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INSPECTION NOTICE
City of Tigard Building Departme
0. Box 23397
S fle 4 �"--111/i;lzrd, Oregon 97223
Phone: -4175
Y
D 7/
Type of Inspection
Date Requested IV :2 Time A.M.
Address q ------ Permit 37
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrects
Presented to
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES LINO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oragon 97223
Phone: 639-4175
Type of Inspection
Date P.equested =L22=1Time_ A.M.--P.M.
Adr;ress � c� l�� l Permit #LQtL��]
Ownev
1 Lot #_
Builder
The following Building Code deficiencies are re uired to be roue
q cted:
Presented to
- �Pprovod
Inspector _
— - � ❑ Disapproved
Date
CALL FOR :t INSPECTION
0 YE8 O No
INSPECTION NOTICE
ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 1 ` Time ,L A.M. P.M.
Address c
.� Permit #
Owner_ ^" .p._.. Lot #
Builder Lk
The following Building Code deficiencies are required to beorrected:
Presented to _ proved
Inspector
Itepprowd
Date
CALL FOR R , J 7
❑ YES 0/
r r s► r r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
= lit,11yt
Type of Inspection --
Date Requested �/ Time A.M. Q,P.M.j
Address J
--—,l—.t 9'L—� -- Permit
Owner_ �� � Lot #_
Builder
The following Building Cot:? deficiencies are required to be corrected:
i
Presented to _Y_ pproved
Inspector Disapproved
Date
CALL, F R REINSPECTION
CI YETI 1-1 NO
Q
MEN lfflxmmff�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone, 639-4175
Type. of Inspection
Date Requested 1-4- — _ Tithe A.M. P.M.
Address r (-:i►.�� `� Permit
Owner Lot #
Builder
The Fallowing Buiiding Code deli, cies are squired to be corrected:
-- '
��.rL�cS Cii[ct
o �✓/ Z
-_
Prasented to
- ---- — Approved
Inspector _
_ � ❑
Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
0 t
INSPECTION NOTICE
City o!Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175-�
Type of Inspection —
Date Requested_— 14 LQ Time A.M.—P.M.
Address A4 7(n "1��� 1 ' _ Permit #.e;���-
Owner_ Lot
BuilderC
The followinb Building Code deficieftAs are n:quired to be corrected:
Presented to _ Wol
pp,otrad
Inspector __ ❑ Dbappret+ad
Date
CALL FOR REINSPECTION
C] VEE ❑ 140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested. 'Z-- Time A.M. ✓P.M.
Address _L<LIL51 Permit
Owner _- _--- Q Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ _—. roved
Inspector _._ u Disapproved
Date
CALL FOR REINSPECTION
❑ YEi ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection Lo
Date Requ1ested Time A.M. P.M.
Address l 1 L _- Permit #
Owner I lot #
Builder
The following Building Code defiale es .i required to be corrected:
i
Presented to _ _ Approved
Inspector -
- - --------- (_I Disapproved
M
Date
CALL FOR REINSPECTION
O YES El No '
4
INSPECTION NOTICE
City of Tigard Building Department
P,O. Box 23397
Tigard, Oregon 97223
Phone: "9-4175
c
Type of Inspection
Date Requested. Timer A.M. P.M.
Address _. •_�� Perm --21lt /
Permit
Owner - --_ . Lott
Builder -_._...__,_— ! ►-' ! — -- — /v!/_S'7/Sj'►Z ��
I
The. following Building Code deficiency s are required to be corrected:
-------------
i
-
Presented to [-t Approved
Inspector r Disapproved
Date
CALL FOR REINSPECTION
C] YEt 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 C(;
Tigard, Oregon 97223
Phone: 639-4175
CZ�l1.L1
Type of Inspection t-r J � _
Date Requested _ Time -_ _ A.M.--P.M.
Address / � '7 % -�� P-rmit
i
Owner Lot
Lot
Builder - ----- --- — ---
The following Building Code deficiencies are required to he corrected:
• I
i
' r 4.
