10716 SW 127TH COURT L
10716 SW 127TH COURT
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
/Phone:
--639-4175
Type of Inspecti-n
Date P.equeested_ -k� Time _ A.M. _P.M. /
Address st2Z4 �1 �--� __._ Permit # C,
Owner �YJ Lot #.
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Z-A-pproved
Inspector.
j Disapproved
Date
CALLFOR REINSPECTION
11 YES 0 NO
EuM-KW-tW-A>w
MECHANICAL PERMIT V
C11Y F rioA m h_4 PERMIT N0. : MES92134
CITY011, 0
COMMUNITY DEVELOPMENT DEPARTMENT
E ISSUED: 10/13/89
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(5 0)639-4175 P I M.PMT.N0. 892134
I
JOB ADDRESS: 10716 SW 127TH CT
TAX MAP/LOT SUB: SUMMERI_AKE LT: BK:
LAND 113F:
LOT '31ZE:
ITEM: NOs NO:
WORK, CLASS: ADDITION FURNACE (100K AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: RLR/COMP 3 15HP INCINERATOR(DOM
DWELL.UNITS: BLR/LUMP 15-30HP INCINERATOR(COM
FUEL TYPE BLR/COMP 30•-50HP REPAIR UNITS
MAX.INPUT BI-R/COMP 50+HP OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS
HIGH PRESS?
REMARKS: —�
I
Install woodstove I ,
--- — - _ - —
.0FEES:
VV Mims Robert PERMIT $10.00
N 1871E mw 127th ct PLAN REV: w
cigard or 97223 FIXTURES $4.50
PHONE (503) 646-4722 STATE TAX $.73
01 PER
cl
T MCMINNVILLE CONCRETE INC
H900 N. HWY 99W
C mcminnville or 97128
r PHONE (503) 472-6010
[(A
H REGISTRATION NO. 43540 TOTAL: $15.23
his permit is issued sutrlec.l to the r•�qulAhons contaure 1 in TrtU:14 RECEIPT NO.
of tha TMC State of Oregon Specially Codes, toning regulations
and all other applicable nodes and ordinances, And it Is hereby
agreed that the work will be done In accordAnre with the plana And
specifications And In compliance with all applicable codes and FINAL.
ordinances The Issuance of this Permit does not waive restrlctivn
covenants Contractor and subcontractors shall have current city
business tax permlts This permit will expire and become null and
void If work is not started within 180 days,or if work Is suspended or
abandoned for A period o1 180 days any lime Alter work ha;
commenced It shall he the rnspo-sibildy of the permittee to Assur-
all required Inspections Are requested and approved
F'enmttee - nature
Issued Hy �0'-I � l>�I- 6"49-4
SEPARATE PERMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt # �7 13125 SW HALT, BLVD. Permit # `I •�/ 3��
Y. O. BOX 23397 Description
T I GARD, OR 97223 Table 3A Mechanical Code OTv PRICE AMT
(503)639-4175 1) Permit Fee -0- -0 10.00
Name of Development 2) Supplemental Permit 3,00
-i Job Address _ 1 1 Furnace to 100,000 BTU
Address 107/6 -$- tj' 1 R 'Y 7V CO a Oe 7 /r incl.ducts&vents _ 6.00
Tax Lot Map No. S& 2) Furnace 100,000 BTU + 7.50
Lot Block Subdivision incl.ducts&vents
Name(or name of business Floor Furnace
�0� m"o I )11s ' I 3) incl.vent 6 a'
MailingAddiess� Phone Suspended heater,wall heater
Owner
S /t 1 L A_C 4) or floor mounted heater 6.00
CryiSlete Zip — 'lent not incl.in
5) appliance permit 3.00
Name(or name of business) Repair of(,eating,refr ig.,
6) cooling,absorption unit 6.00
M. ling Address Phone Boiler or comp to 3 HP
Occupant 7) absorp.unit to 100,000 BTU 6.00
City/State Zip ---- Boiler or comp to 3 HP-1 ri HP
8) absorp.unit to 500,000 fsTU 11.00
Name 9) Boiler or comp 15-30 PP
ffK/fl1 JV A)D l L i-r-- (Ll)A) C C_Tr_, �' absorp.unit 1/2-1 mi:ilon 15.00 -
I Mailing Address PhoneBoiler or comp to 30-50 HP
C t0) absorp.unit 1-1,75 million 22.50
Contractor �OO N• NI r W!�� �J9l,�1. 7 2 b
_6 p/� p• _
City/State ZipBoiler or comp to 50 HP
t�1 N N U 1 L•L 0 9 / �' 11) absorp,unit 1,750,000 BTU 31.50
Slate Registration No. 01 City Bus.Tax No �Air handling unit t0
12) 10,000CFM 4.50
-... ,y eckncwledge that I have read this application that the information given or, 13) handling unit 13) 10,000 CFM + 7'50
correct,that I am the owner or autho,ized agent of the owner,that plans submitted are In
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct III exompt from State registration please give reason below). 14) evaporate cooler A.50
Vent fan connected
1 to a c,ingle duct 3.00
- - -----"--- -- - -- --- Ventilation system not
- t 6) included in appliance permit 4.°.0
Hood served by
n� _1 17) mechanical exhaust 4.50
an ner or agent)--- / l i i,. Domestic type
ascribe work _ 11 addition ❑ alteration ❑ repair i 18) incinerator 7.50
be done--residential ❑ non-residential O Commercial ar industrial
(Isting use of t 9) type incinerator 30.00
illding or properly _ _ Other i.e.,woodstove,water
roposed use of 20) heater,solar,clothes dryers,etc. 4.50
jikdin%or property_ _ - 21) Gas piping one to four outlets 2"00
vpe of fuel- oil 0 natural gas C] LPG ❑ electric FI `-
2.2) More than 4-per outlet
NOTI_E SUB-TOTAL
HIS PERMIT BECOMES NULL AND VOID IF WORK OR CON _
:TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
rAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
PLAN REVIEW 2596 OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER -------
YORK IS COMMENCED. I t\ TOTAL
Special Conditions
---- �� \ Date issued--_—___--- by
s �[ w,• sw
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i
INS"ECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-41175 /
Type of Inspectitn
Date Requested
-_ Time � A.M. P.M.
Address C /A - ,_�2'� f'� C . Permit
Owner_ t C-- lot #
Builder
The following Building Code deficiencies are required to be corrected:
Pi..ented to Ff ApprovW1 jF77 4V'Me
Inspector — Ej Diser►proved
Date
CALL. FOR REINSPECTION
Ci Y E 3 L] NO
INSPECTION NOTI;E
City of Tigard Building Department
P O. Box 2,397
Tigard, Oregon 97223
Phone:639-4175
Type of Insp;sction , �
Date Requested 1_ / Y—� Time A.M..'jZ P.M.
Address _ fJ 7t b ? r-� C�i Permit # -5:'7
Owner Lu L, —_ Lot 0—
Builder
The following Buildinq Code deficier-ies are muim. to be corrected:
tL!A G
Ute(rj= /='Od!2 CAI. —
G\/
L-5 W-V/mak' 1] "i
-AQ
I-c>/t. \t/ o
Presented to _ Approved
Inspector _ -r:5-1::L(f— — sapproved
Date _— ` 'i ( — c� ---.
CALL FOR REINSPECTION
ltsVES ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection
Det* Requestedy–/S„ nrne `.
— A.M. P.M.
Address 0 7 —7 �r-L�, P*rmit #
Owner. r c ►x _� Lot #
Builder
The following Building Code deficiencies are required to be corrected
�=��EA c _ �-,/•-i l�'T T'r-IAT �'cJ IZ.S i O N O F
-�J_._�1�'/'—tom.. �•/`lam l= �/iE'��Li/clZ l.�• ( /L^I 'A/!'•s� ,
lift'( 1i �clPrC �i t�� ' 1C�L •� • �'
J-L ag,C;,
PmmntW to Approved
Impact
Date
Disappiored
y
CALL FOR RF INSPECTION
YEi No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
J19,
Oregon 97223
e: 6 4171
� ------
I Type of Inspection
Date Requested Time
�^- c— A.M._ P.M.
Address �f
Permit
Owner -- -- Lot # I
r
Builder
fThe following Building Code deficiencies are required to be. corrected:
- / 1
f
I
Presented to
IT Approved
Inspector r
L] Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ 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 /Q 7110 '�/' 1 ,ZZ" Permit
Owner_ - _ Lot #
Builder
The following Building Codedeficiencies are required to be corrected:-
i
OOZ -
Presented to -Approved-- --
Inspector
F1 Disnpproved
Date .--/
CALL, POR REINSPECTION
I'
; YES 1 _ NO
IFIN MJIWA
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
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:
Presented to 0-05-rIved
Inspector JOE- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
5787
CITY OF TIGARD 639.4171 I+'ui(
BUILDING PERMIT KATE "
- L
TAX MAP _LOT NO. 171 —SUBDIVISION
;,u:lex — _ JOBADDRESS. r7lb 'int 12ILL (_t __-
OWNER------- -
BUILDER, ,_" - _� .. t �c.i �..s1.,�sa- STATE REG NO. 44Iw4,'__EXP.DATE jkj6
BUILDER'S PHONE ---
ARCHITECT____— PHONE --_,_OTHER
STRUCTURE f;41 NEW r-1 REMODEL L7 ADDITION 1 REPAIR MOVE ! ! OTHER --_ DEMOLITION
C.I RESIDENCE COMM ( EDUCATION 1 IND I RELIGIOUS ACCESSORY GARAGE OTHER rl FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY . HEAT�-
(,uasLtuct jilt a IdLaily resiaence w%:iLL:,f
SuUjet;C to ni44irtj6e i6w0oU .?SuU.Utr ;, 1>u.l, r r r
r
SEWER PERMIT N y(311 (luu l •i +Le 44i 3 Uat:,
OCC,LOAD FLOOR LOAD 4U HEIGHT 2U NO STORI4 AREA 041 NO,BEDROOMS' VALdi)'rl
8111LUING DEPARTMENT r RIGHT SIDE
SETBACKS FROM REAR LEFT SIDE f, a „
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 115.15 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
PI.Ck.Fire -U. _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1:l.'24 l' ,al.
SDC- SUU.UU X
Total 559:39 PDCNI 1:)u.GU APPu0A9TOri4*T
Prepd. 1'.(1.U�! —'—
Receipt No ADDRESS PHONE
Bel.Due
459.:i'.
-�~-- - Issuer)By Approved By
4
DATE INSPTYPE INSPECTION REMARKS — PLUMBING -DAT
Contractor
sa_ /ice_i�. ,y—/�/�/► Permit No.
�(� •� L. C�� ���J`'_S1'-- Rough inev -z--�—
FfKture
r _ I Final
L _ HEATING
-_ --
Contractor
Permit No �fa -
Gas or Oil
Sough-in
Final
-----1- ---- SEWER
— Final
— J DRIVEWAY-
- -- ---- --- Final
- - ------ ---- ------- Storm Drainage
--- (Rain Drain)Final
---- T- _-- -- - Sidewalk
-_ ---- --__
Gurt&Street Final v
Approach
BLDG.DEPT.FINAL �# TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
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CITY OF TIGARD 639.4171
BUILDING PERMIT DATE
!l
/ TAX MAP LOT NO. �DDIVISION .1, CT
OWNER GIZL fs//• �7�'�cr E'1 _— Joe ADDRESS '!7 7 / , _ ' ° c-e •r ,'13
BUILDER C[,t u /��J/(�Ile 1 STATE REG.NO. "�E62 i�7 EXP.DATE �-
BUILDER'S PHONE 2-
ARCHITECT
ARCHITECT PHONE— OTHER
STRUCTURE 4
EW n REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE_ ❑ OTHER C3 DEMOLITION
�flES10ENCC ❑ COMM [] EDUCATION U IND ❑ RELIGIOIIS (I ACCESSORY (1 GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY! �' LAND USE ZONNE� BLDG.TYPE 5 ;1 FIRE ZONE__PLAN CHECK BY B.?E. HEAT
SEWER PERMIT I 1Q 2 1 -- �+.,��:�f 4
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA 1949 NO.BEDROOMS VALUES
BUILDING DEPARTMENT
SET BACKS FRONT K a REAR LEFT SIDE 'b RIGHT SIDE
P°'mIt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
R=r.ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT 15 HEREBY iGREED THAT THE
Pt"^Chock 2 I S_II 5_I 'WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIF"TFONS ANn IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.CIc Fir* RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
Stile Tax _ 13,24 1
t�-
Total SOC PDCI APPLK;ANTORA NT --- --'--"--
--
Prepd. `) 4
Receipt No. ADDRESS
Bal.Due e/7 r1 j. PHONE
– Issued By— _-_._Approved By
SSDC S 15 d
SOC -
POC -
1/
SEWER CONNECTION 5_
SEWER INSPECTION S
SEWER SURCHARGE S -16 O C�(VY14.t"�>
Comments;
---- .r►r,o�.�.�,. r!, 1 Q4 9 'a 3S
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