14750 SW 84TH COURT 14750 SW 84TH COURT
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INSPECTION NOTICE
Cisy of Tigard Building Department
12420 S.W. Main St.
Tigan•:, Oregon 97223
Phone 639.4171
Address—_____
.� r._. �. • Permit #
Type of Inspection
The following Building Code deficiencies are required to be correctedi. � ;,��
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°resentW to .- Impactor
Data
CArrLI� FOR REIWEMON
t1yes NO
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BUII- )ING PERMIT APPLICAI ION TIGARD DATE-_._ 9 /i'?/_.___,is 60 _ 340
THE UNDERSIGNED HEREBi APPLIES FOR A PER'AI I FOR THE WORK HEREIN INDICATED BUIL')ER PHONE 628-1782
OR AS SHOWN AND APPROVED IN THE ACCOMPA NYING PLANS AND:PECIFICATIONS. OWNER PHONE
OWNER IIF Constr. Inc. JOBADDRESS 14750 5.,.1 both Court LOrNo. 11-1i8mUach Park
ARCHITECT
ENGINEER
BUILDER same _ADDRESSROUte 4 Box 317Ag 5hrhWSIGNER M. S. Russell
STRUCTURE U NEW_ El REMODr:L ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE_ DAMAGE ❑ r,rM_OLITION
X[A RESIDENCE ❑ COMM Cl EDUCATIONAL Fj GOVT ❑ RELIGIOUS_❑ PATIO_❑ CAR PORT ❑ GARAGE C CTORAC- U SLABC FENCL
OCCUPANCY �N_-3 LANDUSEZONE; +` BLDG.TYPE -�N FIREZONE— PLAN CHECK BY uWh HEAT— �
C. .n,§tr.uct a rajo famLly dwylllrig _y/attached garreg 3 E'sdrme 3 oaths
--
SEE CORRECTION SHEET ATTACHED.
SEWEr,PERMITM 22047 _ 1750,00 garage 459 sq. ft. _
OCC.LOAD FLOOR LOAD 4D HEIGHT 1.2 NO.STORIES Z AREA 1 71:; r40.BEDROOMS -' VALUES 65 s Orr
BUILDING DEPARTMENT , ,r
-- SET BACKS FRONT 20. t) REAR r O. a LEFT IADE _ . :., RIGHT SIDE
Permit 1721 Oro THIS PERMIT 16 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 'ONINU
REGULATIONS AND ALL APPLICABLE CODES AND 1i;nINANCES, AND IT IS HEREBY A:REED THAT THE
Plan Check 110•JC WORK WILL BE DONE IN ACCORDANCE WITH THE i•'.ANS AND SPECIFICATIONS AND h! COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. TNt ISSUANCE OF TH;S PhRMIT DOES NOT WAIVE
Sub-total X31. 50 !RESTRICTiVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
StateTax f3.f14
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
"�_
Total 6340,34 SDC- S 4001.GO
113y 1 FDCM T 1 $100,00 APPLICANT OR AGENT -"
Approved �owh Receipt No. PHO
�� r AO RE r �I� !_,i �, {
T— NE, i`
!FUW-j
wxwlw_ Wffw_x�MWI'M
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contrac,,'or
Permit No.
c\t,-\-
fiough-i,i
Final
HEATING
Contractor
Permit,Jo.
(3a%or Oil
Rough-in
----- -
Final
SEWER
Final oi-
DRIVEWAY
Final
�Storm Drain a9p
(Hain Drain)Final
Sidewalk
C.,b&Street Final
Approach
' iCJ� &C
BLDG. DEPT.FINAL TEMPORARY CER idifF Final
CERTIFICATE OCCUPANCY
E I Leodscaping
[Z-nning Final
�4
3'ji'LDl!':i; PERMIT APPLICATION rUFY
=F LJ %FD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
APPROVED IN THE ACCOMPANYING PLANS AND SPE•CIFICAlW%S
TI(j ry t-t� 11, LOT No l� �essi-
OWner Coior,T"!l
aa�'llY'eeT
// ffj� Q� eaerrreex.
8 U 1 i-de T Yi1. 4DUFtrSS q T7b J�6 DESIGNER
u; --)tj A ❑REMODEL r��A;/UITION _ IJP. PAI4 � LJR£tiEWAL _D_`IRE 0,: WAGE� Q[:EMOIITION
NCE -M 0EDUCATIDNAL ❑QOV'T y04iLIG10USOPAATIO [-]:A- FORT Or-,AR-�GE�[]STUR._GE O5LA8 ❑FENCE
�SON_D 0N,O_vING ]CONDITIONAL USE QDESIGN REVIFW ❑COUNCIL APPROVED ❑SIGNS
ANCY R!!3 LAND JSE ZONE "` BLDG TYPENE — PLAN CHECK BY M� HEAT
C_LtLQFl.428.1 a_9Q `.:C.! H LS�d---,/�NQ_SJORl ;eAREA1 7_1 RIO.BEDROOMS� VALUE ",4pb
_ BUII DIME DEP;RTMENT��
SETBACKS -F 1ONT-20;5 _ REAR J'- LEFT SIDEjqj RIGHT SIDE` .•
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. 7JNING
Plan Check �I �0• �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINAVCES, AND IT IS HEREBY AGREED TFIgT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
• SL,b Total 3 �! (� ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRAC.TJR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
n:.le Iax ����� I ICENSF. SF.PAIIATE PEPMITS PFOUI.II O r '%R SEINER, PLUMEING AND HEATING.
Total
By
I- ---- -- -- APPI.iCANT UA AGENT -T—
A,oI Quad _ Receipt No.
ADDRESS - PR-3O
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21043
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x 40 �o
17 f 3 ��. � 5-7..2f,,/
12
2A7
G� //00
NERULN-Aw It IFEM
C � /`�� of Tigard Mechanical Permit NO
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Fec__�
New Installation Replace ❑ P.elocation ❑ Addition ❑ Alteration ❑ 0.State_
HEATING � C TOTAL___ i
CONTRACTOR // % _ OWNER
;0DRESS_aCLL n I _1_IR IS7E�,f O rO WORK ADDRESS_LLJr�Q LUIC
PHONE JI(( , C APPLICANT
Heat input Rating (BTU PES Hour)'-- -171, rTl%_� Vent Size i Flue Size_ _
FUEL OIL ❑ GAS ELECT ❑ OTHER
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ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit EE ABOVE Air Condition Compressor 15 to 30 HP 10.00
_Nero-up to & inc1.100,—(300 BTU 4. --`
__ 00 Air Handling 10,000 CFM 3.00
�le'.v-100 001 $TUy s d over _ _5'00 Air Handling Over 000 CFM 3.00
Floor FUinaco 4.00 Evaoorativ_c Cooter _ 3.00 �,,_
Wall • =1oor •SLyiended _ _ 4.00 Range Vent Fan 2.00
_
Install Vents Only _ _ 2.00 Vent System _
Repair Heat& Cooling __ _ 4.00
_ _ Hood Commercial_ 3.00
��ir Co_ 3ndition Compressor _j ___4,_0_0nder 3 HP r Commercial Duct System 10.00
"W—co— Compressor to 15 HP 7.50
INSPECT"On'S COPANNIENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE _ ISSUED BY DATE
RECEIPT Nu. _^
1I4 Signature of Applicant