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01 INSPECTION NOTICE
City of Tigard Building Department
JJJ / P.O. Box 23397
Tigard, Oregon 97223 Q
Phone: 639-4175
Tvpe of Inspection _
Date Requested /q' _ Time�_ A.M. P.M.
Address ���� --1 �j`` _ ---
Permit #
Owner
Lot 4�
Builder
The following Building Code deficiencies are required to be corrected.
Presented to — #_,Anprnved --
Inspector
_— U Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 No
W WIiir
CITY OF TIGAR F-) PLUM BI N(; 13125 94 KiU 131W-
App6ca•^•ts must hold Oregon Registration to conduct a plumbing ) '11gxd CR 9x M
business(Of must be property owner/operator not hiring outside help. PERMIT,`MIT 639-4175
Name of Dewiopmenl -3/t
Plumbing Permit No.
Addrosa Nr`+'--- --
ocription
Job TJY Lot OHS tf14-21-010 Ol1AN. PRICE AMT
Address Map.No.
Block r Subdivision FIXTURES -- - - -- -- ---
() _ '� Sink _ 7.50Cie
sp
ame or name o sinesa) lavatory
mg Address Tub orTub7ShowerComb- - 7.50
' m. + ?� Shower Only _L 7.50 p
Owner / late Z Water Closet 730 7,
/ r
4 O Dlshv asher _. _ l - - 750
Phone Garbage Disposal
Name Washing Machine _ )go
Floor Drain - 7 so
ai mg .less _� --- Phone .-- -- --- ----
-.Wale,Hesien so 7570
OCCupant Cky/Slate -- ----- zip Laundry Room Tray- �.L 1.50 Z,.�U
Urinal 7,50
Phone 36-YA Other rbdures(Specify)
ress ` � 7.50
Contractor Gtyi to - 750_ .
v o 'MISCELLANEOUS
5 aCity Blue Tax W - ewn S1st 100' a0 00
7 3 - / 5 -- —
tS ate g god 1To lois s s o Sswsr es.Add%.100' _ 1500_
(Res+denha') Wafer Service IM 100' - 20 00
1 hafeby acknowledge Mut 1 have read this arK+ecation,Mut the Inlamaoon Wader Service ea.Addil.W _ 15.00
gh"+n is coned,shat I am reglef aced with the SU-Ie&ruder'@ Board,and also Storm 6 Rake(hall 1st.100' J0.00 -
heve•Stale Plumbing ken"that the rrxnbers given are correct.Mvl all -
P1 IV work w0 tv done in-xordance with sppllcable prvvWons d Ore Storm&P 1n Drain Addl1.100' 15.00
goo nevised Statuses Chapters 447 and&al and W"Icable oodes and that
h k'will e—* ed w*mi Ibanrwd undw ORS 663 (11 avert"from Mobile Home Spans A - 2500
S
+ .Please"reason below) Back Flow Prevention
t/OMFOWNFRS -1 hereby a AWY 01W I am the owner o1 the property de Devloeor ArWPollution Dome 7 60
aCrbW above N~kxa*m I prt+Poso to makrr a pkxri*V YxtaMMlan kx Any Trap or Was%Not - —
my own rasa and thla Property Is not belrq axe ucftd for sale,lease or rani CMsseCMd to a Flo" 7.50
Catch SUM 7.50
--- Insp.of FxM.Plranhksg _ 40.00 Pw Hr
--- — - -- - gsa±MDed inepsc�w►a T' 40.00 Pet Hr
--- --- Aller.of Pkmftq wtlhtn -- -
�+ w ebg t s.00 min
Date Now H1dg or Burd.Ad~_ 26.00 min
—
f?earxbe wont new arxlitron aftellon c3�111
be dons r bsnfial l (� tion fvald�Mtlal l lir f) - tom. _ --- _----
fdstlnq rise of
buU%or pre erm.
PfqPQW
bt#Avq or`qty _ 4%GUROM MIM S90
NW, ---— T m �
TMs psrtM becomes null and vni d it wrsrk or(wwvu0Wn @Lew teed is net ow - _
I"NOW*Wdm 160 deft w 11 Mjat turtlom rx woAt te r ,tandad or ebaroft,rad fd
a Potosi to too fta all rang arra Bier wok la OMI.rle vod
Oats lsauexl � _ by
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone! 639-4175
Type of Inspection -
Fate Requested ` l Time _ A.M.-__...._—P.M.
