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INSPECTION NOTICE
City of Tigard Building Department
N.O. Box 23397
Tigard, Oregon 97223
j� Phone, 639-4175
n�
Hype of Inspection
Date Requested rime A.M. l • CaCP.M. i
Address - Permit
Owner__.1�CZ_ �� - -- Lot #--- — --
BuilderThe following Buil,?ing Code deficiencies are required to be corrected:
Presented to V41Cpproved
Inspector ^" / (� Disapproved
Date
CALL FOR REINSPECTION
DYE$ ONO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --1 _i0L.' -_
Date Req,iested //2 ___�=_�G��� ime A.M. Pj
Address jrM.
OwaNr r�� ytLot # --
Builder
T11^ 'ollowing Building Code deficiencies are required to be. corrected:
Presented to pproved
Inspector _ ❑ Disapproved
Date — Z/
ly
CALL FOR Rr;INSPECTION
❑ YEt ❑ NO
t t rX!I NFN
INSPECTION NOTICE
City of Tigard building Departmen?
P.O. Box 23397
Tigard, Oregon 97223
, Phone: 639-4175
`
Type of Inspection __15.-��^-�
Date Requested---�.__-2-c'' 5C —_- Time_____ A.M.---P.M.
Address _ _ _ ?errnit #_ (3--�_�__
Owner-�(XQ 3 `� Jl�/'���_�. 11`-�D���1 l`,, lot
Builder
The following Building IT deficiencies are required to be corrected:
------------------- ----
Presented to /Approved
Inspector -_ _._._ U Disapproved
Date
CALL FOR REINSPECTION
❑ YES E] NO
ENSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ' Time A.Mi P.M.
Permit
Address
# _
Owner
Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ __- _. Ilr Approved ---
Inspector G.__/ U Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard Oregon 97223
Phone. 639-4175
Type of Inspection — may
Date Requested C/!I' �- 3 _.. Time_ A.M. P.M.
Address l U S� '�✓ 1L� � Permit *k66
Owner _ Lot #
BuilderThe following Building Code deficiencies are required to he corrected:
C+
hre5emed t0 __..- _..__ L/- pproved
Inspector `, — _. Ll Disapproved
Date _
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
1 City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
r�
Type of Inspection Date Requefted—Requested _ — _ Time A.M._`_ P.M.
Addret. _ K rmit #-----_-----__---
Owner ____ Lot
tilder --— --- —-- —
Th% following Building Code deficiencies are required to be corrected:
Presented to i-Approved
Inspector ,,`� ___ L Disapproved
Date _
CALL FOR REINSPECTION
■ YE' 0 NO
/ IN low
�. Receipt li_1��977
CI'1'T Ui. 'rIGARD MECHANICAL PERMIT
• Permit ll
t.ity ol: 'ribard
1 3 1 15 SW Hall Blvd. Deselipy�
QTY Prti10E AMT
P.O. Box 23397 Table 3A Meehan al Code
Tigard OR 97?23
639-4175 1) Permit Fee � -0- -0- 10.00
2) Supplemental Permit 3.00
Furnace to 100,000 BTU
1) incl. ducts 81 vents _ ' 6-00
2) Furnace 100,000 BTU +
Name of Development, - _incl. ducts & vents _ 7.50
z t 3) Floor Furnace
ea incl. vent 6.00
Job W 1~l 4) Suspended heater, wall heater
Address rax Lot M°'f' ° or floor mounted heater 6.00_
Lot �� ` Block Subdlvialon I 5) Vent not incl. in
Nwne for nems of business) appliance permit 3.00
6tenln,, Addreas Pt>Lne j� 6) Repair cf heating, refrig.,
Owner ,1 U. ad�:�-�,r cooling, absorption unit 6.00
cttyistate Zip 7) Boiler or comp to 3HP
2.0134 absorp. unit to 100,000 BTU 6600
Name_ 8) Boiler c:r comp to 3HP-15HP
I A (�-� _ -.1absorp. unit to 500,000 BTU
Malllp�Add re s home °) Boiler or comp 15-30 HP
rl J o i �N No-7 47 'i 71-(, ]/- absorp. unit 4:-1 million 15.00
Contractor city% ate 23P 10) Boiler or comp 30-50 HP
c ��) - _ absorp. unit 1-1.75 million 22.50
Stale neglstratlon No. City flus. Tax No. 11) Boiler or comp 50 HP
absorp. unit 1.750,000 BTU 31.50
h,eby acknowledge that I have read this application that the Information 12) Air handling unit to
