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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�
Type of Inspection QIA�i /
Date Requesteda
71 A.M. P.M.
Address
Permit
Owner Lot
Builder
'rhe following Building Code defici/ncies are required to be corrected:
Presented to *Approved
Inspedw Disapproved
Date
CALL FOR REIMPFCTION
[I YES F-1 NO
A
A6
CITY OF TIGARD MECHANICAL PERMIT
Permit#
Description
City of Tigard
Table 3A Mechanical Coda CITY PRICE AMT
----
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 1000
P.O. Box 23397 —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 - Furnace to 10+0,000 BTU
incl.ducts 8 vents_ 6.00
2) Fumace 100,000 BTU + --
_ incl.ducts&vents 7.50
Name of Devebpment Floor Furnace —� — --
3) incl.vent 6.00
Job Address _ Suspended heater,wall heater
Address \ � r ( 4)
�,O�y_ �J "�, J, or floor mounted heater 6.00
I'Tax Lot Map
—No 5) Vent not incl.in - -
LHlo k subdttisl,,, appliance permit 3.00
lame(«n8R1e of Du 1 6) Repair of heating,refr ig.,
t c __Eo oling,absorption unit 6.00
Owner Mailing Address Phone 7) Boiler or comp to 3 HP
J 9 3(`\ Pt_rl ,� t absorp unit to 100,000 BTU 6
c+ /state Zip 1 -__. 8) Boiler or comp to 3 HP-15 HP
6j l J c C r _ absorp.unit to 500,000 BTU 11.00
Name Boiler or comp 15�30 HP
9) absorp.unit lb 1 million— 15.00 __...
Pho
ne 10) Boiler or comp to 30-50 HP
Contractor �' 5 r/ 'Lc JccC�or� a (��o absorp.unit 1 -1.75 million 22.50
city/stem zip 11) Boiler rx comp to 50 HP — -
w411� q 7005-- absorp.unit 1,750,000 BTU 31.50
S11811e Raglatrati«,No city Fk Tan No. 12) Air handling unit to _
10,000 CFA 4.50
I hereby edu,owlydne that I he"read This application that"ie intonnabon givwn Is 13) Air handling unit- ----- -
oonect,that I am 68(»mar or auMpitecl 10,000 CFM 1 7.50
spent d ttxi owner.that plana aubn,ltted aro in
oompYanoe wtIh slate taws,that I on,raglslersd WWI tha stare Huilders'Board.that M,a -� Non portable
----- � ---
number glean N orx,eci.(H sxwnpr ham state registration please mason below. 14
1 ) evaporate cooler 4.50
15) Vent fan connected —
� to a single duct 3.00
- - 16) Ventilation system not
-�-- ---- included In appliance permit 4.50
17) Hood served by
mechanical exhaust 4.50
(
or agent) _ _ Date_ Domestic type __-
Describe work ❑ addition f-1 afteratior• FI _ repair O 1®) incinerator 750
to be done --- residential ❑ _ non-residential [� _ — Commercial or Industrial
Existing use of — 19) type incinerator 30.00
building or property 20) Other i.e.,weeddovo.weter r
Proposed use of heater,solar,clothes dryers,etc. (11 4.50
bu'Iding or property
21) Gas piping one to four outlets 2,00
Type of fuel- oil f 1 natural gas IJ LPG I I electric U
22) More than 4-per outlet
NOTICE ----
THIS Pf HMI T BECOMES NULL AND VOID IF WORK OR CON- --— SUS-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S% 4111111.SURCHARGE
JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR -� -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - PUN REVIEW 25X OF 901111-TOTAL
WORK IS,OAIMENCED TOTAL
Special Coviddlons
Oete Inued 'C by Ir
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INSPECTION NOTICE
City of Tigard Building Depar!ment
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639-4175
Type of Inspection
Date Requested Time Il A,M.— P.M.
Address ..14�� Z_ _ t�.��l c _ Permit
Owner -__--- Lot #_
Builder
The following Building Code deficiencies are required to be currected:
Presented to L�Oved
r —
Inspector __---__ L� Disapproved
Data _ T- ,_ •�
CALL FOR REINSPECTION
C] YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- ---------�
Date Requested_ —_ Time A.M. .M.
Address - Permit # �--
Lot
Owner --- —..---
# —
BuilderThe following Building Code deficienci^s are required to be corrected:
Presented to .__— Approved
Inspector _ �.� Disapproved
Dale - ----�L _
CA L FOR t�l�INSPECTION
❑ 'YES L. ] No
INSPECTION NOTICE —.-- --.__
City of Tigard Building Department
P.O. Box 23397 Cl
Tigard, Oregon 97223 \
Phone: 639-4175
Type of Inspection
Date Requested 1 Time A.M. P.M.
Address W CLI Parm*.t
Owner L_L-L Lot #
Builder
The following Building Code deficiencies are required to be corrected:
z
Presented to rs __ proved
Inspector Disapproved
Date
CALL FOR REINSPECTION
F-I YES Cl NO
U[W ,W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard. Oregon 97223
Phone 639-4175
Type of Inspection rT
Date Requested Time A.M. P.M.
