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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection -
Date Req jested___ `'t' Time _ _._ A.M. P.M. _
Addre,s _cam CA ____ Permit *�yO
Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector _ �� Disapproved
Date
CALL FOR REINSPECTION
0 YES L7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2334'
Tigard, Oregon 97223
Phone: '039-41 '5
-A-
L
rti' .t
Typg of Insper:tion ^`
Date Requested��:�i Z_ Time__..._— A.M. P.M.
Address 1 / r �� 1 �C \1 � Permit # r
Owner __, _ l_ot #
Builder i� - y� Irl
The following Building Code deficilndea are required to he corrected:
Presented to 11:-approved
Inspector —
Disapproved
Dare
CALL FOR REINSPECTION
Cl YES O NO
■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639••4175
Type of Inspectiorf-
. 0
Date Requvted j, ._– 7 Time A.M.
Address
1 � ��l '� � Permit #
.,,__¢._L� ._.
Owner n Lot #
Builder �a.L.�' tZ—TV �s.s-A.-)
The following Building Code deficiencies are required to he corrected:
Presented to
Inspector J Disapproved
nate
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
"RPhone: 639-4175
Type of Inspection — -- -
Date Requested 3~� Time '� A.M. P.M.
Address Z - Permit #
Owner__� d� --- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ;Approved
Inspector _ C_.� Disapproved
Date
CLL FOR REINSP WTION
❑ YES ❑ NO
INSPECTION NOTICE
City of —igard Building Department A
P.O Rox 23397
Tigard, Oregon 97223
Phone: 639-4175 — — —'
Type of Inspection Srlt./FiL �6ti��G Tib
Date Requested, ' Time A.M. P.M.
�1 3
Address _ Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �Pproved
Inspector [J Diwpproved
Date
CALL FOR REINSPECTION
YES U NO
� Ilw ■! i� � � Iwi '
INSPECTION NOVICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph e: 639-4175
Type of Inspection
Da -- -- ------- ---
ate Ner nest d-_ C "� v _ Ti ie_ .M._—Le
Address .Q_ �"!_ _—_ Permit
Owner
BuilderThe following Building Code deficiencies are required to be corrected:
I
9
Presented to __ proved
Inspector _. _
f isapprov?d
Date _---
CALL FOR REINSPE TION
L] YES [=l NO
r
INSPECTION NOTICE
P ,Q City of Tigard Building Department
((( P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested — Time A.M.—_P.M.
Address j '" T >7d-- Permit
Owner Lot #_
Builder
The following Building Code eeficiencies are roniii•ca :o be corrected:
Presented to pproved
Inspector /�' Disapproved
[)ate --
CAL FOR REINSPECTION
❑C YEs FA NO
KWXW1�;W1 LIKA111111111M
Receipt#
CITY OF TIGARD MECHANICAL PERMIT
Permit#
Description
Table Mechanical Code CITY PRICE AMT
City of Tigard � - —� --"
1312 S.W. Hall Blvd. 1) Permit Fee 0 -0-
0 10.00
P.O Box 23397 1 S �'� — — - - --
Tigard, OR 97223 2) Supplementa!Permit 3.00
639-4175 Furnace to 100,00(BTU
1 incl.ducts&vents 6.OU
Furnace 100,000 BTU +
2) incl,ducts&vents 7.50
Name of Development Floor Furnace _—
3) incl,vent 6.00
Job Address 4) Suspended heater,wall heater
Address 3 . or floor mounted heater 6'00
Tax I.of Map No. Z s -i•/,-.. Vent not Incl.in
_ Lot / Block Subdivision 5) appliance permit 3.00
Name(or name of business) Repair of heating,refr ig.,
- 6) cooling,absorp'ion Unit _ 6'00
Mailing Address Phone Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
Z 9 `7 � 1 C G � - -- --
City/State Zip Boiler or comp to 3 HP-15 HP
8) absorp,unit to 500,000 BTU 11.00
Name _ 9) Boiler or comp 15-30 HP
absorb.unit 112- 1 million 15.00
h
Mailing Address PhonaBoiler 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
Slate Registration No. City Bus tax No 12 Air handling unit to
10,000 CFM 4.50
I he,eby acknowledge that I have read this application that the Information given is 13) Air handling unit 7.50
cormct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM-+--
compliance with State laws,that I am registered with the State BuildersBoard,that the Non portable
number given is correct.(If exempt from State registration please give reason below) t 4) evaporate cooler 4.50
Vent fan connected -
---- 15) to a single duct 3.00
— Ventilation system not
16) included in appliance permit 4.50
Hood served by
1�) mechanical exhaust i 4.50
Signadure(owner or agent) bate 18) Domestic type 7.50
Desoribe work I I addition ❑ alteration [7 repair 0 incinerator
to be done residential F] non-residential 0 Commercial or industrial
--- -- 19) 30.00
Existing use of type incinerator
building or properly 20 Other
heater,solar, ,water,etc. 4.50
Proposed use of -. _
building or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil Cl n itural pas I I LPG U electric I
' 22) More than 4-per outlet
NOTICE - -
S O
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
8iUB-TOTAL 7
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE � Z
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL S" / '�-
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER —— -- --
WORK IS COMMENCED. TOTAL �. C y Z/
Special Conditions _
Date Issued_ 7 by__ 22,
6514
CITY OF TIGARD 639.4171 '
BUILDING PERMIT DATE t9 ----
TAX MAP 1'�` 1' _ NO. -- _—__-SUBDIVISIONIC'el3Ay �+54 I
OWNER —�R�r_-- JOB ADDRESS / ��—�' gra�_V!•
--1:}r1:-s--EbH �et�f ---
flame -- 46344
BUILDER — .. -- - STATE REG.NO. -_____�_- .—EXP.DATE __--
297-7666
BUILDER'S PHONE ----
i
ARCHITECT PHONE OTHER
__._ --- --
--
STRUCTURE f NEW r REMODEL ! ADDITION_ _ l I REPAIR ❑ MOVE ! OTHER 7 DEMOLITION
I RESIDENL,i COMM EDUCATION IND RELIGIOUS 7ACCESSORY GARAGE OTHER CI FENCE
c .� •
OCCUPANCY _3 LAND USE ZONE �!" BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
�. nne trt
mingla family t'&(�l i V aLtLCltr'!d a'Nrit}'d, 1j)la��1x FlEil-LC3tic'�l p18C1&• &Ui,,JE'CC t0 i�� COQ+:.'•
hE:ILSUF, of 6178 -
SEWER PERMIT M 32665 (Idti) 2 bath, b trapH .arage 360
OCC.LOAD FLOOR LOAD 40 HEIGHT !V NO.STORIES 1 AREA 1444 NO.BEDROOMS 4 VALUE 66960
_ BUILDING DEPARTMENT — ).t! S- RIGHT SIDE
SETBACKS FRONT REAR U 92 LEFT SIDE
Permit _
t' ^� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
4U.OU REGULA1IONS AND ALL APPLICABLE CODES AND C''DINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA!IOh S AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE i
PI.Ck.Fire r-�RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIt�ED FOR SEWER,PLUMBING AND HEATING.
