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INS' ECTION 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 Permit
Owner Lot 0 _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ —e _- ppprovW
Inspector y.� ❑ DIMpp1'owd
Date
CJCALL FOR REINSPECTION
D YEI 0 NO
a
i'
INSPECTION NOTICE
City of Tigard Buildiii t Department
P.O Box 23.3'17
Tigard, Oregon 9.'223
Phone 639-4175
Type of Inspection _—_ '� --------- __._- -- ---_------.—
Date Requested3 �fr Time_ A.M. P.M.
Address permit
Owner _ __ Lot #
Builder —
The following Building Code deficiencies ate required to be corrected:
ry '
-� -_-
�-
�l.itt� CLG.f%�,�4L] G ✓' ( ��_�..��'lL,'�'w ,n,-�.�t.L.W
il.c..i '�.�[L,L4.-��'ti -'�►t���__(.^'t.' .`',k�,��l�/ P` _G !.�-[.+.,�o�.e{4J-"-
Presented to �____ ❑ Approved
Inspector �� _— Disapproved
Date - - '//- 14 %
CALL FOR A LINSPECTION
El YES ❑ NO
/,C/Jty
INSPECT ION NOTICE of Tigard Building Department / e
P.O. Box 23397
111 , Tigard, Oregon 97223
J Phone: 639-4175
Type of Inspection
Date Requested___ �� Time/ ._ P.M.
Address C? _ Permit
Owner 7 �� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
_-__ ..rl'��,e�-'"'^� i� may...--V t<%-�_T- �,r��•:�-�n.-t
t+rP5P11+nr♦ to hhfOVed
I_-] Disapproved
Date —
CALL FOR REINSPECTION
YES i 1 NO
INSPECTION NOTICE
Cit/ of Tigard Ejilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ _ Time _ A.M. P.M.
Address CJ '�– Permit #_—
Owner __ __ _ Lot #
BuilderThe following Building Cody: deficiencies are required to be corrected:
Vf
Presented to _ F*rAppro"d
Inspector s- L U Dlupproved
Date
CALL FOR RE'INSPFCTION
❑ YEa ❑ 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 Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
z
(7
Presented ton Approved
Inspector [4-bisapproved
Date
CALL P0.8 REINSPECTION
[!I YES LJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
Typc of Inspection _ —
Date Request(d �,�,��� ime_ ''�A.M._ _ _P.M.
Address _ r --�-3 L/Ll__ �._ Permit #�Q _
Owner y / "�'�- Lot #
BuilderThe follow'n Building Code deficiencies are required to be corrected:
_
4
r
01
,may
Oresented to [] Approved
Inspector (`}'LSisapproved
Dote �•��` ��
CALL POR REINSPECTION
[ = fJ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O Boz 23397
Tigard, Oregon 97223
�j Phone: 639-4175
Type of Inspection
Date Requested _ r 3 Lytle A.M. P.M.
Address �� 7 3 iPermit #
Owner _ Lot #
BuilderThe following Building Code deficiencies are rcquired to be corrected:
Presented to Approved
Insp:..cor e 14-6 sapproved
Date !_�yS`- - ¢ 7 -
CALL FOR REINSPECTION
I�r-VEQ ONO
to
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 39-4175
Tape of Inspection
Date Reques'.eap -� Tinie __ A.M. P.M.
Address ,� (__� ' - -__ Permit #_12_ _
- -- -
Owner _-_-_--- Lot #—__---
Builder
The following Building Cor'-! deficiencies are required
to be corrected:
Presented to -------- _� _ V Approved
Inspector _ - ❑ Disapproved
Date ____/_�
CALL FOR REINSPECTION
C7 VES ONO
INSPECTION NOTICE
City of Tigard Building nepartment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requesstted ^� ` t^ ._I Time A.M. P.M.
Address V 1 J ` \ k-N C Permit #
Owner Lot #
Builder Coii!i��E;F;L _
The following Building Code deficiencies are required _ .car _
,014
Presented to _—— �� Approved
Inspector --- --_.e ❑ Dlapprowd
Date
CALL FOR REINSPECTION
DYES ONO
INSPECTION AOTICE
(, City of Tigard Building Department
P O. Box 23397
/ Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __-
Date Requested 7 Ti a A.M. P.M.
Address -.. �� / ' � _ Permit #__�� _
Owner - ---% 1 .-r t _.._ Lot #- --
Builder _-.---
The following Building Code deficiencies are required to be corrected:
i
Presented to _. FTApproved
Inspector �„�._ J _ ❑ DiaPprOved
Date
CALL FOR REASPECTION
❑ YE$ ONO }
.r
CITY OF TIGARD 639.4171
6 416
BUILDING PERMIT DATE .. �____ 19 44--
TAXMAP 1St-341;1) LOTNO. -_31!._ _ ___SUBDIVISION Penn l$Nt
IirrZta► i:ldi il""
OWNER 10'913 SW 111th Ct.
JOBADDRESS
txame l_J �� _!'�l 49653 - 2/6187
BUILDER �C��� 1 STATE PEG NO. EXP.DATE - _._
246-293U
BUILDER'S PHONE'.
ARCHITECT PHONE OTHER
STRUCTURE ?:1 NEW O REMODEL C7 ADDITION [i REPAIR Ci MOVE OTHER DEMCAITION
I:�-RESIDENCF COMM F I EDUCATION 1 i IND 'I RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY '` '. LAND USE ZONE icl BLDG TYPE FIRE ZONE PLAN CHECK BY L HEAT ,. N
Strt,ject to 65 cote. KEId oS1(1; of 56,55.
SEWERPERMITN 326U5 tldu) Zai batt►e, 4 trapa, t;sra a area 441
OCC.LOAD FLOOR LOAD 41, HEIGHT 1U NO STORIES Z AREA 1450 NO,BEDROOMS 3 VALUE.52,UCt0
__ _BUII_DING DEPARTMENT ;__ FEDOCKS FRONT 15 REAR 2.5 REAR SIDE RIGHT SIDE
Permit _ _ 2b9.UU THIS PEhMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Zu 1 3
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY P :REED THAT THE
Plan Check 4U.UU_ NORK WILL 13E 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 CURNENT CITY BUSINES.3
{TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.56
�.- 3�►U.5G SDC—
Total 600.UO APPLICANT OR AGENT
PDCM 11500UU
Prepd. 4U.UU
Receipt No, ADDRESS pH0 :
Lal.Due _ ikoJ 6.___
Issued By_... .__—Approved 9y _. _
I
ND P,Gn.f�Y2 /NrJ/qi/ems' /wsi�:(/f0
rPasT•c
DATE INSP. TYPE INSPECTION PEMARKS PLUMBING DATE
..w T,,pry Contractor
Rw�ti-- _ y Permit No. ISIL n
Rough-in
Fixture �—
/ —mss Final
L2�1 -- HEATING _.
Contractor
Permit No. y , --
_L GasorOii
Rough-in-- — — -----
_ esar£ e� �ae Final
..��-�i_..8 --L._ot•...c- SEWER
Final
DRIVEWAY
---- Fi•ial _
Stone Drainage
(Rain Drain)Final
__ ------...- — -- _ -- Sidewalk
Curb ti Street Final
Approach --.—
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY —•— —
Landscaping
--- Zoning Final _ —
CITY OF I!,-,ARD BUILDING DEPARTMENT PLAN CHECK NO. : 11 2 a 7"?,
PLAN CHECK APPLICATION DATE RFCF.IVED:
P.O. Box 23397, Tigard OR 9722.3 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 & Life Safety Code, edition.
PROPEKTY OWNER: `/ • G-,G� OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: dZ y (o " ."Z q' 3
JOB ADDRESS: / D - �8 C/ LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. (-A, Reissue
OEngineering Dept. O F1Dod Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items LA. Lir—ed
OList of subcontractors
J_ Business Tax
Calculations
`J Truss Details
OParking Plan
OLandscape Plan
OOther
COMMENTS:LCL—d _
City cf 'Tigard Building Department
BY: -�
prkSj'1Pe' �. ?
KLAN CHECK NO. /
17>
for inspections call 639--4L75 Or
-��'�-t—'�
PERMI
CITY OF TIGARD 639.4171 DATE —
BUILDING PERMIT Is/J100sr _suoorvislON
P.O. Box 23397, Tigard OR 97223 TAX MAP LOT NO, _ (
OWNER f �L�Q�v`- JOB ADDRESS 1C)9 7 3 - I S C 1
BUILDER ^C'nQ-*p� G STATE REG.NJ. y �3 EXP.DATE
BUILDER'S PHONE _'/ `7 6 - 2 ` �) —
ARCHITECT_ —
PHONE OTHER _
STRUCTURE SKNew L) REMODEL O ADDITION ❑ REPAIR O MOVE O OTHER O DEMOLITION
0 RESIDENCE ❑ COMM G EDUCATION t] IND O RELIGIOUS, 0-ACCESSORY (3 GARAGE GTNER ❑ FENCE
OCCUPANCY a LAND USE ZONEBloc.TYPE �°'� FIRE zn !.._
NF _. PLAN CHECK BY
ik L TAT f^ t
Construct sin lg a family dweiIing wZattached garage, all T poi --
Subinct (y-3`)
SEWER PERMIT a,,7-Z (09)S7"-(l du) baths.,,{.-traps / aaraae 00 BEDROOMS
OCC.LOAD FLOOR LOAD 4/0 HEIGHT _ NO.STORIES -7 AREA / YS�/NO.BEDROOMS 3yALUE��tI�1S
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIOE RIGHT SIDE
[Plan
'armlt- � _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HERESY AGREED THAT THE
Check WO11K WILL BE DONE IN ACCORDANCE WITH THE PLANS AHO SPECIFICATIONS AND IN COMPLIANCE
rte. WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pi.CIL Firs ) RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
,date Tax �, Sc,or-
SDC-
Total_ �.�� APPLICANT OR AGENT
POLIS
Prepd-- yc --- ---
Recelpl No AOORES5 PHOW
ESal.oue I Jot' �.
— Issued[Ty_.—--- - __—APProved By
/�
�l)C - --- - RECEIPT N��7 ✓2
3
POC— ,�--- DATE PD.
SE:LIER CONNECTION S 7? AMOUNT PD.
5EUEF INSPECTION S
SEWER SUFC!IkRGL t
•
.c,mclente; � ,
CITY OF TIOARD MECHANICAL PERMIT Receipt#
Permit#
Description
City of Tigard
Table 3A Mechanical Code CITY PRICE AMT
_— --
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tig-rd, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
Incl.ducts&vents 6.00
2) Furnace 100,000 BTU i
_ incl.ducts&vents 7.50
Name of Development 3)
Floor Furnace
incl.vent 6.00
Job Andress — —� Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No 5) Vent not incl,in
Subdivision Lot Block _ appliance permit 3.00
—.-_ _
Name(or name of business) 6) Repair of heat;ng,ref r Ig.,
cooling,absorp ion unit 6.00
afli Address Phone 71 Boiler or comp to 3 HP
Owner Matsorp.unit to 100,000 ETU 6.00
city State Zip 8) Bciier or comp to 3 HP-15 HP
_ab:;orp.unit to 500,000 BTU 11.00
Name/ 9) Boiler or comp 15-30 HP
absorp.unit'a-1 million 15.00
Mailing Address __-- - Pnune 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
ContractorCity slate z.h _ 1 1) 9oiler or comp to 50 HP
t absorp,unit 1,750,000 BTLI 31.50
State Reglslratlon No. City Bus,Tax No. Air handling unit to
12) 10,000 CFM 4.50
i hereby acknowledge that I have read this application that the Information given Is 13) Air handling unit —
+
correct,I. ,r 1 am the owner or authorized agent o1 the owner,that plena submitted are in 10,000 CFM 7.50—
compliar,,. with State laws.that I am registered with the State Builders'Board,that the14) Non portable —
number given Is correct.(If exempt from State registration please give reason below) evaporate cooler 4.50
— --- ---
--" —---------- - 15) Vent fan connected
to a single duct 3.00
- Ventilation system not
— — 16) included in appliance permit 4.50
(; tHood served by
' t 17) mechanical exhaust 4.50
Signature(owner or agent) bate Domestic type
Describe work O addition Ll alteration I_I repair [I 1A, IncinerAtor 750
to be done residential L- non-residential L I
18) Commercial or industrial
Existing use of type A _
t e incinerator 30.00
building or properly 20) Other I.e.,woodstove,water
Proposed usA of ,,
heater,solar,clothes dryers,etc. 4.50
building or property '_._
=1) Gas piping one to four outlets 2.00
Type of fuel- oil I i natural gas I-l LPG I electric:
22) More than 4-per outlet
N,QTICE --- __
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — _
PLAN REVIEW 25
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER OF SUB-TOTAL
WORK IS COMMENCED TOTAL
Special Conditions
------- --- - Date Issued by
�r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard-, Or
��Pho639
Type of Inspection —
Date Requestedp Time_ A.M. P.M.
Address _. /� ! 7� -_---_,_. Permit #---
Owner
_Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
tel,
Presented to Approved
Inspector [� Disapproved
Date _ ---------- - --
f A 1,L FOR REINSPECTION
(�1 YES U NO