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INSPECTION NOTICE
City of Tigard Building Departr,lent
r� Box c n 97
97
JY Tigard,Igardard, Oreycn 97223
Phone: 6394176
Tvoa of Inspection
,)ata Pequested Time- A. M.
� �( Q��- ` lam-� �►�� �► rmit ,.�� .-SC-/
,address
Lot * --
Builc --------
The following Building Code deficiencies are required to be corrected'
Presenterl to pproved
Inapertor _ El Olapproved
Date -- r -- ----
C LL FUR REINSPECTION
[] YES CJ NO
ss
1
INSPECTION NOTICE
City of Tigai 1 Building Departmera
P.O P-,)x 23397
Tigard, Orevon 97223
Pho a 639-4175
Type of Inspection ✓
Date Requested JJ Time_ _ A.M._ P.M.
Address -- - _�!C/ of Permit 4k�
Owner - —_ _ Lot #
Buil \��
V
The i „wing 13udding Code deficiencies are required to he correctedR
Presented to
Inspector ------ - _ — D Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
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.
i
Address — Permit # 5�
Owner __—• - Lot # -
Budder
The following Building Code deficiencies are required to be corrected;
Presented to
proved
Inspector
(J Disapproved
Datr, 2, 6
- --
CALL FOR I SPECTION
C] YES ❑ NO
.r.
f• LKMI EW
INSPECTION NOTICE
City of Tigard Building Department
P O. Boa 23397
Tigard, Oregon 97223
L/�J mil Phone: 639-4175 Q
Type of Inspection _-7�s�� * .�.
Date Requested `- -_�-- Time A.M. !:---:'P.M.
Address - lo D 'Z_� �7y`.s^�r Permit
Owner _ _. � � Y2 _ Lnt # __
Builder �—
The following Building Code deficiencie-, are, required to be corrected:
fit' - � �'�14,1001 00
- -
r'
--_ _-
Presented to
Inrpeetor Disapproved
Date _.�
.i
CALL FOR Rt�:l SP�C4N
YE! ❑ NO
I
INSPECTION NOTICE
City of Tigard Ruiloing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
t
Type of Inspection —1— /- -—---_---
Date Requested r Mme 1/ A.M. P.M.
Address _ 11�4—- Permit
Owner. It I Lot
Builder ------
The following Building Code deficiencies are required to he corrected:
Presented to _ --- Approved
Inspector ❑ Disapproved
I
Date --
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
.� Tigard, Oregon 97223
(� Phone: 639-4175
Type of/Inspection
Date RequestedA.M. _P.M.
Address __.�— Permit
Owner Lot
Builder . -- -- — ---- ---The following Building Code deficiencies are required to be corrected:
Presented to /Approved
Inspector __ Disapproved
T'
- ill
Date. ._—.--
d ALL FOR REINSPECTION
YES ❑ NO
i
i i ,� i I�►9 i i i i �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bo c 23397
Tigard, Oregon 97223
Phone: 639-41175
Type of Inspection _ — "--
Date Requested Time A.M. P.M.
Address ._ moo
Permit #__-_.___
Owner - ,_ Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented xo ___— _ (Woved
Inspector _ ❑ Dlapptoved
Date
CALL FOR REINSPECTION
❑ YE= ❑ NC
CITY OF TIGARD MECHANICAL PERMIT Receipt# --
Permit #
Description
Table 3A Mechanical Code _ QTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.U. Box 23397
Tigard, OR 97223 2) Supplemenial Permit 3.00
639-4175 Furnace to 100,000 BTU
1 incl.ducts&vents 6.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development -- --- 3) Floor Furnace 6.00
Incl.vent
Job AddressSuspender'heater,wall heater
Address 4) or floor mounted heater - 6.00
Tax Lot Map No. Vent not Incl.in
5) appliance permit 3.00
Lot Block subdlvlRlon -— ------ -
Name(or name of business) Repair of heating,refr ig.,
6) cooling,absorption unit fi.00
Mailing Address — "hone — 7 Boiler or comp to 3 HP 6.00
Owner ) absorp.unit to 100,000 BTU _ _
City'State zIP 8) Boiler or comp to 3 HP-15 HP 11.00 —
absorp.unit to 500,900 BTU
NameBoiler or comp 15-30 HP —
9) 15.00
absorp.unit 112-1 million
