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INSPECTION NOTICE
Gity of Tigard Building Department
P.O. Box 23397 1
Tigard, Oregon 97223
Phone: 639-4175
1
Type of Inspection _ — ------ —
Date Requested _ — Time A.M. P.M.
Address 4 2,,5i Permit
Owner e rn,� lot #
Builder —The Following Building Code deficiencies are required to be corrected:
Presented to �(1-OWnr6ved
Inspector _ �_ � Disapproved
!.
Date
CALL FOR REINSPECTION
❑ YE8 ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175
Type of Inspection __ _�► 1� o
Date Requested—_l2 .__12 --27(, _ Time �a -3�,M, P.M.
Address — L�� Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
P,i'switiv i to Approved
Insliector
._
2– Z� Disapproved
Date 8�
CALL FOR REINSPECTION
❑ YES CJ NO
.,S7OJ
INSPECTION NOTICE
l(i� of Tigard Building Department /
P.O. Box a 23397 Tigard, Oregon 9723
pt� Ph. e: 639-4175
Type of Inspection _ Y '10 ^4C -
Date Requested�,r - �j_. Time A.M. P.M.
Address `/ 2-�� -! 3,1 _--� Permit #Z 3
Owner -- ----- --- ������^' Lot #
Builder �—
The following Building Code deficiencies are required to be corrected:
Presented to . �-rApprovpd
Inspector ____ �,.� Disapproved
Dote
1 ' CkLI, FOR REINSPECTION
0 YEB ❑ NO
EWIWINIj W t
INSPECTION NOTICE
City of Tigard Bui.ding Department /
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
c_ ) nTr,
Type of Inspection - -v.l�.� tiv._ - - —
" ti \7 Time AM
Date Requested A
� � __ _
AddressAa y�—� U rc.a _-- -- — - --- Permit # 2—
Owner a m^= � SL�� -- - - ------ Lot #----
Buiider -- ---- — —-------The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR R&MVECTION
❑ YEO ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of In..iection
Date Requested —" 2 t Time A.M.
Address L a,IC77A Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
0(7
t �vC'
142
Presented to 4hOrad
Inspector 00 r D Diapprowd
Date
— v
CALL FOR REINSPECTION
0 YE8 ❑ ho
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection 7� _�Gs�'✓`'"� ,/ _
Dats Requested__ ��� 1yC e�o Time---- A.M. ! P.M.
Address ��!�/ 7_3 Permit #�
Owner _ Lot
Builder
The following Builc;;iig Code deficiencies are required to be corrected:
Presented to _._ ___. pproved
Inspector _ ) Disapproved
Date 7—SK'—S
CALL FOR REINSPECTION
DYES ONO
■r ■r t � s
INSPECTION NOTICE
City of Tigard Building Department S/
P.O. Box 23397 J
Tiqard, Oregon 97223 )
Phone: 639-4175 '
Type of Inspection
Date Requested _ /d -- I---- Tune_ A.M.
Address 1 —_{� ��- Permit ;2 3
Owner Lot #
Builder9
i
The following Building Code deficiencies are required to be corrected:
f
Presented to -- _� Approved
Inspector _ ❑ Unapproved
�ta
Date 1_
CALL FOR REINSPECTION
❑ YES El NO
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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 Requested � `�6 Z6 Time
/4" Z S
Address �L�------�- --- -- Permit #-__--_.—
Owner--- --. Lot # ---- — —
Builder -- — — -- ---_
The following Building Cede deficiencies are required to be corrected:
Presented to _ roved
Inspector _ — �_� Disapproved
Oate --
CALL FOR REINSPECTION
YES [7 NO
i
l'.11'Y oF TIGARD MECHANICAL I't:kM1T perm�.0 Y�
t.i[y 0( ' igard -
131,25 SW rial1 Blvd. o,aoftptlon QTV PRlfsc AMT
v.0. Box 23397 ToMe lA lrle�a^toil COde
Tigard OR '?7223 1) Permit Fee -0• -0- 10.00
b39-4175
2) Supplemental Permit 3•
00
1) F urnacr to 100-000 BTU 6.00
Incl. ducts cit vents l
2) Furnace 1!)0,000 BTU + 7.5
Name of o°v.t ant
Incl.d;�C�+&vents
}"' 3) Flog rurnace
6.00
Incl, ventAd
_
Job 4) Suspended heater, wall heater
Address Tax La uuj Lam' s or floor mounted _ 6.00
- -
7'�k SiOdl °I0" 5) Vent not incl. in
t_a 3.00
NAM* name of twslnese) applibnce permit -..-- -_
6) Repair of heating, relrig..
Mailing Add(vas ~ 6.00
Owner - cooling, absorption unit _
Z 7) Boller or comp to 3HP
caylstace absorp. unit to 100,000 BTU 6.00
13) Boller•unit to 500.000 BTU _ 11.00
to 3HP-15HP
Nene 1 ,t' absorp. -
M.1 g Addr to Innorte �) Boller or comp 15-30 ISP 15,00
absolrp,unit Vr--1 million
10) Boner or comp 30.50 HP 22-50
pqf CP _
� 7 �ybsor�.unit t 1"1_75 million50 HP
_
slate neolelratlon No. city e . Tae No. 11) Boller tX unit nom 750;000 BTU 31.50 - -
abso .
I two" aelaro odge that 1 have road %his application that the lnsornhatlon 12) Or handling unit to 4.50
elv" 1s oorferl, rwt 1 Ma tN www or suth zod agent Of rhe Owner, that .060 —..
FM
-tans wbrNued aro In compllenae with State laws. that I Ira roglet"wtth
the Stale Bulldere' Board, that the number given Is COrrsct. (If aX"Pt 13) Air handling unit
10 000 CFM " 7'50
(ran State reglatratlon plea, give resaon b OO. r --^ —
14) Non portable 4.50
---- evaporate cooler --
`-
15) Vent fan connected 100
to a sin a duct -- -
16) Ventllatlon system not k5
od In appliance pa-mit
Date Indud
-- _- -
Slgnalvre (ovmer or agent) 17) Hood served by
ro Ir Q mechanical exhaust 4
Describe work ❑ addition( alteretlonQ _.
to be done residential Q non-residentlel U . :8) pdmestic type SO
IIncinerator 7
Existing use of
building or property !�: o e In rcialclnw t industrial 30.00
Proposed use of InclnflKator
but lding or property �''W[7o..
dr ,Ks.Nr 4,50
Type of fuel — oil❑ natural qes(^] l PQ(
electric(] L Saner,1loler, ----
21) vas piping one to four outlets 2,� I
NOTICE r outlet
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR 22) More than stlNTOT
CONSTRUCTION AUTHORIZED IS NOT OOMMENCED WITHIN
ISO DAYS, OR IF INSTRUCTION OR WORK IS SUS'PENDEOOR ABANDONED FOR A PERIOD OF It10 DAYS AT ANY Rtvww orSkWT AL `
TIME AFTER WORK IS cOMMFNCFO. - TOTAL
Special Gond1l1ort9 _--.-__ -_.--.---- - �/�, -�'►^
I1nIn i atrrnd _ l''/ �A h1►
r :
CITY OF TIGARD 639.4171 6236
DATE c."Z 18� �='
BUILDING PERMIT' -TAX MAP _ LOTNO. 1$._._—.—`:JBDIVISIO14 �.
OWNER_ Tom Hiller ---- JOB ADnRESS 16425 SIJ 93rd Ave. - Lstates
BUILDER _._a�w+� _ STATE^EG NO. —_37385 _.EXP.DATE "ZO" 6--
__..
BUILDER'S PHCNE625-6167
ARCHITECT _ _ —_ Kni $�t�6 PHONE 281-0087 _-OTHER
STRUCTURE r NEW REMODEL ! I ADDITION HEPAIR LJ MOVE LJ OTHER DEMOLITIGN
RESIDENCE COMM EDUCATION IND i RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY 1L,3 _LAND USE ZONE L BLDG.TYPE FIRE ZONE PLAN CHECK BY TLP HEAT dES
Conatruct single family riwe±lling w/attached garage, all per apprcvcd plaits,
Subject to 85 code review. ELLS:,UC OF 5920
1!L)TL X LtiT Ty jig jjLkVEp :,'bLPLNb N1 SLWLA LTLILAL TL) CITY tiAli;.
SEWERPERMITM 2969& (ldti) 3 bath, 10 traps garage area 410
OCC.LOAD FLOOR LOAD 40 HEIGHT ft lu NO.STORIE3 2 AREA 11'13 NO.BEDROOMS 3 VALUE43�1j1�''
BUILDING DEPARTMENT SET BACKS FRONT 26 REAR aJ LEFT SIDE J RIGHT SIDE
.322.0(1 3---
Permit _ THIS PERh,'T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.UO WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck,FIreRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax W 12�L{$ _ TAXEERM ,uS•%PeRATE PERMITS REQUIRED FOR SEWER.PLUMBI,'4t3 AND HEATING.
Total 74 o88
SDC.- 15W-00 r
PDCM lY 150.00 APP6ICANT off AULN I
Prepd. 40.UU
Recelpt No,,-: j ADD9E -� PHONE
Bal.Due 3.3+'+.Sd
_ -._-_ _. ISSUed By Approved By
....,.�,.rW —,..,,— '._`�..a�<:. .. ... ...wa.,-.�.. .,:.... ..............>vwponwuwwwwirr.e....et ra...••...__..,:........— _. .....�...—.. iWdFw3 Yw4�w.r,..r:..,�r,..,w.+.
I
ff
DATE INSP. TYPE INSPECTION _ - REMARKS v—
' ---- PLUMBING DATE
��
Contractor ___1:5760 A_/S-&
Permit No. L4
,Lo_/7-1V1 r� ---- -- - - -
lY Rough-in �—
/2 Fixture _
Final
HEATING
�- ContractorvWCr-C41of-x le go A-re
I L•/Z�( �� --- Permit No.
/Z Rough-in
Final
SEWER
Final
DRIVEWAY -
-- —_ Final
Storm Drainage
(Rain Drainl Final
Sidewalk
Curb&Street Final
-- Approach —'
ULDG.DEPT.FINAL. _ TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
—.— _—..— --- — - — — Zoning Final
i
w
�lC � .� 7 /R,
PER 117 NO.
I, ;i;slik•,•tions call 039-410
CITY OF TIGARD 639-4171 DATE _/_ - -----19_A% n
BUILDING Pj�i�l11T
1 .0. Box s 7, 'tigurd �O/R 97223 TAX MAP _ I.OTNO. SUBDIVISION
ONtNER .�� / �CfC n ---- — JOB ADDRESS
BUILDER — _ STATE REG.NO. _ EXP.DATE
BUILDER'S PHONE
ARCMITECT—___ _ PHONE — ---_-------OTHER
STRUCTURE ❑ NEIN C1 REMODEL ❑ ADDITION U REPAIR U MOVE U OTHER U DEMOLITION
O RESIDENCE ❑ COMM ❑ EDUCATION ❑ INO O RELIGIOUS U ACCESSORY 13 GARAGE ❑OYHER O FENCE
�'0FIRE ZON E �, PLAN CHECK BY EAT
C)CCt�PANCY LANOUSEZONE BLDG•TYPE -#--� - _
Construct single family dwellin w/attached �ppxuu
`EWER PERM11 �' l 1 H;i 1 t � � YaraYc Ire
OCC,LOAD FLOORLOAD VQ HEIGHT_ti'� NO.STORIES low AREA d j j VO.BEORO ^�
OM ,,,.,7, VALUE
BUILDING DEPARTMENT SETBACKSF�r7.6 REAR �j 3 LEFT SIDE � `~ RIGHT SIDE / $
Pwmll 2� THIS PERMIT RS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
�t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES„AND IT IS HEREBY AGREED THAT THE
Plan Ch*Ck 'l 01 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
P1 Ck.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING,
Slate Tu
—
TOIRI SOC APPL.ICANTdiAGENT
POLI
Pr»pd. _ 4f o — -- ._.._.---- --
Due -
R«)NPI No. ADDRESS PN()NE
8.1. � a���� � G
1•,,,d By—_--.-----Approved By
DC
S
)OC - Loo _ /'�- qo
{EUER CONNECTION ?� _ IL,Fe►e.t�' �
.EWER INSPECTION
.EWER SURCHARGE S
amments:
.---- . -- ----
W W1 W N
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: 7` 3
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: l -0
This is to'certify that the attached sets of plans have been submitted fo* plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, pdi.:ion.
PROPERTY OW�JER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: I La �-( �� - ��+'t LOT NO. 6 MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
0 Planning Dept. 3 Reissue -5
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Required
0 List of subcontractors
C--) Business Tax
0 Calculations
0 Truss Details
0 Pari:ing Plan
0 Landscape Plan
OOther
COMMENTS: sj
City of ng; Department
BY: