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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection T� l
Date Requested___—.___ — Time A.M. / P.M.
Address —�4..__:--11-� . _ Permit #_1�3 9
Owner Lot #�_
Builder
The following 3uilding Code deficiencies are required to be corrected:
--T- —y"
UIN"X
�7 Pil
/
Presented to ( � Approved
Inspector __ - Disapproved
Date
'OR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 66339--41755
Type of Inspection -----
Date RequestedfQ� _ Ti�m+e ✓ A.M.- /P.M.
,
Address __
000'-& V `,� � — Permit
Owner — `��J'�.,.. — -- —- -- Lot dt
BuilderThe following Building Code deficiencies are required to be corrected:
r
Presented to _ y._ —. L7 Approved
Inspector ❑ Disapproved
Date _�— l„�' J J
CALL. FOR REINSPECTION
C7 YES E-] NO
IIIO ■ W
INSPECTION NOTICE
City of Tigard Building Derartment (CDP
/1 P.U. Box 2-3397
Tigard, Oregon 97223
Phone. 639-4175 n
Type of Inspection __.-P -,-- - _---.----��_-.—---
Date RequestedQ'�6 Q�r l - Time 'r A.M.__
Address ��/ `� r _ �'�.• _ Fsrmit
Owner Lot W
BuilderThe following Buildio!q Code deficiencies are required to be corrected:
Preseotea to _____ Approved
Inspector ✓ - _ - - - --- - Disapproved
Date �'' /Z.-• $
CALL FOR REINSPECTION
0 YES ONO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97223
Phone: 639-4175
Type of Inspection -- �
Date Requ�essttedQ'��, Time-- A.M.—P.M.
Address Permit 3
# l �
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
�.— � u�✓ .rte.�,GiG,.�t..., ,�-s.-. ---
Presented toApproved
Inspector i6odisapproved
Date ---- —
CALL FOR REINSPEC770N
-AT YES C_D NO
INSPECTION NOTICE .✓+-� U� "
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested/ _/— —_ 7 Time __—__ A.M.__ P.M.
Address .� Permit # __
Owner __ "� ` _ Lot # __--
Builder _The following following Building Code deficiencies are required to be corrected:
Presented to _— (` -<Pproved
Inspector_ — U Disapproved
Dateg � —
CALL FOR REINSPECTION
YE6 ❑ NO
4
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph—on/e: 639-4175
Type of Inspection __--Z — ---------_.__
Date Requested _ Time _ A.M._..�—P.M.
Address �UG� - - Permit
Owner __ —_ Lot
Builder .........
�_ ______---.--------.. --------The following Building Code deficiencies are required to he corrected:
Presented to erApproved
Inspector —,.�i�==— [J Disapproved
Date S
CALL FOR REINSPECTION
E-1 YEi C-1 NO
I
i
�L O,.-INSPECTION NOTICE _
Q- f
r ty of Tigard Building Department
P O. Box 23397 l /�
Tigard, Oregon 97223
Phone: 639-417
Type of Inspection
22—
Date Requested X1 / P.M.
Address/ ------ Permit *
Owner '�• r- Lot
Builder
The followinq Building Code deficiencies are required to be corrected:
Presented to _ __ ___— - Approved
Inspector _ __ Disapproved
Date —
CALL FOR REINSPECTION
r-1 res O No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
639-4175
Type of Inspection
Date Requested Time A.M.-�---'P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficien6es are required to be corrected:
z
2',7 djj -'dCL9&i2 _-r A-01-da-4, ,
A.eteq...'e Cif z
Presented to Approved
Inspector EKisapproved
Date,
CALL FOR REINSPECTION
[riga f.J NO
iltlt ill[ W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 n (1
Tigard, Oregon 97223
Phone: 639-4175 .}.
Type of Inspection
Date Requested �Z'3,`0 b Time-- A.M.—P.M.
Address 3L1gSz$_ —� -- Permit #
Owner '_.2- ' -"'-"-� 9' 'a__ Lot #
Builder ��16
The following Building Code deficiencies
are required to be corrected: y�
i' ,9�:� ,,•.tom�. ��.:��'�.�::�',.P.-''-- �C:-c'�C2.lt-�i"".-�.t.,e�✓i --
Presented to — ❑ Approved
Inspector Disapproved
Date -"�
CALL FOR REINSPECTION
L- fE8 1 J NO
UI T1(;AK0 mF.CHANICA'. 11 MIT
Permit rr_ S��__
ity at ?ibdrd
i 31? SW Hall Blvd - o+.orquorh --- _ — .
C.O. dox 113391N
33yi Tab3AMechan"COM QTY V11tCa AMT
Itg.+rd OR 97223
1) Permit Fee - 0 0 10.00
t)39—.4175
2) Supp amental Permit 3 00
1) Furnace to 100,000 BI
Incl. ducts & vents_ 1 6.00 e f'
2) Furnace 100,000 BTU
Name of Develapmenl 'ncl. ducts & vents 7.50
3) Floor Furnace
AdOrta" b,t� 0J.-
incl. vent 6.00
Job tC �,CJ l _— - -- -
Address Tax Lot Mac, wo. 4) Suspended heater, wall heater
or floor mounted heater _ 6.00
Lot g1OCk �bdl rl.lbn 5) Vent not incl. In
Na ( or ams of business) appliance permit 3.00
welling Address 6) Repair o1 heah,tg, refrlg.,
< < _cooling, absorption unit 6.00
Owner (� .5,tc� �'1� �3-.�,�F � �or —
Stat _ 7) Boiler or comp to 3HP
0 absorp. unit to 100,000 BTU 6_00
Nam _ 8) Boiler or comp to 3Hi NP
F)y, ala c ��- absorp. unit to 500,000 BTU 1 1 00
mailing Address vt,one 9) Boiler or comp 15.30 HP
absorp. unit Ih--1 million 15.00
Contractor c,ry, ate Zip 10) Boiler or comp 30.50 HP
absorp. unit 1-1.75 million 22.50
State Rsglstret,on No. City Bus. To% No. 11) Boiler or comp 50 HP
absorp. unit 1,750,000 BTU 31.50
I hereby acknowledge that I have teed this 8ppllC$II041 that the Information 12) Air handling unit to
d er I
given Is conethat I am the ownOr authorlred agent of the owner, that 10,000 CFM 4.50
puns autmitted We In compliance with State law$, that I am (egl$tsr*d with
the State Builders' Buord, that the number given is correct. (1f exempt 13) Air handling unit
lrom State reglalrallorh please give reaaon belowl- 10,000 CFM 4 7.50
�_ ----
114) Non portable
_evaporate cooler - 4.50
15) Vent fan connected
to a single duct 3.00
1 r,t • 1 �l/��� 16) Ventilation system not
►-� -T,+( GG included in appliance permit 4.50
Slonature (owner or agent) Dale
i 7) Hood served by
Describe work ❑ addition[] alteration❑ repair[] mechanical exhaust 4.50
lo tie done residential non-residential ❑ 18) Domestic type
Existing use of incinerator 7.50
building or property 19) Commercial or industrial
Proposed use of type incinerator 30.00
building or property •- 20) Other i.e., woodstove, water
Type of fuel — oil Q natural gas LPG❑ elAc,•tncU heater, solar, clothes dryers, etc. 4.50
21) Gas piping one to four outlets 2.00 ) d
NOTICE --THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUB-TOTAL _
180 DAYS, OR IF CONS19UCTION OR WORK IS SUSPENDED - 4% SURCHANGE cit
OR ABANDONED FOR A PERIOD OF 1e0 DAYS AT ANY PLAN REVIEW 25%OF SUB-TOTAL
TIME AFTER WORK IS COMMENCED -- - ---
'r TAL ,
Special Conditions ---
l�Alr tSCtled _�' �! �� by
1
CITY OF TIGARD 639.4171 6390
BUILDING PERMIT DATE
TAX MAP ;:,, -"— LOT NO. _a:��SUBDIVISION11cian_1.akin
OWNER JOB ADDRESS 10bbu SW I l t1[ Court issL:iter f2
BUILDER --9§2k WW Corbostt Portland 9 i 2U 1 STATE REG.NO. �4363i -__-EXP.DATE IUD 21i is,'
BUILDER'S PHONE
ARCHITECT PHONE,-,--- ___OTHER
STRUCTURE � NEW _-� REMODEL ADDITI11N REPAIR [J MOVE OTHER _ DEMOLITION
I RESIDENCE CJMM EDUCATION IND RELIGIOUS ❑ ACCESSORY i I GARAGE I OTiiEH FE=NCE
OCCUPANCY K3 LAND USE ZONE BLDG TYPE FIREZONF PLAN CHECK BY j-LjHFAT
4unstruct ain,je 1 oily dwellin; ::itr.Hclrea gara ;ca, all lur.r appruveu plans.
SUt,ject tU 85 COLIC.
SEWER PERMIT# ?�i/139 l 00 lslairi:: Lathr,. j T.:;,a : 44U
OCC,LOAD FLOOR LOAD HEIGHT 21, NO STORIES Z AREA 1651) NO.BEDROOMS,. VALUE/J,24u
BUILDING DEPARTMENT_ SETBACKS FRONT ( REAR ,; ,r1 n. LEFT SIDE,'- RIGHT SIDE
Permit _4_3SS•UlJ 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 TKF
Plan Check 2WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
14•2U`6J TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax _ S'
- - 599.95
_� PDCM 1 JU.OLr SDC-- r,i,u.Irl,
Total APPLIGAIITOR AGENT
_ ._
Prepd. IUU.UU
Bal.Due_ �� Recel 1 k y ADDRESS --- ---_ !'lrnN[
-._ 9�._ p t No.
, ..
Issued By_._—_. App,oved®y
_ _
DATE INSP. TY7 E INSPECTION S I PLUMBING DATE
? Q cz lContractortweC j 1 ra
permit No. hF�
Rough-in
Fixture
/t�P 7 pGc,•y cnp�n Final
HEATING
/. $►-$ �d } }I�u�� — Contractor 4D4V ( 8
Permit No. < <1
Gas or Oil
/_ - � —_— ---- Rough-In
Final
V
L )�,� r��y ------- — SEWER
Final /Z_
S'/2 Gr/S• DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zonirg Final
ITY OF TIGARD 639.4171 DATE
JILDING PERMIT .y,� L-Aww
TAX MAPIybu• LOT NO. _SUBDIV'SION
wNE V A AIS __—_ JOB ADDRESS
UILDER '��cACL,_tV<< STATE REG.NO. ---EXP.DATE I,;-
'Z I-1�-
UILDER'S PHONE Ct4` '�
RCNITECT
1 ' PHONE_______—OTHER
fRUCTURE X31 NEW ❑ REMODEL ❑ ADDITION ❑_REPAIR Cl MOVE ❑ OTHER ❑ DEMOLITION
I RESIUENCE ❑ COMM ❑ EDUCATION ❑ IND • L7 RELIGIOUS ❑ACCESSORY [) GARAGE ❑ OTHER ❑ FENCE
DCUPANCY R _LAND USE ZONE BLDG.TYPE �FIRE ZONE PIAN CHECK 8Y EAT S
sale—�. — C
rh
WER PERMIT R
:C.LOAD FLOOR LOAD HEIGHT 14)Y NO�STORIE AREA ,1� .BEDROOMS VALUEy�
BUILDING DEPARTMENT SETBACKS FRONT �t
_" ScArl 1 -M Ft SIDE RIGHT SIDE
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
an Chock 77 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORD NANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Ck F" RESTRICTIVE COVENANTS.WNTRACTOI.AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' TAX PERMrM SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
ale Tax
— SOC-- ___ _ ----
Na1 5f�. 9 - -
APPLICANT OR AGENT
PDC/
--- — — �� Rec�lpl No. ADDRESS I PHONE
al.Due
y—
f
4 IF
PA
►ER CONNECTION S
IER INSPECTION S J _. /�/�•J
IER SURCHARGE S _
/Gr 4 Pit!'`' Ai
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imente:
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ps:
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : IU - 3u �Z
PLAN CHECK APPLICATION
DATE RECEIVED:/J 2
/C DEPOSIT PAID: l -ri
P.O. Box 23397, Tigard OR 97223 P,
This is to' certify that the attached seta of plane have been submitted for plan
check pursuant to the Oregon Structural Code and Fire b Life Safety Code, F S _ edition.
PROPERTY OWNER:_ ` f/C2. r�.L OWNER'S ADDRESS:
CONTRACTOR: _ TELEPHONE.: 1
JOB ADDRESS: L `53' �� cis' �// (_�_ LOT NO. b MAP: v .na't��,c ctiM 2-�
UE.SCRIP'I'ION OF WORK: �• � t
I 4 i
Approvals Required SPECIAL NO'T'ES
nPlanning Dept. C) Reissue
OEngineering Dept . 0 Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
0 Other Other
Items Required
ired
C) I•ist (it subcontractors
� ) Business Tax
�1 Calculations
OTruss Details
U Parking Plan
0 Landscape Plan
0 Other
COMMENTS :
1:11 V ail '1'igartl Building Delvirt m-nt
LAY:___