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INSPECTION NOTICE
Oity of Tigard Building Department P.O. Box 23397 (CD
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _��=�1•: �
Date Requested C- A.M._ P.M.
Address _,L L� r Permit
Owner Lot #_�
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _- ` pproved
Inspector
- -- - ------ ❑ Olfapproved
Date
CALL. FOR REINSPECTION
❑ YES ONO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection r.i_
Gate Requested Time A.M. P.M.
Address _- -7A k Permit *_(c),=�)( 0 �
Owner Lot
Builder JL It = ,� /.N The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _ ( _� ❑ Disapproved
v
Date _
CALL FOR REINSPECTION
El Yn 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 i
Phone: C39-4175
Type of Inspection
Date Request d--- ice` Time A.M. _O.M. _
Address Permit #5��� Q
Owner_ Lot
Builder
The following BuilOing Code deficiencies are required to be corrected:
Presented to -_- -__ �' rrproved
Inspector _ Ll Disapproved
Date
ICALL FOR REINSPECTION
❑ YE! 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type c f Inspection
Date R,quested Time A.M. P.M.
Address -' r _ ��� �L' '' Permit
Owner _ Lot #
Builder -� T �___-----`i.LS.. , 11–Y
The following Bu'ldwq Code deficiencies are required to be corrected:
Presented to L
Approved
Inspector
-- — �- Disapp-oved
Date '� V
TALL POR RE N.SPECTION
❑ YES ❑ NO
ff IV "W WISIVOWZU Mrari, Ila
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97222
Phone: 63Q-4175
Type of InspectionIe_Lj_ - _
Date Requested Time
r—,
Address _ Q�� Permit #.
Owner -- // -
–Lot #�e—
Builder
The following Building Code deficiencies are required to be corrected•.
Presented to _ Approved
Inspector -_ _.
�..I Disapproved
Date
CALI, FOR REI_NSPEMON
YEi ❑ NO
JIM
INSPECTION, NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223 fi
Phone: 639-4175
j
Type of Inspectionz—
♦.
Date Requested_� I r- A.M. P.M.
Address Its ,C ��� `� '� I. ' Permit *CpI �c (Q7--
Owner
Q --Owner_ --_ Lot #
Builder
The following Building Code deficiencies are required to bre corrected:
Presented to ah lJ�� ;/
— 'APProved
Inspertor i Disapproved
Date__
CALL FOR REINSPECTION
0 YEs 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4115 ftp
Type of Inspection's
Date Requested_ TimeCom. 1.S.�.M.
Address ` -, C,1 Permit
Owner _ _ Lot # _
Builder 't--
The following Building Code c:.:ficiencies are required to be corrected:
--- — —---
Presented to f_.1 pproved
U
Inspector Disapproved
Date
CALL FOR REINSPECTION
D YES 0 NO
CITY OF TIGARD MECHANICAL PERMIT Receipt# -
Permit #
Description
Table 3A Mechanical Code__ CITY PRICE AMT
City of Tigard —
13125 S.W. Hall Blvd. 1) Permit Fee -0• -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) inc!.Jucts&vents 6.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development Floor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No Vent not incl.In
Lot Block Subdivision 5) appliance permit 3.00
Name(or name of business) Repair of heating,refrig.,
61 cooling,absorption unit 6.00
Mailing Addrrss PhoneBoiler or comp to 3 HP
Owner 7)_absorp.unit to 100,000 BTU 6.00
City state — zip Boiler or comp to 3 HP-15 HP
8) absorr..unit to 500,000 BTU 11.00
Name Bollor or comp 15-30 HP i
to) i Fsorp,unit 112-1 million 15.00
Mailing Address Phone ) Boiler or comp to 30-50 HP
10 absorp,unit 1-1.75 million 22.50
Contractor City state zip ) Boiler or comp to 50 HP
11 absorp.unit 1,750,000 BTU 31.50
State Raglstratlon 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 Is 13) Air handling unit 7.5010000 CFM +
orrect,that I am the owner or authorized agent of the owner,;het plans submitted are in , --
compliance with State laws,that I am registered with the Slate Builders'Board,that the 14 Non portable
number given Is correct.(If exempt from State registration please give reason below) ) evaporate cooler 4.50
Vent fan connected
_------ - _ -- — 3.00
to a single duct
�- - - — ------ ) Ventilation system not
16 included in appliance permit 4.50
Hood served by
17 mechanical exhaust 4.50
Signature(owner or agent) Date Domestic type
Deocribe work L7 addition n alteration LJ repair [ I 181 incinerator 7.50
to be done resldentiral U1 non-residential f l Commercial or Industrial
19) type Incinerator 30.00
Existing use of ,
building or properly i ?0) Other I.o.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property _- 21) teas piping one to four outlets 2.00
Type of fuel- off L_1 natural gas Cl LPG I I electric f 1 -'
22) More than 4-per outlet
N TIC 8U8-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN '80 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 23%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AF-tER ---
WORK IS COMMENCED. TOTAL
Special Conditions
Date Issued_ _ by
CITY OF TIGARD 639.4971 6563
BUILDING PERMIT DATE Kebrua_U_ i9 bi
TAX MAP 7SL�LOT NO. 1_ .SUBDIVISION s11. ArA__
OWNERu:lV4 iU18�i►eC M19 SN 91pr Avg.
e
JOB ADDRESS
BUILDER
1tame. ko — 1�s Hi118twr0 STATE REG.NO. 42634 EXP.DATE�JJU16i
BUILDER'S PHONE __. 64a-94(i(,
ARCHITECT PHONE __ OTHER
STRUCTURE I NEW REMODEL ADDITION REPAIR MOVE L] OTHER DEMOLITI('.iv
RESIDENCE ❑ COMM n EDUCATION IND RELIGIOUS ACCESSORY_ GARAGE O'HEH —FENCE '
OCCUPANCY S LAND USE ZONE`• •NYU BLDG. TYPE FIRE ZONE—PLAN CHECK HY HEAT
Cjn4i•rrcr einsla falai1Y ciarro11jri �llJ +.L1 _s.Lri.,jrUyedi 61,4.