State Tax . `;;�I�G 2AU.Oki ;,,� •-.:_- � �- A`' �'
SDC- (iUU.U() .. �-- L. '�" -. r �•.....•
Total APPLIt4141O AG NT
-` `�-- PMI 150.(A)
Prepd.
00
___— _ Receipt Np;; �,,�•�;�..• AD
— � PHONE
BeI.Due34 7.3b
`— s---
Approved
Issued By ---
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DATE I INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor7,Z Jit Z j•
rmitNo
Fixture _---
�� Final ----
Zy HEATING
l
3—/Cj�P�Z✓� (�i4.p2/L � Contractur
_CJ Permit No d
- - ------ --- - ---_ _�� y�Y
Gas orUil
Rough in
-- -- -- ---�� �_ -- Final
------ ----�---- - _ -- SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb R Sireet Final
�— Approach
BLDG.DEPT.FINAL TEMPORARY CERT'FICATE OCCUPANCY Final
CERTFICATEOCCUPANCY
Landscaping
Zoning Final
for inspections call 639-4175
PERMIT N0. l .;
CITY OF TIGARD 639-4171 DATE
BUILDING PERMIT 251.74 ABS suoorvlSlcN z
P.O. Box 23397, Tigard OR 97223 TAX MAP _LO%NO.
OWNER Q r^ �- �'' -J - JOD ADDRESS ---
BUILDER �-n1^ _ STAY REG.NO. 9�,_.�--EXP.DATE — —
BUILDER'S PHONE
ARCHITECT �_ PHONE____.OTHER
_^----
O OTHER DEMOLITION
STRr►CTURE Cl NE_ C1REMODEL C) ADDITION (I REPAIR ❑ MOVE n
IN
�.
0 RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS. ❑'ACCESSORY Q GARAGE U OTHER O FENCE
OCCUPANCY Lf LANDUSEI.ONE BLDG.TYPE } �"—FIRE ZONE__ PtANCHECK BY BEAT �O
Construct single family dwellingji,
})j•n r t to 8-5 code,
SEWER PEAWT I <., • '(I du) `: rap
baths ts aLr3__
' NO.BEDROOMS VALUE<Af/s.C-fz�
OCC.LOAD FLOOR LOAO �� HEIGHT 7-r'-` NO.STORIES L AREA
BUILDING OEPARTMENT SETBACKS FRONT REAR `� LEFT SIDE RIGHT SIDE
Ptrmlt 3 ,,; THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION;:CONTAINED IN THE BUILDING CODE, ZONING
REGUlAT10N5 AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED TIIAT THE
P'a'
�i c7 WOhK WILL Be DONE IN AAC("rROANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE COU£S ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PLC�c F" - RESTRICTIVE COVENANTS, CONTRACTOR AND SUN CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— TAX PER MrM SEPARATE PERMITS REOUIREO FOR SEINER.PLUMBING ANO HEATI
NG.
Slate Tex /'._s' ' S5
----- SOC-- ____
Total— :?.� y. 3 T' APPLICANT OA AGENT -
PDC'
— -- Retelpt No ADD/1ESS -- PNONI
BSI.Dire j Y 7. 5' +,
_ le.uee By. -._._- __Aovroved er.
SSUC
RECEIPT N
POC —� � ___. .s`��
DATE PD.
SEWER CONNECTION S 7 -_ AMOUNT PD.—
5CWER INSPECTION S .3� -
SEUER SURCHARGE S
'jmmente -------------
;
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVF9:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:_
Th. is to certify that the attached sets of plans have been submitted for plan
check pursuant to t'.e Oregon Structural Code and Fire & Life Safety Code, 8-� edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTKAcru,,,,,. TELEPHONE:
JOB ADDRESS: LOT NO. & MAP: /7
DESCRIPTION OF WORK: C�' �J�y� - ) Z
Approvals Required SPECIAL. NOTES / C"
Planning Dept. eissue
0 Engineering Dept. 0 Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
OOther 0 ---�
It Required
z;2�--�`
Osr of subcontractors - I
„JI p K al
C-7)usiness Tax
arc �
L� Calculations �/ C MVJL
OTruss Details
OParking Plan
Landscape Plan
O t h e r
�y
COMMENTS: ,,r
City of Tigard Building Department
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