Presented to _ _-- _--+--- --- --� Approved
Inspector Disapproved
Date -
CALL FOR REINSPECTION
❑ YES LA NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ �n_d� a✓�
Date Requested
p__rTime -6,A-W.--P.M. ^'7
Address �-t.O _ w l� S7------ Permit #—,i
Owner Lot
Builder
'The following Building Code de ciencies are required to be corrected:
Presented to _ 27
__ t{ 'Approved
Inspector _ _ -- -_ ._ i Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
i
I
6537
CITY OF TIGARD 639.4171
BUILDING PERMIT DATE 19-____
2S1-11A� 12 11am Lake
TAX MAP _LOT N0. -_—SUBDIVISION
OWNER_ Terry Thumao J06 DDRE S 14809 SW 91st Ave. -
tAi nr 47Iu7 4-11-117
BUILDER eat ,al'e Gusltam titames, IQC. P.U. box 23033,*ATE%EG.NO. _EXP.DATE_
BUILDER'S PHONE 641-5626 —
Piercy b Barclay PHONE b20-4551 OTHER_
ARCHITECT_. - ------
STRUCTURE II NEW El REMODEL ;ADDITION REPAIR MOVE OTHER DEMOLITION
''[kl RESIDENCE COMM EDUCATION 'ND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY 1.3 LAND USE ZONE {'�Ai�� BLDG.TYPE FIRE ZONE _PLAN CHECK BY i.!°'' HEAT f;.+
Lvnumc spin c: i 1y uvelliny wi-A Lacliru uraLw all Oar u.,Orove(4 11141s-, ')ubiect to b:i Cud,c.o
surry acicove, woou stove by sEpt:rute per:iiL. _
SEWER PERMIT N 32689 (1du) 3 hati,, 11 traps garage 576
OCC.LOAD FLOOR LOAD 40 HEIGHT Zt, NO.STORIES 2 AREA 2220 NO.BEDROOMS 4 VALUE 9>i.t►UU
BUILDING DEPART' 24T SETBACKS FRONT N) REAR 60 LEFT SIDE 11 RIGHT SIDE
Permit 4 2 i•1)(1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
27)��5 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES A14D ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURrENT CITY BUSINESS
TAX PERMITS.SEPARATE P'_RMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax li.ub u'aIJ4 lSU.UU
SDC—
721.63
Total APpL ANT OR AGENT
PDCf1 15U.UU
Receipt NO. AD)A119 PHONE
pal.Due _ _621.6_. ... .._.
Issued By Approved By
........._ �..........+rM.r.W11dWY..+++.Y+�n.°,., ..._..__.._:!..wvM. .i..A.Ar.+w....wr.�....._:ver.....«...._.J.as...r....��-_._ ......r..+s.i....:.._.___...r.+r:+t...s..4.1J...
t
DATE INSPTYPE INSPECTION REMARKS PLUMBING DATE
Contracto,hill)01)
40 F 2 Permit No
: I
/
/ fPer tNo.
• � / �is
orOilFinal _
Rough inSEWER
r
DRIVEWAY
fktorfnDrmnage
Sidewalkil�4ain Drain)Final
�
I®Street Final
OCCUPANCYAporoach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTFICATE
I
rEr M I
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : Z Z /2
PLAN CHECK APPLICATION DATE RECEIVED: 2 -�
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 69—d
This is to certify that the attached '7--- sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER OWNER'S ADDRESS:
CONTRACTOR: �� TELEPHONE:
JOB ADDRESS: LOT NO. & MAP:
DESCRIPTIOtd OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
0 Engineering Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
OOther O Other
Items Required
1
Oist of subcontractors Aj G11- �
Business Tax
L� Calculations
0Truss Details
OParking Plan
0 Landscape Plan
0 Other
COMMENTS:
City of Tigard Building Department
7Y:
L/111 111 L- Ill, ��20-
tor
inspections call 679--4175
PERMIT N0.
