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C INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
�� - - - --
1 -
Date Requested Time _—_— A.M. = .P.M.
Permit
Address ---
_ Lot #
Owner
9uilder __rLs
1
The following Buildinq Code deficiencies are required to be corrected:
-
- proved AO
Presented to ,]
Disapproved
Inspector __
[Date --.
CALL FOR REIN ECTION
YES 0 NO 1
e
INSPECTION NOTICE
C,ty of Tigard Building Department
P.O Box
T'gard, Oregonon 97 97223 �
Phone: 639-4175 —
Type of Inspection --
Date Requested L—;i' Time'"' A.M. P.M.
J
Address �c� s . _^ Permit #
Owner ��` Lot #
Build --The following Building Code deficiencies are required to be corrected:
i
Presented to _ [�*Appi.ved
Inspector IJ Disapproved
Date –
CALL FOR REINSPECTION
YES (A NO
■. e� t :� essr sr east sssR �
INSPECTION NOTICE
City of Tigard Bkiilding Department
P.O. Box 23,97
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested—_Z--- -5?- J? - Time_ _ A.M. P.M.
Address L .� _ PermitOwner— — ----- —---— ----- Lot #. _
Builder._ --_____-__.
a
The following Bu Iding Code deficiencies are required to be corrected:
Presented to ^'_
�. �t •-
Inspector Disapproved
Date - -
CALL FOR REINSPEC77ON
❑ YES l-] NO
wsi s� � ws� ■ssr w rr.r � .sr a�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 )
Phone: 639-4175
Type of I,ispectionDate Requested Requested _ 2 Time ��- A.M._ P.M.
Adr;ress -__ `� _/���Y = Q --- Permit #— ✓�� _
Owner _ �!�� "•�'• Lot # --- —
Builder ----------- ---- -- -�.._ -- ---
The following Building Code deficiencies are required to be corrected:
Presented to _ — prover♦
Inspector — _ Disapproved
Uate
CALL F R REINSPECTION
0 VES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ----- --
Date Requested_ 2 �" 4 Time A.M.
Address - Permit #
Lot #
Builder -
'The following Building Code deficiencies are required to he corrected:
Presented toULL
�_ _ Approved
-yµ--
Inspect �":___ _ 1_� Disapproved
�fDateREINSPECTION
❑ YES U NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 \
Tigard, Oregon 7223
Phone: 639-4175
Type
Type o, Inspection
Date Pequ3ssted 'Time A.M.__ ____P.M,
Add►Jss . ( Q S -----�. Permit # 16
ON ner ------ Lot
_ Lot #
ruilder
The following Building Code deficiencies are, required to be corrected:
fjPre•,inted to roved
Inspector _� Disapproved
Date ? 7/
CALL FOR REINSPECTION
L�l YES (J NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ✓ 4 -- ----- --- - .---. __�
Date Requested_. "z- Z - _ Time A.M..__
Address -- ---f GL- —- --=S-L�-- Permit #
Owner --r -------- Lot
Guilder
The following Building Code deficiencies are required to be corrected:
Presented to I[-3 Approved
Inspector _____-� —__ _ Disapproved
Date —
CALL FOR REINSPECTION'
Cl VES 0 NO
CITY OF TIGARD MECHANICAL PERMIT Receipt#Permit# !
Description
able 3A Mechanical Code CITY PRICE AMT
City of Tigard 1) Permit Fee — - -0- -0- 10.00
1312.5 S.W. Hall Blvd. _
P.O. B,jx 23397 2) Supplernentai Permit — 3.00
Tigard, OR 97223 _ —
639-4175 Furnace to 100,000 BTU
) incl.ducts&vents 6.00
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Name of Development 3) Floor Furnace — 6.00
_incl,vent _
Job Address 4) Suspended heater,wall heater 6.00
Address or_floor mounted heater _— _-
Tax Lot Map No 5) Vent not incl.in 3.00
1 o Block Suhdiwsion appliance permit — -
-i Name(or name of business) 6) Repair of heating,refr ig., 6.00
_ cooling,absorption unit _
Mailing Address -_ Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BT U_
city stats----------- z P -----— 8) Boiler or comp to 3 HP- 15 HP -^^ 11.00 --
absorp.unit to 500,000 BTU
Nam, 9 E'^icer or comp 15-30 HP 15.00
absorp.unit'%P-1 million_
Mailing Address Phone 10) Boiler or comp to 30-50 HP 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.Tax No. 12) Air handling unit to 'J v 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in - -------- - ----
r.omphance with State laws,that I am registered with the State BuildersBoard,that the 14) Non portable _4.50
number given is correct III exempt from State registration please give reason below) evaporate cooler
15) Vent fan connected 3.00
to a single duct_ _
— - Ventilation system not 16) included in appliance permit 4.50
i 1 17) Hood served by 4.50
mechanical exhaust
Signature(owner or agent) _— Date 18) Domestic type 7.50
Describe work f_] addition O alteration 1-1 repair I 1 _—_incinerator
to be done residential ❑ -- non-residential ❑ 19) Commercial or industrial 30.00
Existing use of _ - type incinerator
building or properly _-- 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
-- ----- --- -- ---
building or property 21) Gas piping one to four outlets 2.00
I Type of fuel- oil I i natural gas [.1 LPG ❑ electric, I 1 _
L- 22) More than 4-per outlet
NQTIQ
—^--TA-- --� SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ONSTRUCTION AUTHORIZED IS NOT (',OMh4ENCED WITHIN 180 4%SURCH4RGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-1 OTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- -
WORK IS COMMENCED. TOTAL
Special Conditions
---- ---- --- ---- - -- - -- Date issued - - -- - -by---- -- -- -
CITY OF TIGARD 639.4171 omember 8b 16433
BUILDING PERMIT DATE
252-2118 '!4(—) SUBDIVISION TAX MAp LOT NO. _ SUBDIVISION
OWNER --_i _j� til< _. JOB ADDRESS _90195 RW hill St- —
BUILDER STATE REG,NO. 3g1U9 ._ EXP DATE 12-6-67
BUILDER'S PHONE 064-7543
Larjy 'raft
ARCHITECT __, PHONE ._045-0202 __..____,_OTHER _..—
STRUCTURE 4 .! NEW REMODEL ADDITION I REPAIR MOVE OTHER DEMOLITION
MI RESIDENCE I I COMM EDUCATION IND E) RELIGIOUS ACCESSORY 1 ; GARAGE I OTHER FENCE
OCCUPANCY � _LAND USE ZONE Kl—BLDG.TYPE ALIL—FIRE ZONE PLAN CHECK BY' '11.P HEA1 _
Construct single family dwelling w/Mttuched g,ara�;e, all, per approved plana.
Subject to 65 Code. AGISSUL of b b L
6 u ,z i raps garage area —i
SEWER PERMIT M
4111 IJ9�i
� T
OCC.LOAD FLOOR LOAD HEIGHI NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT _ SET BACKS FRONT 20 HEAR .53 LEFT SIDE 12 RIGHT SIDE t,
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, "ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4()•UU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
✓ TAX PERT(�)TS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11.92 ;600 laU.uu
Total —349,92JV bUtJ.UU A-0dtANT44AAAE +^
SDC—
NT
I'repd. 4U.UU _.. PD1f l 1609OU
Receipt No. i �,� ADDRESS _ ----- .__. - -—PHONE
Bal.Due 1(jy f
Issued Bye
�r
DATE INSP- TYPE INSPECTION REMARKS PLUMBING DATE p�
% ------ — ntractor
Of, Rough-in
Fixture
Final
2 1Z ---- HEATING
t6'p Contractor
Permit No.
Gas or Oil
Rough•in
Final
- -- SEWER
Final
DRIVEWAY
Storm Drainage
(pain Drain)Final
Sidewalk —
i Curb 6 Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCC JPANCY
Landscaping
Zoning Final
f
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INSPECTION NOTICE
t) 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.
Address Permit
Lot
Owner
Builder
The following Building Code deficiencies are required to he corrected:
eA14
Presented t 4—�Fo�ved
Inspector Disapproved
Date
CALL FOR REINSPEXTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigara Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspec ion �
Date Requestef I I ` Time —M.. P.M.
"
Address Yo Permit
f �
Owner J_._ L-LL.ot * __
Builder
The following Building Code deficiencies are required to be corrected:
I
Presented to 4.4-Approved` _-
Inspector _ __. L I Disapproved
Date
CALL FOR REINSPE MON
❑ YES ONO