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INSPECTION NOTICE
City of Tigara 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 Building Code deficiencies are required to be corrgt:ted:
i
Presented to
(�"Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
1
INSPECTION NOTICE
City of Tig. J Building Department
P.O. Box 23397
ard, Oregon 97223
Phone: 9-4175
Type of Inspection
Date Requested---
-ass C Permit '9
Address
Owner Lot
Builder
—
The following Building Cocn deficiencies are required to becorrected:
0-*44
Presented to Approved
Inspector 14-Ki'approved
Date
CALL FOR REINSPECTION
e'YIES I -] NO
INSPECTION NOTICE
City of I iqard Building Dopartment
P 0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requeste! 12 - Time A.M. P.M.
60
Address EaX L-1
Permit
Owner -q/ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES 0 NO
INSPECTION NOTCE
t" _03 City of Tigard Building Department
2 2 P.O. Box 23397CIO
Tigard, Oregon 97223 0.
PFu;.tQ: 639-4
-175 �
Type of Inspection —
Date Requested _/ 2_QTime A.M. P.M.
Address ._.� �c; x2t-,�tl %D1 , Permit #
Owner _ w'� _-7 Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 7 Approved
Inspector _ l_1 Disapproved
CALL FOR REINSPECTION
F-1 YES 0 NO
r
Receipt#
CITY OF TIGARrD MECHANICAL PERMIT Permit # 41411'
Description
Table 3A Mechanical Code QTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. — --. -
P.O. Box 2.3397
Tigard, OR 97223 2) Supplemental Permit .3.00
639-4175 1) Furnace to 100,000 BTU 6.00
_ incl.ducts&vents _
2) Furnace 100,000 BTU + --- --- 7.50
incl.ducts&vents
Naine of Development 3) Floor Furnace 6.00
it
l.incl.vent
l r �j ----__ ----_ _— _
Job Address 4) Suspended heater,wall heater -6.00
r-
Address � or floor mounted heater
/1 / i� +� --- -... --- —
Tax Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision -__.appliance permit _ —
Name(or name of business) 6) Repair of heating,refr ig., 6.00
/ cooling,absorption unit -
Mailing Addrubs Phone 7) Boller or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU _ _
City/Stale lip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name , 9) Boiler or comp 15.30 HP 15.00
absorp.unit 1/2-1 million _
Boiler or comp to 30-50 HP -
Milling Address 10)� NltoNil 22.50
r absorp.unit 1 -1.75 million--- _
Contractor Boiler or comp to 50 HP
City Slate Zip 11) absorp.unit 1,750,000 BTU _ 31.50
State Registrstlon No — City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
13)
1 hereby acknowledge that I have read this application that the InfnrmabAir handling unit 750on given is 101000 CFM +
correct,that I am the owner or authorized agent of the owner,that plar 9 submitted are In
compliance with State laws,that I am registered with the State BuIlde Boerd,that the 14) Non portable 4.50
number given is correct (if exempt from State registration please give i 38son below) evaporate cooler
15) Vent fan connected 3.00
to a singe duct _
16) Ventilation system not 4.50
Included in appliance permit
17) Hood served by 4.50
mechanical exhaust
Signature(owner or a-9--en-t-) — Date 18) Domestic type 7.50
Describe work U addition F] alteration ❑ repair F1 Incinerator
to be done residential non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ - 20) Other i.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of -
building or property -_-_ - 21) Gas piping one to four outlets 2.00
Type of fuel- oil n natural gas L_1 LPG F] electric. f 1 J —
22) More than,I-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OH CUN -�—" ---- -��
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR � PLAN REVIEW 25%OF SUBTOTAL
ABANDONED FOR A PERIOD OF 180 DAYSAT ANY 1IME AFTER
WORK IS COMMENCED. TOTAL.
Special Conditions_
Date issued_-___.__ by _--^--
l:II Y UI- IIUAKU b39-x+ 115 Pit. mbinq Permit
Building Department No. _
P.U. Box 23397, Tigard OR 91223
Ftos�rlun� al ,,] Ccmmorcial
Now Installation L1 Replace U Addition El Alteration [] �'Iid Date-,
Ocunsed
Plumoor _vC r I�.S4 lir i • .f,F/r .-� Owner
�Q{ (� /�,,� _(� �/ls I�G�f D� 1 Job ,Address /3/ 4 � 'S G� ��Sls'o n M
AdrtrcrsS _ __ _;.r.—._�...- —r -
Phonu _ gM h.�-- -.-- Applicant -----
CITY BUSINESS rnx REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS -`
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps 7.50 c' Sewer:First 10011.
Dishwasher ' 7.50 '). `U Each Addi1.100 ft. 15.00 �-
Garboge Disposal `+! 7.50 o Elector Pump _ 7.50
Water Never 7.50 •- ) Water:First 100 ft. ` 20.00 41.0o
Backflow Proventer _ 7.50 Each Addit.200 ft. 15.1
Sloan&Rain Drain_:First 100 N. 30.00
Ea-li A66It.ieuG.I. 15.o0
MINIMUM-FEE $15.00 +4% Mobile Home Space -_ 25.00
Other(Specify): _ Rain Drain-;tingle Fam Dwelling 15.00 ; d
PERMIT FEE ���_ S(� Comments:
__ Issued By ITMAIIA"I ,
STATE % `�'
Hecerpl No _-_�_ _. AppkciiI 1�,
TOTAL -- '-5.3- Y USpnalu►•
For Plumbing Inspection Phone 639-4175
6359
CITY OF TIGARD 639-4171
BUILDING PERMIT DATE jam____.-•-19-:->f=- 1�prplc�, t311
TAXMAP1:'1-33 L07NU. —SUBDIVISION - -
OWNER 4edgwood How, J013 ADDRESS 3185 $lei f alCarti Rise DtiY6 _—— ----
BUILDER saw STATE REG N0. __—EXP.DATE_— ---
BUILDER'S PHONE 291-3663
ARCHITECT PHONE _. OTHER_ ----. —
STRUCTU9E ' N F W REMODEL L ADDITION _9EPAIR C' MOVE (] OTHER 71 DEMOLITION
RESIDENCE COMM EDUCATION IND RELIGIOUS n ACCESSORY ❑ GARAGE OTHER ( FENCE
OCCUPANCY `'' LAND USE ZONE t'7pLBLDG TYPE ZONE_ PLAN CHECK BY IIFAT S
LuLtruct- a.ixy�l l;acaily11 _ 1inK W1, ► h ��,xak� atll Ler &,Djjr0i A y;lens. _ -
!uhiect to 1115 rude. SubiccL to Leron c!Lg. 515u.06 @• "'� °"'��i .�r•.+�
Ik,1SSuh U f 6200.
SEWER PERMIT k Zy j 7U t lLiu) 2 uat h, lU traps
_OCC.LOAD FLOOR LOAD 40 HEIGHT 17 NO.STORIES 2 AREA 1.44 NO.BEDROOMS VALUE 72►UOO
BUILDING DEPARTMENT SETBACK-, FRONT t' REAR 30 LEFT SIDE 9 RIGHT SIDE 5
Permit 349.O0 THISEP RMIT 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 40 001U IWORI WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPF,.IFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND F,EATING. I
State Tax 13.96 y, SuZ:)I,.uu
402.96 SDC— ODU.UU
Total, PDCIMI ],cU.UU APPLICANIORAGENT
Prepd. 4U.U'J _
Receipt NO. Ai�DRE88 � - ---------- _- . ----- -PHONE
Bal.Due abZ.4ib
- --- —
Iflflued 8y - _ _.Approved By_--_--
1•
lyl,�t'•3��;1,� j�3 iJl f...; , ,
DATE INSP. TYPE INSPECTION REMARKSPLUMBING DATE
Contractor /s. yo
Permit No.
� 62
/ ...... !r Ale Rough-in
Fixture
Final
Z- v HEATING
Contractor
_— D. _ Permit No. a
Gas or OII
Rough-in
Final
— SEWER ,
Final / _ t- Z
DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
11
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/) INSPECTION NOTICE
Clty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _�—
Date Requested T l Z- Time A.M._ P.M.
r
22 r-
Address —L 73 - L�1`— - — it
Owner _. ._ Lot # _..._--
Builder ------ ---- --------- -- ..._.. —_— --------
The following Building Cede deficiencies are required to be corrected:
Presented to I Approved --
Inspector _ �_� Disapproved
Date -
CALL FOR REINSPECTION
YES PA NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
�- Phone: 639-4175
Type of Inspection . �`�!1__(,L — — --
�^^ ,�� P.M.Date Requested._L.. t-_ __-_DTime A.M.�_
Address / �L._
Owner — Lotda—&6
#�,— ---
Builder --- —The following Building Code deficiencies are required to be corrected:
ALD r
Presented to Approved
Inspector ' _� Disapproved
Date
CALL FOR REINSPECTION
Cl YES i l NO