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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Irspection
Date Requested Time A.M. P.M.
4
Address
,'2 Permit
Owner Lot #
Builder
The followi�ig Building Code deficiencies are required to be corrected:
-0 16
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
D YES LYNO
A.
k L `
uit - off' igarq Mechanical hermit NO. 2� �n
L
New Installation ReptacL C1Relocation❑ Addition C1Alteration ❑ DATE: G)! ` Z,
HEATING
CONTRACTOR r�-}INa OWN
ADDRESS
"����n'T ��KS�
US" Colum ivy. IyF 51'e .a,_'9- JOB ADDRESS //Z 7y --' -5
-
PHONE. 3� " '�+ APPLICANT
Heat Input Rating(BTU per Hour) .;�s:,S�_ Vent Size �* __ Flue Size__
FUEL OIL❑ GAS ® ELECT ❑ OTHER
ITEM I NO. • FEE ITEM! - NO. FEE
For Issuance of Permit SEE BELOW T Each Air Handlin UnX
it or Duct S stern 50
New-u to b incl. 100,000 BTU 6.00 Commercial Hoad System _ 7.50
New 100000 OUT': & over 7.60 Other Equipment . Each _ 4.50
Woodburning Stove _ _ 4.50 1 Trip Inspection 4.60
Wall-Floor- Suspended 6.00 Air Condition Compressor •up to&incl.3 H.P. 6.00—
Vent--stem %v/Fan 4.50 Air Condi+'on Com rem ssor•3.1 to 15.H.P.incl. 11.OD�
Repair-Heat Cooling 6.00
_ CITY BUSINESS LICENSE REQUIRED LY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES _--
_SUS-TOTS C' '
% STATE lewd By
25%PLAN CHFC '
TOTAL L�•�` REC. # �_..
BUILDING PERMITAPPLI-3ATION TIGARD DATE r+`+
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �q fl
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P40NE
LOT N0. 3 - U"N._±E*"�'l., 4C!'f!":
OWNER F'alcan Constr. Jd$YIDDRESS 11270 Sri g5th Avenue
ARCHITECT
ENGINEER
BUILDER !la"1T"e ADDRESS 8955 `101 rrXWOrciftl DESIGNER studio 5
STRUCTURE Ll NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR [-7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
1"9 RESIDENCE ❑ COMM El EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _�L-3 LAND USE ZONE BLDG.TYPE 5 i -FIRE ZONE—=PLAN CHECK BY n•A)1 HEAT
i:'on. trust sinc�lt' �xt�i� dwa�ltn L��r�att,r30hea garage. 3 p'ec3rOC71Tln 2 Bnth
Po.—Issue: o. Per-it X311,") (117£",5 :!- ant-h M:lr-Mae)
SEWERPERMIT# 23863 — ! !10.C1Q ��FIIR E' 31' 3 Piq,ft.
OCC.LOAD FLOOR LOAD 4 0 HEIGHT 1-9 NO.STORIES ? AREA 1474 NO.BEDROOMS 3 _VALUE' 0�i•
BUILDING DEPARTMENT SETBACKS FRONT ?D REAR r`I LEFT SIDE Rlr,HT^•IDE
Permit $290 THIS PERMIT 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 15•on 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
Subtotal_ _ 13•D n RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
�+ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax =��� `) ' I 1 „ ,2
-- -- SDC-
Total $324.92 I 1fl0.lrr}_ s.
By
PDC# AP LICANT OR AGENT
�'1 _
�"
ApprowIk Receipt No.
ved ��� � ( ADDRESS PHONE --
g
;i
1
I
_DATE dNSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor '
Permit No. d ZZ,� 6 Zz�BZ f J
yl-- IV - i' �i -- Fixture --- ---
_ Final
HEATING ----
3"c L • ,Ax_� — Contractor JQl we44V l 3C� Z X34
✓/- G n�� Permit No.
26,20 /6. 4
—_ Gas or Oil
- -- Rouph•in--------- ---
-- Final ---� -- --
SEWER
- ---- - ----- ---- Final r ,'�
DRIVEWAY
Fin^i
__- _- --- Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Straet Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
land•naping
Zoninq Fhwl
i
■� ® Ist � III � at � � !i�
/.ter.