CITY OF TIGARD 639.4171 DALE _" -to % — d
BUILDING PERMIT `u
P.O. Box 23397, Tigard OR 97223 TAX MAP ��"�� '��TNo. [ SUOOIVISIONA -4t9
OWNE te Y M 0, =. JOB ADDRESS /'16f22
BUILDER STATE REG.NU. -70 7 —EXP.DATE
BUILOER'S PHONE
ARCHITECT cr1/c PHONE61 010"- �1k J l OTHER
_STRUCTURE NE-W ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE U OTHER n DEMOLITION
6SIOENCE ❑ COMM C] EDUCATION ❑_ oND (:1 RELIGIOUS, ❑'ACCESSORY Q GARAGE
O� BOTHER C) FENCE
OCV.FPANCY 4 LAND USE ZONE _:�LO(►•TYPE —FIRE ZONE PLAN CHECK BY
Construct single family dwellirl v ached ❑aragr all per aprome + pl.lnc. -
Suhjnrt to 8�) code --- `---------
SEWERPERWT4 �I '(1du) 17aths -LL trapss9�area n
OCC.LOAD FLOOR LOAD ��(� HEIGHT NO.STORIES AREA �� VNO.BEDROOMS 4 VALU !S O()
_ BUILDING DEPARTMENT SETBACKS FRONT Z d REAR �0 LEFT SICE '? RIGHT SICK
P�rrtNl `a THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGmAnol. 'AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
PUACMCk WONK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCF.
WITH ALL APPLICABLE COOED AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PLrAL Fki RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMrfS_SEPARATE YPERMITSOUIRED FORSEWER,PLUMBINGGAND HEATING,
Sial*Tiu Vp __I!Told Z AAGENrPrepd.
_ R.&C„TP"r ADDRESS rt40NI
Issued pprovsd By
SSDC
SOL' - — �L
RECEIPT b
POC - �Sy — DATE PD. 3 �
SCWEF CONNECTION _ AMOUNT PD.��� •�-
5! Lf[-R INSPECTION S
`;f WEFT SURCHAHG/ 5
ILL 5-07 V
:omrlente : �qUO
---- _-3:2 U
E -
CITE( OF TIGARD MECHANICAL PERMIT Receipt#
Permit# _
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 T
Tigard, OR 97223 2) Supplemental Permit _- 3.00
639-4175 Furnace to 100,000 BTU
1 incl.ducts&vents 6.00
Furnace 100,000 BTU 1 _
2) incl.ducts&vents 7.50
Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Address — 4) Suspended heater,wall heater 6.00
Address or floor mounted heater
Tax Lai _ Map No. 5Vent not incl.in
Lot Block Subdivision ) appliance permii _ 3A0 —
Name for name el business) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU
Citwstate Zip —� 8) Boiler or comp to 3 HP-15 HP-- _ 11.00
_ absorp.unit to 500,000 BTU
Name 9) Boiler or Gomp 15-30 HP 15.00
absorp.unit 112-1 million
Melling Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City Stale 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 handling uniten is 13) 10,000 CFM i 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are m
compliance with Staty laws,that I am registered with the State BuildersBoard,that the 14 Non portable 4.50
number given is correct (If exempt from Stale registration pfease give reason below) ) evaporate cooler
15) Vent fan connected 3.00
to a single duct
16) Ventilation system not 4.50
- included in appliance permit -
17) Hood served by 4.50
mechanical exhaust
Signature lowner or agent) _ Dato 18) Domestic type 7.50
Describe work [ i addition (-1 alteration f_) repair Fl -_-__incin_r3tor
to be done residential 1-1 non-residential L_l 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ __ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property 21) Ga.,piping one to four outlets 2.00
Type of fuel - oil i natural gas I 1 LPG C_l electric 1 1 -
22) More than 4-per outlet
NOTICE — -- - --
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME r PTER -
WORK IS COMMENCED. -, TOTAL �
Special Conditions
Date issued _—_by ____