9143 SW HILL STREET-1 9143 SW HILL STREET
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 7223 Z'6/0c)
^5,04-A .�!fione: 639-4175 /J
Type of Inspection
Date Requested �� Time _ _ A.M. P.M.
Address Pe it1l#
Owner �
Lot
y�
Builder –7 3-� --
i
The following Building Code deficiencies are required to be corre-ted:
7 - -- �
Presented to _
--�� � Approved
Inspector r _
'C –J Disapproved
Date —
CALL FOR REINSPECTION
❑ YEd U NO
` --
CITY OF TIGIAi�a MECHANICAL PERMIT 1'iul.tllNl R Permit#�c
oe.cr(p+ion -
Tabio 8A Mechanical Code QTY PRICE AMT
City of l igard 1) Permit Fee -0- -0- 10.00
13125 S W. Nall Blvd. _.
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1) Furnace to 100,000 BTU
6.00
incl.ducts&vents_
2) Furnace 100,000 BTIJ + ---' - _ - --- 7.50
incl.ducts&vents
Name o1 Development V� 3) Floor Furnace -- - - - 6.00
_ incl.vent
Job Address4) Suspended heater,wall heater 6.00
Address � _3 i ���f'-� or floor mounted hea'er _ T
Tax Lot Mat:No 5) Vent not incl.in 300
Lot Block Subdivision appliance permi
Name(or n of business) 6) Repair of heating,refr ig., 600
cooling,absorption L"lit_
Mailing Addroa phone 7) Boiler or comp to 3 HP 6 00
Owner absorp.unit to 100,000 BTU
_ D- G' - ---- --'- -
city state Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
_
Name --- 9) Boiler or comp 15-30 HP - 15.001
absorp.unit 1/2-1 million
O,�ress ply 10) Boiler or comp to 3C r4)HP------ 22.50
absorp.unit 1-1.751. Iron
Contractor City�Stae - Zip 11 Boiler or romp to 50 h.P 311.50
absorp.unit 1,750,000 BTU _
State F4,gis1ra+kw+No -- - - City Bus.Tax No. 12) Air handlirxt unit to ~-- 4.50
10,000 CFM
`--�'�------ -
I heroby acknowlodge that I have read this application that the information given is 13) A 7,50
Air it handling
CFM i
dling unit
correct,that I am the at>c+rror or su rized apartwrr
of the owr ,that pians sutwrimed 1
are in - - - -- --- — - -
cu pliance with Staff,laws,that I am registered with""State Buildom'Board.that the 14) Non portable 450
number given is correct.(If exempt from State registration please qhe reason below) evapot ate Cooler
Vent fan connected ---__---- -- _-- -
` 151 to a single duct --- -- --- __ __- J�
-.
---- =-- 16 Ventilation system not 4.50
included in appliance permit
s 17) Hood served by --` x1.50
mechanical exhaust
tore(owner or Writ) - Date 18) Domestic type
7.50
!ihe M 6s1( ❑ addition U-] alteration ) repair ❑ incinerator --�
b done residentialnon-residential Commercial or industrial ~
- ------- -_�-_-------------P_— 191 30.00
Existing use of
type incinerator
-- --
buildingor properly 20) 01her i.e(-4Joodstove,j iter 450
P P Y-------------_-- - -- heater,sbiar;ek>tht dryers,etc. `Y 1�
Proposed use of __-
building or property -_ 21) Gas piping one to four outlets 2.00
"ype of fuel - oil [ l natural gas I I - I_PG ['I electric
22) More than 4-per outlet
SUB-TOTAL
HIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCES WITHIN 180 _ -.S610 !R SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPONDED OR PLAN REVIEW" OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - — --
WORK IS COMMENCED. TOTAL
Special Conditions
— - - - ��--_-- - - Date issued L /� ;y� � by
w 1
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INSPECTION NOTICE
City of Tigard Building Deparr-ent
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time -_ A.M. P.M.
Address
/—�L� _ _ Permit
Owner-- _ Lot
Bvilder —
Thr, following Building Code deficiencies are -equirud to be corrected:
Presented to _. _. -----..--_ ----------. .___ L1,41;'P"roved
Inspector _l-- `-__ --- _ �. _-- Disapproved
Date
CALL FOR REINSPECTION
Cl YES C, NO
■w wsw w w w iw w st ar w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
P one: 639-4175
- -��- "�- --- - -- HCl
Type of Inspection
Date Requested_ __�� �L�J LTi e __� A.M.—. P.M.
Address -- �`^�..— /-LLQ-.- Permit
Owner _ __ Lot # _
Builder
The following Building Code deficiencies tire required to be corrected:
Pr-sented to __ __. proved
nspector - -_� Disapproved
Date -------- —��— —
CALL FOR REINSPECTION
YES
1-:1 NO
s
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
hone: 339-4175 (,
Type of Inspection _. �----
Date Requested—_�. � ✓ /iTe _ M
Address Permit
Owner - - --— — -- Lot #--- - —
Builder --------- ----- ---- - —__
The following Building Code deficiencies are required to be corrected:
-- ---- - -----
-_ n
I
Presented to _� - L roved
Inspertni _ __._ __ _-- Disapproved
Date --
CALL FOR EINSPF,CTION
YES E3 NO
INSPECTION NOTICE.
Cit/ of Tigard Building nepartment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested __ 17tH A.M. ��t P.M.
Address - —.----- �- \ ` l� J Permit
Owner - _ r Lot
BuilderThe following Building Code deficiencies are required to be corrected:
_
Presented to roved
_ �--^----- ----- � Afifs
Inspector _-- __T�� -.-------- Disapproved
Date -- --- ----
CALL FOR REINSPECTION
C1 YES IJ NO
w wo aae aw aar
INSPECTION NOTICE
City of Tigard Ruilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection
Dste Requested - f Time A.M._/ P.M.
Address Cly - Permit
Owner ------ --- — _/ G LC-'1 —-– Lot # —– _—--- --
Builder
The `ollowing Building Code deficiencies are required to be corrected:
Presented to 4ftwo d
Inspector Ll Disapproved
i
Date
CALL, FOR REINSPECTION
n YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested. _ Ti Me A.M. P.M.
Address Permit 4+
Owner _ _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected;
j1
Presented to _ V Approved
Inspector _jc - Disapproved
Date.
CALL FOR REINSPEC770N
[❑ YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection���-'
Date Requested���_ � � � rme� A.M. _.P.M.
Address Permit
Jwner
Lot
BuilderThe following Buildinq Code deficiencies are required to be corrected:
Presented to — :1�-Msp►oved
teiotor ,.–) _- Disapproved
Date
CALL FOR REINSPECTION
0 YES E-J NO
INSPECTION NOTICE
C of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
`-e L,-J � Phone: 639-4175
Type of Inspection - -----
Date Rr quested Time_ A.M..._'f�P.M.
Address 1Z_3 � -- Permit
Owner — - - -- — Lot #-- -- - --- -
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ___... ___. �4ppr-,ed
Inspector _ _ i Disapproved
Date 2 2-- 3
CALL FOR REINSPECTION
El YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Faq"-,q
Type of Inspection _ -___ �.
Date Requested_ � ( TIME A.M.�t P.M.
( �� 1 C Permit
Address .__h.�— — _ _�_1�__.._._�
Owner Lot #
t LLA
Builder _ —_-� a-�'��
The following Building Code deficiencies are required to be corrected:
Presented to ._�__._. '' —_, d•�.Ap�P6ved
Inspector _- - _ -- ---_ -_ —— —__-- Disapproved
_ 7
Date
--- -- ----- - /_-- � ---
GALL FOR REINSPECTION
❑ YES 0 NO
w w w w w w w w w
CITY OF TICARD MECHANICAL. PERMI.1 Receipt #
Permit
DesLriptlon
Table 3A Mechaninal Code _ QTY PRICE _AMT
City of Tigard �1) Permit Fee 0 10.00
-
13125 S.W. Hall Bivd. 0
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit _ _ 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents
Furnace 100,000 BTU
2 incl.ducts&vents , 7.50
Name of Development 3) Floor Furnace 6.00
incl.vent
Job Address -- - A) Suspended heater,wall heater — 6.00 �I
Address _ `/ r r� �,. or floor mounted heater
,x int Map No 5) Vent not incl.in 3.00
2n-!iance permit
I Block Subdivision — - --- ------ ----
D ame(or name of business) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit
Malllny'+ddress Phone _ 7) Boiler or comp to 3 HP
Owner absorp.unit to 100,000 BTU
---- ------
--
City/State --zip g) Boiler or comp to HP
11.00
_absorp.unit to 500,000 BTU
Name ) Boiler or comp 15-30 HP
9 absorp.unit'/z-1 million '15.00
Ma,ling Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp,unit 1-1.75 million
Contractor City/state Zip - 1 1) Boiler or camp to 50 HP 31.50
absorp.unit 1,750,0013 BTU !
State Registration No, City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM _
I hereby acknowledge that I have rasa ri,!s application that the information given Is 13) Air handling unit 10,000 CFM + 7.50
correct,that I am the owner or auttrorized agent of the owner that plans suhmifted are In --- — — --
compliance with State laws that I am registered with the Stat)Builders'Board,that the 14) Non portable 4.50
number given Is correct.!if exempt.mm State registration please give reason below). evaporate Cooler
Vent fan connected
15 to a single duct 3.00
---- — - - - Ventilation system not _ J
16) 4.50
included In appliance permit
--� - 17 Hood served by - 4.50 —
mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work I I addition I I alteration ❑ repair ❑ Incinerator_
to be dors residentip: [-1 non-residential ❑ 19) Commercial or industrial 3000
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
Type of fuel- oil 131 natural gas I i 1,r',a I electric I I --T-
- - 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 4%SURCHARUE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW ' OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER - -
WORK IS COMMENCED. TOTAL
Special Conditions __-
i
----- ---------_ ---- - --—.__. Date issued by -- —
- .,y;a.:Yvn:aYpyyrpHbM49Nf1
CITY OF TIGARD 639.4171i'e�bruarf 7 6 5 61
y
BUILDING PERMIT DATE _. T y
TAX MAP'"" LOT 1�0. 44 SUBDIVISION
OWNER .—A4' it ilei JOB ADDRESS —M43 DW HILL 37,
F II
BUILDER - 880
STATE REG.NO. —ji009EXP.DATE
BUILDER'S PHONE 6$4-7543
ARCHITECT PHONE OTHER
STRUCTURE ` NEW I REMODEL LJ ADDITION I REPAIR 1 MOVE OTHER DEMOLITION
RESIDENCE COMM 1 EDUCATION 11 IND RELIGIOUS ACCESSORY I GARAGE 1 OT'-"-R i I FENCE
OCCUPANCY ..', LAND USE ZONE .i. BLDG.TYPE _ FIRE ZONE .PLAN CHECK BY 11,1 HEAT
Gotirtruct ai%ic 1-wady dw(=lling a/attfcited j;ara e, cell per u,lproveu 11.•I -S. ta, j. .:L to) Ski SS coda.
SEWER PERMIT M = AOUy(lull) i traps gaga, a
OCC.LOAD FLOOR LOAD 40 HEIGHT iU NO STORIES ! AREA 1022 NO.BEDROOMS VALUE �!40)' 'k
BUILDING DEPARTMENT '- + —�—'�;--
SE. BACKS FRONT RFAR LEFT SIDE RIGHT SIDE
Permit iE,1.0U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40.00 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 ALI. 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 BUSINESS
T�(uP RMI� $,SbnARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.611 u V
— -- SDC— hW.(►)
Total 421.bd000CANT00 AGENT —
PDCBII 151).UU
Prepd. 4t)s.VU —
Receipt No. r,f1 ADDRESS ----_
Bal.Due PHONE —--
Issued By_— _Approved By
.. ._.._..._...a......ra,a.'y,as,yY;.,e.- - - .,.._, ..- eve aYr�,♦.!•.lv.,. .iy,».Yw....Y64..:.,..vv Mlw•.i...r—� r.-..oKrW.a,.�1w..aiy.r.Y.al.awp..a1_ ...,Yw.a.:.Y_.. ♦.M.i.kL'r1..xYM ,r
DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE
2 _ Contractor
x`23_8 PermllNo. r �-
f -- Rough in
Fixture
=L-�? �G/wr�4� 'Cas •1lsL_. Final
KEATING
----
A - Contractors Lj q/
-— ----- - 'Y/S-/8 2
Permit No.
--"W / - - - — ------ - Gas or Oil
Rough-in _
Final
SEWER
— Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final i(
Sidewalk
Curb R Street Final ^�
Approach
BLDG.DEPT.FINAL TEMPORARY A CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY —
0(6 landscaping
l ! I 2nning Final
_7-_
jl�
i
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