tax
L� Calculations
OTruss Details
0 Parking Plan
Landscapes Plan
It he reg, j
COMMENTS:
City ul 'Tigard Building Department
gY: