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INSPECTION NOTICE.
City of Tigard Building Department f�
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
�� . ._
Type <if Insp,^cti,�n -_ — O '—'
1)aLQ
Time A.M. P.M.
r+ C"
2L4 _ C Permit :
Address --LIU
Lot
Owner
—�L� Q it .• #t
Builder
The following Building Code deficiencies are required to be corrected:
Er
� ��� ,+�i�•!` ;I
Presented to .—_-- _— Approved —
Inspector `- - dINWOYed
Date
CA FOR REINSPECTION
❑ YES
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phoney 639-4175
i 1
Type of Inspection
Date Requested—___ - Time. A.M. P.M.
Address -_—_ Permit #
Owner ----- –� f ( ---- Lot #
BuilderThe follow...,, 3uilding Code deficiencies are required to be corrected:
Presented to ._ �_ � Approved
Inspector _ � �/ ( CI Disapproved
Date
CALL FOR REINSPECTION
C] YES f.�l NO
IN s w ■ t ! W, I�
INSPECTION NOTICE
City of Tigard building Departriet.t
P.O. Box 23397
Tigard, Oregon 97223
LL Phone 639-4175
Iype of Inspection -
Date Requested _ __l-_.Gr��+-��_ Time r A.M._ P.M.
Address �� D� — Permit #
Owner_4J 'J�— .�.�+ - Lot #
Builder - _— - -- —
"he following Building Code deficiencies are i q,iired to be corrected:
Cit
PC- o f✓se/ c a , 's c � ----- --
J
�L--�__L•_t'__.fit r/- uF' /'�T Gto �. CT
Presented to ,_ Approved
Inspect ,r _ ��—p�y ❑ Disapproved
Date % Z ZZ--fib----
CAL►, FOR REINSPECTION
INSPECTION NOTICE
City of Tigard Buiidinn Department �}
.".O Box 23397
Tigard, Oregon 97223
Phon : 639-41775 -
B, ,V
Type of Inspection ----.-----
Date Requested i- - _ _-� _L�-�— Tune A.M. ---_.P.M.
Address 2 4^ 'r_ Permit
� — —
Owner .LQ = Lot #
rluilder-- —- ----- — --- —
The following Building Code deficiencies are required to be corrected:
Pretested to --__ -__---__.—_--- - A j;APProved _---'---
Inspector — —�. Disapproved
Date —
CALL. FOR REINSPECT(ON
0 YEt ❑ NO
V CITY OF 'TIG RD MECHANICAL PERMIT `
t.ily of Tigard Permit 11
I S 12 5 SW Ea l l Blvd. DescdpWn _-
".0• Box 23397 Table SA%WhankWCode ary PatCR AMT
Tigard OR 97223 _--
639-4175 1) Permit Fee -0- •0- 10.00
I 2) Supplemental Permit T 3,00
1) Furnace to 100,000 BTU
incl. ducts& vents _ 6.00
2) Furnace 100,000 BTU + -- — --
Name of Development incl, ducts & vents 7.50
F !I:1 La.wn >J .t,:tr. 3) Floor Furnace —
incl. vent 6.00
Job 101.2 S-d 11 Ei t r� ---
Addresn pax Lot Map No. 4) Suspended heater, wall heater
Lot Block Subdlvlalw or floor mounted_ heater 6.00
Name ( or name of business) 5) Vent not incl. in
appliance permit 3.00
01 r1olic'),
Melling Address ply" 6) Repair of heating, refrig.,
Owner lir)') -""r 1119tlh cooling, absorption unit I 6.OU
Cltyis ale Lp 7) Boiler or comp to 3HP t—
absorp. unit to 100,000 BTU 6.00
Name 8) Boiler or cornp to 3HP-15HP
� -.�1.o t{eatiw, absorp. unit to 500,000 BTU 11.00
Mailing Address Phone 9) Boiler or comp 15-30 HP
a� Bax 320 G 49-3c'07 absorp. unit th-1 million 15.00
Contractor cnyrsl.a ap 10) Boiler or comp 30-50 HP
absorp. unit 1---1.75 million 22.50
State Fieglstratlun No. City Bus. Tax No. 11) Boiler or comp 50 HP -
abso(p. unit 1,750,000 BTU 31.50
Ii hereby acknowledge that I have reed this application that the information 12) Air handling unit to
given Is correct, that I am the owner or authorlrecr agent of the owner, that 10�� CFM
Duns submitted we In corMllonce with State laws, that I am registered with 4.50
the State Builders' Board, that the number given Is correct. (if exempt 13 Air handlinr unit
State ragletrotlon please give reason below). )
AIRE-FLO HEATING 10,000 CFM + -__— 7.50
P.D. flux 328 14) Non portable
trot a r�1r ea evaporate cooler 4.50
Hillsboro, Oregon 91123 15) Vent fan connected
---- to a single duct 7. 3.00
S may_d 16) Ventilation system not
Sicnature (owner or agignt) Date included in appliance permit _ - 4.50
Describe work 17) Hood served by
0 additionC] alteration C] repair(71I d.'
to be done residential (3 non-residential Q mechanical exhaust 4,50
18) Domestic type
Existing use of incinerator 7,50
building or property19) Commercial or industrial
Proposed use of type incinerator 30.00
building or property renidertcn
20) Other I.e., woodslove, water
Type of fuel — oil p natural gasp LPGCI electric❑ heater, solar, clothes dryers, etc 4.50
NOTICE 21) Gas piping one to four outlets 2.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMEOCED WITHIN SUBTOTAL 3
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURCHARGE .
OR ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY
T'.AE AFTER WORK IS COMMENCED PLAN REVIEW 25%OF SUBTOTAL
Special Conditions _____—__ TOTAL 0 E
-
_.. .. DRIP 14411Ad tG by ��)
i
PLAN CHECK NO.S' '�� �-
tor inspections call 619 -4115 �'� ��. PERMIT NO�.�2
—
CITY OF TiGAI10 639-4171 DATE ia—
BUIL'DING PERMIT [aw
P.O. Box 23397, Tigard OR 97223
97223 TAXMAP _ LOTlNJO, 6 sunorvlSloN Pah _x
(WINE �' dISG!e JOBAVJRE�S I0u 1 7 .S'SJ %Ifl ell,
7!C EXP.DATE
BUILDER 7�r i .'� �-' Sc. ,/��- — STATE:NEG.h0.�� �,�
BUILDER'S PHONE &(a- q q00 _
ARCHITECT ,/ «r�,"? . /,(,, �/ -_ PHONE _OTHER _.
STRUCTURE _® NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER L7 OEMOUTION
Cj RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS 0-ACCESSORY (D GARAGE ❑ THER ❑ FENCE
CCr-)JPANCY Z LANO USE ZONE LOG.TYPE 1 FIRE ZONE—PLAN CHECK BY_�—t1f AT
Constntct single fami I dwei_ ina NLA a h -d of jpprLu»rj ��1=. —
r r r
SEWERPERWTe.L /� (ldu) baths.,_.) traps-'otz' garage area
OOC.LOAD FLOOR LOAD t!�? HEIGHT 7l NO.STORIES Z AREA ILtj Z ANO.BEDROOMS _VALUE
BUILDING DEPARTMENT5ETBAi;K5 FRONT LEFT SIDE /5' t RIGHT SIDE I
/ REAR �2
P*fmll �/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINI,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
PinrlCtrscIt y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATI�7NS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
[Pr0d,
Ck Flr+ " " RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORR TO HAVE CURRENT CITY BUSINESS
TAX PERMf-,$EPARATF PERMITS REOUI RED FOR SEWER,PLUMBING AND HEATING
ug Tax 17 ` '�
SOC—
lst L 1 APPLICANT OR AGENT
-- PDGRecelpl No ADDRESS1.Due Z S+
Issued By— --- —Approved By
SSDC --- S 2 rQ
SOC — ; G 0— RECEIPT
POC — .y �' — DATE PD. S !
SCUER CONNECTION S 9 7 _ AMOUNT PD.
5CUEF_ INSPECTION S3 ��--
SEWER SURCHARGE S
ommen tee:
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :—
PLAN CHECK APPLICATION DATE RECEIVED: > C-�
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to'certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural. Code and Fire 6 Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: /C` f�— 1 I �� C l� LOT NO. 6 MAP: ��� � �/t 1 L 'z t "L
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
0 Planning Dept. O Reissue ' Y
OEngineering Dept. O Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
OOther Other
Items Required
QList of subcontractors
Business Tax
L1 Calculations
OTruss Details
O Parking Plan
OLandscape Plan
O Other
COMMENTS: t'..-
City of T Bard Building Department
BY:
-
CITY OF TIGARD 639.4171 6257
DATE
BUILDING PEFtMIT
TAX MAP __ _LOT NO. _. 30___SUBDIVISIONPQUL_.,aU11- '
OWNER Vid Fvlscl�er JOBADDRESS 1 024 "cwt 110th Court _
BUILDER 934 f+� �II�14 .41 ___-__ . STATE REG.NO. �t2 Z _— EXP.DATE 7-27—fl
BUILDER'S PHONE _ 4M '
ARCHITECT _i'artin 'dill PHONE --_—_ __- .OTHER —
STRUCTURE {`. NEW REMODEL ADDIIION L.j REPAIR MOVE OTHER F1 DEMOLITION
I ; RESIDENCE COMM 1_1 EDUCATION I IND s RELIGIOUS ACCESSORY GARAGE OT AER FENCE
OCCUPANCY gra LAND USE ZONE ° r BLDG.TYPE J'4 _FIRE ZONE PLAN CHECK BY l HEA T—_
Construct single family u;iellin;;. w/attached garrage,all per approved plans
SEWER PERMIT M 29709 ( ICiu) hatha s 3 _t vapR t 12 r 4401
OCC.LOAD FLOOR LOAD 40 HEIGHT 21 NO.STORIES ' AREA 742") NO.BEDROOMS VALUE
BUILDING DEPARTMENT — SETBACKS FRONT ^ I REAFr'_' LEFT SIDE I'; RIGHT SIDE i 1
Permit 4404 TH-S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING
RE,iULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pian Chec!a 40.001 W09K 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
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— TAX PERMIjS.SEPARATE PERMITS REQUIRtD FOR SEWER,PLUMBING AND HEATING.
State Tax 17.62 SSi?L' 2�U.U0 f
SDC— 6p0.0()
Total 498.12PDC# -
7 1`}t).f>tT APPLICAN704kQ1iV .�
Prepd. 009_--- �__(,✓ `r`'/ -
8a1.Due
4y� Receipt No. AhDgE8S PH W
Issued BY__ —_ _ Approved 3Y — -----
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor !
Permit No. {y�. Se'c_� o�ps�ra►•�.� y0 3 U
ff ' S� A iPJv�' - o%- -��L_ Rough-in
Fixture
y�Rf Final
-:z. F HEATING
Contractors.
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
_ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final -
Appnach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY — —
Landscaping
Zoning Final