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INSPECTION NOTICE.
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
�fy�f Phone 639-4175
Type of Inspection
Date Date Requested s ', _(1i1�L_� Tima A.— A.M._.�.' __.P.M.
Address . _`� � '!L _ Permit #
Owner - Lot #--- -----
—
Builder
Building Code deficiencies are required to be corrected:
The following Gni __tis�'�! c��j/ .71Lt!►'1L`-r _ _ _ _ ,
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Presented t - - --_ —_ �� Approved
Inspector ,, �s_�j ___-..__ Disapproved
Date -----
CALL FOR REINSPECTION
0 YES ❑ NO
.sem
s
I i VI 1 'UA,14..0 I Eto'H/" NIGAL 1— L..HMI 1 P13rmit N
(Nescrlptlon
T hie 3A Mechantcal Code QTY PRICE AMT
13125 S.W. Hall Blvd.
City of Tigard 1) Permit Fee -0- -0• 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
I) incl.ducts&vents 6.00
Furnare 100,000 BTU +
2) incl ducts&vents / 7.50
Name of DevelopmentFloor Furnace
3)
inrl.vent
6'OJ
Job Address — Suspended heater,wall heater
Address / ', �l 4) or floor mounted heater 6
Tax dol M6,)No.
-1Vent not incl.in
1 5) appliance permit 300
101 Block Subdivision -
-----— ime(or name M business) 6) Repair of heating,ref Ig., 600
. _. cooling,absorption unit
Halling Address p)1D1e Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU -_ 6'00
r , _
GtyfStale Zip Boiler or comp to 3 HP-15 HP
-fit A r t r, absorp.unit to 500,000 BTU 11.00
6)
NameBoller or comp 15-30 HP
i;. stc .: / c~ 9) absorp.unit 1/2-1 million 15.00 T
Malling Address �tgna ) Boiler or comp to 30-50 HP
10 absorp.unit t-1.75 million 22.50
Contractor
� 11) Boiler or comn�to 50 HP 31.50
GtyiSule
absorp.unit 1,750,000 BTU
State Repinratbn No. City rue,lett Nr, Air handling unit to
12) 10,000 CFM 4.50
1 hereb a 13 X.,handling unit 750
y dcnowledpe gnat 1 have read des Application that the information p�ven is ) 10,000CFM +
correct.that I am d»owner or autrnoriiad agent of the owner,that plans submitted are in —
axnpliance with State laws,that I am registered with the State Builders'Board,that ft14) Non portable 4.50
number given is con, a.(If exempt from StMe registration rrlo
on please give reason bw) evaporate cooler
15) Vent fan connected
to a st le duct y' 300
- --- -- --- Ventilation -tystemliot
16) included Ii,appliance permit s.50
-- ---- - Hood served by
17) mechanical exhaust 4'50 f,
Slgnatwe(owner or agent) _ Dat. 19) Domestic type
Describe work Q addition ❑ alteration ❑ repair Q Incinerator 7.50
to be done_ residential 0 non-residential Ej ) Commercial or industrial
Existing use of
-- �J 19 pe Incinerator
'��
building or propedy__- 20) Other I.e..woodstove,water 4 5()
Proposed use of heater,solar,r•lothes dryers,etc. _
building or property _ . 21) Gas piping one to four outlets 2.00
Type of luef- oil ❑ natural ges LPG Cl electric I I -- --
22) More than 4-per outlat
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- _-_------ -- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 190 4%SURCHARGE ~
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL --
ABANDONED FOR A PERIOD OF 180 r)AYS AT ANY TIME AFTER
EWORK IS COMMENCED. T
OTAL '
at Conditions
7 I
Dale issued
by'_-
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested Ti X
Address
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
YES Cd No
6331
CITY OF TIGARD 639.4171 DATE :;ept�leb8t - _
BUILDING PERMIT I SUBDIVISION Ames vrctwi
TAX MAP LOT N0. _ --
Anton schulx __ JOB ADDRESS _ i455U t,ar<z�elCree r6r➢.ick
OWNER .—. -- --- -
13UILDER Gottea� �.�-- --.. STATEIaEG.N0. 4015 ___-- ---EXP.DATE
BUILDER'S PHONE
L arcla>!y b Associates 656- OTHER
_ PHONE .---.---- -- _
ARCHITECT .. _-- -_.-_-----.--._.-_ _
__—
STRUCTURE � (-1 ' MOVE OTHER I NEW REMODEL I i ADDITION REPAIR
RESIDENCE COMM EDUCATION IND ) RELIGIOUS ACCESSORY GARAGE I ? OTHE! DEMOLITION
R (I FENCE
OCCUPANCY t' LAND USE ZONE '-t BLDG TYPE FIRE ZONE_ PLAN CHECK Bl' _ -— NEA1; IA
1„oustrucc S1Gple k&n i.lv rjwelliat�r r�/aiLtaclled ii,arna;e4_all
;,,-r v � rtoveci Mans.
auL�eCt Co (:orlar 6:i .�—
SEWER PERMIT N 29153 areas 6991 -
OCC.LOAD FLOOR LOAD 4Q HEIGH•r 11, IJO.STORIES I AREA628 NO.BEDROOMS 'L VALUEJUU,(1UO
BUILDING DEPARTMENT — 34' 4U LEFT SIDE 151
RIGHT SIDE it.iu
SETBACKS FRONT REAR
Permits 3� ,hU i- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTNINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 5211.45 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECII-IrATIONS AND IN COMPLIANCE
— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIl DOES NOT WAIVE
PI,Ck.Fire "' ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
T' — —"`� TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEAT ING.
State tax 32.52SiJI 1,U.i)ti
91 PDC#1 15()-00 APPLI
SOC
Total 1:1;73. N ACaEN1
Pre d. 100&1) __ _ ---
Receipt No/h*✓��' ADDAtiS -- --- --�__ ___-_-.--- �H�N�
Bal.Due 1773.97
-- - Issued By_ __....Approved 13y-----
.w�4JMi'4T4«Mti,�JI�L1Yl .. .-JSWwY1MtWMir., iu„ r•w,... ..._�..:WF!4Y.�Mr,W�
DATE INSP. TYPE INSPECTION REMA"KS PLUMBING – DATE
Contractor O 39.10 ! 0 —7—
Permit No,
r;xture
Flnol
_HEATING
CoWractnr
Permit N
.r e4iv►e-'!"`�M r.�}��s.�.L �+j,�( Gas or oil
� t�k Rough in
Final _r.1- 2 d t. -�� SEWER -- ---
V _
L r LG _.�.�_- � Final
DRIVEWAY
L7-2�---rte=– � Flnel
/ {.k 7�—� ®�r U20 Storm Drainage
eu-
(Rain Drain)Final
Sidewalk
Curb&Street Final
– _— Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
—� Zoning Final