14827 SW 91ST AVENUE 14827 SW 91ST AVENUE -
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INSPECTION NOTICE .�
City r t Tigard Building Department
P.O. Box 23397 ��
Tigard, Oregon 97223
Phone:
639-417b
Type of Inspection
Date Requested ` — Z 1 ime-- A.M... f P.M.
`-1
Address l r? 2 7 Permit
Owner _. _...--_-- - __ Lot # -
BuilderThe following Building Code deficiencies are required to be corrected:
F'rrsenterl M y --— —_ pproved '----
Inspector _ � -- Disappro ed
Date —
CALL FOR REINSPECIYON
❑ YES ❑ NO
(:l'1'Y 0F 'l'IGAItt1 MECHANICAL ['ERBtLT
PermlC Y
k.LLy of 'Tigard
13125 SW Hall Blvd. ( on
—
11.0. Box 23397 TabM Madtan►r:+ QTY PRICY, AMT
l lode _
Tigard OR 97223
639-4175 1) Permit Fee - -4 -0- 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BYU
Incl. ducts& vents _ 6.00
2) Furnace 100.000 BTU +
Name of Davelopmenl / Incl,�.iucts&vents 7.50
_, ,�._. 3) Floor Furnace
AddressIncl. vent 6.00
Job __.
No. 4) Suspended heater, wall heater
Address rex Lot Map
Lot / Block rwbdlrtelon or floor mounted heater 6.0_0
5) Vent,not incl. in
Name t at no of Iwai anal applibnce permit 3.00
�G
Melling Address �., 6) Repair of heating, refrig., -- _
Owner ��.� re'r- Aao-,pV5 V cooling, absorption unit -6.00
ref 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00
Nen,. 8) Boil-r or comp to 3HP-15HP
absorp. unit to 500,000 BTU 11.00 -
M.IIIr,a �eeras. �o�• 9) Boiler or comp 15-30 HF'
absorp.unit W--1 million 15.00----
Contractor
5.00 —iContractor ply(Sti1e - av 10) Boller or comp 30-50 HP
absorp.unit 1-1.75 million 22.50
State Registration No. city Bus. Tax No. 11) Boiler or camp 50 HP
absorp. unit 1,750,000 BTU 31.50
1 hare0y ecknowtedge ,het I have read .,hiq aMlicsuon that the inf)(metlon 12) Air handling unit to
given le axrect, that 1 am the ownor ,r,thonzod "t of the ovmer, that 10,060 t'I�M 4.50
er
piano submitted am In comfilar� with State taws. that 1 ►m raglalared with _ _
the state Builders' Board, that the number given to correct. W 13) Air handling unit
from Stets registration ptesse give reseon twlowl• 10,000 CFM + _ _7;50 -
__ 14) Non portable
evapt.rate cooler 4.50- --
15) Vert fan connected
_ to a single duct_ _ 3.00
(� �_�� 16) Ventilation system riot
P dG � included i,,, applian:e permit 4.50
Sip ature (owner of ag t) Date -.
17) Hood served by
by-
Describe work addltionF] alleratlon❑ repair o mechanical exhaust 4.50_
to be done residential ❑ non-residenllal ❑ 18) Domestic type
Existing use of incinerator _ 7.50 -
building or property—.. ___ _ 19) Commercial or industrial
Proposhd use of type incinerator �- 30.00
i
building or property— _ 20) Other Le.,woodstove, water
Type of fuel — all O natural gas(-" LPG❑ electrlc❑ _ healer, Bohr,dollies dryers, etc ( 4.50 4
M^ y �21) Gas pipiny one tofour outlets 2.00
NOTICE —_
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORI7.ED IS NOT COMMENCED WITHIN Sud•TOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED a% $11RCNARa! , S
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY -
TIME AFTER WORK IS COMMENCED
PL ANREVIHW2SXOFdUB-TOTAL
, ) TOTAL �• ��
Special Conditions
_�__------ _ ---_ --- Data issued by --
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INSPECTION NOTICE
City of Tigard Building Department
RO. Box 23397
Tigard, Oregon 97223
Phhonnee:639-4175
Type of Inspection _ �" ► _
Date Requested Time A.M., P.M.
Address - / y � 'Z 7 q/l� Permit
Owner J. .
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _-- pproved
I r-spector
-... - _ ---- U Disapproved
:.)a to
CALL FOR REINSPECTION
Cl YEs 0 NO
INSPECTION NOTICE=
City of Tigara Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone. 6399-4175
Type of Inspection
Date Requested _ / ' I q Time_ A.M. _P.M.
Address Permit 4 _ _-- f Q�- -- _-_------ Permit #--W O G---
Owner-- 'k''� .. (/r✓a�c.yyY►-k'�- Lot # . - -- — -
Builder
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector _ Disapproved
I
Date - /� 7 _ —
CALL FOR R IkWCTION
❑ YES I�1 NO
' INSPECTION NOTICE
k
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-417 _l
Type of
Yp Inspection
Date Requested— 7'" "' 7� b Time A.M.
_ Address y/�� ? "�T
--- Permit #
Owner
Lot #_
Builder
The following Buildin Code deficiencies are required to be corrected:
12
L
- i
Presented to
❑ Approved
Inspector _
— [_j Disapproved
Date _ _ --
CALL _FOR INSPF,moN
'C► YE8 Cj No
INSPECTION NoriCE
City of Tigard Building Department
P O. Box 23397
Tigard, Oiegon 97223
Phone: 639-4175 i
I
- Type of
Date Requested— 3
_—. Time_ - A.M. P.M.
