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INSPECTION NOTICE
City of 1 ward Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address Permit #
Type of Inspection ----- ---- �: ~' -------- -- —
1;1e following Building Core deficiencies are required to be corrected:
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Prewntea t�_�-- -__— -_----�- _ Inspector
Datr ..r----- --- - —
C4LL FOR REIAGPECTION
Cl VES ❑ NO
INSPECTION NOTICE
City of Tigbrd Building Department
12120 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address------ }.���5'// c=f �� _ Permit
Type of Inspection
The follasomg Building Code deficiencies are required to he corrected:
_..__. __ _•N J'. -J L._-�- )Y Sr.-+.+'1.: r'��--r-.m-'..• .-.. _iF.i ,.-_�'1. l..t -r-•Y��= _ _ _��
Presented to Inspector
Date -- -- _ --- --
(ALL FOR REIA6PECTION
U.] YF.S ❑ No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address --— - -- _ •• Permit
Type of Inspection
The following Building Code deficiencies are required to he corre.cter' rG 9`Z'SZ
_ -- ------�---- - Inspector --
Presented to_.---____-.------— -- —"�
Date
4,'-L FOR ?E1NISPEcnoN
1 YES [] NO i
I
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BUILDING DEPARTMENT, TIGARD Y
�J PLUMBING PERMIT 1
holder of a v311d plumbing contractors license is hereby
atlthorizedso cause plumbing work as 4rein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspe tion by the City Inspector who shall be notified not les: than four
4) hours ;prior to the time the installations are ready for inspection. City of Tigard Rosiness Licei–, teyu;ied
for all contractors a, Lsub-contractors.
Owner._ C — Address l� ��� S�` Date S-/– rU
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only!
RE5IDELIIAL A�
Single Femily-1 bath-each ��— - -_ 25_00 -
Di tNx-Each 1 b.tth unit _ 26,00 _� l
Aeditiond bathrooms-each _ 10.00
Mobile Home Space-each 15.00
IN_OIVIDUAL FIXTURE FEES ;
!1 to 50 Fixtures in 1 building-each _ 3.00 _
51 to 100 Fixtures in 1 building-each 2.50
101 to 200 Fixtures in 1 buildin -each - 2.00 y
201 or more Fixtures in 1 building-each iu _1.50 M_
iMISCELLANEOUS
Building Sower-1st 50 ft. _ _ 10.00 -
_Sever—each additional '00 ft. - 10.00 -
_Water Set. ce to building _ '5.000: _
Private Weter Systems--each 100 ft. 100
Other (Specify):
PERMIT r� Fur Plumbing Ins-pectic Phone 639.4171 1
396 State p Plumbing Contractor By �
L_ TOTAL ' RECEIPT NO. lisued By j
BUILDING PERMIT APPLICATION TIGARD DATE____
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH I:WORK HEREIN INDICATED BUILDER PHONE----
OR AS SHOWN f.ND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 4 9
OWNER G.[3 . 1. in::• JOB ADDRESS 151,15 5U 813th Avenue I __ -- EatL�tE
ENGINEER,x
BUILDER same _ADDRESS T370 SSI Graenburg Pd. DESIGNER Knil-hts Bldg. Desi,
STRUCTURE tl NEJU ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE LJ DEMOLITION
VRESIDENCE ❑ COMM El EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY f- -' LANDUSEZONE BLDG.TYPE �N FIRE ZONE_`_PLAN CHECK BY _�Lih _HEAT_
IKL)jjsti:uct S.Lngiv t .r-)—il dwelling W/at.tached garage. 3 tic�d:ocmr - lath:,__
Re-Issue u . , ermit J''3097 (934) SW North Dakota ritrEJet}^ --_--
SEWERPEIMIT# 21979 - - 0.00 — :.:g+ 420 i=ce. f t � -
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1212 NO BEDROOMS _VALUE t#
BUILDING DEPARTMENT SETBACKS FRONT 2'2 REAR 27 LEFT SIDE _-1.4 RIGHT SIDE 1
Permit 184•UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION_, CONTAINED IN THE BUILDING CODE. ZONING
n ��p REGULATIONS AND AI-L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
I
Plan Check • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS Avg SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSI ANC L OF THIS PERMIT DOES NOT WAIVE
Subtotal 1 ry''•00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
�- 3� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
•
State Tax ' `J
,;�sUU•I.iL
.�fi
Total . i'O l. SDC-- � `'•' < /� ,•�7'' /..i'C� 4yd'_-t._..�' -
PDC# 1 1l10.00 APPLI ANTORAGENT -
By rl
APpr,wed- dwh Receipt No ADDRE88 - ---
� --- �
s
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
k, l! Contractor
� I�w /fes .���✓«.�� -- - -- Permit No.
4�++� /Sc i i<s ice. �� _ --— — — Rowlh•in �Tf
` _ u v. �� CUCt I K - -- Fixture — —
tip+l��tr0 Final —
HEATING
Contractor
--- - Permit No. f '��� 7'
---- - -- --- --- Gas or Oil
Rough-in
------ - --_-----_-_------ Final
—�- -- SEWER -
-
Final
----------------- --DRIVEWAY ---- --
-----
----- - - -- Final
Storm Drainage
(Rain Drain l Final
- _ Sidewalk
Curb&Street Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATF.OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION
TIVA1D OAT0, .G_nn3 �
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN Iql ICATED BUIL0ER PHONE
r)o nc cNrnAjN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
LOT NO.
BT I+ S Jr
--"--'=� V%4' _ JOB ADDRESS
BUILDER �anne. - ADDRESS '?32o S� .1 — DESIGNER I�,°y►� R�,�Id,, s h
STRUCTURE ye NEW —`-❑ REMODEL J ADDITION M_J REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUSAA�❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY _ LAND USE ZONE BLDG.TYPE S LY FIRE ZONE_PLAN CHECK 8Y HEAT_
el rk4 ad
2���,3__1.�s!�1_A9o._.�a�o1�a 5�---�-y----3 ��
SEWER PERMIT t' —
OCC.LOAD FLOUR LOAD () —HEII"�H i / N0.STORIES r AREA �.2�R N0.BEDROOMS3 VP•LU9G0
r-- BUILDING--DEPARTMENT /�
�-- Mo SEI dAiON.S FRONT ZL REAR ,?� LEFT SICE �� =RIGHT SIDE
P^rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED INT r -
HE BUILDING C..DE,t0WN3
C). REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFSY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN:E
WITH ALL APPLICABLE CODES AND ORDINANCES. THE: ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal / �� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,?LUMaING AND HEATING.
_ _ ,�b
Total SDC-
By PDC# APPLICANT OR AGENT --
Receipt No.
A�prOved ADDRESS —...---- — PH.nNE ------
SDC - J '4v6
PDC - S -1 —# /00 �AItAP
_SEWE l" CONNECTION_ $
SEWER INSPECTION $ 4ZO I?° /8. 00 7 84f'
SEWER SURCHARGE S --
__... Lj 0yV, 9oa
Comments : —Re
1k
City of Tibard Mechag-iicaf Permit NT�� F „-Mit- $3.00 i
New Installation Cyr Replace ❑ Relocation ❑ Addition ❑ Alter,;tinn ❑ 4':State
HEATING TOTAL i
CONTRACTORP1 AAA OWNER
A.)DRESS I�_�O �� ��5� WORK ADDRESS 15 1 L:� �u✓ �� — J
PHONE 3'7 D U APPLICANT
i
Heat Input Rating (BTU Per Hour)_ 1 aly ::2 Vent Sire _ Flue Size
FUEL OIL ❑ Gf S l•-r- ELECT” ❑ OTHER ,I
ITEM NO. FEE ITEM NO. FEE Ii
For Issuance of PermitSEE_ ABOVE Air Condition Compressor 15 to 30 HP _ 10.00
New—up to & in_c_1.100s000 BTU 4.00_ Air Handling 10,000 CFM3.00_`�!',
I'ley_100 001 BTU's & over 5.00 Air Handling Over 10 000 CFM _5.00_ tet}
Floor Furnaca _ _ 4.00_ Evaporative Cooler 3.00
Wall • Floor •Suspended 4_.00 Range Vent Fan 2.00 V
Install Vents Only _ _ 2.00 Vent System — 3.00
Repair •Heat& Cooling r _4.00 _H_ood_Commercial _ _ 3.00 C•;u
A;r Condition Compressor Under 3 HP 4.00 _ Commercial Duct System 10.03 '
Aii Condition Compressor 3 to 15 HP 7.504
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INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE ISSUED BY JATE
RECEIPT NO.
774 Signature of 40icant
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