15215 SW 94TH AVENUE weiww www INA IN
15215 SW 94TH AVENUE
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l;_ INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 I
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Type of Inspection —
Dat., Requested — /D"/�.,4/ Time A.M._—Y P.M. --
Address _1���.� a:� � -___-_—___ Permit # —
Owner ---—_--- _ _ ._ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presentw] to '00'-1
-- _ A proved-
Inc�tar.Mr �� Disapproved
CALL FOR REINSPECTION
YE! L:1 NO
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L PERMIT NO._�� !i
ADDRESS `' �'T
PERfiIT CHARGE none
OWNER �� . C CONNECTiON FEE �40 ,
PAID BY
TYPE OF BUILDING ��y�� � DATE CONNECTED
SEPVICE RATE INF,PECTION FEE
CONTRACTOR MAID BY ____ DATE .
SIZE OF CONNECTIONE ASSESSMENT PAID
CTIDn .`
� s- /c, 3/77
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C� !y Ot I !0� I C] mect1ot1!C:G?I rein [ re:cnrt �s.uu�_-_
Fee----
Relocation
ee___Relocation EJ "'J'j".0n ;--I AI1:'ration 4)l:;LStatP
TOTAL �,Z$,---
C^.`.i^A,TOR _�SlLArS.�.�y2ti3►..t.�„_E__ __
0i:hcR_--�ui1.3r1:T� , •► �- \0' -
�op7P.E �4 Ct-%r9 AAJ%------- WORKADDP.E,S�S �S1�s SaL� x
PHONE APPLICANT- -4
Heat Input Rating (BTU Per Hour) ��3 � Vent Size . .0 .�t Flue 5rze_ �.
FUEL OIL J GAS L'_1 ELECT L3 01-HER
+.. ITEM NO. FEE ITEM NO. FE
” - For Issuance of ?errni; ��`3.00 Air Condition Compressor 15 to 30 HP
-` New-Under 100,000 BTU ( 4.00 Air Handling 10,000 CFM 3.(
5.00 Air Handlrn9 Over O 10,000 CFM 5.(
New• 100,000 BTU & o,•er _
r.
Floor Furnace 4.00 Evaporative Cooler 3 t
Wall - Floor -Suspended 4.00 Range Vent Fan -- _ 2.l
2.00 Vent System
Install Vents Only _
- Repair- Heat & Cooling _ 4.00 Hood Commercial 3
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System
Air Condition Compressor 3 to 15 HP 7.50
� w INSPECTOR'S COMMENTS_-__ ___—.
:c CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
t _,;� APPROVED BY DATE ISSUED BY, DATE
RECEIPT NO.
�- •
_'x �z� Signature of A lica �,..
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BUILDING PERMIT APPLICATION 11 Y TIGARD DATE__ 1� t / �y_7+
)3s-;3x01
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANY;NG PLANS AND SPECIFICATIONS. OWNERPHON -
1 Q q?#OW& LOT NO.
OWN E4--U'-'1• 0 k! rl_ JOB Ar, )RESSaj2�•> >W Vs_1 HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNER_
STRUCTURE ❑NEW ❑Fit MDDEL ❑ADDITION _❑REPAIR ❑RENEWAL. [:]FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE_❑COMM [:)EDUCATIONAL ❑GOV-T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPRJVED ❑SIGNS
OCCUPANCY_1__LAND USE ZONE BLDG.TYPE 'Lr'' 'S FIRE ZONE_PLAN CHECK BY_ _NEAT_
r,ontalalr Fe—l®BLIe same Got 10271 Std GretBTilsof rurrer.e.
c"t+!emed TGWnhouD etteched gerageo Z deedcUom--�_L��ith. _
Sower Permit" 117456 — 505.00
qCl LQAC� FLOG@ LOAD — NO, TEARE . )I� o• DROOM5xVAU��7-- HEIG � — _1 44i.:�f')
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1000
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THI: BUILDINo CODE, ZONING
Plan Check 10600 REGULATIONS AND ALL APPLICABLE CODES ANn ORDINANCES, AND IT 'S HEREBY AGREED THAT THL
—' WORK WILL 9E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total lty1.(IC AL I. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRA(TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tali (,04 LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AN') HEATING.
Total ' 167,()ry
BY (71 - - -
_. APPI-If ANI OP AC:FNt
Annrnuort gII '_ R.,—t Nn
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
�— ..� CLQ� ✓ ` Rough-in
. —'—��'- _._. Fixture
Final —
HEATING
Contractor tt,� / f�
-- — Permit No. 3�
1 - '
�— , _O
Gas or Oil
Rough-in
--------------- -Final
---- SEWER
------.—.____—_ Final —� -----
'----� — DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
SideweIk
Curb&Street Final
Approach
BLDG. DEPT. FINAL T$MPORARY CERTIFICATEOCCUPY Final
CERTIFICATE OCCUPANCY /h`��� —
G/ ( Landscaping
r Zoning Final
i
cir
oUILDiNG PERMIT APPLICATION of' TIG ARD OATE_�.(�( . . 19-2? Np
';HF LINDt RIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPH0N
AS SIa ',';N AND APPROVED IN THE ACCOMPAblYING PLANS AND SPECIFICATIONS. OWNER PHON _
T ,, ll � LOT NO
u Wi Q,1 (� �� tea. JUE3 ADDRESSIf�� -HOME ADDRESS:1 - — -
ARCHITECT —
ENGINEER
-R ADDRESS DESIGNER
/�' •RE tiEW___ORFMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
'lfNCE 11 ("Alm ❑EDUCATIONAL ❑GOv'T ❑RELIGIOUSDPATIO ❑CARPORT ❑GARAGE 0STORAGE0SLAB LOFENCE
NO ❑MOVING _ ❑CONDITIONAL USE QDLSIGN REVIEW ❑COUNCIL APPROVED LJSIGNS
e NC]'-_— LAND _ , V USE ZONE._jR_ .7__BLDG,TYPE.— ,/ FIRE TONE.,3 PLAN CHECK BY.,— .—__ NEAT &-&s—
��L�
VALI1.E 71'Z
ed
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
F elmit - — —I '
OO THIS PERMIT 15 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
WORK HILL BE DONE IN ACCORDANCE WITH 7I4E PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
5ULi Total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— —. RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
f'iatk Tex LICENSE SEPARATE PFRMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Ab dIT
APPIICANtOii aF.NT
Appeoved leceipl No
ADl1gE55 s� HON
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