Address
Address / Y - / ST _ Permit #
k ----Owner____- ,� 1/h►�j Lor #_—
F Builder
The foil-wing Building Code deficiencies are required to be co•rected:
i
Presenttrd to '�^ /
— Approved
Inspector n
Disapproved
Date I
t
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD 639.4171 6000
BUILDING PER.AIT DATE ,,�- — - —_--
Inspection Line 639-41.7 ) TAX MAP LOT NO. 11 SUBDIVISICA*l Il arcl Lake
Furry 6 Debora L Natfield
14627 SW 91st Anc .
OWNER �._-� _ _ _.... JOB ADDRESS
BUILDER['`fel Nt1ylLlre --- - - -- - - STATE REG.NO:{����F`_-_ EXP.DATE /1/dl
BUILDER'S PHONE
ARCHITECT -_ PHGNE -_ - OTHER _— - - --
STRUCTURE lCJ NEW ! REMODEL 0 ADDITION REPAIR ❑ MOVE OTHER i . DEMOLITION
RESIDENCE I Comm EDUCATION f ? IND RELIGIOUS F ACCESSORY GARAGE 1 OTHER FENCE
OCCUPANCY y 1LAND USE ZONI� , BLDG TYPE ,,- FIRE ZONE PLAN CHECK BY HEAT
lOI2llCilil.0 xingi, - lwaily Uwtliln_ wiattF.c:heu ajit l;e 411 per VIOrUYt:,. r,1._fis•.
SEWER PERMIT# 29:)3 .ldu) oarl►p 11 Era',! t arage ar 444
OCC.LOAD FLOOF LOAD 40 HEIGHT 2U+" NO.STORIES l AREA I',- N0.BEDROOM) VALUE[�1 _
BUILDING DEPARTMENT L% S _ lU
-_� SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ 3bw UU _ THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY f--GREED THAT THE
Plan Check ' + '•3V WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPIIAN.:E
-' WITH ALL APPLICABLE CODES AND ORDINANCES. Ti;E ISSUANCE OF THIS PERMIT DOES NOT WAVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS,lgESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC-
Total
• PDC# 150.UU APPLICANT OR AGENT L� -
_---- - - --- - - �.(,rf AbDRESS PHONE
Bal.Due
.545.58 Recelpt No.
Issued By _... -Approved By__
N FW
DATE INSP TYPE INSPECTION �- MARKS PLUMBBINNG-� -DATE
Contractor ?4 86
Permit No Lyto
E( � s Rough-in
Fixture
i n
p.- /--��.�.� �� /`/ Final
—�.,/ sF✓�f 6,Cr�H,b/ v HEATING /
ContractorOr
(//I- 5 36/aJ�
7�—.-— -- Permit No. �' L
r
7��}�p_ L / 21�LG (/ Gas or Oil
O — —
—�/- 6 ! �Y� Rough in
Final
- -- -- -- -
SEWER -----
�— Final
- -------- -- ---_---__— DRIVEWAY w.�_..-
-- -- - --- Final
Storm Drainage
(Rain Drain)Drain)Final
Sidewalk
Curb 8 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIF ICATE OCCUPANCY Final
CERTFICATE OCCUPANCY — -- —
landscaping
Zoning Final
i
for insprcrions call 639•-4175
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT -- LL
R x _ i.i�)i, 1 1.;tl'd/UR 9%'123 TAX MAP . A--LOT NO. _SUBDIVISION ,4�
OWNER � (Ot�Y �( � JOBADDRESS T a 7 S�
BUILDER / _—__ STATE REG.NO. _ 3 0' 7 EXP,DATE
BUILDEA'S PHONE 161 3 2-
ARCHITECT
ARCHITECT ____ PHONE _ ..__-OTHER _
STRUCTURE Cid K W 0 REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER C] DEMOLITION
U HESIOENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑ OThER ❑ FENCE
OCCUPANCY �-�-LAND USE ZONE I -31 BLDG.TYPE ��-FIRE PLAN CHECK BY " HEAT
i 3 Rte.
SEWER PERMIT I '7 ra O _ � t C -
OCC.LOAD FLOOR LOAD � C/ HEIGHT'�C)1--� NO.STORIES 2- ARE �. NO.BEDROOMS VALUEk&0,0
BUILDING DEPA9TMENT SET BACKS FRONT �Z REAR 216, LER SIDE �� RIGHT SIDE /6
Permll DO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
�- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ',NO IT IS HEREBY AGREED THAT THE
PlanCl+eck 3 Q WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE .FICATIONS AND IN COMPLIANCE
WITH All APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
PI,Ck.FWe f RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
p TAX PERMITS..SEPARATE PE iTS RE IRED F SEWgR,PLUMBING AND EATING
State Tax S LI /
Total �j POG A PLICANTOR AGENT �
Preps+. 2-
1 Receipt No. ADDRESS PHONE
881.Due _ 5 4 Y� 's� /77//'' //
Issued By�R�__.___Approved By
c
UER CONNECTION
LIEN INSPECTION _S _ ?'S � ' U� 7
5
WCR SURCHARGE S
/0 2 x AC) CL -7 o rd
79
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