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INSPECTION NOTICE
City of Tigard Building Department jf
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection
Date Re nested_._ l _ � T
9 ---- —�__ ime_ A.M. _P.M.
AddressI ZG �T,r"►�(mC� _-� Permit #_C a__
Owner. ---- ---
—_-- ---__-- w Lot
Builder .._-,
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector -
-- Disapproved
Date
CALL FOR REINSPECTION
CJ YES Cl NO
i
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-1175
Type of Inspection
Date Reqtested :71 Time
Address 115�-2 Permit #._&L/
Owner :zz Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ [;��p proved
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES C1 NO
INSPECTION NOTICE
City of Tigard Building Depar,rnent
P.0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 1� J""_
Date Requested 9 Time
A.M. P.M.
AddressZZ; Permit
Owner Lot
Builder
The following Building Cure deficiencies are required to be corrected:
-'dfflqzip;e�
r'll Q'4' X-04 A1.1 Z'24 oem 14
of,
Presented to Approverl
Inspector
I Disapproved
epzDate
CALL FOR REINSPECTION
AYES E:J NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
TigRid, C)reqon 97223
Phone: 639-4175
Type of Inspection
k"Z
Date Requested 117 Time A.M. P.M.
Address Permit
Owner_U
Lot #
Builder
The following Building Code deficiencies are required to be vorrected:
<
Presented to
�A, Approved
InspectorDisapproved
Date - . . 7- -7
CALL FOR REINSPECTION
Cl YES C-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
T;,pe of Inspection
Date Requested Z' 'Tiim�e,/J A.M. __-P.M.
Address ` �?�'�r�� ! -f Permit
Owner _ _ � � � --_- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to — ----_.---_�_,. --_---- I I Approved
Inspector _ ' —�_ Disapproved
Date -
CALL FOR .REINSPECTION
17 YES LI No
INSPECTION NOTICE
City of Tigard Builu1114 Llepartment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type rtriection _ ------.__..__'0 -4 4 _R
--_.----------- -�—
Date sten Time A.M. [P/.M�.►�
Addie-,,s '
Lot
n,l-ilder
The following Building Code deficiencies are required to be corrected:
Presented to 'Approeed
Inspector
i ] Disapproved
- ------ __
Date
CALL FOR REINSPEMOAr
(_ ( YES IA NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested "" Z— Time ,k q,{I /�_ P.M. -
Address Permit #-6
Qwner --- - Lot #--F.__ --
BuiltlerThe following Building Code deficiencies are required to be corrected:
1 Presented to
--- —
_ Approved
Inspector _ ��
- --- D Disapproved
Date _._ / Z-7- -A7
CALL FOR REINSPECTION
❑ YES ❑ NO
�s w ttf� tw atltF rtav W M
OF
CITY O GARD MECHANICAL PERMIT Receipt#Permit# ff
Description
Table 3A Mechanical Cod* CITY PRICE AMT
City of Tigard 1) Permit Fee •0- F3.00
10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 2) Supplemental Permit
Tigard, OR 972.23
639-4175l ( � 11 Furnace to 100,000 BTU 6 00
incl.ducts&vents
2) Furnace 100,000 BTU 4 A T 7.50
incl.ducts&vents
Name of Development - 3) Floor Furnace 600
_ incl.vent _
Job Address _ )4 Suspended heater,wall heater 6.00
Address 7 { i or floor mounted heatervi�� —
�� -- Vent not incl.in
1" 5ax Lot Map No. )
Lot Block Subdivision appliance permit 3.00
Name(or name of business) 6) Repair of heating,refr ig., 600
_cooling,absorption unit _
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU_ _
City/State Z;p -- 6) Boiler or comp to 3 HP- 15 HP 11.00
_ absorp,unit to 50_0,000 BTU
Name 9^) Boiler or comp 15-30 HP
absorp,unit 112-1 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 Zip -- 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tax No t 2 Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the inlcrmation given is 13) Air handling unit — 7.50
correct, 10,000 CFM iecl,that I em the owner or authorized agent LI the owner,that pions suhmltted ere in ---- ----
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct (11 exempt from State registration please(live reasnn helow) evaporate cooler
Vent fan connected
15 to a single duct 3.00
Ventilation system not
16 Included in appliance permit 4.50
17 Huod served by 4.50
mechanical exhaust
Signature(owner or agent) _ Dale 18) Domestic type 7.50
Describe work Cl addition f I alteration l 1 repair LI incineratorto be done.-- residential ❑ non-residential I 1 _ 19) Commercial or industrial 30.00
Existing use of type incl irator
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 i I natural gas I_"I LPG L I electric 1 -- -
- ------- 22) More than 4-per outlet
NOTICE SUB-TOTAL
1HIS PERMIT BECOMES NULL AND VOID IF WORK OR CON — -- - -- - - —
STRUCTION AUTHOnIZED 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 .