Address 1� S�J _ Permit
Owner --- .__.._-._ Lot # --
Builder __ L / ri-7;._t -
The following Building Code deficiencies are required to be corrected:
rJ
00o --
r
Presented to 44proved
Inspector a 0 Disapproved
Datr+.
CALL iOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard, Oregon 97 223
Phone: 639-4175
Type of Inspection
Date Requested 6 (Cy Time A.M._ P.M.
Address r C'"u
� :Z Permit #— —
Owner Lot #
Builder
The following Building Code deficiencies are required to he c:,rrected:
Presented to - it+-
Inspector [� Disapproved
ILrte
CALL FOR REINSPECTION
F-1 YEI L] 140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-44175
Type of Inspection
Date Requested
�� _ Time—_ A.M. P,M�b
Address lrL�L �--�. Permit # •��
Owner Lot #
Builder.
Thi following Building Code deficiencies are required to be corrected:
Presented to
Inspector
Disapproved
Date �-
CALL FOR REINSPECTION
YES C1 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection A-44'&;Lr\A( n _ ----
Date Requested 'z .- Time A.M. P.M. I
Address 1 j<�� �2- �— > ` Permit #-_L?
Owner ����� ---C�r' -+--- Lot # - ------
Builde — —._
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector LJ Dimpproved
Date
CAL FOR REINSPECTION
0 YES 0 NO
Firw1win
CITY OF TIGARI1 MECHANICAL PLRMIT
rmiL 0 3 7
city of '! igctru
IJL25 SW Hall Blvd.
P.O. Box 23397 Table A Mechank4l Code QTY FROCK AMT
Tigard OR 97223
639-4175 1) Permit Fee 0- 0 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts& vents 6.00
2) Furnace 100,000 BTU + -�
+— Name of Development incl. ducts& vents 7.50
3) Floor Furnace -��
Aedr#" incl. vent 6.00
Job �0 _ - -- -�
Address Tax Lot «bp r-F'o. 4) Suspended heater, wall heater
Lot Block SubdlvIsIon _ or floor mounted heater 6.00
5) Vent not incl. in
Name ( a .m c�bu.In,ae) appliance permit 3.00 `
Mailing Address. Phone 6) Repair of heating, refrig.,
Owner coo!ing, absorption unit 6.00
c4tyrstate ZIP 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00--
Name
.00 _Name 8) Boiler or comp to 3HP-151AP
absorp. unit to 500,000 BTU 11.00 _
Mailing Addrete 9) Boiler or comp 15-30 HP
6' -11 o L, jam- (. ��q-b 5L1 absorp. unit 'h-1 million 15.00 F
Contractor Cliy(SUIe TJp 10) Boiler or comp 30-50 HP
LAIVA a- r absorp. unit 1-1.75 million _ 22.50
Slate Registration No. City Hue. Tax No. 1 i) Boiler or comp 50 HP
absorp. unit 1,750,00_0 BTU 31.50
t N.r.by acknowledge that i have reed this application that the information 12) Air handling unit to
given la oortect, that 1 am the owner or ou&r rod agent of the owrm. that
plans submitted are In compliance with State ws
te ta . tet I �.,,r+gistornd with IO,Obb CFM _ 4.50
the state Builders' Board, that the number given Is correct. (If exempt 13) Air handling unit
rrorn State registration please give reason below?.
10,000 CFM +_ _ -7_.50 _
14) Non portable
_evaporate cooler 4.5.0
_ 15) Vent fan connected
-- to a single ciuct _ 3.0.0
16) Ventilation system not
Signature (owner or agent) Date included in appliance permit 4.50
17) Hood served by
Describe work ❑ addition❑ alterallon❑ repaf] 18)
mechanical exhaust 4.50
to be done residenllal o_ non-residential L] -- -
Domestic type
Existing use of incinerator 7.50
building or properly t i Commercial or industrial
Proposed use of type incinerator _ 30.00
building or property, . l 01her I.e.. woodslove, water—
Type of fuel — of I p natural gas f] LPG❑ electric[] i heater, solar, dothes dryers, stcq 4.50
NOTICE 21) Gas piping one to four outlets 2.00
THIS PERMIT BECOMES NULL AND VOID IF WORK CR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN $US-TOTAL
160 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED - 4% tuRCHAaae ? tr
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY --- - - —
TIME AFTER WORK IS COMMENCED - _ PLAN REVIEW 2516 Of$Ua-TOTAL
TOTAL I (�
Special Gondlllons
Onin las11"d
L
wl"WR MUMN
CITY OF TIGARD BUILDING DEPARTMENT ,' PLAN CHECK NO. :
PLAN CHECK APPLI""TION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:r
This is to certify that the attached _ sets of plans have been suiim.itted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: /-44 OWNER'S ADDRESS:
CONTRACTOR: L L_ TELEPHONE:
JOB ADDRESS:�C1---�" /'� LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTE:;
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
OOther O Other
Items Required
OList of subcontractors
OBusiness Tax
L� Calcul s
Truss Details
OParking Plan
0 Landscape Plan
U Other
COMMENTS:
City of T ')Builti-i,:t►g Department
BY: 1
CITY OF TIGARD 639.4171 86 6221
BUILDING PERMIT lnap. Line 639-4175 DATE -.—z-'�pj�'T -tg---q---
TAX MAP /____LOTNO.8L '_�S._ U, IVISION�'
OWNER LLL. lat. JOB ADDRESS --1_(+__Q!. C – �� -�,"'
BUILDEff"'e' 1tt. 1. box 316-49 linnks k "i 7106 STATE REG.NO. -_. !)OU84 EXP.DATE4f*—d7 _
FiUILDcR'SPHONE —__ 324-3051
ARCHITECT--,—.—__ "HONE
_. OTHER -
S1 RUCTU RE
THER _STRUCTURE L NEW ❑ REMODEL Li ADDITION REPAIR MOVE ❑ OTHER DEMOLITION
LZ ^FSIDENCE ❑ COMM 11 EDUCATION (J IND [I RELIGIOUS ACCESSORY 17,1 GARAGE f OfHFR FENCE
mm
OCCUPANCY �_LAND USE ZONE BLDG.TYPEFIRE IONS PLAN CHECK BY l':�: HEAT 1•
Lonstruct single Gamily dwelling w/attackied gargp, all per approved plans.