BUILDING PERMIT APPLICATION TIGARD DATF_ -te1e Z 39' 3
THE UVOERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON .7-O0_ (
OR AS SHOWN AND APPA VED IN THE AC,CONIPANYING PLANS AND SPECIFICATIONS. OWNER P OVE _�
I -I oja
OL•:�:ER FO► w"t Cwts4mc. 701a ADDRESS II�7* 3`V �:�. LOT":O.-y,Z _SGJ
ARCHITECT
c' 1 ENGINEER 1_ o
BUILD'c� 4�bY1Q� ADDRESS 61SJ 5�1� �OMMQr�t�l�.! DESIGNEE• �1'�t�t p
STRUCTURE NEW 0 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITI
RESIDENCE ❑❑ 7COMM ❑ EDUCATIONAL "DGOVT ❑ REUGIOW: Ll PATIO ❑ CAR PORT ❑ GARAGE ❑ STOP, Gc❑ gtAo f 1 FES
Cu.iiPANCY JS,".�_LAND USE ZONE -r�BLDG.TYPE _� FIREZONE_.—_PLAN CHECK BY HEAT --
o -
Re— :4(At , Pte. le � �*
SEINER PFcRM1T 8
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIESAREA ' NO.13'egROOMS _ yE LUt
BUILDING DEPARTMENT SET BACKS FRONT 020 REAR (j _LEFT SIDE
2 :� _ _ RIGHT SIDE _
P4f�11t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGD ,ZDj4
Plan Check �
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE=Y AGREED THAT"
� �5.
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND III CO.'4PLIA!
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
Sub Ictal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSIti,
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Statn Tax �7
Total «� a SDC—
PDCa ASF�flAGENT G% ---
By
AppfOY-J Receipt No_
ADDRESS --
--- I'Mt7NE
50C S /040
Dec loo
SEWER CONNECTION S 775-
SEWER INSPECTION S 31s'
HWER SURCHARGE S
/3b
M W M s ttal tar
BUILDING PERMIT APPLICATION TIGA :7 DATEw
THE UNDERSIGNED HEREBY APPLIES FOR A PERMI i FOR THE WORK WMTIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMWANYING PLANS AND SPECIFICATIONS. OWNED,PHONE _,7 _
^:': " i
!^ A.ICOh�hl�►17111�8 ADDRESS I i Q ✓ !�— Ave -
ARCHITECT
�'- ENGINEER n
BUILC01 JAS•+a ADDREss �_ I DESIGNER �Jem ell, L+c
STRUCTUiE NEW Cl REMODEL -��}ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMIOLITIOr
�RE510ENCE 0 _COMM Ej EDUCATIONAL ❑ GOWT ❑ REUGiOUS G PA i 10 G CARPORT ❑ GARAGE G STORAGE ❑ SLASO FENC:
Cti LANG USE ZONE '7:_BLDG.TYPE -_�N_FIRE ONE PLAN GHEGK 8Y NEAT
AP 7�w 111 t� e
SENV ER PFRMIT Pa 321t
GCC.LOA FLOOR LOAD HEIGHT IZ NO.STORIES If AREA B/U NO.Bc-DROOMS ,3 Vt..,Ua*000
BUILDING OEPARTM, ^SET BACKS FRONT 20 REAR 49 LEFT DE--.fes � RIGHT SIDE /J
Permit00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION} CONTAINED IN T$�c EUILMNIG CODE, ZO•r::N
REGULATIONS ANTI ALL APPLICABLE CODES AND ORDINANCES, AND IT IS KnE3Y A.GF�EE�J Tr Ay i};I
PI-in Check 'T WOFIK WILL BE DONE. IN ACCOP.CANCE WITH THE PLANS AN SPECIFICATIONS AND IN COLiPLIANC.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAI E OF THIS#ER`AIT DOES NOT WAIV!
fI ,u'�total �i y� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON T RACTO ^ TO HAVi CURRENT CiT-f Eaaltit 1
f--- LICENSE.SEP4RATE PERMITS REOUIREi)FOR SEWER,PLUMBING A TING.HEA
f S:ita Tax • {I � SOC
/
Total
PDc# APPUCANT OR AGENT
By _
Receipt No.
Approved ADDRESS \ PHONE
SDC - s 40
"EWER CONN> CTION
3EIJER INSPECTION a _ 3S _ Yiw►9• �° J�•
r �
SEWER SURCHARGE" 5 _�
e1 _
r--�-- _--- ,ems
X/270
S. • �' ( � ���C URl9S• 95. 0
GALE; /"- ao., `9�.`l`'
Gf�!/AT/ONS I
S'J704
O
'70
i
176 ,�=y
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6s; �
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