SEWER PEFMITM 331:11 (ldu) .3 bath, W Cr.,e;,N j;arare area 44(1
OCC.LOAD FLOOR LOAD 40 HEIGHT 211+— NO STORIES 2 AREA " '-0 NO BEDROOMS 4 VALUEr 3000
BUILDING DEPARTMENT1 REAR _LEFT SIDE RIGHT SIDE is
--- - - � SET BACKS FRONT Z 1�
Pewt 352•UO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULA?IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.U.i• WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND Fi-ECIFICA'fIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NCT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
}� TAS(PERMITS.SEVARA I E PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1't,•. ,
I
Total 4(16.t18 SDC— 60U4UU — ..� z
AP
PDC#, �CANTOR AGENT
Prepd. 10VIUU L 15U.UU t ,�
_-�
Bal Due Receipt No. ' ADDRESS -- _-- ---PHONE --
3U6,O�s
Issued By AWovod By
x
i
Af
y .
DATE INSP.� TYPE INSPECTION REMARKS �PLUMBING DATE
Contractor
Permit No i—
HOUghIn —
__�./7__��pf1 �! /• �:� Fixture
1
7U — -- Final — --r
_330.2'1 fbI11 HEATING
— — --
y_ 46—2 7 Contractor — fb
�� _ — ---- Permit No [�
Rough in
Final
SEWER
--- ---- _— Final
DRIVEWAY — r
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb B Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY -_—
Landscaping
_ Zoning Final
1
s
('CHIN L,rir_-n fvU. 2-Z
y /z.
for inspections call G:19-4L15 PERMIT N0.
CITY OF TIGARD 639-4171 DATE 2 _ /7 lo_�—
BUILDING PERN"T
P.O. Box 23391, Tigard 09 91/223 TAX MAP LOT NO. __SUBDIVISION
OWNER.j1_?eT e //C9(-r C. 7 EY JOB AOG�F�ESS
BUILDER /CF t L A6&C Gr STATE R':G.NO. y Z 3�L _-EXP.DATE T 1 3 �7
BUILDER'S PHONE / -(( �-- ?�/c:�•I
ARCHITECT pl:t '/ 1 �� ° lxr _ PHONE Ili O';HER
STRUCTURE JEW C1 REMODEL ❑ ADDITION C1 REPAIR ❑ MOVE ❑ OTHER U DEMOLITION
lJ ,� ESIOENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS. ❑ACCESSORY 0 GARAGE U OTHER 0 FENCE
O.CUPANCY a_LAND USE ZONE BLDG.TYPE ILA/—FIRE ZONE—=PLAN CHECK BY ►BEAT —
C&1d
r
Construct single family_ inq w/attached DaX-aV 411 per Appr,w(i_la4►a
1 �
S u h r t r r, t3 5 ode �(1i Lj
SEWERPERMIT. J•_— .(Idu) 3 baths./,O traps aaraoe areaMSf`1 ---------
OCC.LOAD _FLOOR LOAD & HEIGHTU 10 NO..STORIES AREA 2 J 7 4)No.EIE01400MS '� _VAL.UE7 1;14 P1
BUILDING DEPARTMENT SET BACKS FRONT . 0 REAR /�C�' LEFTSIDE / RIGHT SIDE1 �a
r
Pwrnll (d THIS PERMIT IS ISSUEV SUBJECT TO`HE IEGULAYIONS CONTAINED IN THE FUIL.04NG CODE, ZONING
RECIULATIONS AND ALL APPLICABLE CODE;AND GRUINANCES„AND IT IS HEREBY AGREED THAT THE
PUAClheCk �/ r WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COUPLIANCE
WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pi.Ck.Fire RFSTRK'TIVE COVENANTS CONTRACTOR AND SUB CONTRACTOIiiS TO HAVE CURRENT CITY BUSINES
` TkX PERMITS.SEPARATE PERMITS REQUIRED FOR!FINER.PLUMBING AND HEATING_
State Tax Q f 55DC_
SOC
Total- / 4 APPLICANT ORAGEN'
—
"t— P()CI
Prepd.
Recelpl No ADDRESS orul.4f
B.
Due vAr
/,
Iasued By 4 -.Approved By
SSbC -
SOC - '¢ I
POC -'� / LJ — RECEIPT -
Q DATE PD._ �- '!f
SCUER CONNECTION _S / AMOUNT PD. _oe ejQ_.o...
SEWER INSPECTION S ,
5EUER SURCHARGE 5
i
-ummente: _ _
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION LATE RECEIVED: 7
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /0 d
This is to certify that the attached Zi sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire b Life Safety Cude, /60 edition.
PROPERTY OWNER: �. � ru—� OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: `,Z 11; /01� �_ LOT NO. S MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. v Reissue
OEngineering Dept. 0 Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other G Other
Items Required
List of subcontractors
Business Tax
L0 Calculations
OTruss Details
O Parking Plan
OLandscape Plan
OOther
COMMENTS:
City t3f\ Tigard Building Department
BY: