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INSPECTION NOTICE
City of Tigard Building Department
P.O. Dox 23297
Tigard, Oregon 97223
Phone. 639-4175
i
Type of Inspection
Date Requested _ I > .-- a Time A.M. +
��y� P.M.
Address Permit
Owner
_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector �✓ �� Disapproved
— pproved
Date. l
CALL FOR REINSPECTION
❑ YE8 ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - X-zp/�GA _____--
Date Requested � _ 12^ Time re_-_�_ A.M. P.M.
Address ._��� tf s��l� „� _- Permit # 2_._
Owner /� ���.4 L-t #--
Builder
The f,-it . 'ng Building Code deficiencies are required to be corrected:
i
4
Y
Presented to ` pproved
Inspeetor _— ?f9 /
(-] Disapproved
Date
CALL FOR REINSPECTION
C] YES 0 NO
w w w w asr w w w wwR
INSPECTION NOTICE
City of Tigard Building Department�'�C
P.O. Box 23397
!iO/ `� Tigard, Oregon 97223
Phone- 639-4175 3
Type of Inspection ____- -.—
Date Reauested_ �� - v Time_ A.M. ✓P.iVI.
� 7 _l Gv j0/ G�Ef
Address -_-_�� L�—__- Permit
Owner Lot
_.. __- _ I_ot #----_-_.__-
Builder
The following Building Code deficiencies are required to be corrected:
t
Presented to proved
Inspector _ U Disapproved
Date _ j/ Z� n
CALL FUR REINSPECTION
Cl YES ❑ NO
.t tem oas �
INSPECTION NOTICE
City of Tigard BUi!ding Department
P.O. Box 23397
Tigard, Oregon 9722.3
e: 63:9-4175 --- --
Type of Inspection — _ ZJ
Date Requested _ Time _ A.M._��_P.M.
Address _ v -7 r _ Permit
Owner Lot
Builder
The following Building Code deficiencies are requited to be corrected:
Presented to
- – Approved
Inspector __--__ _
_.� Disapproved
Date
CALL FOR REINSPECTION
C_� YES 0 ly0
INSPECTION NOTICE
\ i
Y g 9 of Tigard Building Department _
i P.O. Box 23397
/Tigard, Oregon 97223
Phone: 039-4175
Type of Inspection --
Date Requested__ I ,ff .� L- Time A.M. C�/-P.M./
Address
!�-C_� Permit
Owner_. ,_— Lot #--
Builder —_Builder
The following Building Code deficiencies are requir4d to be corrected:
t oveci
Presented to
Inspector — — ❑ Disapproved
Date ___ 7
CALL FOR REINSPF,C770N
❑ YES CJ IVO
t�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection `-`
Date Requested .. � �— ����� �� Time_.✓_..__ A.M. / P.M.
/ '
Address G L r��-%� �� ----..-- Permit # `
Owner'1w.aL_-_. __— Lot #
1
Builder �.—_—_-- ---------
The following Building Gode deficiencies are required to be corrected:
��� lIy/V dN S�ii/2S 17 ✓ S /S _c „
T d u i ey' Noce,Al ng-e —
�,Z7� j c /lar_
7,7
e:,
y Sic f `v
1 77 7
Presented to "proved
Inspector ' - — ❑ Disapproved
Date
CALL FOR REINSPECTION
YEs!< L7 No
CITY,OF TICARD MECHANICAL PERMIT Peceipt# /
Permit# .
Description
Table 3A Mechanical Coda _ QTY__PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 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
1) Incl.ducts&vents 6.00 4
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Add re , 4 Suspended heater,wall heater
Address ' r `.r�1J� - .- ) or floor mounted heater 6.00
Tax Lot Map No. Vent not incl.in
Lot Block Subdivision 5) appliance permit _ 3.00
Name(or name of business) Repair of heating,ref rig.,
„ , , 6) cooling,absorption unit — 6.00
M IIIngAddress Tz
� 7) Boiler or comp to 3 HP 6.00
Owner �% l� L , absorp.unit to 100,000 BTU _
cityisgte t Boiler or comp to 3 HP-15 HP
zip
8) absorp.unit to 500,000 BTU 11 AO
Name Boiler or comp 15-30 HP
9) absorp.unit 1/2-1 million 15.00
Mailing Address ' Phone 10) Boiler or Comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor city State~ 7ip �— 1 t) Boiler or comp to 50 HP 31.50
_absorp,unit 1,750,000 BTU_
State Registration No. City Bus 7ez No. 12) Air handling unit to M—� 4.50
10,000 CFM
I herebyacknowledge that I have read this application that the information 13 Air handling unit 7.50
g of given is ) 10,000 CFM +
caret},that 1 am the owner or authorized agent of the owner,that plena submitted are in —
compliance with State laws,that I am registered with the Stato Builders'Board,that the14 Non portable
number given is correct.(If exempt from Slate registration please give reason below). ) evaporate cooler 4.50
15) Vent fan connected~ 3.00
to a single duct
Ventilation system not '
16) 4.80
included in appliance permit
17) Hood served by 4.50
mechanical exhaust
Signature(owner or agent) bate 18) Domestic type 7.50
Describe work I I addition ❑ alteration 11 repair O incinerator A
to be done _ residential L_1 non-residential EI 19) Commercial or industrial 30.00
incinerator
Existing Lase of type _ _
building or pi operly.__--_ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of --
heater,solar,clothes dryers,etc.
-
Dullding or property _ --_—__ - 21) Gas piping one to four outlets 2.00
+( Type of fuel- oil (I natural gas i 1 LPG_I I electric C1
11 22) More than 4-per outlet
INQTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON — - �SUr3-TOTAL y� ✓
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- - —
WORK IS COMMENCED, TOTAL
Special Conditions
t .
Date Issued by�; '
INSPECTION NOTICE
City of Tigard Bui.ding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone::X639-4175
Type of Inspection -4c- ----
2
Date Requested__�� -..2_ L Time /A.M. P.M.
Address 4 "n ` -- Permit #_� _
Owner _ .. __��R9.� -- -- Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ — _ P-7 pproved
Inspector _- —_ I__I Disapr,roved
Date --
CALL FOR REINSPECTION
Cl YES ❑ NO
IWECTION NOTICE
City of Tigard Building Department
P O. Boz 23391
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested _ " $ Timed A.M. / P.M.
Address . .. � _�i 1��� . Permit
Owner _ _- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to QAV!fr�ved
Inspector _- y -- --- - —___-_-- --� Disapproved
Date
CALL FOR REINSPECTION
C 1 YES ❑ NO
r,
CITY OF TIGARD 639.41716349
BUILDING PERMIT SATE t�cCdb�tt 19 �
TAX,AAP ________LOT NO. ___._SUBDIVISION QlAlffie�iti
OWNER '"q�i :'.11��L buildi" tne. JCBADDRESS _.9079 SW.-Hill Street
BUILDER Jay -iller I;utldinK_-Inc• %)109 12/6/86
aTATE REG.NO. EXP.DATE.�—___
BUILDER'S PHONE _ .
ARCHITECT J_ __._ __ ___-___ PHONE OTHER
STRUCTURE V-" NEW ❑ REMODEL L; ADDIT'JN REPAIR MOVE OTHER DEMOLITION
Ll RESIDENCE COMM [ I EDUCA1i^N ND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
t VP 04
OCCUPANCY —LAND USE ZONE J BLDG.TYPE FIRE ZONE _PLAN CHECK BY HEAT
Conaitrcacti si.n le iawily dwelliu,� a/attachrrt ;a11 1,er j1:yraved plans.
oubject to 0 Cuae. _
Reissue of 4625/4 it K
SEWER PERMIT If '1.'!765 t 1du) baths: 3 tn.,,�.4. r+ ,-ir,a; - area i 4b4./
OCC.LOAD FLOOR LOAD hU HEIGHT 20 NO.STORIES AREA 2104 NO.BEDROOMS `+ VALUE
BUILDING DEPARTMEIJT__ J SETBACKS FRONT HEAR RIGHT SIDE
sc� LEFT 2.
Permit �GU3•UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREB? AGREED' THAT THE
Plan Check 40#00 WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
I WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- TAX PERMIT�i SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 16. 12 .:'I ..:2. *U -
-- --1 SDC— bUu.c►t!
Total 459. 12. 111.50.00 APPLICANT OR AbtNT'—
Prepd. 40.UU
Bal.Due
419.12 Receipt No. ADDRESS _ ..�_..___�..__.._...— •---_-- - PHONE - --
Issued By.__— Appro+red By-
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I
"slob
DATE INSP. TYPE INSPECTION _R(MARKS PLUMBING «' DATE p/
m7 Contractor
A011 Permit No. A_j q
Rough-in
Fixture
Final
NG HEATI
- - &J6
01 Contractor ,�.C./�_ Q
k�arit No./._7 as Oil
— --- Rough in
— ----— - -- Final --
SEWER
—�--- Final
DRIVEWAY
-- 0� �--_— Final
Storm Drainage
(Rain Drain)Final
Sidewalk --
- Curb&Street Final
Approach
BLDG.DEPT.FINAL �— TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY — --
Landscaping
Zoning Final
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