12945 SW HAWK'S BEARD STREET •iBEARD STREET
r"
Ln
It
.r
,Ry
I
I
•OM1
�s1
w�
T E4
Niivi Installation Replace 11clocation Addition (j /,,Perjxior;
1,4,10,11llc I f
u.04TRACTUI 71/e-,-// Ks 4we OWNER -
AI)DhU:�! Jc�91116 S&L) /kLiJL)
('11LO L
oil APPLIGAWr
I loai Input Hatiog(B"I 1) per I low K)I OOC ..--.- dart Si 4,ci
r-ULL OIL GA'. ( d I
ITEM
Pkstj.once of Pori iit SCE. BELOW Air Handling Unit of thic, "t)
_ -
p i—o—et 1-n—c I-,—I'L,U,'000 0 1 U ).00 commercial Hood Systcm
100 000 UU)'s 1.50 _gt F..qg!p vent - rach
q)�L_ 1T
n ip n
Wool- 4.. 0 _1� _Lyqction
Viml v loor. ►Suipended Air Condition Gampi,
!jq sji .___4_� R`atl
Air Condition Compt!�' A (J 1�1 ,)A,
!�qj�ir-qeat Cooling
O\L
CITY BUSINE-55 LICENSE REQUIRED BY ALL CONTRACTORS OR ',00 t 0i'
c4"Iments:
P,Ms I T I.S.S UAFV C .......
IF
m Aoki
Lr
`�4 �y,'S,.s .•i,.t"f ►, 'r ,. A. {r 'y 1:��/%/.�..0�14• e��11i�^k r �.c���!',�!},., ,a^,Ik �� �^l. .. •.ic'1 ' I" �►• i, '.��{•''�q�., � � r, ?��
��{fig• ---'—�_ __ .. . r' ,�p'��
Y+ V
s ,
00
J 4
M
f {QQy
✓ Ij
Oyto
,L7
�l � F •. •T W CL
H W W • �'4
Y+ OaOA
ITIll
In 1
V) x w 4J
00
t7 IN
U) 4J S4ru
1 a U X v S1 LT) ✓. a( f �./ �fjy
d Ml M j L
H h ' ro ti a� d r'AIJ'` '1
WS4 W cd W n ,IN
v � �t P" � � � •� Ute. � •r � .� �k� "�' S
toot
7, ;, ,� � �,.,•,,Al:,'
/a t
11 '..y'��) '�. GGY,fO GGlLtetien•aae 4L'LLSYG li.L'6f.1 - R
7 S: tf fi� y-�+l� 1►j`'�' ��
ROW -
' �. �«<111ar�`�ti r• �?�;9�'����:�et�i .� �� ' ,el•p� q'�iry'tj4'�1 ,::" i4S�,i1�{hqr" "' i`4} t,�^ y`D''tN ht4?,•` C`tir; i
1
INSPECTION NOTICE
Ctty of Tigard Building Department �) /�+
12420i.W. M.-;,.6t.
Tigerd,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested I 2 -1 Time A.M., P.M.
I
Address Permit
Owner
Lot
i3uildet
The following Building Code deficiencies ars required to be corrected:
4-2>
"o
Presented to Approved
Inspector
Disapproved
Date
CALL FOR RE[N� , ECTION
E-3 YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection _ e Z
Date Requested.. = // Time�a A.M. P.M.
,2 � !Y� 5�JV �� c�
� Address ❑iw�,.� ___ Permit #_
I
Owner_ _ �_- _ Lot
Builder
ThP rollowing Building Code deficiencies are required to be corrected:
Presented to —_ _ -___ __— Approved
Inspector "� �.��
�.,rJ'�/ �—�--- -_ --_-_W._.— �..� Disapproved
CALL FOR REINSPECTION
❑ YES LA NO
ICITY OF TIGARD Plumbing Permit
Building Departiner-t
Residential Commercial ❑ N0.
New Installation Replace ❑ Addition L] Alteration ❑ _ �.4'2,
Date
I
Licensed j
Plumber i_
O — ,t
-- Owner rte +' r- L
r Address ./D� fes__ � f�q�4 f,;�Job Addres3_� ._► �r '`-
Phone _.� ._ - nY_?- ?_ Applicant -
____ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUBCONTRACTORS
ITEM NO. FEE TOTAL ITEM aANO* TOTAL
Fixtues-Trapp 7.50 7 S First 100 h.Dishwasher_ 7.50 'l' Each Addit.100ft.arbage C1•�osal7.50 � Ejector PumpWater Hester 7.50 -� v Water:First 100ft.
C7
Backflow Preventer 7.50 I Each Addit.200 ft. t".
15.00
Storm 8 Rain Drain:FirIt. 0.00Each Addit.200 tt.Mobile Home Space 25.00Other(Speoity): Rain Drain-Single Fam.Dwellng — 15.00 -
.-- _ J
PERMIT FEE C, en�s: —
I STATE % �ssued
TOTAL _ w J 'R a;pSNo.-- - - — APPlicant
Signature
For Plur,ibing Inspection Phone 639-41
BUILDING PERMIT APPLICATION TIGARD DATE ts_.._e_ 41;
FHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE V.JRK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PH
LOT NO. _ �
OWNER �t i� �,.4I'' ct'.�t': JOBADDRESS "'); '.: .':� il,ptl;ffi ?.earA ',t• a,]mer Iskie
—^ ARCHITECT
BUILDER ADDRESS 1145 S•W. Sandb-.irl, St• Pt NGINCER 1'radea,'naYk
ESIGNER
STRUCTURE C1 NEW ❑ REMODEL U ADDITION ❑ REPAIR O RENEWAL ❑_ FIRE DAMAGE_ _❑ DEMOLITION
C) RESIDENCE E1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT E GARAGE (❑ STORAGE C1 SLAB❑ FENCE
OCCUPANCY .')---LAND USE ZONE "!--? ")')-BLDG.TYPE FIRE ZONE _.PLAN CHECK BY � _HEAT
— -•- —
r-,ict Single Fwaf 1,° .j1:n it,nt r nchmi t'alril-e -- --- -
--- -- of 1'ermit 0 41.31 1, 12955 :',, r, Navelr.� :+earn ';t.) 3 trtiroms
SEWER PERMIT 0 23949 T
14 -_- 1 1.4 >>
OCC.LOAD FLOOR LOAD_ _ HEIGHT NO.STORIES AREA Nr BEDROOMS - VALUE
—BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit " _ THIS PERMIT IS ISSUED SUBJECT TO THE PCOULATIONS CONTAIr1ED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES i%10 ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE V:711 7HE PLANS AND SPECIFIC1TIONS AND IN COMPLIANCE
,17r{1t) WITH ALL APPLICABLE CODES AND ORDINAN,':r'.�. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND 51101 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
R _
State Tax LICENSE.SEPARATE PERMITS REQUIRED FOR SEWED?,PLUMBING AND HEATING.
'
Total .349,1 4 SDC— 400
PDC# T 1(y) APPLICANT OR AGEN - -- 1~ - -"-
By '=iKi-1
dwd� / r -------- — ------- —
Receipt No.
App:OVed ADDRESS 'PHONE
� I
DATE JINSP. TYPE INSF EC'k ION REMARKS PLUMBING DATE
Contractor
��D
Permit No.
Rough-in
Fixture
Final
HILATI
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Main Drain)Final
SidevAlk
Curb X Street Final
Approach
BL,&i._6iP_T.FINAL CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landsciiping
Zat.inrl sinal