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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97213
Phone. 63
Tyne of Inspection
_ ' _I V✓ CCS
Y p
_cjm 2Z__
Date Requested_ _ Time— A.M. _ P.NI.
Address CJ�7 c_7VtJ _ �(� 1' � Permit # _
Owner _
- - - ------ - Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to
Inspector _—
--- Disapproved
Date
CALL FOR REINSPF,CTION
Cl YES 0 NO
INSPECTION NOTICE
City Of Tigard Building Department
P 0 Box 23397
Tigard, Orr jon 97223
Phone. 639-4175
Type of Inspection ; C.A_ —_
Date Requested TLM A.M.
Address Permit #_
Owner Lot #
Builder
The following Building Code deficiencies are requited to be corrixted:
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
D YES D No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested Z Time A.M. P.M.
Addrr is � <�: — Permit
l' ner �_/.J fi _. _ Lot
Builder - ---- -- — ----.-.--------.--__�____
The following Building Code deficiencies are required to be corrected:
i
Presented to -___------_-_-__- —_--- --, �ap;oved
Inspector -- _ _ ] Disapproved
Date --
CALL FOR REINSPECTIOPI
YES C7 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, O ogon 97223
Phone: 639-4175
Type of Inspectionx— - I
Date Requested �'� - ( �T Time 1VI._ P.M
Address _ �_i�)�S ��- _ Permit
Owner /. Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presenters to - I�'"I'Proved
Inspector -
— Disapproved
` Date
CALL FOR REINSPECTION
❑ YES I J NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectic.n
Date Requested _ _��_�"' p b _ — Time _ _ A.M. P.M.
Address _?_-QL�_���� �- Permit #._ /--Z/____
Owner -- --- _--- - Lot
BuilderThe following following Building Code deficiencies are required to be corrected:
Presentd to 614pproved
•
Inspector �j__� U diwpprovod
Date
CALL FOR REINSPECTION
'—` ❑ YES 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoce: 639-4175
Type of Inspection �'� -�t- —
Date Requested LU .-Z;�— 'Or' Time ✓A.M. P.M.
Address i!�y��—d� iGwwn v�iN Co r'- . Permit #_J'StLz�.
Owner �_ •'�� �- � Lot # �
Builder —The following following Building Code deficiencies are required to be cor,ected:
PrPSented to
Inspector _-._-_- __-_--_--- Disapproved
��
Date ?" Gr
CALL FOR REINSPECTION
El YES Cl NO
CITY OF TIGARD MECHANICAL PERMIT Receipt#
r
Permit# c
Oeacriptlon
Table 3A Itilochanical Code ^TV PRICE AMT
City of Tigard -- -
13125 S.W. Hall Blvd. 1) Permit Fee •0- -o- 1 o.00
P.O. Box 23397 —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace,to 100,000 BTU
1) incl.ducts&vents ? 6.00
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Narno of nevoiurmon Floor Furnace
3) incl.vent 6,00
Job Address 4) Suspended heater,wall heater 6.00
Address or floor mounted heater
Tax Lot Map No. Vent not incl.in
Lot Block Subdivision 5) appliance permit _ 3.00
Nome(or name of business) Repair of heating,refr Ig.,
6) cooling,absorption unit 6.00
Meiling Address Phone 7) Boiler or comp to 3 HP - 6.00
Owner Mailing
unit to 100,000 BTU
City/State zip 8) Boiler or comp to 3 HP-15 HP 11,00
_absorp.unit to 500,000 BTU
Name Boiler or comp 15-30 HP
9) absorp.unit 1/2-1 million 15.00
Mailing Addreas PhoneBoiler or comp to 30-50 HP
10) absorp.unit 1 -1.75 million 22.50
Contractor city State Zip 11) Boiler or compto 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus.rax No. 12 ^;r handling unit to
10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given Is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that pians submittt J are In 10,000 CFM +
compliance with State laws,that I am registered with the State Builders'Board,that the 14 Non portable 4,50
number given Is correct.(If exempt from State registration please give reason ba.ow). )
evaporate cooler
Vent fan connected
---__..----- -- ---- --__..�------- 15) to a single duct
3.00
16) Ventilation sys.em not 4.50
Included in apr Ilance permit
Signature
• {� , 1 ) rnX81 dxhaust
Hood served by 4.50
mecha
(owner or agerA) Date Domnstic'ypP
Describe work I-7 addition Cl alteration F1 repair [1 19) inrinerator 7.50
to be done residential ❑ non-residential ❑ ";ommercial or industrial
Existing use of 19) type Incinerator 30.00 -
building or properly _ Other Le,woodstove,water
Proposed use of - 20) heater,solar,clothes dryers,etc. 4.50
building or property - 21) Gas piping one to four outibts 2.00
Type of fuel- oil f] natural gas [ 1 LPG ❑ electric [_1 - —'-
221 More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- - ---
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- - --
WORK IS COMMENCED. TOTAL l
Special Conditions —
Date issued__...-_.._ -__._by
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 U 5 ., --,-- Permit #6 3
Owner - ��^�— --- — ----- Lot #
Rudder _. —_ --- -- ---The following Eluildiny Code deficien6- ^:d reNuired to be corrected:
Presented to
Inspector - _ l ---- -- I Disapproved
Date w
CALL FOR REINSPECTION
YES CJ NO
i
CITY OF TIGARD 639.4171 6136
BIJILUING PERMIT DATE Jane _°r._A�_
TAX MAP __ _.LOT N0. �3.!--SUBDIVISIOQOIOnj_{;T-
OWNER xituaD ��ro�etcttes - - JOB ADDRESS ViOdW St! cannottCreek Lt .. 3
BUILDER -- owner _ STATE REG,NO. J417St'S
EXP.DATE
BUILDER'S PHONE -�►Z►:�- r
AR^.,rllTECT PHONE OTHER
STRUCTURE X0 NEW ❑ REMODEL _ A_DDITION CI REPAIR C' MOVE Ll OTHER DEMOLITION'
RESIDENCE C' COMM 1- EDUCATION IND RELIGIOUS ACCESSORY GARAGE F1 OTHER� FENCE
OCCUPANCY LAND USE ZONE —BLDG TYPE FIRE ZOIJF_ PLAN CHECK BY LIV HEAT_
1. ,+.,.,j rttc•r ui, In fu lv duel l i» tfJV@L _�
�--�+,�+,rR WI a � tl�_JIYYfte� 1111 •a�.�� 1J;E`H�
t:I.iSSUi: ut 3976
r _
SEWER PERMIT It 1y62'� (1 lu1 (� t 1 tt a e nrtirp�i 3FiU --
OCC.LOAD FLOOR LOAD u— HEIGHT _2!j NO STORIES AREA
----- —_-� 1�1 NO.BEDROOMS
BUILDING DE_PARTMENT� SET BACKS FRONT _: REAR
LEFT SIDE �. 91GHT SIDE-
Permit 293.00 -- --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONI'40
Q&��! REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
P"^""vck 40.00 i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF (HIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEW ",PLUMBING AND HEATIN
StateTax 11.9
n
Total ^�9. 2
SDC (j(j(j•(10 SPL''ANOApE -
PrepdT _0 oil
PDCt 15li000
Receipt No,; - - €----
Bel.Due }l2y.91TH
Issued By-- Appr0v"By_
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DATE INSP. TYPE INSPECTION — REMARKS PLUMBING E
Contractor
ZOOM
l/ ------ ---- Permit No
Rough in _—
F re
t Z•�3- ,� v u r.cy( —� (F�j/�Q! HEATING —
�;�-
Permit No. L,J�, f
Rough in -- --._
.,-_ - ----- -- ---_ ------------- Final � ----
�
SEWER
--- - Final
— —.— ----- --------- -----DRIVEWAY
---- — — ----------- ---- Final
—�— — Storm Drainage
-'— (Rain Drain)Final
_—,�._ ----------- Sidewalk
— —� Curb R Street Final
--- ----_ — - Approach
— BLDG.DEPT.FINAL CERTFICA1TEM E.OCCUPANCY CERTIFICATE OCCUPANCY Final
J C-/ Landscaping
Zoning Final
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