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W W W
INSPECTION NOTICE
City of Tigard Building Dep; itment
P.U. Box 23397 '
Tigard, Oregon 97223 '
Phone: 639-4175
Type of Inspection
Date Requested, j'___.. rime A.M. P.M.
Address I Oci C.4 W J.1� Permit #_.
Owner _ Lot #
Builderr r
The frllow'n Build �',
Lot deficiencies are required to be corrected:
- - 'Aa `
J /
1
Presented to ? ❑ Approved
Inspector ❑ Diapprowd
Date
CALL FOR REINSPECTION
❑ Yee ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -_ _
Date Requested _"'T — Time I.M. / P.M.
Address �c� 1�Q `, � ( 1`F� rrnit
Owner .__ _ _ Lot #
V
Builder
The following Building Code deficient es are required to ected:
r
Presented to .� Approved
Inspector _ __ ❑ Oippproved
t �Date
CALL FOR REINSPECTION
❑ YES F�l NO
W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639- 175
/_
Type of InspectionDate Requested Requeste�d C-- Time A.M.___,._P.M.
Address _�'_ "� r --_ Permit 4F
Owner ___ «< _-- _- Lot —
r
Builder ----
The
uilder ___The following Building Code deficiencies are required to be corrected:
Presented to __ r Approved
Inspector _.-_ tI/ L_- __-.__ __-.__ Disapproved
Date
CALL, FOR RFINSPF,CTION
❑ YES [--] NO
0
INSPECTION 'NOTICE
City of Tigard ng Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ' Sr- Time A.M. i" P.M.
Address __�,.,
Permit
Owner 1 __ _ Lot #
Builder
The following Building Code deficiencies are regtgired to be corrected'.
v
Presented to _ ❑ Approved
Inspector [ p.groved
Date y / --
CALL F'01�,C- REINSPF,CTION
F;�Y YES U NO
■ qr l� t �I ! � !� � ��t
CITY OI; TIGARD PLUMBING lam .% � Lilvi.,
Applicartts mus' hold Oregon Registration to conduct a plumbing
PERMIT 1T� 97223properlybusiness or must be properly owner/operator not hiring outside help.
75
Name of Dev1opmenl
PlumbmµPermit Nit.-52_22_
Description -0
110 DUAN. PRICE f,MT
Job
Tax Lot Map.No.
Addnaa
FIXTURES
ltN Block Subdivision ---- -------- -
Sink _ 7.50
erre or rwne ss 1 Lavalory - _ 1.50 - -
24�ei�-C' C-ai C_ Tub orTub/ShowerComb 3 1.50
mailing eat
Shower Only --- --_ 7 50 ____--
Owner C My/,tete rip Water Closet --, 3 - 1.50_ __ I
Dishwasher _750
��-
Pfxxa Garbage Disposal 1 _.?''0 - 7 JW
- Name Washing Machine ---- - 1.60 7 J�
Floor Drain 7 �
ai ing ress Phone- Water Healer
_ Laundry Room Tray 7 bo
Occupant (,"/State - - --- tip i Urinal —__ _ ---- 7 50
NameY c ^ e Other Fixtures(Specify) Y - _ 75 0
Mailing
ess Phone ---7 50- -
/S9 /tet Gy9s83i -- ----
�su
Contractor C ty/Stats Dp
9 y i 2 MISCELLANEOUS _
-- City Bus Tax No SOWW 181 100' _ W MI
Stale s car
l i3No --T`tete !Tiers-IIus JC o Sewer-ea.Addit 100 T�- - 15 00
(Residential) Weler Service 1 sl too'--- J( :0 00
I hiersby advgvvledp•that I have read this appkrat .bd",e inkxmatlon Water Service as Addit 2V — _ 1500- -
even is axed.OW I un ieo0wed with the State 134-We1"60&d,and also Storm 6 Rain Drain 1 at.100' 3000
he"a State Pkm"vj homes that Ilse rxxnbers gi.,w,are correct.that all -
phxnbing work wig be done in e000rdanoe with opplical xovisions of Ore Storm s Pyn Drain Add11 100 15 00
gon Revised Statutes Ctapters 447 and 693 and appUc.oia codes and that MutiftHome Space 25 M
_ .-
no Help will be•rtrpbyd unbss Moera•0 urxbr ORS Goa (fl eK•mor cx+1 8acfiFiowPrevwMon ----•-_
State registration,pleat"give rsascrt babes) D� or AnNL-Po1kAi0n DOV Oa 1 5o
HOMEOWNERS I hereby oerWy tfttl aowner d ft m the oproperty d• -- _
•cib•d above.sil which Iccafdon 1 propose to maks a pkanhkg instaYatfm kx Any Tiop or Waste Not
my own use and fHa property is not beYq construcMd for Sol•,I•aae or rent Cemented to a Fixture 1.50
Catch Basin 150
it".of Eim Pkxnbirg 40^h 119,14.
4000 PM Ni
Abler of Pkimbirg wNNn
an Exfeeng BWg 15 pQi nwN -
AUTHORIZED SiUNAT1JRE
Daft New Bldg or&M.AddlYan`f- :6.00 min
Deecribe work new(1) sddilion l ahtet ation[l repWr C7 i3+p11 15.1U _
W dorso_ _ resklential Fj non•reskWitial I I - _
bWArp or property , _- Lam'a✓ • r\- a*TOI A/. i 1
PP1I.0"of — 4%OM'101Wq! ^S_Ir
tuf f111pp or PWPWty-- TOM
MOT10E - -_
Th%p w"*0 a f,ftietr rrilN and void M won►W corteeumm iai/IhorUod is trot oom
I w Md time tip dwt,%.w 9 oflaub asm or.cork 11 Wavered ll or abendcr\•d for
a P1111bd of 100 4M Id any erne sellar wak N r+orrrw.naad
Date leeued _._ � _ t_.. b,
MR
UtW
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
c
Date Requested. t e A.M. P.M.
Address 1y�'��Q - Permit
Owner _ Lot #
Builder ' ��._
The following Building Code deficiencies are required to be corrected:
i
Presented to ❑ Approved
Inspector -� =�✓ Dlwpproved
L
Date C3- 7
CALL FOR O �
Ea 0 NO
�r o� s Als ►>< I FW
INSPE� V"J . 'NOTICE
city of Tigard Builoing Department
P.O. Box 23397
Tigard, Oregon 97223
P one: 639-4175
• .� f( r * 1l�%
Type o; Inspection - - — ---
Date Requested __.__ -
time A.M.
Address —._ Permit
Owner ___.�__ __ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:` ,rl
70
Presented to _ — I Approved
Inspector _ [�-Disapproved
L
Date LJ — z.. _
CALL FOR
,,RF.INSPECTION
{ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
VIA 0
Type of Inspection
_ . .
Date Requested— TimeA.M. PM'y
Permit
-Is
okddress
Owner Lot
Builder es
The following Building Code deficienci, we required to be coirected:
Presented to t"4pproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
F--
I YES 0 NO
INSPECTION NOTICE l'
City of Tigard Building Department
P.O. Box 23397 _
Tigard, Oregon 97223 -�"��—^ '—
Phone: 639-4175
Type of Inspection — — -- - — —
Date Requested__--fl— � Time.__. FV-,'-A.M.
Address 1 �� l- ��� �' Permit # G _
Owner -------_ Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to
Inspector Disapproved
Date G ? C] -
CALL FOR REINSPECTION
❑ YES ❑ rro
T
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
J
Type of Inspection
Date Requested P.M.
Address / F
Permit #ylk
Owner � .t-CJ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
I
Presented toApproved
Inspector Diapprovod
-'
Date
CALL FOR REINSPECTION
❑ YES 0 No
MR W W W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23'197
Tigard, Oregon 97223
Phone: 039-4175
Type of Inspection
Dats Requested 4 Time_ ✓_ A.M. P.M.
Address- .��1 / Permit # _ °
Owner Lot
�Q.c� 'u�i� Lot #
Builder
i he followin^ Building Code deficiencies ,ire required to be corrected:
c
r
i
I�
Presented to Approved
Inspector _.� [, Ofapproved
Date
CALL. FOR REINSPECTION
❑ YEi OfNO
Receipt#
CITY OF TIGARD MECHANICAL PERMIT
Permit#
Description
City of Tigard t.. � r%
Table 3A Mechanical Code CITY PRICE AMT
13125 S.W. Hall Blvd. 6� 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-41751) Furnace to 100,000 BTU 6.00
incl,ducts&vents
Furnace 100,000 BTU +
2) incl.ducts&vents 7 50
Name of Development 3) Floor Furnace 6.00
incl.vent
Job Address Suspended heater,wall heater
Address / f / 4) or floor mounted heater 6.00
TPR of Map No. Vent not incl.in
Lot Block Subdivision 5) appliance permit 3.00
Name(or name of business) 6) Repair of heating,ref ig., 6.00
; I
cuolmg,absorption unit
MeilingAddress Phone 7 Boiler or comp to 2 HP
Own9r ) absorp.unit to 100,000 BTU 6.00
City/State Zip 8) Boiler or comp to 3 HP-15 HP
absorp.unit!o 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15.00
Mailing Address PhoneBoiler or comp to 30-50 HP
1 q) absorp.unit 1 -1.75 million 22.50
Contractor City/State Zip -- Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus Tax No 12 Air handling unit to
10,000 CFM 4.50
I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM +
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct.(if exempt from State registration please give reason below) 14) evaporate cooler 4.50
15) Vent fan connected 3.00 -T
to a single duct
Ventilation system not
19) Included in appliance permit 4.50
,��^� ,� 17 Hood served by
) mechanical exhaust
4.50
pna u (owner or ge�s Date
18) Domestic type 7.50
Describe work ❑ an tion O aitera On ❑ repair (1 incinerator
to be done residential Cd' non-residential C) 19) Commercial or Industrial
t e incinerator 30.0q
Existing use of 1'p _
building or property -_ _ f _ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property 21) Gas piping one to four outlets 2.00
Type of fuel- oil I. natural gas C 3 LPO ❑ electric
22) More than 4-per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WOtiK OR CON- SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%BURL- %ROE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-•t OTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- —
WORK IS COMMENCED TOTAL
Special Conditions _
--- Date issued — by
I
ffjq�mff
APRMLMF
CITY OFTIGARD 639.4171 DATE 6519
BUILDING PERMIT 37
TAX MAF' 73. 4"') LOT NO. - -SUBDIVISION
OWNER--Ridgecrest domes JOB ADDRESS _1(j964 Sw 118th Cto ---
BUILDER STATE REG.NO. _ 42:279 EXP.DATE 5/67
BUILDER'S PHONE 297-9044J
ARCHITECT NUMXXXII.arclay (v Assoc. PHONE OTHER
STRUCTURE 4_1 NEW REMODEL I ADDITION La REPAIR Q MOVE OTHER DEMOLITION
RESIDENCE Comm EDUCATION INC) (ELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _Y _FIRE ZONE—PLAN CHECK BY HEAT
Construct siligle tamily awelli"p, wjatLaChe(' aeage, all per approvetl plans.
611bject to 65 code.
SEWERPERMIT# 32675 (Idu) 3 bath, 16 traps gar iZe 504
OCC.LOAD FLOOR LOAD &tj HEIGHT NO.STORIES 2 AREA 16-3.5 Ns BEDROOMS VALUE'
2r
BUILDING DEPARTMENT -1 j SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 349*00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGIILATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 226.85 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA'IONS AND IN COMPLIANCE
WITH ALL APPLICARLL CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI Ck.Fire RESTRICTIVE CO'JENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS RE(WIRED FOR SEWER "LUMBING AND HEATING.
State Tax 13096 25uvo ,Af.
SDI
Total 589.81—------- 6 OU.Of, A0/'P61CMNTO_R W_ NT
Prepd. 100 a U0 P'Cf 15(.).U1, Abbnn
Bai .
Receipt No.'
489*81 Issued By Approved By—
T DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
:dam LS d �� i�✓ �._ _ Contractor
2- /7-87 t1� �.«� w✓ !2me _ Permit No. / 77
tQ �4o TL`-23 _ _ _ Hough in
Z-•, Z,7 af1A Fixture
Final
HE TING _ J
Ott'." -- — ----- —. Contract4A 10n,4ltiQt Db i ��f/
Permit N�
Gas orprl
e C Rough in
Final -
` SEWER
Fuial
DRIVEWAY
Final
._._._—�— ---"""---- --
Slorm Drainage
(Rain Dain)Final -
Sidewalk
_ — ----_ -"---- -----��_.^ Curb R Street Final
--- _-- —� Approach
BLDG.DEPT.FINAL CERTFICATE OCCRY UPANCY CERTIFICATE OCCUPANCY Filial —
1, i I d', 1 andscaping
`� Zoning Final
w�
LI\11 \i 11LLI. IOU.
for inspections call 639-4175 PE 1 N0._4tr /Q
CITY OF TIGARD 639.4171 DATE ~''�p = 1°----
BUILDING PERMIT _
SUBDIVISION
I.„ 7� .� NO
P.O. Box 23397, Tigard ON 97223 TAXI4AP OT .
R/1 l JOB ADDRESS
OWNE
C STATE REG.NO. y'� EXP.GATE --'iii---�—
BUILDER
BUILDER'S PHONE C715;,2=90 VIC
PHONE OTHER
ARCHITECT
ST TURENEW ❑ REMODEL ❑ ADDITION ❑ aF°;p
r7 MOVE ❑ OTHER (7 DEMOLITION
RESIDENCE O OOMM ❑ EpUCATK)N ❑ IND ❑ RELIGIOUS. O'ACCESSORY ❑ GARAGE 0 OTHER 0 FENCE
Oc;CUPANC/ LAND USE ZONE FIR£jpNF "' PLAN CH--
Constructsin 1e family dwellin4 wLwLilttiiGt1C11—Siar�eP� at,--I PI
Siihagcr to 85 code.
SEWER PERAUTf.;2107 (Idu) bath /Z) traps s
- NO.STORIES AREA e,� NO.BEOROOMS ✓ VALUE
! 04
OCC LOAD _ FLOOR LOAD t HEIGHT —
BUILOING OEPARTMENT�^ r{IGHT SLOE 10
SETBACKS FRONT O REAR �- LEFT SIG E
petmlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINO CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
PISA Chock 4 3' 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
P1 Ck F" TAX
COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEINER.PLUMBING AND HEATING_
51pits Tax _L-�- 55�
--- 1 SOC- N - -- --- -
rw•I / AP%-1CAt OA AGENT
Prepd.
Rece4pl N - rrlr N�
t/ ADDRFSS - - --
tial.Dub
Issued By Approved BT ---
-
SSDC
50C - -- RECEIPT a�
POC - � p - DATE PD._ _
_ - -- -
5 AMOUNT PD.
SOWER CONNECT ION
SEWER INSPECTION _S
SCWEfi SUFCHARGE IS ''-
_----
rod
_
Ommento : f' -- S q �(�� s -2,
7 40
�,ca
w
- - 0--- - M
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : ` 3 7/2—
PLAN CHECK APPLICATION DATE RECEIVFD: D
P.O. Box 23397, Tigard OR 91223 P/C DEPOSIT PAID:
This is to certify tnat the. attached � sets of plans have been submitted fo plan
A21--
check pursuant to the Oregon Structural Code and Fire S Life Safety Code, edition.
PROPERTY OWNER: 1 U C JJL;�ke'�WNER'S ADDRESS :
CONTRACTOR: TELEPHONE: ,�--2
JOB ADDRESS: J�1.�GE�(L.__[.__`—_� LOT NO. S MAP:
i
DESCRIPTION OF WORK:
I
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
UEngineering Dept . 0 Flood Plein/Sensitive Lands
O Fire District Sewer Availability
OOther Other
Items Required
QList of subcontractors
OBusiness Tax
Calculations
OTruss Details
O Parking Plan
0 Landscape Plan
0 Ot her
COMMENTS:
C'ty o Ti rd 11 ding Department