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INSPECTION NOTICE
City of Tigard Building Department
P.O. Bo.4 23397
Tigard, Oregon 97223
Phone: 6 9-41'5
Type of Inspection _ _
Oate RequestedQ--_____.-___ _ ,_ 2 9 Time A.M. ✓ P.M. -7
Address _ � _ G Permit
1
Owner _ - - -� —�- -- - Let # -
Builder -----
The following Building Code deficiencies are required to be cor•ected:
Presented to proved
Inspector --� El Disapproved
Date
% ;ALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOT ICE
City of Tigard Building Department
1 .O. Box 23397
Tiga d, Oregon 972.23
Ph )ne: 639-4175
"Type of Inspection -
Date Requested _ -` _ Timo A.M. _P.M.
Address a-(030- ^� ---- Permit *Aa-ZY[---
Owner "Ag&tn,
Lot
Builder ---- - — --------
The following Building Code deficiencies are required to be corrected:
Presented to �— _ �a. PP`7► ►overt
Inspector —_ __. ---_-___._ Disapproved
Date --------
i
ALL F R RLINSPECTIO N
❑ YID$ 0 Mo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bon' 23397
'Tigard, Oregon 97223
Phone: 639.4175
Type of Inspection
Date Requested-. C t' l _ Time__ A.M.__ _v P.
M.
Address - LZL-G� l�1 _CPe mit
Owner _ _ _ Lot
Builder / 7lGr _ _---- - —_
The following Building Code deficienc;:-s are required to be corrected:
i
Presented to _ -- i-----_ �--`--------- . ��roved
Inspector -- --- 1 Disapproved
nate -
CALL FOR REINSPECTION
0 YES C_1 NO
w ;;4 w seer w w f
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23,397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection
Data Requested —
Q� Time A.M. P.M.
Address —6�- ��i�_ ��/'�,� G
Permit #
Owner—
.- Lot #
Builder
The following Building Code deficiencies are required to be corrected:—'--_—__—
P►esPnted tc
Inspector
_ ed
Date
- -- — .+ --- U i)isappraved
CALL FOR REINS:p_'CTIVN
C-D Y E I L71 MO
CITI'OF TIGARD 639.4171 6237
BUILDING PERMIT DATE
TAX MAP -_. LOT NO. 4_LL- .SUBDIVISION jd1l �11t
nWNEFiti M;11@t JOB ADDRESS
BUILDER .ate__ _ STATE REG.NO. - 37385 _EXP.DATE 12-20--86
BUILDER'S PHONE _-
ARCHITECT._-__ - _ Kni);ht't►
PHONEIJ _—OTHER
STRUCTURE yEJ NEW 1 REMODEL 0 ADDITION REPAIR MOVE 1_1 OTHER O DEMOLITION
aI RESIDENCE COMM EDUCATION E71 IND RELIGIOUS ACCESSORY LI GARAGE Cl OTHER I I FENCE
OCCUPANCY -kQ—LAND USE ZONE -AZ--BLDG.TYPE ' _FIRE ZONE -PLAN CHECK BY 1LN HEAT gaa9
Cunstracc ;single family dwelling, w/attached 6araga, all per APPVCrve.d plana+.
�iubjact 111 to 85 code t oiew. REISSUL of 6237.
SEWER PERMIT N 29696 (ldu) 3 bath, 10 traps garc►};e 41U
OCC.LOAD FLOOR LOAD 40 HEIGHTZU NO.STORIES 2 AREP13 NO BEDROOMS ` VALUE u'3,UUU
BUILDING DEPARTMEN i - 20 9 ) c 5
------_--- .___ SETBACKS FRONT REAR LEFT SLUE RIGHT SIDE
3271.00 —�'= -� — _
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE P.FGULATIONS CONTAINED IN THE BUILDING COBE,ZONING
40.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCh_erk_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AN'0 ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPAIIATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax 12.68 531)L :15U.Lw)
--- SDC.- b:u.UI)
Total 376.66 APPLICANT OR AGENT ---
F'DCM
Prepd, 40.(1) _ 11 !')o 00
PHONE
Bal,Due — 3:i�i*dN Receipt No. ADDRESS_ __ _
Issues;Pc_.____------Approved By _
.....,,.,..X.....•..du. _--:.i,.;,._.W..r..W..L.:...,. ..,. . ..i....__,,,,.,....._..Mr,+.r.,�s.a,�.:...,:,►...�.r./-..---' ..�,,.•- y.�....,,..`�...w.a...uu.:J..._.
DATE iNSP TYPE INSPECTION REMARKS PLUMBING DATV
Contract -4
Permit No
Rough-in
Fixture
o_
Tf� Final
-e HEATING:
C,,.,tractor
Permit Ivo.
IL?
Gas or Oil
Rough-in
Final
. SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rair,Drain)Final
��idowqlk
Curb a Street Final
jAppfoaLh
61 DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERT
FICATE OCCUPANCY
I;ndscapino
Zoning Final
or
INSPECTION NOTICE
City of Tigard Building Department
tr P.0 Box 23397
op Tigard, Oregon 972 J�
Phone: 639-417
Type of Inspection
Data Requested Time_.I_�ii�A.M._AJ P.M.
Address r 04- _ Permit *-L'
Owner &w- � _�4 _ Lot
Builder
The following Building Code deficiencies are requirtid to be corrected:
Presented to 6114--1 proved
Inspector
- - ---- -.. 1 bi%app►oved
Date —
CALL FOR REINSPECTION
❑ VES C7 NO
Receipt-, # C/- •�
(:l'l'Y OF TIGARD MECHANICAL PERMIT permit ll��t
k.lLy of Tigard -
Ij l 2 5 SW Hall Blvd. I pssoription
P.U. Box 23397 TahlsSAMeehan"Code _ ^_ QTY MICE AMT
Tigard OR 97223 I 1) Permit Fee -CL -0- 10.00
639-4175 I - —
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
_ 00
incl. ducts& vents G-00 �o,
2)T Furnace 100,000 B1 U + - - - -
- Nam• of Development incl. ducts & vents -- 7.50
3) Floor Furnace
Address incl. vent 6.00
Jab ` I 1 4) Suspended heater, wall heater
ArldrottS Tex �a f,�ec °' or floor mounted heater 6.00
L°t Block l3ubdlvlel°n I 5) Vent not incl. in
N%me I or name or twelne•el appliance permit
3 3.00 1O�
6) Repair of heating, refrig.,
telling Address
Owner „__c __ cooling, absorption emit 6.00
Ctty/Stat• ) Boiler or comp to 3HP
_ absorp. unit to 100,000 BTU 6.00
Name 8) Boiler or comp to 31AP•15HP
(I Q 1ij, absorp. unit to 500,000 BTU 11.00 _--
M•Iling Address phone -- 19) Boiler or comp 15-30 HP
IF absorp unit V:--1 million 15.00 1
Contractor Cltyrstate Dp 10) Boller or comp 30-50 HP
absorp. unit 1-1.75 million 22.50
Sttite Fsglstretion No. City Bus. Tax No. 11) Boiler or comp 50 HP
absorp. unit 1,750,000 BTU 31_50
I hwoby r�knowlsdge that I nave read this appiIcatlon that the Information 12) Air handling unit to
givers Is mrrect, that I om the owner (,( authorized agent of the owner, that 10,060 CFM 4.50
outns submitted ars In compliance with State laws, that I gun registered Wit' '
the Slats 8ullders' Board, that the number given ie correct. Cf exempt 13) Air handling unit
tram State regletrstlon please give reannn below). 10,000 CFM + 7.50
14) Non portable
_ evaporate cooler 4.50
15)-Vent fan connected
_ to a single duct 3.00
I 16) Ventilation system not
included in appliance permit 4.50
Signature ( wner or agent) Date - -
_ 17) Hood served by _
Describe work ❑ addition❑ alteration❑ repair❑ mechanical exhaust 4.50
to be done residential ❑ non-residential ❑ 18) Domestic type
Existing use of incinerator 7.50
building or properly 19) Commercial or industrial
Proposed use of _ type incinerator 30_00
bul I Sing or property 20) Other i.e.,woodstove, water
heater, solar, clothes dryers, etc. 4.50
Type of fuel — oll❑ nalural gas5a LPG❑ electric[] -� --
21) Gas piping one to four outlets I 2.00 Ir ,
NOTICE -- J— --THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTHt1CTION AUTHORIZED IS NOT COMMENCED WI1.111N r SUB-TOTAL —
180 DAYS, On IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURCHARGE
On ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
PLAN REVIEW25%OFSUB-TOTAL Q�
TIME AFTER WORK IS COMMENCED. ---- — — --
TOTAL
;por_ial Gondlllons — ---
ccy�7/
- --—-- -- -- _._�.- Date mired :��r_ by 1. C,
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-41175-
Type of Inspection _ _
Date Requested U i
q Time-- A.M. _P.M.
Address _ Qt�f'11�A Q (�T . Perrnit #
Owner �' _ Lot
Builder
The tollowinj�Building Code deficiencies are required to be corrected-
Presented to
-- i-r—Npproeed
Inspector Disapproved
---..�
Date 1 f/
CALL, FOR REINSPECTION
C -1 YES 13 NO
INSPECTION NOTICE
� / City of Tigard Building Department I �r N P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ` .__/A.P1.---P.M.
Address Permit `_._er' �
12oOwner ---_.... _._ Lot # -—
Builder _ -- - ---—------- ----- _—--- —The following Building Code deficiencies are required to be corrected:
09:f-
Presented to
Inspector Disapproved
Date
CALIF FOR REINSPECTION
0 YES 0 NO