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1
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
''ype of Inspectio
Date Fiaqueste __ _ ___ Timey'A.M—____—`` P.M.
Address `/ - cJl/L�JZ�A -. Permit
Owner— — — "�—T_— Lot # --
Builder
Th: following Building Code deficiencies are required to be corrected:
Presented to _ 14-iaplzroved
Inspector , __ —_ Disapproved
Date _ --- - - ---
CALL FOR REINSPECTION
YES 1_J NO
c.ITY OF ,;ARD MECHANICAL PLRMIT ('o 7
rr��
mit 0 � ?,3 `--
t:i.ly of Tigard
Il125 5W Hall Blvd. `— —� -
4TV PRICK AMT
P.O. box 23391 TT hIa IIA MOCIW A Code _
Tigard OR 97271
639-41.75 1) Permit Fee -0- -0 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts&_vents 6.00
2) Furnace 100,000 BTU +
Nemk4f Development incl. ducts& vents _ 7.50
_ .3) Floor Furnace'—
Job �a 2. �C - Incl. vent 6.00
AAdrese Tut Lot Map No. 4) Suspended heater, wall heater
La Clock Subdl0glon or floor mounted heater __ 6.0(►
- -- 5) Vent not incl. in
Name I^a na of buslneeai applihnce permit 3.00
6 Repair of heating, refri
Mailing Addrsse phone ) p g' �••
Owner cooling, absorption unit _ 6.00
q�,�sya,e ip� 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00 _ -
flame 8) Boiler or camp to 31AP-15HP
absorp. unit to 500,000 BTU — 11.00---.
Melling Address ph" 9) Boiler or comp 15-30 HP
absorp. unit W--1 million — 15.00
Cor:traotor ptyl,ii1i�" 10) Boiler or comp 30-50 HP
_a_bsorp. unit 1-1.75 million 22.50 —
State Registration No. city Bus. Tax No. 11) Boilc;r or comp 50 HP
absorp. unit 1,750,000 BTU 31.50 _
Ihereby a-knarrledge that I have read We 1wppl'c&tlon that the Information 12) Air handling emit to
given le ooareol, that 1 am the ovvw M authorized agent of the 0KYser, that io,OW CFM 4.50
plans •utxnelied are In conpllance will% State taws, that 1 am reglstered with _
theStateeiFulrept registration wat thglvumber given
i n is unecl. (If exempt 13) Air handling unit
10,000 CFM_+ _ _ 7.50 _
!' 'L> 'antc�t- 14) Jon portable —
_evaporate cooler _ W 4.50
15) Vent fan connected
_ —-- to a_single duct
/ 16) Ventilation system not ^
i nature owner or agent; ate included in appliance permit _ 4.50 _
17) Hood served by
Describe work O addition() elteration(ja repair O _ mechanical exh;lust 4.50 __�
to be done residentia; Cj non-residential O 18) D6mestic type
Existing use of y, _ _ /� D incinerator _ 7.50----
building
_`0 _building or property 19) Commercial or industrial —
Propost.d use of type incinerator 30.00
building �,r property 20) Other i.e., woodstove, water
Types of fuel --- of l L7 natural gas❑ LPG❑ electric❑ _ heater, Wer, clothes dryers, etc. 4.50 4,
21) Gas piping one to four cutlets 2.00
NOTICE _THIS PFRMI7 BECOMES NI:LL AND VOID IF WORK OR 22) More than 4-per outlet
CONST RUCTION AUTHORIZED IS NO)-COMMENCED WITHIN aue•TOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% tuacttAaoE
on ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ---
)'.'ME AFTER WDRK IS COMMENCED. ------ _
TOTAL
PLAN Rt:V1EV112lt'KOFSUB-TOTAL
Special Conditions
(1V
0aln i9mifid __� _,
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397 _y
T igard, Oregon 97223 '
Phone 639-4175
Type of Inspection
Ua•.e Requested— �L- �2q�
r � (ate_ _Time _ _-_ A.M. ------F.M.
Address _1�_,Lcrl ���-- L✓i .. Permit #
OwnerLot
Builder
The following Building Code deficiencies are required to be rorrPcte(':
Presented to� _ Approved
Inspector '"' A ___ Disapproved
Datr. -------
CALL TO REINSPECTION
1-1 YES L NO
i
f�
CITY UI' TIGAKU MISCIIANICAL i,i.Ami*r
l'ermit U�C��
t.ity ut Tiprd
!i 15 SW Ita 11 Blvd.
CITY PRIG[ AMT
1'.0. Bur. 2 3 3 9 7 Table 3A Vechanlesl Cods --
11gard OR 97223
339-4175 n 1) Permit Fee -0- -0 10.00
2) Supplemental Permit 3.00
AG /
C�f'yy i 1 Furnace to 100,000 BTU
. a ) incl. ducts& vents _ -- 6.00
2) Furnace 100,000 BTU +
Name o, alopment incl. ducts&vents 7.50
3) Floor Furnace
incl. vent 6.00
JobAddress lvvc Lot MW No. 4) Suspended heater, wall heater
La -
Block
Subdivision or floor mounted heater 6.00
5) Vent not incl. in
Name or name of business) appliance permit 3.00
bislang Address Phone 6) Repair of heating, refrig.,
Owner cooling, absorption unit 6.00 _
City/Stale ldp 7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU 6.00
Narp� �� 8) Boiler or comp to 31AP-15HP
absorp. unit '.o 500,000 ETU ---- 1.1.00
Ictal Ing Address Clxx�e 9) Boiler or comp 15-30 HP
absorp. unit W-1 million 15.00 _
Contractor ptyfst,te — ac — 10) Boiler or comp 30-50 HP
absor . unit 1-1.75 million "2.50
State Registration No. Cllr Bus. Tar No. 1 1) Boiler or comp 50 HP
_absorp. unit 1,750,000 BTU 31.550 A_
I hereby acknowledge that I have read this application chat the krfomutlon 12) Air handlingunit to
given to oorrect. that I am the owner or arthotlzed agsnt of the owner, that I0,0M CFM 4.50
puns aubntitlsd are In compllanci with Stale Iowa. that I am registered with �� — —
the Slate Builders' Hoard, that the number given Is correct. (If exempt 13) Air handling unit
from state registration piesis give reason below).g _ 10,000 CFM + - --___ 7.5GT__ _
_ 14) Non portable
evaporate cooler - - 4.50----
15)
.50 -lei) Vent fan connected
--.5--- - to a single duct 3`00
16) Ventilation system not
included in appliance permit 4.50
i�19nature (owner or egenl) ate — ----- -- _�
17) Hood served by
Describe work ❑ addition❑ alteration[j repair,"] _ mechanical exhaust _ 4_.50
to be done residential _ non-residential ❑ — 18) Domestic type _
Existing tlso of incinerator 7.50
building or properly ------ 19) Commercial or industrial
Proposed use of type incinerator_ 30.00
building or prop:fty.� ------ 20) Other Le.,woodslove, water
'"� �-n healer, solar, clothes dryers, eta 4.50 t1lL
Type of fuel -01 not urAl gas jP PQ❑ electric[] __ —
21) Gas piping one to four Outlets 2•00
NOTICE _
THIS PERMIT BECOMES NULL AND VOID IF WORK Oil 22) More than 4-per outlet
CONSTRUCTio,N AUTHORIZED IS NOJ'COMMENCED WITHIN SUBTOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED a% SURCHARGE
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY - -
T'MF AFTER WORK IS COMMENCED. `� �_��PLANREVIEW211%OFSUB-TOTAL
Pi J ^
I TOTAL
Spec Condi ons1�4 - � -1' -
by
l)aln i5stt..d
INSPECTION NOTICE
ty A Tigard Building Department _
P.O. Box 23397 r
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection f
Date Requested b – Time A.M._ P.M.
Address � �'� y vs F
Permit #
Owner �.� o P � '� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to J`—�-- --- ---— PProved
Inspector ❑ Disapproved
Date
CALL FOR REINSPEC77ON
D, YES C� NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722?
Phone 639-4175
Type of Inspection
Date Requested_ _ _ L> -�k?--- Time A.M. P.M.
/Address ����` P m!t` �� -- Permit — _
Owner�� -� _ Lot #
Builder
The following Building Cody deficiencies are required to be corrected:
Presented to pproved
Inspector /—. — ❑ Disapproved
Date --
CALL FOR REINSPECTION
0 YES ❑ NO
■
INSPECTION NOTICE I ,/
City of Tigard Building DepartmentAvZ.�
F O Box 23,397 v'
Figard, Oregon 97223
Phone: 839 75
i
Type of Inspection
Date Requested 1' _/Time AM. .��P.M.
�" `
Address 3 'j--7 (�
. . - ` � /� Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to he c i"rected:
Presented to _ v�.,�^"'
_ ---- -- --- f�Approved
Inspector _ --
-_-- _ LI Uisapprovreci
Date
CALL FOR RLINSPFCTION
D YEd D NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639-4175
Type of Inspection
VY
Date Requested Time A.M. P.M.
l X13 7.j'S" i v j v
Prnnit #.---
Address
Owner_—__--—__- — Lot #_--
Builder
The following Building Code deficiencies are required to be corrected:
77
Gam..-�
Presented to _-- Approved
Inspector p �_j Disapproved
Dare
CALL FOR REINSPECTION
CJ Yoe C3 wo
ELAIL—SAIL—SM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested r7— L-/ - Time A.M. P.M.
z
Address L Permit
Lot
Owner
Builder
The following Building Code deficiencies are required to be corrected:
------- -77L-
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES Cl NO
CITY OF TIGARD 639.4171 lase. Line 1339-14115 6042
BUILDING PERMIT DATB`�+�
TAX MAP __. _LOT N0,75—__-- SUBDIVISIONGd10L' Lk.
OWNER Titac Properties _ JOBADDRESSI4.325 Sts Fanno Creak ,��le._c....
BUILDER . Y 12945 ,'kLit_�±JY--t_ A.101ue 97UUbSTATE REG.NO. 30558 _EXP.DATE _2"67
BU LDER'S PHONE 642-3093
ARCHITECT -__--- ..._ PHONE _-_-- __-- -__—OTHER
STRUCTURE f NEW REMODEL ❑ ADDITION REPAIR MOVE L, OTHER F1 DEMOLITION
k;! RESIDENCE I ' COMM EDUCATION IND 1 RELIGIOUS I 1 ACCESSORY 1-1 GARAGE OTHER FENCE
OCCUPANCY LANDUSEZONE L-7_ . BLDG TYPE FIREZONE PLAN CHECK RY {'� HEAT
Cpastruct single family dwelling w/attached Cage, all per
KLISSUL Uif d5965„orignial permit #5VUO —�--
SEWER PERMIT#29562 41du) 3 batt,, 10 Lraps gars a area 311
OCC.LOAD FLOOR LOA& HEIGHT 2U+- NO,STORIES 2 AREA j t l NO BEDROOMS
BUILDING DEPARTMENT� I SET BACKS FRONT_ REAR LEFT 31DC RIGHT SIDE
Permit_ V 292,9 1 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 40,00 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWEW, LUMBING AND HEATING.
State Tax 11_bf3 SSUC 2_)U.UU
SDC- 5()U.110
glyl7� T f'g
T_ �,3•f►� ADPL 60R QEN
Prepd. 40.00 �_--
PDc�I i 150.0[1
- _ Receipt No, 11(4 AbDRESs - — -----------��-- PHONE —
Bel.Due 301.68
- - Issued By_-._ - _ _Approved By.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� M Contractor � 7 8D �.1L �
Pormlt No. 2L
Rough-in
Fixture
Final
HEATING
_ Ir
Contractor
Permit No.
Gas or OII
Rough-in
Final — ---
1-�--
r 8 SEWER
Final
.2 DRIVEWAY
Z
AO- - -- _
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb ii Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
V_ U Zoning Final
i
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