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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 Z �' Time Q.M. "' P.M.
Address �{! �o �9'7 — U� Permit
Owner_ ��� — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ `-_ -- �Approved
Inspector
Disapproved
Date G
CALL FOR REINSPECTION
❑ YES ❑ NO
AKE=
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 l
Tigard, Oregon 97223 l
Phone: 639 W5
Type of Inspections
Date Reques ed __— 3 ' 2y3� Time --- A.M..----P.M.
Address -��(P Permit #
Owner _ 4, Lot #
Builder
The following Building Code deficiencies are required to be corrected:
4) fAl
ot—
Presented to /
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES C] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
n ,
Type of Inspection
Date Requested Time A.M. P.M.
Address — Permit #
Owner � LUQ
/Lot
�rlL1_'
Builder _,-- _ � '
The fol Iowi q Building Code deficiencies are required to be corrected:
i
Presented to _.. .._ _ L? proved
Inspector1 Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
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 '7l Permit
I
Owner Lot
i.
Builder
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector Disapproved
Date
CALL FOR REINWPECTION
El YES L"I NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4 5 .
Typo of Inspection
Date Requested Time A.M. P.M.
Address Permit
Owner A,17JW —.-- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to --Zyj "4p-proved
Inspector hY
Disapproved
bete
CALL FOR .REINSPECTION'
Ej YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
V P.O. Box 23397
Of'
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_^ 2 Time A. P.
Address / $ ` Permit #
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Pre:ertterl to U Ar#mvod
Inspector U wompp "d
Date
CALL FOR REINSPECTION
❑ YES CJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 l
l� Phone: 639-4175 /
Type of Inspection —_
Do'^ o^_quested TI e A.M. " P.M.
Address _� �`�� -- Pe
Owner_ / _ Lot #�_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to v�
Inspector _ [� Disapproved
Date
CALL F0 hEINSPECTION
CI YES U NO
I'LNN LMLLn NU.
for inspections call 639-4175
CITY OF TIGARD 639.4171 PERMIT NO.
DATE to
BUILDING PERMIT 7 L P r
P.O. Box 23397, Tigard CR 97223 TAIL MAP _ LOT NO. �s —SUBDIVISION
OWNER JOB ADDRESS 6 E,`17
BUILDER J�1� M I Pr �l�I h L STATE REG.NO._ 3d I c 9 EXP.DATE
BUILDER'SPHONE 84 75 5r '
ARr.NITEC'f— PHONE OTHER
STRUCTURE NEW O REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE U OTHER 0 DEMOLITION
`RESIDENCE Cl OOMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS, ❑ACCESSORY ❑ GARAGE U OTHER Cl FENCE
OCCUPANCY ,R .S LAND USE ZONE BLDG.TYPE S-ti FIRE Z-ONF- _PLAN CHECK BY _4_L_�_t*AT
Construct single family dwelling_w/attached naraae� at per appr-0ued p1-- --
--SW4jact_Lo 85 code. --- --
SEWER PERMIT., dZG 9 ( )�Iyara9e are,L_��. '—
-(Idu) .� baths. . L_) traps
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 7— AREA /� ,;'k ;c J.BEDROOMS VALUE 7;?, Z c+r,
BUILDING DEPARTMENT SETBACKS FRONT REAR '�,' LEI T SIDE RIGHT SIDE
�^qt 3 7S TNtS PERMIT IS ISSUED SUBJECT r0 rHE REGULATIONS i ONTAINED IN THE BUILDING CODE, ZONING
REGULJITIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AQREED THAT THE
Plan Crick y L� yyOhK WI'.L BE DONE IN ACCURDANCZ WITH THE PLANS AND SPECIFICJ1T10HS AND IN Cp1�PLUNCE
WITH AL, APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOCS NOT WAIVE
PI.CIL F" RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS SEPARATE Pr RMITS REQUIRE R SEW PLUMBING AHO HEJ1T1N0.
Stals Tac /.Y. 7 Z. 55G�C
Total E/ Z 7- L.. AF_ -- - L
r�.pd y c) Poca f' o 3 a /
Bal.Due R.cofpl No ADDRESS —— P►K;«!