Address -l-4 I�1 ��`-� --_---- Permit #1
Owner_ _— Lot #
Builder_'The following following Building Code deficiencies are required to be corrected:
I,
' EAI V,
V
n
Presented to I j _ Anproved
Inspector U Disapproved
Date
ALL FOR REINSPECTION
❑ YE8 0 NO
BUILDING PERMIT APPLICATION DATE_ _ . 19 ____ m738
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BIJILDFR PHONE
OR AS SHOWN AND APPROVED IN THE AC.OMPANYING PIANS AND SPECIFICATIONS. OWNFR PHONE
LUT NO. 1A%
OWNER IiRtut�Yitl. :.t;. .rt�.:u;; JOB ADDRESS i4la;lt,� .i �sL tivc . --9;0()13 ARCHITECT Alan hapcoru, i'Z 1 r I(•
Bristol Hoomes P.O. Box 84 West Linn ENGINEER
BUILDER ADDRESS i DESIGNER
STRUCTURE Q.NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Lam? RESIDENCE D COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -� LAND USE ZONE ` �1 !" BLDG.TYPE��y"' FIRE ZONE PLAN CHECK BY 1'-L HEAT
Construct �ai�,,;lc fw,;ily (11".r1linp w/attacher ,r,.srar.e, all }ger wppruve6 plan&. Suirjec% Vu
Code. Fuenint, Cruse devise.
SEWER PERMIT# J343f' loy) 3 bathe 15 traps,.,ara) a arca 440'
OCC.LOAD FLOOR_LOAD In(. HEIGHT 2('+— NO.STORIES AREA `14 N0.BEDROOMS i VALUE `� ).UUIt
BUILDING DEPARTMENT " • ,
- - -- SET BACKS FRONT .'�� REAR ;�,, LEFT SIDE_ E' `jRIGHT SIDE •'�►-
Permit 43U.U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COPE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFJ THAT THE
Plan Check 2"' 1•i4 R, 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
Subtotal RESTRICTIVE CO''ENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax " .32 ---. .
Total 2S.
SDC— 6UQ.Ut1
PDCM .* 150100 APPLICANTORAGENY
By W IUU.It+,
Approved 6H Receipt No.
DDRESS - PHONE
- j
DATE INCP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
/73"
Permit No.
- 6
v///(, Rough-in
0�0 9`7am` Fixture
4 p Final
HEATING
Contractor
11610 4-A-1?7
Permit No.
Gas or Oil
71a9lt Rough-in
Final SEWER
Final
DRIVEWAY
ol-d Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
IIZoning Final
IF r
CITY OF TIC,^RQ MECHANICAL PERMIT Receipt N
Permit N
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 Furnace to 100,000 BTU
1) incl.ducts 6 vents 6.00
2) Furnace 100,000 BTU + 7.50
incl,ducts&vents 7
Name of Development 3) Floor Furnace 600
incl.vent _
Job Adore a 4) Suspended heater,wall heater 900
Address 97. - or floor mounted heater
*ax Lot Map No 5) Vent not incl.in 3.00
I_ot Q Block Subdivision appliance permit _!
Name(or narne of usir s) — 6) Repair of heating,rP;rig., ti 00
cooling,absorpticm unit
%failing address PhoneBoiler or comr to 3 HP
Owner 7) absorp.unit'o 100,000 BTU 6.00
Cityfstatez 1, 8) Boiler or co,rp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
Name 0) Boiler or comp 15-30 HP 15.00
absorp.unit'h 1 million
Mailing Address Phren 10 Boiler or comp to 30.50 HP 22.K
absorp.unit 1-1.75 million
Contractor City/state Zip 11) Boller 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 applicalion that the information given Is3) Air handling unit
t 10,000 CFM + 7.50
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 Builders'Board,that the 14) Non portable 4,50
number given is correct (If exempt from Slate registration dense give reason below) evaporate cooler
) Vent fan connected
- -- - ---- -- - t 5 to a single duct 3.00 Z.
