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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ' n
Date Requested �_ Time A.M._j_/P.M.
Address C' G —� — Permit # (�
Owner + _ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to roved
Inspector _. �a� =_. _ ._
-- �..] PP
Dise roved
Dare
CALL FOR REINSPECTION
❑ YES EJ NO
M
� / e
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
�f Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 9�� Time _ A.M. / P.M.
Address , Permit #�?
Owner_�:5,_ ���✓�`� Lot #
Builder _
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ [] DiftWo ad
Date - -_ 2 ,;-
_.—
CALL FOR REINSPECTION
❑ VE• FI V. O
ru
INSPECTION NOTICE
•�� City of Tigard Building Department
��+� P.O. Box 23397 �Q
A\ Tigard Oregon 97223
��� Phone: 639-4175
/ Y ,.1. -
Type of Inspe ioq" � -
Date Requested
Address Z_ �- -�-_.�+'� Permit
Owner 1__ r = Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented t0 .. _ _- �ovpd
Inspector � __ � I Disapproved
Date
CALL FOR FOR REINSPECTION
0 YES 1:1 NO
INSPECTION NOTICE
/1 J City of Tigard Building Depa;tment
•vr�-�' P.O. Box 23397
�" Tiyard, Oregon 97223
/�W41- X39-4175 G'i
Type of Inspection -
Date Requested._ 3 _ Time A.A. P.M.
Address �`' �-3 Q�� �� C� t �� Permit # �� 3 3
Owner_ �' Lot # _
Builder --The following Building Code deficiencies are required to be corrected:
Presented to " - .-- 1.,' p+� proved
Inspector 7 —_ I Disapproved
Date
CALL FOR REINSPECTION
El YES ❑ NO
1 l�
INSPECTION NOTICE
City of Tigard Building Deps trnent
U P.O. Box 23397
i Tigard, Oregon 97223
Phor#: 639-4175
Type of Inspection
Date Requested ./ /- -�> Time,—� _ A.M.__T P.M.
Address / -� r � _ Permit # `
Owner l�l d Lot #__
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ pproved
Inspector
pe __ L) Disapproved
Date
CALL FOR REINSPECTION
❑ YE= ❑ 140
� f
CITY OF TIGARD MECHANICAL PERMIT Receipt# —
Permit # __—
Description
Table 3A Mechanical Code CITY PRICE AMT
City of-Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 —
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts¢s____ _
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents _
Name of Development 3) Floor Furnace -Y4 _ 6.00
incl.vent
Job Address - - 4) Suspended heater,wall heater i —6.00
Address or floor mounted heater — _-
Tad Lot Map No. Vent not incl.in
Lot Block Subdivision 5) appliance permit 3 00
Name(or nave of business) 6) Repair of heating,ref rig., 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU _
city state Zip — 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name -- 9) Boller or comp 15-30 HP
absorp.unit'/?-1 million 15,00
Mailing Address Phone 1 p Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor Cityis►ete Zip 111 Boiler or comp to 50 HP 31.50
_ absorp,unit 1,750,0.00 BTU
State Registration No. City Bus.Tax No. 12) Air handling unit M 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the Information given Is 13) Air handling unit10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are In --- —
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given Is correct (It exempt from State registration please give reason below) evaporate cooler
15) Vent fan connected 3.00
to a single duct `
-- --- -- -_ - - _ 16 Ventilation system not 4.50
included In appliance permit
1r 17) Hood served by 4.50
mechanical exhaust
Signature(owner or agenq „ 18) Domestic type 7.50
Describe work Cl addition Cl alteration 1-1 repair I 1 Incinerator
to be done residential ❑ non-residential I 1 19) Commercial or Industrial 30.00
type Incinerator
Existing use of
building or properly ______ Other i.e.,woodstove,water?0) heater,solar,clothes dryers,etc. 4.50
Proposed use of -
building or property --- ---- 21) Gas piping one to four outlets 2.00
Type of fuel- oil [I natural gas n LPG ❑ electric F1 —�
22) More than 4-per outlet
NOTICE --- — —
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -
WORK IS COMMENCED. TOTAL
Special Conditions _
_—_ _ Date issued by
!1!F w I IR
CITY OF TIGARD 639.4171 DATE 6336
BUILDING � ._.
BUILDING PERMIT
TAX MAP LOT NO. l -__._SUBDIVISION 44001"d
Tom hiller 16435 S6 93rd Avert r status I
OWNERJOB ADDRESS
BUILDER _._-_-,-_ _ sa�me�-._,-_ STATE REG,NO. 37385 --- ---.EXP.DATE 12-20-66!
BUILDER'S PHONE n25—E�r16 -
ARCHITECT E.Ill - - -- ----- PHONE 2.AL"UU:il- --- OTHER -
STRUCTURE I~ NEW L I REMODEL ADDITION r REPAIR , MOVE OTHER DEMOLITION
RESIDENCE Cl Comm 1 EDUCATION ' IND I I RELIGIOUS ACCESSORY GAHAGE OTHER FENCE
OCCUPANCY t< LAND USE ZOAiI-,BLDG TYPE '' FIRE ZONE- � PLAN CHECK BY t?' HEAT
Uunstruct sinble family 4twellinii Wattacaed raraaure. all Per approved plain,
5ut ect &o 65 code.
)e- checked for till before fooLinLo inn!alleu.
SEWER PERMIT N 19756 ( du)) 4 bath, 12 traps garage 420 ------
OCC.LOAD FLOOR LOAD 4U HEIGHT 20 it NO.STORIES 2 AREA 2640 NO,BEDROOMS 33 VALUE y .
BUILDING DEPARTMENT — SET BACKS FRONT j� REAR 111 LEFT SIDq, RIGHT SIDE 1�
Permit_ 391.&j _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— 15415 — - 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 FERMIT DOES NOT WAIVE
Pl.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
J-� 1564 -� TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.
State Tax bz-�UL; 250.00 -
-.--- SDC- 6000U0
Tote ,CSU_jy APPLICANT OR AGEtJT •
PD0011 15().U0
Prepd. _ Vw.(lU .
Receipt No. -----.--_--PHONE
Bal.Due ► •��
---- - - - Issued By _._ --Approved By _e
i
r
DATE INSP. TYPE INSPECTIONI EMARK—g --
PLUMBING DATE
Contractor r tis to
r
LIQ Pert it No. 8—
AZ 17 __ Fixtne
Fines
/— 2 3' �? •� rZ h���o�.,� -yjNEATING /
Contractor
Permit No.
— Gas or Oil
-- -- --- __ Rough in --
_—..— 'incl
--- SEWER —
Final
— — _ DRIVEWAY --
�__.—_ Final
_-- -- Storm Drainage
——---- (Rain Drain)Final
----- Sidewalk -
- Curb&Street Flnaii
BLDG.DEFT.FINAL Approach
TEMPORdRY CERTIFICATE JC
C E R T F I C OCCUPANCY CUPANCY Final
ATE
Landscaping
----`------- -- ZocingFinal
wwrw W �' ► 1�
CITY OF TIGARD BUILDING DEPARTMENT PLAN C;I.ECK NO. : 9
PLAN CHECK APPLICATION DATE RECEIVED: 1 d
P.O. Box 23397, Tigard OR 97223 P/C D7POSIT PAID: 10(-')
This is to certify that the attached ? sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWt it p-J A� /"�'1.� OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: (L' 2%Ca/6p 2
JOB ADDRESS: c� �rj. �y-�Cf LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineeti.-ag Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther 0 Other
Items Required
0 List of subcontractors
OBusiness Tax
0 Calculations
QTruss Details
Parking Plan
OLandscape Plan
OOther
COMMENTS:--
city
OMMENTS:city Tigard Building Department
BY:
a
r"
WORKSHEET PLAN 1:x.41_ 13 z ()
CITY OF TIGARD 639.1171 DA*E __C? I S _l9���
BUILDING PERMIT
TAX MAP LOT NO. J q _SUBDIVISION �f
OWNER JOB ADDRESS �o y 3 5-
BUILDER
BUILDER _ STATE REG.NO. EXP,OATE
BUILDER'S PHONE ( J
ARCHITECT_ PONE OTHER
STRUCTURE GXNEW ❑ REMODEL ❑ ADDITION Cl REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION
❑ RESIDENCE Cl COMM ❑ FOUCATION ❑ IND ❑ RELIGIOUS C ACCESSORY Q GARAGETH 'R ❑ Frr+rE
�� e�
OC("JPANCY A 3_LAND USE ZONC /L-_y_,, 8LDG.TYPE _6AL_FIRE ZONE: PLAN CHECK BY =HEAT,
Construct single family dwelling w[alrachrrl 8.rzb_Iall Delapproved plans
Subject to 83 code Subject to
SEWER PERMIT# 2 9 ?,1, (ldu) hart, , trauw _ garage area
OCC.LOAD FLOOR LOAD HEIGHT 2. r NO.STORIES 2- AREA G SrWO.BEDROOMS -3 VALUE _
BUILDING DEPARTMENT SET BACKS FRONT w REAR A" LEFT SIDE 2 g�� RIGHT SIDE /ll
s�
motTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING
Plan Check ,,� S REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT 12 HEAEBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAT10NG AND IN COMPLIANCE
PL Ck FkiWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEMR RDOES NOT WAIVE
RESTRICTIVE COVENANTS.CONTRACTOR AND 868 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOVIRED FOR SEWER.PLUMBING AND HEATING.
Slate Trx S. 550C ?.S0010
Told `/ O� /, SDC- fo c °`
Prepd. /� �� PDC# ISO ca a APPLICANT OR AGEN 1
Bal.Oue Ruc°IPI No ApDRfSS �^J�� E
Y Issued By--- -- --Approved 8T_
SSDC
SOC - _ ��•
POC
SC.UER CONNECTION S
SEDER INSPECTION S
5EWCR SURCHARGE S
Commentty:
S�1
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INSPECTION NOTICE
City of Tigard Bul;ding Department
P.O. Box 23397
Tigard, Oregon 97223
))Phhone: 639-4175
Type of Inspection %�L�
Date Requested 9 Time �' A.M. P.M.
Address `--�� - Permit #t
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _ _ —_�
/ 2 –}-- ❑ Dlsepprovr-d
Date --�•• .—
CALL FOR REINSPECTION
C] YEI (.J NO