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10485 SW 67TH AVENUE 10485 SW 67TH AVE INSPECTION NOTICE City of Tigard Builaing Department P.O. Box 23"97 Tigard, Oregon 97223 Phooi.e. 639-075 r'- Type of Inspection Date Requested a ` Tims C A.M. P.M. -7 �- Fsy llrli/ Address S_J / / � Permit Ownor --_ �.. Lot # Builder --�� --- —The following Building Code deficiencies are required' to be corrected: Prosentad to _— i Approved I�apc^t�t _ t_j Disapproved Date CALL FOR REINSPECTION ❑ YES C NO ME:1,HANIGAi T NO. ME891.66.1. CITY OF --:r TI17A RD i mi: CITYOFTWARD OAlOGN COMMUNITY DEVELOPMENT DEPART MENT DAIIE ISSUED: G .1. 89 13125 S W Hall Blvd..P O.Box 23.!b7.Tigard,Oregon 97223.(%J)639A175 PPIM . PM*T* .NO JOB ADWRE.Sti 1.0/10,5 q 6711-1 AVE. T'AX MAP. —01' SUB: 1-1 BK I AND USE : I OT SIZE . ITEM NO : NO : WORK 0L.ASS : AL-11--RATION FURNACE <:LOOK :1. AIR HANDI A <10 USE TYPEFAMILY: SINGI.-E* FAMILY F(.1PNALA-- J.O0K+ AIR HANDL.A 1OK GONST .TYPE : VN F! 00P FURNACE EVe n .COOL..EP 0(('UP. GAP. HEATEP VF*Ni FAN VENT VENT . SYSTEM 13I-.R/G,OMP <3HP HOOD NC) . 5TORIES : 131.-R/(:C)MP 3-15HP TNCJNEPATOP(DOM DWELJ-.UN I T5 : 1:11...8/(:1OMP i5_301-11P IN(:;INEPATUR(C'011 F TYPE BI-R/COMP 30-5014P 1t-KPAT14 UNITS MAX . INPUT 01 P/C.OMP 50+HP OTHER I"IRE DMPPS7 ('.,AS PIPING OU'll-I-ETS P i-CIGH PPL-,:SS,? L.Ow PPLAIS? A HP.MARKS ' 1:ELS 0 VUL-K Pr!*:WMI*r $20 . 00 W N .1.0/1(7.".1 SW 67TH AVE OLAN PEVIEW 1111115. 00 E T'IGAPD UP 9*7i-.,;.113 FIXTUREN 1-:,HONE (.10:31 2�4.15 6130 S'TAT'E: TAX 11611 . 00 OTHER C 0 A R I--IFA'Ir 3:N G, N T DJEE AI- ONE ACHOLDING R 1491.351W 72ND A t 1.gar d up 9723.21(4 C T I-)H0Nk;.. (503) 6114-1-3355 NO. 31339 TOTAL. *26 .00 RECEIPT NO 7 This permit is issued subject to the regulations contained In Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations RE QUIPI-A) YNSPECTIONS and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and F I NAL_ specifications and in compliance with all -.pphcabfe codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work is not started Within 180 days.or I!work is suspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to Assi ire all required inspection$are requested and approved 6 Permittee Signature Issued Sy .--Ft') 1 HLIPF4.114:1 WW 6 i9 A+ 'ftl SEPARATE PERMITS REQUIIIED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMBING PERMIT CITYOFTI(FARDPERMIT NO. : P21959 L.11.6 COMMUNITY DEVELOPMENT DEPART'M'ENT DATE ISSUED: G/ :I./£39 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(5031 A9-4175 PRIM. PM*T.NO . 891659 JOB ADI)PIESS : 3-041135 SW 67TH WAX MAP/LOT T : HK I.-AND USE : L�O'T' SIZE: T"T'IFM: NO : No WORK CLASS : ADDITION WATER CLOSET TRAP USE *T'YPI--:: SINGLE FAMILY URINAL OKI-LOW F-1FIVISITA CONST TYPE' : VN LAVORATOPY *1 RAP PRIMER OC CUPS GpP. TUB SHOWER (;P'I:.!:ASE- TRAPS 0TSHWA5HEA GARBAGE DISPOSAL NO. STORIES : WASFI:I.N(.-, MACHINE DWELL.UNITS : LAIJNDRY TRAY F;LOOP, DRAIN S.1 N I( SEWER (F*T11 WATER HEATER I STORM/RAIN (F*T OTHER REMARKS : 111--.PLACE WATER HEA'rER 0 VULK wPE141MIT $ N 10185 SW 67TH E TIGAOD (11"! 9 7223 R 1"'k XTUPES PHUNL 2A-"---6130 S1 ATE TAX ---- I OTHER C 0 N DIAL (:)Nr..-. PAp D pi, T R 1'191551141 IeND A -04ARE) OR 97;i124 C T PyHiJNE (303) 639-41700 0 NO. 5635 T01 Al RECExp'r NO. 10f17'2 9. Thle permit is issued 51,11711P.Cl to the regulations containw,in T,tle 14 of tm- TMC. State of Oregon Specialty Codes,zor,mg regulations RE QUjIjED INSPECTIOr4s and all other applicable codes And ordinances. and it is hereby agreed that the work will be done in accordance with the plans and FINAL specifications and in compliance with all apmwable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void it work is not started within 180 days or it work Is suspend9d nr abandoned for a period of 180 days any time after work has COMITIOriced It shall be the responsibility of the permittee to assure spe re and appro all required in 7 ctio quested a ved 4t( - + r,e tee Signature Issued By Ah I 11=13"' Tllklilipi-PTIOW-A: 39 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE- 119 CITY OF TIGARD MECHANICAL PERMIT Pa}rrm 0 � 9 iZo i ee.rtoon 7bbt.SACow- City of Tigard ---_ 1312,5 S W Han BW. t) Per•ttil Fee � 0 10.00 P.gl.'Box 23397 —� Tigard,OR 97223 2) SupplenW.APennla 3.00 6394175 Fuanaoe to 100.000 BYU 1) byi ducts 6 vet.is 6.00 FmMm 100,00D BTU + ,, 2 ,, 7 Incl.ducts a vw is o Nf d Drr.loprr.nl ,�) Floor Furneoe 8.00 r uL vera AJob des "at;'4 <��c> s� L'. ri orSm d�° '""'°' nmunled hooks tow o um mm 5) VwV not kid.in 3.00 t,d tttk w bCWAW>" Qef ntk tirw.(or nuns of Irwkow) 6) Rapek of hootktp,rek IR 6.00 , LUWV Adm.0 t15 MarubBohm a mM to 1 HP owner sorp.unk 10100,000 BTU 6.00 8) Beller«comp to 3 HP-15 HP 11.00 P•w*b 500.0W BTU Balm arcomp t 6,90 HP � I, p) dxmp..W*%-1 WAIM 10) &)lw 0r cony b 90450 HP 2250 Cbmwou 11) Boller or Iomp to 50 HP 31.50 falls Ft ON #a t7Ar ata tflta Nt0. 12) Ak Iwx*V ur*to 4.50 `I -- 10.000 CFM IM�ratrr rlur�WW 1 hM food V* p kaG m 1w to Mdornwoe wn w 13, 0F#A 7.50 �owrlat VW l un M om mo n slid mobod Vom d to orwrr.Mut pbm uAwrisd rr In ------ -- 0orepsN00 w o shM tsw4 rwr 1%m►sgw6ww 1K.ow at o&Adws'Dowd,sho to 14) Non portable 450 wAmfw f0mn r oonw (f wrnpt trom 9tsle wptslrt/on plw�ss dM wawsw twf srr�. eyveram o0ow �v� bwv tonoDnn*cW 9.00 /6). e >w�rtoe_�o"nk 450 17) Hood imm w by 4.50 F l( c�.. � 1C �• _ medaattrtb► ,�etatast --.— t�nraw(osnwr«.psra0 n•f. 10) Dtxnesbc type 7.50 Deeorbe wwk O t ddlIlon O aNeratlon Q mp r it ® r�ktr!r orator b be done redda" ©- t or►rsltidertll.l O 19) Corm arW or kx%j@bW 30.00 use d type kckm•for E�e6tp - - bu"V or oloperty•_ d�)e 51 d c a,t c r , _ _ 20) Other Le,woodsa,...wafer 4.W ee __.. Pmpod use d Neter, o_eder,dm fr ear W. _ - -4 haft or paw aty-- 21) Gas P4*V One M S(Vx outlets EAO - Type of ftfel- ui Q nsharal pas O LPO O elsctrle (7 -- -- -- — 22) More fhw 4-pw oLOM 1 tills-TOTAL ?•", TIiS PERMIT t DOMES NULL ANU VOID F W FV( OR OON- ----_--- 6T1T XAJON AUTHORIZED LS NOT COMMENCED WITHIN IW w� �50�l41K VAKM kRBE DAYS. OR F CONSTRUCT" OR WORK IS SUSPENDED OR PLAN REVIEW N%OF tiilll�TOTAL ALM*x)NED FoA;,P'Emw OF It10 DAY8 ii,Aw TIME AFTrp. WORK IS Or":-AENCEt7. Special Gxtdtlorts �__ _ Date Issued e _ by --_ CITY OF TIGARD ITUM BI NG P1 .R M IT 13125 SW HALL BLVD. P. O. BOX :3397 Applicants must hold (;regon Registration to conduct a plumbing TI GARD r OR 97223 business or must be proprrty owner/,)perator riot hiring outside help. �— tame o.0evel ment - - (502) 639-4175 •el G I -- -- — Plumbing Permit No. '-4-5 / Add ess 4J �s �oescnption 04 8. _ ORS 814-21.910 oUAN. PRICE 1.M I Job I Ti"�01 Map.No. — Address -. --- FIXTURES LD1 Block Subdiviskxh --- - --- Sink 7.50 erre or name of business) — lavatory -- -- — 7.50 — Uc_L�I'�, Tub or Tub/Shower Comb- — 7.50 - ailing Add( sa ^� -- - --_ Shower Only -- -- 7.50 LF Owner City/Stele -! -�- p -- - Water Closet — 7.50 _ 19 a-','3 Dishwast►er --- -- 7.50 ` Garbage Disposal — - - 7.51 Washing Machine - '.50 Floor Drain Maairg Address -- Phone--- - ( Water Healer — 7.50- O Cccul ant L%MY/Stale -- lahrndryRoomTray 7.50 Urinal 7.50 tj he Phope Other Futures(flpetafy) -r 750 -- i q I . OhC l�q 10J R(jo'If llrttscu pbal - 7.50 C1 - - - _ � 31410 0 7.50 Contractor ( /State ZIP _ 7,50 d s"-t Ort I 3'It MISCELLANEOUS City&M Tax No. Sewer 1 st 100' 3000 5 do Jd 311_ q Y P sewer ea.Addit.t ar 1 s.f10 I ;itti 6+�-&,,:,,d i State ir7iers s 4a (FNesrdential) Water Service t st 100' -- - 20.00 1 hefetry acicnoM4dge that I have reed this application,that are Information Water Servioe vs.Addt'MJ' 15.00 -- 9r.1*1 is correct,that 1 am reostwed wth tM State Buddei s Pk3ard.and also Storm a Rain Drain 1 st.100' 90.00 have a Sale Pkff tikhg torn.that the r"?Wwrs flhnfn aro Correct.that all plumbing worts will be done in wx:txd with apple,able provialons of Ore Storm b P:jn Drain A.dd%.100' � 15.00 gov Revised Stat ales Ctm"ant 447 and 9.53 and applicable axles and that motile K3me Spaoe 25.00 no help will be employed unless lkw"er I-xwW OIl (9I (11 exempit from - - a tate registration,please give reason bok)w). Back Flow Prevention 140MEOWN[nS _.I hereby owtify that I am the owner,4 the pfoprwty do [w0ceorAnti-PriftionDevice 7.50 - scribed aba",at sAdch lex."^ I propose b make■pkardrinV inf"Kndon I x Any Trap or W sale Not my own use and this prop"is not twAV oonstnx-ted kx sale.lease tx rect Connecled lo a Fixture 7.51 Caldh8"In Ir".of Exlet.Plumbing 40.00 F er Hr SpedaMy RoWeeW Inspecilorn 40.00 Per Hf Aker.of Pkrnbiry wfd*1 -- - - a n Existng Bldg 15.00 min. AUTHORIZED SIGNATURE 11oM New Bldg.or Build.Addltlon- 26.00 min. — Detscr be rw.ttlt rww® addition❑ alWaWn U repair I I dA-_Uir%g 1.5.00 IQ Los be dome residential 11 non•reekiential❑ Fx}stl•V Ina of Jot txAklklwr> hrty l� .5 1 11 �->V a --- ------ SUB-TOTAL t'rx�11"W 5% SURCHARGE txAe*v cx 2 51.-PLAN REV I EW - - -- _-- This parmll b000rnes null and w:^J 1f l work or Canstruclan ov)dxad lenot oorn i OTAL -_ rrhvnosd w4thkt 1 W daya w N v*vvdnx*m or wtuk 1s stn viinrled or et>nndrned kw a psrlxt of 190 days M any"is afW work Is oo"%e cod tMCIAI ;_XYM XTKM1I (lMe lant>w i UY - --- n