J Qlven Is r:orrect, that I am the owner or authorized agent of the owner, that I 0,0M CFM_ _ ' 4.50
plan,% submitted an In compllarre with State laws, that 1 am legislated with
the Stale Builders' Board, that the number gtvan 1s correct. (if exempt 13) Air handling unit
from Stat, registration plan,-to give reason below)-
10,000CFM + 7.50
14) Non portable
evaporate cooler 4.50
-- 15) Vent fan connected 1
r to a single duct 3.00 9
16) Ventilation system not
Signature (owner or agent) Date includ-a in appliance permit 4.50----
17)
.50 _17) Hood served by
Describe work L] addition❑ alteration❑ repair❑ mechanical exhaust 4.50 y
to be done residential ❑ non-residential ❑ 18) Domestic type v
Existing use of incinerator 7.50
building or property 19) Commercial or industrial
Proposed use of _ type incinerator_ 30.00
building or property 20) Other i e., woodslove, water
Type of fuel — oil❑ natural gas[] LPG❑ electric[) heater, solar, clothes dryers, etc 4.50 ._____
21)
.50 _--
21) Gas piping one to four outlets r 2.00
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN Sue-TOTAL 31•
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% sunCHAnoE f• 2 6
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
PLAN REVIEW 25%OF SUB-TOTAL 13 7
TIME AFTER WORK IS COMMENCED. -
TOTAL
Special Conditions
_ _ Onto immed �- 1 =fit by AA d
W
lift
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ��-� —
Date Requested_ ��_ Time_ � .A.M. P.M.
Address ' `�\r ermit
r
Owner of
Builder
The following Buildin deficiencies are required to be corrected:
TMJ CVVye2c�J"Y
4'
50,
v ry dti 9�. 7`o /./p o Oe.-.-_`l-Qd-7 A _
Presented to _—`�-'
wed
Inspector isapproved
Date
CALL,YOR 94NSPECTION
O AS O NO
INSPECTION NOTICE
City of Tigard Building Department ( Vp�
PC) Box 23397 �'---
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested.___�___ — Time AM P.M.
Address . ___ ._ Permit 3
OwnerP, of #
✓�'�
Builder
The following Building Code deficiencies are required to be corrected:
Presented to /1,prvd
Inspector jJ Disapproved
Date � -- 'li --- --
CALL FOR REINSPECTION
Cl YES ❑ NO
w
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .-- --- ±'�M�=!'� r/
Date Requested _ __ —__ - Time_ �7C�VI. —P.M.
Address C ��• <, 00 z Permit
Owner . 2-tQ-.d __ Lot
v
Builder -----
The following Building Code deficiencies are required to be correcterl:
r
.D r
Presented to ❑ A d
Inspector fes _. Olapplwt+Id
Date
CALL FOR REINSPECTION
YES ❑ NO
b
it 0 !•
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ , l-41 76y,7
Data Requested Tima�M._. P.M.
sem_ r i .
Address ermit # _
Owner _ Lot f#'
Builder E �X
The following Building Code deficiencies are required to be corrected:
Presented to _ ppro.ed f�
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YE! Cl NO
� a
CITY OF TIGARD 639.4171 July i 6163
BUILDING PERMIT DATE �9
laws, . wine 1,39-x4175
TAX MAP ___ LOT N0. _—. SUBDIVISION
_ LL)es Fnter ries ` �+
OWNER P _ JOB ADDRESS 51��'�7 Skr ./J� ��1 ! ri
BUILDER _ !?t'_ 2024 Palisades Tarrsce._Lake uswegaSTATE REG.NO j §__ EXP.DATEY�-
BUILDER'S PHONE bib•• l+i,_2A6_t�7 `C -- ,
ARCHITECT —may-,& AAgtic-. PHONE _—_._()THER _
STRUCTURE ' NEW �-1 REMODEL L] ADDITION REPAIR MOVE ❑ OTHER DEMOLITION
�. RESIDENCE COMM EDUCATION rl IND RELIGIOUS ACCESSORY n GARAGE OTHER [-1 FENCE
OCCUPANCY LAND USE ZONE _BLDG TYPE FIRE ZONE _PLAN CHECK BY ) HEAT
_ Cun�It r cL .�t}__lc ia)uil�dlaell�iuk w/z;ttack�ed bca,te, all per a PTOV0d ulsns. _
k'uun.iatio., Luibe placed miu.240-36" b(-low Fill on firm, natural soils or shill be approved
"Iesigned{ by soils engineer and approved by this office.
