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INSPECTION NOTICE
City of Tigard Building Deportment
P.Q. Box 23397
Tigard, Oregon 97223
Phc.ne: 639-4175 i
Type of Inspection _ ! N" / fl
Date Requested �//Z�_..6._-.__ 6 Time _ V A.M. ___.P.M.
Address -___�V_54'-1 1417/ S17 ._� Permit
Owner h � _ Lot
BuilderThe following Building Code deficiencies are required to be corrected:
a
Presented to pproved
Inspector Disapproved
Date -
CALL FOR RF1,7SPE'CTION
❑ YES L-1 NO
INSPECTION NOTICE
City of Tigard Buildin4 Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
i
Type of Inspection ��
L�
Date Requested.. _ Time_._._.� AM,_ P.M.
Address L � �'K— sill') _ I �� Permit
Owner _ Lot #
I o– following Building Code deficiencies are required to be corrected.
i
Presented to �i
Inspector Disapproved
CALL FOR REINSPECTION
C1 YES 0 No
INSPECTiON NOTICE
City of Tigard Builo ng Depaitment
P.O. Box 23337
Tigard, Oregon 972?3
hone: 639-4175
Type of Inspection .�____. i I6
Date Requested _��`[-?_�..- �"' Time _ A.M. /P.M.
AddrWFf ----
O,vner-^--- --- _ Lot #
Buhder /
The following Building Code deficiencies are required to be corrected:
Presented toe/ — �...pPlmoved
Inspector 1 � Disapproved
Date
CALL FOR REINSPECTION
G rt5 i_l NO
INSPECTION NOTICE
City of Tigard Building Department CC P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 _.�
Type of Inspections� -
Date Requested.-_L a= 1 6 Time-j-;, A.M. P.M.
Address —
f `�� __Q __� t��Q __�_� Permit
-
Owner Lot #
v
Builder
The following Building Code deficiencies are required to be corrected:
s
Presented to ----_ 19-Approved
Disapproved
D.to —
CALL FOR REINSPF,CTION
YES 0 NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
V
Phone: 639-4175
Type of Inspection (Q Time
_—- -- .—
Dote Requested ( � . Q Time V' A.M. P.M.
Address �_1�`-�-'� Permit #��_�_5�_
Owner_ J Ll �ys ��w_ Lot
Builder -- ---
The following Building Code defick1cles are required to be corrected:
"r
Presented to P-rpproved
Inspector Disapproved
Date _
CALL FOk FJNSPF_.CTION
0 YES 1A NO
, 111 , I 1 Ilrn..hll Cll'.1.III1h1W11, r I.ht•Il I
I'r.•rmlC 11���. _ _
Iy of Tigard
3 l 2 S SW lta l l Blvd. 1 Demo Von
P-0. Box 2'1397 Tabb JA Meehan"Code QTY PRICE AMT
Tigard OR g7223 --
639-4175 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.0
1) Furnace to 100,000 RTU
incl. ducts & vents 6.00
2) Furnace 100,000 BTU + I
i.fq. ,I be,relni,,nof incl, ducts & vents 7.50
L .3) Fluor Furnace
Job �_ �f _<_1 t 5 incl. vent 6.00
Address Tax Lot Meg 90. 4) Suspended heater, wall heater
Z _ or floor mounted heater 6.00
Lol Block Subdlvlalon _ -- -- —__—
��~ Name ( of name of t)ualness) 5) Vent not incl, in
appliance permit 3.00
Mailing Addreas Phw4 6) Repair of heating, refrig., -
0wt.•. cooling, absorption unit 6.0.0
CRY/State zip 1 7) Boiler or comp to 3HP _
absorp. unit to 100,000 BTU 6.00-.- -
8)
.00 _8) Boiler or comp to 3HP-15HP
absorp. unit to 500,000 BTU 11..00
--
Mailing .Addrete �c>n«,n 9) Boiler or comp 15-30 HP
absorp. unit 4:-1 million 16.00
Contractor ��'�=L----�1..—
CI �, re a 10) Boiler or comp 30.50 HP
absorp. unit 1-1.75 million - _ 22.50
Slate Ragletrenor, No, ( Ity nue, rex No. 11) Boiler or comp 50 HP -
l�]„ /� absorp. unit 1,750_,000 BTU -` 31.50
I NON” arknowle.lge that I have real Ihl7 nppficnrinr ON ria Informauw, 12) Air handling unit to
pfven to ronecf, that I am the owner rr nuthorfred agent of Mix ownef, that ,y,
nuns +ubn111M we In compllnmve wW Slate Ince, Il al I am reglatered Witt, 10,060 CFM 4.550
S
Ihs LaI" nullders' Board, IT.et the number given in correcl- (if exempt 13) Air handling unit
from State refile Velton 114M-104 'jive mason brlrrwl,
10,000 CFM + 7.50
14) Non portable - -
__evaporate cooler 4.50
15) Vent fan connected
......... to a single duct -� _ -3.00 .0t)
t 16) Ventilation system hat
Siq alure (owner or agent) Date included in appliance permit _ 4.50
i 17) Hood served by
Describe work O addition(-) alteration❑ repair❑ mechanical exhaust 4.50
to be done residential non-residential C]
18) Domestic type
Existing use of incinerator7.50
building or propt rly 19) Commercial or industrial -
Proposed use of type incinerator _ 30.00
building or property 20) Other i.e., woodstove, water'
Type of fuel — oll❑ natural gas LPGO electric C] heater, solar, clothes dryers, etc. _ 4450
NOTICE 21) Gas piping one to four outlets 2.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUB,TOTAL p
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% 1URCHARGE^ V
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED PLAN REVIEW?s'XOfeU9-TOTAL.
TOTAL __.. ..
Speclat Condlllons
r
- - --- (7;tlr Ir�;u�ri _.�-���.��_ by ) '__�•�.`,��
INSPECTION NOTICE J
City of Tigard Building Department !)
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _..._----
Date Requested�_ /�z _ �-- Time_--. A.M. v P.M.
Address F s� 5 '•�-' Permit #-_L
i,
Owner ------._. . —��- Lot # ---- —
Builder _
The following Building Code defi encies are required to be corrected:
Presented to proved
Inspector --- _-__.-1�V" _ _-------..-_ I I Disapproved
Date �-
CALL FOR REINSPECTION
[] YES CJ NO
rr-nl!M'TRMYMi'"rr4... _ .. nnfrwka'u.Y,Mr..JL
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:639-4175
Tyne of Inspection
Date Requested _ �1��a /Time,__ A.M._ P.M.
Address al /,.=
Permit
-� / -- a
Owner — -- - Lot #----
Builder .vi::
' '� _.,--The following Building Code deficiencies are required to be corrected:
Presented to . _ ... - 14 proved �-
Inspector 1J Dim
teproved
Date ----
CALL FOR REINSPECTION
0 YES EJ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box. 23397
Tigard, Oregon 97223
Phone:
763399--4175
Type of Inspection _ �I ' / 1 �'j
Date Requested��— Time _A.M. P.M.
Ad
dress L6 �'�✓ _ _� '�?_ Permit
Owner Lot #
Builder �.� _ _S ._L_ -----
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector / -- _-- .--- U Disapproved
Date
CALL FOR REINSPECTION
0 YES ONO
CITY OF TIGARD 639.4171 Septembatr r" 6(1) 6 316
BUILDING PERMIT DATE __.___.— ._ts _
TAX MAP LOT NO. 60,_ _ SUBDWISION Chelsea
OWNER. J-ay Aller _ JOB ADDRESS 9136 Sig Hill St.
same --- 301-09---
BUILDER —_--- ----- _ _ STATE REG.NO. -----EXP.DATE
BUILDER'S PHONE _684-1J43
ARCHITECT PHONE OTHER
STRUCTURE "f I NEW ❑ REMODEL Li ADDITION REPAIR C MUVE OTHER DEMOLITION
? RESIDENCE I 1 Comm I7 EDUCATION IND RELIGIOUS ACCESSORY GARAGE Ci OTHER FENCE
OCCUPANCY is i LAND USE ZONE �c4.5�'U BLDG.TYPE �I+ FIRE ZONE PLAN CHECK BY L; HEAT °
Construct, sinble family dweltin6 W/attached iarage, all per approvect plans.
,U Jf''C o :) CU e. RMISSUE or 3062
SEWER PERMIT N i9i44 C Lou) 3 battt, 13 tripe
OCC.LOAD FLUOR LOAD 40 HEIGHT LU NO STORIES Z APEAZ10o NO.BFDR02MS ; VALUE
20 Q5
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE f RIGHT SIDE
Permit joy•ul) _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4U.UU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 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 SUB CONTRACTORS TO HAVE CURRENT CITY OUSINESS
— TAX PE !ITS.SEPARATE PEr,MITS REQUIRED F OR SEWER,PLUMBING AND HEA i ING.
State Tax 13.9ti SI; ,
SDC—t)OL, JU V
Tote) .qty-0 -- --1 PUCl/ 151a.�0 ApPLICANTO�DENT �
Prepd. -4Sl.0.LL_
3tr2.)f+ Receipt No.. AbbgES& TPHONE ;
Bel.Due
Issued B,,, _Approved By----
......r....a.,.xai.�„n.. "'--��_,ur.iC/.`r'i'+a i�'4"..�hnwcreu.+..rr4Y1r.,..:.a.4alaWW4wnrmv,.w«1fMr'.wr..lo-.waw.+w...,.n....ea.,...a.+tiw ,... •...L:.....w....d.:.P•••••�—.w1r,..uw.... —_ —...r..n.w.r... ,
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
— _ Contractor
Permit No.
Rough-Irl
Fixture --
//-/2��' / - - -
Final
-�- HEATING
- Contractor N.td -
Permit No. g
GasorOil
1__ ------- -- --- -- - Rough in -
-• Firal V
SEWER
Final
DRIVEWAY
Final
Storm Drainage
--� (Rain Drain)Final
��_ — - ---- Sidewalk -
-- Curb&Street Final
Approach
BLDG.DEPT.FINAL TEfAF-ORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landsr_aping
Zoning Final
7
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