Subject tO 85 code review.
SEWERPERMITM 2968J (ldu) 2 bath, 8 traps, garage area 464
OCC.LOAD FLOOR LOAD 40 HEIGHT 15 NO,STORIES 1 AREA 149' NO.BEDROOMS VALUE v
BUILDCNG DEPARTMENT ~ SETBACKS FRONTO RFA45 v!!Iit>. LEFT SIDE i RIGHT SIDE
Permit _ 36I.00 THIS PERMIT IS ISSUED SUBJECT TO 'THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING,
238.55 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 AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire !� Y RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPRENT CIT'I BUSINESS
14.611 TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax L'C 2yV.UU
Total 620.23 SDC 6U().U0
nf'I t IcnNtoff AOEhif
PDC#
Prepd. 100*UU 11 150.00
Bal.Due 520.23
Receipt No.
Issued By______-_..__.Approved By_
.... ... .r....,„..,...,.w.._.....i.xr.�..,....,w....•.��..h_ _...�,,,,,......,.........,«.,,W.,.:>.w......,`..w,w,...,V...:......r.w;...re,....,.,..a..::�=........,..w..+:x:.:...ai...r._..r..W.....,............ra:..,,.._.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracto4 jy Is
2 Z 4 Permit No.
/� - -- — Rough-in
Q _. -__C1�f __ �_�_ -
Fixture
VA� ;X:
HEATING
Contractor uT ^' � `0 $•Z 1-(rJ.
to /� .C�� - `SC �J{ _ Permit No. L1,301
Gas or Oil
Rough in
Final
SEWER
- v � Final
DRIVEWAY
.— � — -------____�__- -------- — Final
Slann Drainage
(Rain Drain)Final
Sidewalk
Curb 8 Street Final '
Approach
BLDG.DEPT.FINAL CERTFICATTEMPORA
E OCRUPANCY CERTIFICATE JgUPANCY Final -�
Landscaping
J Zoning Final
for inspections call 639-4 115
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT
P.O. Box 23397, Tigard/OR 91223 TAXMAP _-----^+LOTNO. _- SU DIV--I-SIIOONa� _
OWNER �� ` til/1 zt_- JOB ADORES$:
BUILDER �� + - _ STATE REG.NO.
BUILDER'S PHONE'
ARCHITECT L >! .LL,«-' _ _ _ PHONE _OTHER
STRUCTURE IONEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE (J OTHER C] DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ INO C1RELIGIOUS ❑ACCESSORY Q GARAGE THER ❑ FENCE
OCCUPANCY ~3 LAND USE ZONE BLDG.TYPE FIRE ZONE— `PLAN CHECK Y AT
EWER PEFIMJT r, .73 _
OCC.LOAD FLOOR LOAD HEIGHT/y * NO.STORIES AREA /y'F_NO.BEDROOMS --I' VALUE
BUILDING DEPARTMENT SETBACKS FRONT�0' REA-R JLrjr j LEFT SIDE T RIGHT SIDE
PermitV
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINREGULATIONS ANO ALL APPLICABLE CODES ANO ORDINANCESAND IT lS HERESY AGREED THAT THE
McPtan(. k ' SSWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITHALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fk� - ---'--- TRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
.f
TAX PERMITS.SEPARATE PERMIT IIEPWIRED FOR.;:,IME PLUMBING AND HEATINQ
State Tar 7 IO �
SDC- - '/ ','v� i'�-•e `- __
Total d - APPLICANT OR Ga ENT
PDC#
Prepd, 46 Q - / _��r'7-
gal.Due Recelpt No ADDRESS VW)Nf
la'z�-_
Issued By_ _ Approved By Le
SSDC -- S tsb �------ -- -- - - - 7
SDC Go®_
— 15,6I (c:,•Nl+«
POC /
_��—
SCWER CONNECTION
;t W[_ R INSPECTION g 3 r�J« I% 7�✓ fir 8G
SEWLR SURCHARGE S
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