Mailing Address Phone — 10) Boiler or comp to 30-50 Np 22.50
absorp.unit 1 -1.75 million
Contractor City/State Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.lax No, 12) Air handling unit to 4.50
10,000 CFM
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 plans submitted are In
10,000 CFM +
compliance with State laws,that I am registered with the State Builders'Board,the'the 14) Non portable 4.50
number given is correct.(If exempt from State registration please give reason below). evaporate cooler
Vent fan connected
-- -- - - ------ — 15 to a single duct 3.00
-- Ventilation system not
18) included In appliance p<<rmit 4.50
r 17) Hood served by 4.50
#NDalt
mechanical exhaustsignature towner or eg ) 18) Domestic type 7.50
Describe work f 1 addition ❑ alteration ❑ repair f incinerator
to be done__rfasidential ❑ non-residentlal r] _ 19) Commercial or industrial
type incinerator 30.00
Existing use Other i.e.,woodstove,water
building or properly ---. ---- -- 20) heater,solar,clothes dryers,etc. 4.50
Proposed use of —
building or property -- --- — 21) Gas piping one to four outlets 2.00
Type offuel- oil f I natural gas i7 LPG I I electric ❑ —`
22) 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 a%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL -
ABANDONED FOR A PERIOD OF 190 DAYS AT ANY 7:ME AFTER — -
WORK IS COMMENCED. TOTAL
Special Conditions-------- ------___-- - __--_—
— — ----------- Date issued by.—
a
.� s.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Re quested !/Z�� Time A.M. _P.M.
Address __ � 1 �L'J �, Permit #
Owner / Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Ali
- ------ 1
Presented to __..__yG; — Approved
Inspector — Ll Disapproved
Date 2 �-
17
CALL FOR REI SPECTION
❑ YE8 ❑ NO
CITY OF TIGARD 639.4171 Deb Si. 6564
BUILDING PERMIT DATEr_�___.___19� -_...�.
TAX MAP 2-1"1k1AJbTNO. 4 _—SUBDIVISION 411410"t
OWNER - 'C ps ��i �_ . - — - -
�s._.---�_-� �'.a..._--, ' JOB ADDRESS _�L_'�iei_ ;;��_�Ta_—_--------
BUILDER _ e _. f 1' ( 1_--� _ STATE REG.NO _ ---__EXP.DATE ; �—
BUILDER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE R] NEW ❑ REMODEL L.] ADDITION Cl REPAIR G MoyE OTHER DEMOLI'.ION
l I RESIDENCE COMM EDUCATION (-i IND I. 1 RELIGIOUS ACCESSORY GARAGE OTPER FENCE
OCCUPANCY _4_LAND USE ZONE fit BLDG.TYPE FIRE ZONE PIAN CHECK BY
k;uustruc.t Sir&kle Cau4ly dwellink wlrtttaCbed ,;crake, ull per ruuruved pla+us• 6w
)j.1SSLE of 630
SEWER PERMIT# 33U12 (1flu) Z bulk. o traps garage 420
OCC.LOAD FLOOR LOAD 4U HEIGHT 16 N0,STORIES I. AREA 1.366 NO.BEDROOMS .i VALUE71,0U, l
BUILDING DEPARTMENT SET BACKS FRONT U REAP _
_ �._._B LEFT SIDE j RIGHT SIDE
J
Permit 346.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCFS, AND IT IS HEREBY AGREED THAT THE
Plan Check 4C'.U0 WORK WILL BE DONF_ IN ACCORDANCE WITH THE PLANS AND SPECIFICATIUNS AND !N COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE
Pl.Ck.Fire_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REQUIRED F"9R SEWER.PLUMBING AND HEATING.
State Tax 13•84
Total _ 399•$4 QM AP9iCANfOAAGE Nt t
Prepd. — 4U•UU PD 11 150.QU J
Receipt No.�,� � ADDRESS — PHONE
Bel.Due )59.114
Issued By _ _ _ _-Approved By
rrrr
GATE INSP. TYPEINSPELTION y REMARKS PLUMBING DATE
� -- Contractor /22 3 .2 7
.l Permit No.
Rough-in
— V00,041 --- Fixture
Final
HEATING
s Contrector qyp O�3 4z4k,
Permit No. 7
T �
log Rough-in
-- Final _
-- SEWER
Final
DRIVEW°Y
Final
Storn Drainage
(Rain Drain)Final
—- - -- Sidewalk
-- - '-"——-~— -- Curb&Street Final
— — Approach
BLLIG.DEPT.FIN[L CERTFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final _
Landecaptng
Zoning Final
f