SEWER PERMIT#29b42(ldlu) 3 bath 8 traps garar,e area 528
OCC.LOAD FLOOR LOAD 40 HEIGHT 15 NO.STORIES 1 AREA 1610 NO.BEDROOMS VALUE o4,00U
BUILDING DEPARTMENT _1 SET_13ACKS FRONT 2U orlit'.gFAR S2 LEFT SIDE 1t` _— RIGHT SIDE
Permit 365.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'-- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Fhan Check-- 250.25 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
PI.Ck.Fire RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- -- TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 15.40 L.
t+St/.nS �^ — SDC— 6UU.UU ice~ --
Total PDC01 jld0.(A) APPLICANT OR AGENT
Prepd, 100.UU
Receipt No. ADDRESS PHONE
w Bal.Due550.6`
�__
- ---
Issued approved By_< —
By �
DATE INSP. TYPE INSPECTION REMARKS PIJ 8IN DATE
J - Contract r
_ G
` ��Z2�p.,v� i✓ /� Permit No.
Rough-in
K, 711W
Fixture -- --
�- - v 2
r23 ' 6�Ic 5 HEATING
Con tracto
ll �Sw
Permit No. L 2 cl —
O Gas or Oil
Rough in --
-- Final - -
��`
SEWEk
Final
— —� —'-_ DRIVEWAY
- -- _- --_ Final
_--- -�---- - -_ — --
Storm Dreinage
— (Rain Drain)F incl
- - �_-_- ---�------ -- -- Curb 8 Street Final
- Approach
BLDG.DEPT.FINALTEMPORARY T CERTIFICATE OCCUPANCY Finat
CERTFICATE OCCUPANCY
Landscaping --
Zoning Final
i
7
7
for inspections call 639-4175
CITY OF TIGARD 639.4171
DATE
BUILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAX MAP LOT H✓S BDIV1510N >l�i r/�I�I
OWNEF _ JOB ADDRESS L
BUILDER �,' � �dy'S- �Nf/F' 'eve/S�5 STATE REG.NO. �- ��5 XP.DATE
BUILDER'S PHONE
ARCHITECTS i,t;,Q1��� ��J- PHONE OTHER -
STRUCTURE W EW '17❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION
�RESIOENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSGRY ❑ GARAGE ❑ HER ❑ FENCE
OCCUPANCY LAND USE ZONE .TYPE t jSL_FIRE IpNE �� PLAN CHECK BY HEAT
-
.S WER PERMIT s
OCC LOAD _ FLOOR LOAD yo HEIGHT r 'NO.STORIES AREA f 6 NO.BEDROOMS VALUE
I
BUILDING DEPARTMENTI S
SET BArKS FRONT R:�,�(' ' REAR �'` LEFT SIDE RIGHT SIDE 7
Permll a; THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING '
Z REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
Plan Clacl. S" 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
PI.Ck Flree RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
Slate Tax �J
SDC-
Total �Q, APPLICANT OR AGENT — �^
-" POG
Prepd. "' 0 — - --- PHONE
S y Rece4pl No. ADDRESS
Bal.Dus �"Q
Issued By ___-Approved Approved By
--
c)Uc -
5"LIER CONNECTION
SEWER INSPECTION S
SEWER SURCHARGE S
r ,1 _�
oAl
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 6 "
PLAN CHECK APPLICATION DATE RECEIVED: 6' rk -*2- 8�'
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /64-0
This is to certify that the attached '2- sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire b Life Safety Code, ? 5z- edition.
PROPERTY OWNER: _` /2.�.�,1 OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: 757 72� L�rt� C'1 LUT NO. 6 MAP:
DESCRIPTION OF WORK:
Approvdls Re wired SPECIAL NOTES
OPlanning Dept. Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other 0 Other
Items Required
l ' List of subcontractors
OBusiness Tax
L� Calculations
0 Truss Details
0 Parking Plan
Landscape Plan
l/Oo
cither rI
' "w
COMMENTS: �'��- - _fGL- �� _C!0 1 u x I !C
City of Tigard Building Department
BY