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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, )ragon 97223
Phon� 939-4171
Address ^_----- �� +_ ^.__ -19 Permit
Type of Inspection
The following Building Code deficiencies are required to bo :orrected:
Presented to Inspector 4-.
Date
CAL.!_ FOR RE1WEC`7-1ON
VES ❑ No
0
BUILDING DE PARTNIIE--f41', I'lGoViD N?
_7 PLUMBING PERMIT
—_, holder of a valid plo,rribing contractors license is hereby
authorized to cause plumbing work as herein noted to bt: installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business license required
fir all contract end sub-contractors.
Joh , ✓ ,gwiE_V ' _
Owner /�A <\ddres >GS_ L _ _� +_'��Date�z`�yL___
NUMBER OF TOTAL -�
TYPE OF PERMIT ITEMS____ FEE ON EACH AMOUNT
J 1
— S 25.00
Single Famll -1 bath"-each
25.00 1`�
qu�lax^Each 1 Moth unit — ---• --_- --- _
A,dditinnat bethroorne-each 10.00
Mlohilc 41rm:•: Noech_ _ _ _ __— _._15.00_—_
INDIVIDUAL FIXTURES C0MM FtLCIA
1 to EO Fixtures In 1 building-each — 3.00
2.50
1 � .,
51 tO 100 Fixtures in buildi g each - •------ --- }'I'
101 to 200 Fixtures in 1 building-eachr ____- _ 2.00 __ _ .�•.— _---_
AI'llAul I I.JU -
6.1ISCELt.ANEOUS
Ses_rer.-•e.ch additional 100 ft. _ __ _10.00 —
._
Water Service S.OG to buildin0— __ �—
_other ISpe-!XL. —_
For Plumbing Inspection Phone 639.4171 j
PERMIT �n n I
4 o State O Plumbing Contractor t3y r '�!
_—� _ __L��_-- 1
TOTAL y(, g0 RECEIPT NO. Issued 9y
BUILDING PERMIT APPLICATION TIGARD DATE . 1/23/ 19_81_ s563
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT`=Ok I F1 WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--T— .__ _
LOTNO .l 02 - i�8iarfT—
OWNER Trodeml�irk Homes JOBADDRESS_ 12905 SW Hawks Board Strast aummer Lak6
ARCHITECT
ENGIsame 185 Sid Sant bur 5t. DESIGNER 1'rademark
EER
BUILD-':R � ADDRESS. _-� NER--_
STRUCTURE —13 NEW L] REMODEL--_❑ ADDITION U REPAIR CI RENEWAL [ I FIRE DAMAGE ❑ DEMOLITION
EXRESIDENCE ❑ COMM IJ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE F1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _R-3 LAND USE ZONE 11721) BLDG.TYPE _��--__FIREZONE ---..PLANCHECK BY ___ dW0HEAT—Vks
Cunstruct single family dwelling_-y a ttechedgerage. 3 bedrucIms 3 Bathu,
SEE CORRECTION SHEET ATTACHES
SEWER PERMITM 23L;j7 ` 7aU.UO _ i gaiu 49Uo. ft. -----.-_.–
OCC.LOAD FLOOR LOAD 40 HEIGHT21 N0.STORIES u-2 AREA 156 7 NO.BEDROOMS 3 VALUE$53 9 M10
BUILDING DEPARTMENT SET BACKS FRONT 10 REAR 0 LEFT SIDE ✓11 RIGHT SIDE 27
Permit T �1-195.00 THIS PERMIT IS ISSUED SUBJECT TO TAE REGULATIONS CONTAINEn IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 97.50 WORK WILL BE DONE IN ACCORDANCI° WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OIIDINANCES. THE ISSUANCE OF THIS HERMIT DOES NOT WAIVE
g
Sub-total *9 • :)O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE.PERMITS REQUIRED
, F R SEWER,PLUMBING AND HEATING.
StateTex A _._ 7.f3D
ALJJr' �,IJPLHAHLEL Of �3(4].ti41
Total — — 30(1.3a
By w1 SDG -- 3400.On _
— y1_
PDC# 5100.00 APPLICANT ORA NT
r�Wh Receipt No. 7G[7 ---
Approved ADDRESS -^-- -- _ PHONE --�--
r w ane ew, +rar .�c .w
DATE INSP. TYPE INSPECTION PLUMBING DATE
� Contractor
Rough-in i
Fixture
j&LJ. p --- — Final ---
Y-.To- HEATING
Contractor �� -
s- 2-I Permit No.
;2
Gas or Oil
c-� —_-_ —_--- - - Rough-in
Final
SEWER
Final _3�_�j
-----�— --� DRIVEWAY -
Fine•;
Storm Drainage
(Rain Drain)Final
Side valk
Curb 6 Street Final
- Approach
BLDCL DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAN Y Final —
CERTIFICATE OCCUPANCY / �/�y_C / -
(• / 6 ( Landscaping
Zoning Final
A
I
Citi. ®f Tigard Mechanical Permit
New InstaflationcVAReplace Relocation L] Addition �] Alteration DATE: r
HEATING ol —
CONTRACTOR ,CJ�f%a///' /�Fi`�1�/ _ OWNER /' -- -/`jYf -' j
ADDRESS��T /_ _'12f�' /.9'S/ / x%rt
/ / --�zI _ ZLZr�'JOB ADDRESS
PHONE_�!' _ APPLICANT,2t'',f
Heat Input Rtting(BTU per Hour) �� / _ Vent Size Flue Size.
FUFI. OIL Q GAS& ELECT ❑ OTHER
ITEM —� —_ NO. FEE _ __ FTEM -- NO. FEE_
Fn► Issuance of Permit_ _ SE_E BELOW t
Each Air Handling Unit or Duct S sy tem _ 7.50
Nrw-� to i?tt incl, 100,000 BTU Ca_mmercial Hood System 7,50
New 100,000 BUT's & ovei Other Equipment Each4.50
Woodburnin Stove 1 Trip Inspection4.50
Well Floor- Suspenrierl Air Condition Compressor up to& incl.3 H,P, 6.OU
Vent System w/Fan air Condition Compressor 3.1 to 15. H.P, incl. 1j,OpRepair-Heat Cootmg — �---- -
CITY BUSINES'S_1_ICENSE REQUIRED BY ALL CON i k.Z,l-•:"ORS OR SUB-CONTRACTORS ! I
PERPAIT ISSUANCE 10.00—, Comments:
FEES
SUB-TOTAL
% STATE _ _ Issued