Issued By_ APPcov.d By
SSD(- --- "U 5-0
S 0 C - � � es-"d
RECEIPT #
POC - � •, _
_ DATE P D. __ .f�P. 7
SCUER CONNECTION S i AMOUNT Pb._
SEWER INSPECTION S
SEWER SURCHARGE S
:ommente:
I• �
i
CITY OF TIGARD 639.4171 6544
BUILDING PERMIT DATE Bebruary 19 137 _
TAX MAP-151.154' LOTNO. 15 SUBDIVISIOWover Landita
OWNER_ any b`1111eT JOB ADDRESS 1661 k7 MToRth-Al
BUILDER _ SaW __ STATE REG.NO. _ EXP.DATE
BUILDER'S PHONE 684--15113
ARCHITECT_,.__ _ PHONE -, OTHER
STRUCTURE 2 NEW n REMODEL ADDITION I REPAIR MOVE 1 OTHER DEMOLITION
r I RESIDENCE ❑ COMM 1-1 EDUCATION IND RELIGIOUS L ; ACCESSORY 1 ARAGE OTHER FENCE
OCCUPANCY �3 LAND USE ZONE,y�4.y BLDG.TYPE � FIRE ZONE Y PLAN CHECK BY �. . HEAT _
LonEtrr ginule fierily QvelliuL %dattocLegrail i Ecr a.)utuveki i,laat:g to o: cote
kELS3111k Of 6535.
SEWERPERMITM RUA[.V4 32 693(lod) 3 bawl, 10 trije garage 49U
OCC.LOAD FLOOR LOAD 412 HEIGHT ,12+— N0.STORIES 2 AREA Lti38 NO.BEDROOMS j VALUE 79.20i�
BUILD'NG DEPARTMENT SETBACKS FRONT 2(j REAR 45 LEFT SIDE 7 RIGHT SIDE
Permit 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 4L).UU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.92 .,:,k.
Total 422.92 - — SDC— t�t!(I.Ut:
APPLICANT OR AO".NT
Prepd. 40.00 PDf1 15u.uU
Bal.Due
j6 7.92- —_ Receipt No. 7/i 1i __j ADDRESS PHONE
_
Issued By_ Approved By
..,t,..r.�r.,...+Y.....,Ma...,...�. . .._..+w..n;.4.. ...., ,.,..►.r..r,Wirwr.++w..efr�n.4.Yn+.r.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
—7. _ Contractor/,-,' LA)__ZW 13^$U /•g�
_ Permit No. S $
Rough-in
Fixture
Final
,y0 �9 HEATING
.'3— Z 3—f ptracto
1 _ r Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY LFinalcaping
g Final
i
i
1
CITY OF TIGARD MECHANICAL PERMIT Receipt# ME
Permit#
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard -
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639.4175 Furnace to 100,000 BTU
1) incl.ducts&vents i 6.00
Furnace 100.000 BTU +
2) incl.ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00
D«v-,-L- _,, incl.vent
Job Address 4) Suspended heater,wall heater 6.00
Address �,6 Sw /�, k {� or floor mounted heater
Tax Lot Map No. 5) Vent not incl,in 3.00
Lot �,_. stock Subdivisionappliance permit
Name(or name of business) Repair of heating,refr ig.,
L°t
_6) cooling,absorption unit 6.00
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU
City/State ZipBoiler or comp to 3 HP- 15 HP
8) absorp,unit to 500,000 BTU 11.00
Name 9) Boiler or Comp 15-30 HP
absorp.unit 112-1 million 15.00
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor city/state Zip 11) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus.Tax No. t 2) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this applicatlon that the Information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plane submitted10,000 CFM +
ed are In -
compliance with State laws,that I am registered with the Slate Builders BCa'd,that the14) Non portable 4.50
number given is correct.(If exempt from Stale registration please give reason below). evaporate Cooler
t `lent fan connected
1 to a single duct 3.00
-- - - -- -
1 ) Ventilation system not
16) included in appliance permit 4,50
Hood served by
17 mechanical exhaust 4.50
Signature(owner or agenq Date ) Domestic type 7.50
Describe work F1 addition I I alteration I_I repair I I 18 incinerator
to be done residential 1-1 non-residential I 1 Commercial or industrial
19) 30.00
Existing use of type incineratur
building or properly �— 20) Other I.e.,woodatove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
building or property —_ - 21) Gas piping ore to four outlets 2.00
Type of fuel- oil Cl natural gas V1 LPG I I electric l I I �-
22) More than 4-per outlet
"0199 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