CITY OF TIGARD 539.4 1716486
BUILDING PERMIT
DATE.
TAX MAP 4I-33LD LOT NO, 51 SUBDIVISICI�PW&
" ld
OWNER l arolu w, flaftmao 11829 SW Morni.n , Hill Or. jeadows 2
-.-_ — JOB ADDRESS
BUILDER —satue,6615 SW 213th, Beaverton WWI —_ STATE REG.N0445r`1 _ EXP.DATE .
BUILDERS PHONE A4,9_–j"6
ARCHITECT AarCl$y PHONE _ OTHER
STRUCTURE i(.❑ NEW REMODEL C1 ADDITION I REPAIR MOVE OTHER 7 DEMOLITION
RESIDENCE ( COMM EDUCATION 1 ] IN RELIGIOUS ACCESSORY L_J GARAGE OTHER FENCE
OCCUPANCY �;(� LAND USE ZONE k2 _BLDG i YPE SkA FIRE ZONE PLAN CHECK BY e jj HEAT
-a+
(.anwrrUC.L Single #aMilY dwellin sjattacheutxSca��, all per approved Ldans.
Stwjecy to 65 code. Subject to Amart ;3601Leroln �15v sewer surcharges.
Wood :Move by sMlarate }permit.
SEWER PERMIT 32650 (ldu) 2 baths, 6 traps garage area 44U
OCC.LOAD FLOOR LOAD 400HEIGHT I.Nt– NO.STORIES 1 AREA b31 NO BEDROOMS VALU�y
_ BUILDING DEPARTMENT "1 20 2h y fi
_ -- _A SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit S55.00 THIS PERMIT IS ISSUED "UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Z3U 7 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 BUSINESS
L4 2U TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
`
State Tax : 60(' 1..`sU.itls
Total 599.95 SDC—6U0 .UU AOLICANTORA .. _
a�N__T
?repd. lou..
_ PDCt 15u.00
Bel.Due
499.95 Rece6pt Ny t`��+;, ' A[ .At-99 ' -P–H-0-N-V
Issued By-_____ Approved�r
. ..... Y..........>ya,..•.w...a.,•.,..�. :1�.. ....i.;.n.«,...a,..+...+we.,,....,..v......;..,a,.�. �,�K. .. ..,..,+r,...,.,Y..w,.....w.:;.wv�:�.w+�c.i.aN+6Ww,�m.,,..:::e.-n... x.w.rrw.w.h.
TDATE INSP. TYPE INSPECTION REMARKS PLUM13ING DATE
Contractor �r Z L� /�S b• .7
Permit No.
Rough in
Fixture
1L _ Final
HEATING
Contractor ` •tO 0 °i -c S-67
Z Z'`� LL
Permit No (4-57-1-7
Gas or Oil
Rough in
Final
-SEWER
i } Final
--- ---- — --- --._—_. _ DRIVEWAY
Final
3tormDrainagr ~
(Rain Drain)Final -
Sidewalk
-� Curb&Street Final
Approach -�-- —�
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY --. - -- _-_
Landscaping -
Zoning Final
ww w w w w
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : / " 2 3 � �
PLAN CHECK APPLICATION DATE RECEIVED:
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached Z sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, 8S edition.
PROPERTY OWNER: TY OWNER'S ADDRESS: Co(�1� �GcI Z/3 �d ✓ _
g7tJ'J
CONTRACTOR: TELEPHONE: Cv
JO". ADDRESS: �/fj`02 y �� 2 u "OT NO. & MAP: _ -� c i✓ d -
DESCRIPTION OF WORK: :� ��/----)
Approvals Required SPECIAL NOTES
O Planning Dept. n Reissue
0 Engineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other O Other
ltems Required
Gist of subcontractors;
�siness Tax
L� ",alculations
suss Details
Parking Plan
Landscape Plan
OOther
COMMENTS: 2�
City of Tigard Building Department
BY:
for inspections call 6:39--4175 PERMIT NO.-_V-
CITY OF TIGARD 639-4171 DATE
BUILDING PERMIT � ,
F.O. Box 21339.7,, Tigard O,R/ 972/23 TAX MAP s� 3 3 LOT NO. �SuootwSloM� •a�J�J
OWNER_ C7 r�^ d 4A) /�U/G�/'�� �Jl�' J01 ADDRESS
BUILDER STATE HEG.NO. ` 4 —EKP.OAfE �f���
BUILDER'S PHONE /e",)�7
ARCHITECT Sal,li'c'- - _ C --��- PHONE - OTHER_ -
STRUCTURENEW REmODEL Cl ADDITION ❑ REPAIR ❑ MOVE O OTHER 0 DEMOU11,13N
RESIDENCE O COMM O EDUCATION
K:2— ❑ IND O RELIGIOUS. 0-ACCESSORY O GARAGGARAGE ,'O OTHER ❑ FENCE
OCCUPANCY _LAND USE TONE K:2—BLDG.TYPE -.�--�FIRE ZONF : ' ,
PLAN CHECK BY *V— HEAT
Construct single family dwelling t per apc
Swarf to 8.5 code,
SEw_EnPERWTai �[+Sa -(lou) batlls, d traps____ aaraae ar�,3 �/4b
OCC.LOAD FLOOR LOAD U HEIGHTillA NO.STORIES f AREA/f'T' N0.BEDROOMS 3 VALUE-lYLO z
BUILDING DEPARTMENT SETBACKS FRONT a V REAR QLEFT SIDE RIGHT SIDE
Pvren4t "! THIS PERMIT;ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THC
PUA Chock 3 U,7J WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAMNS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
IPL Ck.F" RESTRICTIVE COVF.NAHTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REGUIRt 3 FOR SEWER PLUMBING AND KEATING.
Slate TaX I Xv Ssoc
-- SDC--
Tolal _ QA S� 1,009APH_ICANTOAAGENT
-f—+-
_----F 9 9, 9 �elpl N AOOAESS vi�ON!
Bal.Dud '� i
IIsued By __.,Approved vB -1-�_
,5 D V
RFCE I PT
Poc
- DATE PD. /�•L
5CWER CONNECTION S 9 S� AMOUNT PD.--/ �
5CWER INSPECTION a�
5CWER SURCHARGE S `�
CITY OF TIGARD MECHANICAL PERMIT Receipt#_
Permit#_
Description
City of Tigard Table 3A Mechanical Cade QTY PRICE AMT
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, yr Q7223 2) Supplemental Permit 3.00
63J-4175 Furnace to 100,000 BTU
1) incl.ducts 8 vents / 6'00 i
Furnace 100,000 BTU +
2) incl.ducts 8 vents _ 7
Name of Development 3) Floor Furnace 8
incl.vent
,lob Addreae Suspended heater,wall heater
Address r ^ c� �:� 4) or floor mounted heater 6
Tax Lot Map No. .%�;< j,.^ 5) Vent not incl.in 3
Let Block Subdivision appliance permit
Name(a name of business) 6) Repair of heating,refrig., 6
f � `` �- fooling,absorption unit
.00
Mailing Address Phone Boiier or comp to 3 HP
Jwner 7) absorp.unit to 100,000 BTU _ 6 _
cityistete Zip Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11'00
a Name 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Mailing Address - -- pts --- 10Boiler or comp to 30-50 HP
) absorp.unit 1-1.75 million 22.50
Contractor oityisiate ___zip 11) Boiler or comp to 50 HP
absorp.unit 17 50,000 BTU 31.50
State Registration No. _ r;;y Bim,Tax No )
. 12 Air handling unit to
10,000 CFM 4.50
I hereby acknowledge that 1 have read this application that the fntc oration given Is 13) Air he;idling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM +
comoliance w"i State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct.("exempt from Stale registration please give resson below). 14) evaporate cooler 4.50
__-------
Vent fan connected
-- ------- 15) to a single duct 3.00
_
--- Ventilation system rc'
16) Included in appliav_f mit 4.50
Hood served b - - - -
turf(owner a agem) .� -�ice' 17) mechanical exhaust 4.50
_ Date Domestic type
Describe work _ ❑ addltiopjET alteration Lel repair U 16) incinerator 7.50
to be done residential _ ron-residential ❑ Commercial or mdu.ttrtal
Existing use of t 9) type Incinerator 30.00
building or properly_ 20) Other i.e.,woodstove,water
Proposed use of _ heater,solar,clo!hes dryers,etc_. 4.50
building or property 21) Gas piping one to four outlets 2,00
Type of fuel- oil ❑ natural gds LPG ❑ electric ❑ -
22) More than 4-per outlet
NOTICE - - -THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - SUB-TOTAL / C
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SQ10 4-Z.SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 HAYS AT ANY TIME AFTER ------ -----
WORK IS COMMENCED. TOTAL /r
Special Conditions_
Date issued�e' by