- Ventilation system not
t6 included in appliance permit 4.50
r--y f 17) Hood served by 1 4.50 q
mechanical P••' ,tst
s vre owner or agern) Date ) Dome3tir .}
Dc scribe work 0 addition ❑ alteration El repair E) 19 incineratts 750
to be done reeldentia non-•asldential O19) Commerciwt , n A-trial 30.00
Existing use of type Incinerator -
buildingproperty_ _ Other i.e.,woodstove,water
or p p erl y � ,1-D-
10) heater,solar,clothes dryers,etc. , 4.50
Proposed use o1 � � - - --
building or property - -_-__ 21) Gas piping one to four outlets 2.00 2 _.
Type of fuel- oil [1 nat--ral gas If LPG ❑ electric ❑ -
22) More than 4-per outlet
TlE - - SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - — - ------ - -- - - -
STNUCTION AUTHORIZED IS NOT COMMENCED WITHIN 190 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 1b0 DAYS AT ANY TIME AFTER --- ---
WORK IS COMMENCED. TOTAL y�,
Special Conditions
-- Date issued ..c' by
_ - 1
IN i
for inspection:: call 639•-4175
PERMIT NO. (17 -7 3 jr
CITY OF TIGARO 639•4171 GATE __� 1_�lo.�:�
BUILDING P5RMIT I� P ed L
P.O. Box 2 397, Tigard OR 91223 TAXMAP LOTNO. SUB(XVI$10N
OWNER c2sE� ,k''Ln JOBADORESS --2-1 '`). 01
BUILLIER -�t7�o-t. ?� -.• —� STALE REG.NO. 9 9 9 EXP.DATE ��Z..f�1
BUILDER'S PHONE '38- y C)
ARCHITECT`�' ,4+ �y�l���c� #_ �C l Q- PHONE OTHER
STRl/f,TURE dl NEWy REMOOEL O ADDITION O REPAIR_ O MOVE O CTHER Q DEMOLITION
0'RESIC'£NCE O COMM O EDUCATION O IND • O RELIGIOUS, O'ACCESSORY Q GARAGE O OTHER" Com] FENCE
OCCUPANCY _LAND USE ZON GLDG.TYPE ._ -hL FIRE IDNE__ PLAN CHECK BY �. BEAT „
—. Construct single family dwei l ina /attacheed garage A]
l rZa
_�1�r r r n R 5 r•n ri� *� �"'4+�Nr* '"��KrA�9.a ._—
sEwERPEaMITaAl (Idu) baths. /% ras garage area qO _
OCC.LOAD FLOOR LOAD Z!4, HEIGHT T—NO.STORIES t AREA:* NO.BEDROOMS' VALUE �10
BUILDING DEPARTMENT SET r3ACKS FRONT REAR '� •LEFT 5? "V RIGH'SJOE
Pe�^>al THIS PERMIT IS IS-SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILOING CODE,ZONING
REGULATIONS AND ALL APPLICABLE COOLS AND ORDINANCES.AND IT IS HEREIN AGREED THAT THE
Man Chock WONK WILL BE DONE IN ACOORJANCE WITH THE PLANS AND SPECIFICATKIN3 AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE LSSUAKM OF THIS PERMIT DOE,i NOT WAIVE
Pt Ck F" RESTRICTIVIE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAXPERMTTS SEPARATE PERMITS RMUIREO FOR SEWER.PLUMBING AND HEATING.
Slale Tax /7 �• SSoc
SOC•-
Total„ _ APPLICANT OR AGENT
Recelpl ADDRESS
y7S r�KnNt
Inued _—_._approved ey--
5 O C
RECEIPT k
POC -� /s
DATE PD.
5CUCR CONNECTION 5 97S" AMOUNT PD._T�� �...,
SF_UER INSPECTION S �
SEWER SURCHARGE 5
Nye
r ,.,
L t�� It R
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : _j�Sl-
PLAN CHECK APPLICATION DATE RECEIVED: s`/�`'s,
P.O. Box 23397, Tigard OR 97223 P/C DEFOSIT PAID: 16#e
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, _ edition.
PROPERTY OWNER:, OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: 0,&� •— 6 38-- 6 6 Y D
JOB ADDRESS: LOT NO. 6 MAP: ,10_�ic-i�L��
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept . O Reissue
Engineering Dept. O Flood Plain/Sensitive Lands
Cl Fire District O Sewer Availability
OOther Other
Items Required
0 List of subcontractors
V Business Tax
`.1 Calculations
UTruss Detail9
C) Parking Plan
0 Landscape Plan
OOther
COMMENTS:
City Tigard Building Department
BY: