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of Seattle, Inc.
2502 N.W. 194th Flare
LOUIS F.CAVIEZEL,P.E. Seattle,WA 98177
. . - - - - - -- -- - ----- Seninr Inspection Engineer (208)542-1'505 1 5261401
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INSPECTION NOTICE
City of Tigard 13ui'ding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
T�ie of Inspection
Date Requested Time A.M.-P.M.
Address ��/7 -� Permit *
Owner ��� � Lot #E
Builder
The following Building Code deficienciesarr e4lArvd-4o be corrected:
--------- ----
Presented to pproved
Inspector _ 1 Disapproved
Date
ALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 cco�)
Tigard, Oregon 97223
Phone: 639-4175
Tyar of Inspection _ —._ ---- �`c ,--- ---------.� _
Date 14,-quested_—_—_ _, Z �-- Time A.M.__—P.M.
ass"
Address —__� - -. . -------- Permit #_ _---
Owner sir �1 ��_�__ Lot #
Builder _- --- ------ --- --------The following Building Code deficiencies are required to be corrected:
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a
Presented to _.—______._._.__ —_ 1< proved
Inspector _ ( j Disapproved
Date __ -- --� -----
CALL FOR REINSPECTION
P YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department �--�
P.O. Box
Tigard, Oregonon 97 97223 �`----��-i
Phone: 639-4175
Type of InspectionA `__--..--- - �----_�._�.
Y _
Date Requested 2 -2-- Time _-- _
Address __`l ��_ _ -.-_-----_---- Permit
Owner__-_ Lot # -
BuilderThe following Building Code deficiencies are rlquired to be corrected:
_ I
i
Presented to _ _-- ❑ Approved
Inspector `� '� ��T ursaPp►ove!
Date —.-
CALL FOR REINSPECTION
["E8 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23.197
Tigard, Oregon 97223
Phone: 639-4175
34f;t�
pl
Type of Inspection _ —__...---- _ --1 --_- o
_
Date Requastad _ , Time A.M. /_P.M.
455 Address Permit #_i�
Owner �_I A Lot
Builder
The following Building Code deficien ies are required to be corrected: t
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Presented to cc= �L� _ - __ - -_-- ---- Approved
Inspector /U�✓A~ _ Disapproved
Date �vip-47
CALL FOR REINSPECTION
Cl YES E� NO
INSPECTION NOT ICE
City of Tigard Building Department /
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection
Date Requested� —��- ."_— Time _ — A.M. P.M.
Address ��_t...��_ ___—_�� Permit
Owner Lot # __
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to — LXproved
r
Inspector Disapproved
Date
CALL FOR RF,IN. PPMON
❑ YES F I NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
,
Ti ardOregon 97223
9 9
{'hone: 639-4175
Type of Inspection
///___ tC�_—_�--
Date Requested �� _ __�. /Q �_ Time
Address Permit #� �
Owner---- .- -- — Lot #
Builder —._.--- ------ -- -- ----
The following Building Code deficiencies are required to be corrected:
i
Presented to -----_ --- — — — — ('{Approved
Inspector i Disapproved
Date
CALL FOR REINSPECTION
0 YE! 0 NO
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Pe.mit# `1_5 37
Descr.ptlon
Table 3A Mechanical Code _- CITY PRICE AMT
City of Tigard 1) Permit Fee A -0- -0- 10.00
13125 S.W. Hall Blvd. _ _ _
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
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.
Address _3 00
'I or floor mounted heater
� � J .�I r / l �f /�� ,- -- - -
Tax Lot Mup No.
5) Vent not,ncl.in 3.00
Lot Block Subdivision appliance permit _
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 BTU
City Stade 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 15.00
absorp.unit 112-1 million _
Melling Address 1Snone 10) Boiler or comp to 30-50 HP 22.50 -
absorp.unit 1-1.75 million _
Contractor cuyistate Zip — 11) Boiler or comp to 50 HP 31.50
absorp,unit 1,750,000 BTU _
Slate Registration No. City Bus.Tax No. 12) Air handlina.mit to 4.50
10,000 CFIA
I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit10,000CFM F 7,50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State Iowa,t t I am registered with the State Builders'Board,that the 14 Non portable
number given Is ro ct.(II a pt from State registration please give reason bolow). ) evaporate cooler 4.50
Vent fan connected
f ---- --- 15) to a single duct 1 3.00
--' T - 16) Ventilation system not 4.50
included in appliance permit
- -- 17 Hood served by 4.50
mechanical exhaust !
Signal (owner or agent) -Date1B) Domestic type 7,50
De ibe work f_I addition [I alteration C7 repair 1-1 18) — —
to bill done residential ❑ non-residential ❑ 18) Commercial or industrial 30.00
Existing use of type incinerator -
building or properly _-_ 20) Other Le.,woodstove,water 4.50
Oroposed use of heater,solar,clothes dryers,etc.
building or property _— 21) Gas piping one to four outlets 2.00
Type of fuel- oil i I natural gas I-I LPG I l electric I 1
--- 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%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_ _
_ Date issued by
INSPE%TION N.,, ICE
r P'" Gity of Tit rd Building Department
i ). Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _______- r _._._
Date Requested- - ---—.�—✓ Time---- A.M.----P.M.
Address _ � � � Permit
Owner Lot ;.,__—__
Builder
The following Building Code deficiencies are required to be corrected:
i
A
Presented to� (`T'APproved ---- _
Inspector _— _ _.� Disapproved '
Date
CALL FOR REINSPECTION
❑ YEs ❑ NO
CITY OF TIGARD 639.4171 6455
BUILDING PERMIT DATE
Aller TAX MAP ._ :+ LOTNO. (*� SUBDIVISIONS"
OWNER_ y__— JOB ADDRESS 9173 S14 All St. All 2
BJILDER -!►!!�1!"— STATE REG.NO.3U1Q9______-_ —.-__..EXP.DATE
BUILDER'S PHONE 684.7543__.
ARCHITECT PHONE --_ OTHER
STRUCTURE :;I ! NEW ❑ REMODEL ADDITION 1 REPAIR MOVE L'. OTHER DEMOLITION
{ RESIDENCE I 1 COMM EDUCATION IND i RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY LAND USE ZONE uu.._ a BLDG TYPE ai__FIRE ZONE — PLAN CHECK 13Y )a-i HEA1 4:-
Construct sin-le t&nily dvelli.nb w/aittatched t;aral;e, all tier an,t:ruveo plans.
jV11ject to 85 cone. KLISSUE of 5937(last reissue 62b9)
SEWER PERMIT# 32635 (ldu) 3 batt,,, 11 traps 1,arage 4134
OCC.LOAD FLOOR LOAD 411 HEIGHT 020 NO.STORIES .' AREA1490 NO.BEDROOMS3 VALUE S3 e940
BUILDING DEPARTMENT SETBACKS FRONT 20 HEAR jO LEFT SIDE ZO RIGHT SIDE `
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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSJANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck,_Fire RESTRICTIVE COVENANTS. CONI RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
11.b8 TAX PERMITS SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ 9b.e( 1j0*QU
Total 60().U() APPLICANT OR AGENT
PDC#
Prepd, 49011 15U.UO
-� — -- Receipt No., ADDRESS
Bal.Due — _ 1' 1 1
Issued By_T Approved By _. _
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECTION _
_ Contractor
Permit No. 5�f'
Rough in
Fixture
Final
�v
HEATING
,nlracyt1sti I-/,, Y7
. tor
— Permit No. j 3-2-
fSAS r�ST- Q r/ �1- nee# oieq y rasoroil
Final
T - -------- --�._ --------- _,—.
— SEWER
r inal
DRIVEWAY
Final _
------ —� Storm Drainage
— (Rain Drain)Final
Sidewalk
— Curb a Street Final
-- Approach
TEMPORARY CERTIFICATE OCCUPANCY Final _
BLDG.DEPT.FINAL CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requestird Time /A.M.----P.M.
-7
Address Permit
Owner Lot
E;jifder
The following Building Code deficiencies are required to be corrected:
Presented to roved
Inspector Disapproved
Date
CALL FOR REINSPECTION
f--1 YES 1—J NO
INSPECTION NOTICE
City :)f Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection qZ
Date Requested Time A.M.Address 1 �73 � _ _ Permit
Owner -- --- ------ Lot —
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to ---.---,_-- -----._-_-__.---___-- 1 Approved
Inspectot ( _� Disapproved
Date -- -- —
CALL FOR REINSPECTION
1 YES F1 NO