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INSPECTION NOl ICE
City of Tigard Building Department
1J �G P.U. Box 23397
Tigard. Oregon 97223
Phone: 639.4175
Type of Inspection --_ .,
Date Requested — Z Time A.M.—_' P.M. �
Address .1�LL _ �'. Permit #. ;
Owner _ �/r � a�li� — Lot #
Builder
l,.e following Building Code dsficiencies are required to be corrected:
r _ j
Prese•ited to App•oved
----- -
Inspector � _ _---- — -—` Disapproved
Date —
CALL FOR REINSPECTION
YES (--1 NO
a 'wr s�sr sr wr sw ��r
INSPECTION NOTICE.
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
i
Type of Inspection
Date Peque.ted _-_ 0 — , —,
-- — Time A.M._ P.M. I
Address _.1���
_ __�_ Permit #
Owner _ _ —
-_.-_.. --- lot #
Builder : �' �
The following Building Code deficiencies are required to be corrected:
Presented to
to Approvarf
Irixpertor
Disapproved
- pproved j
CALL FOR REINSPECTION
❑ YES El No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 91223
Phon�.639-4175 _
Type of Inspect' 4n
Date Requested __T_ Time. .M.__^P.M.
r
Address _ � or
Owner -Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
i
Inspector ..: — ] Disapproved
_...--- -
Date - L-Ca " / —_------- --------
CALL FOR REINSPF,CTION
DYES ❑ NO
INSPECTION NOTICE
City of Tiger ! Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-417t5�
Type of Inspection
P.M.
Date Requested_�- Time . �'
it
AddrE;s
Owner .1 of
Builder
The following Building Code deficiencies are required to be corrected:
Presented to CJ Approved
Inspector ea ❑ Disapproved
Date -y— 4--C ( ---
CALL ,FOR REINSPECT)IN
[] YES ❑ NO
INSPECTIOt' NOTICE
CIty of Tigard Bud( ng Department
P.O. Box 23397
Tigard, Oregon 91223
Phone: 639-4175
'Type of Inspection
Date Requested .Ti A.M. P.M.
Address A__\�< Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
I rDiiapproved
Date
CALL FOR REINSPECTION
Et"%f E NO
INSPECTION NOTICE
City of Tigard building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
me �A.M. P.M.
Address Permit
n __ tel/S�Permit #
Owner �. Lot
Builder
The following Building Code deficiencies ars required to be correctdJ:
Cog
Presented to } _� _ n Approved
Inspector __-- ___ _ �—+'Disapproved
Date 7
CALL ,F,OORR�REINSPF,CTION
CJ YES C�] NO
� sae ase � aR s� � rest ss�
INSPEC I ION NOTICE
City of Tigard Bu Jing Department
P.U. Box 23397
Tigard, Oregon 97223
nPhone: 639-4175
Type of Inspection -- _ /���✓ C-6+w^� /L(11�f1iJ�J .
Date Requested -___ y Z-- Time A.M. P.M.
Address Permit # 61
Owner Lot #
Builder
The foil wing Building CodAdefi encies are required to be corrected:
I _
Presented to _
�r� ----- ❑ Approved
Inspector L4�Disa
�j pproved
Date
CALL FOR REINSPECTION
❑ YES El NO
TION NOTICE
.yard Building Department
P.O Bo- 2335
^ Tigard, Oregon 97223
10
Phone: 6 4175
Type of Inspection
Date Requested. l ime-- ��A.M.... —_ P.M/.--/-/-�
Address �L. s `��// 4-61
_ Permit 4_. _GP4��(J
Owner Lot
Builder
The following Building Code deficiencies are required to be corm.-ted:
l/
Presented to _ Il Approved
Inspector 22Y _ _— —. [4tisapprovee,
Date ---
CALL F�O.�RR REINSPECTION
L"J YE8 ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
F' ne 639-4175
Type of Inspection _ _ —
Date Requested_ —� Time A.M. P.M._
Address _ -c:
Permit
Owner- — _ Lot ___._-----
Builder --- R6- —_ -- - -----The following Building Code deficiencies are required to be corrected:
i
Presented to {.If-Approved
Inspector ✓oL✓ —_ I Disapproved
Date y
CALL FOR REINSPECTION
0 •'ES ONO
0- -M
CITY OF TIGARD 639.4171 6450
BUILDING PERMIT DATE
TAX MAP ir-� OT NO. SUBDIVISIdW, Yf"l—Y- -
OWNER '� ; .- 'Ioi�_E_g_11111 !)rf*adtws 2
jOBADDRESS
BUILDER sx:x-, 12057 3311 ,to Scott Blvd* PtInd 97214't49980 2/87
ATEREG.140. EXP.DATE
BUILDER'S PHONE 70-5709
ARCHITECT _Trr,,-,70 PHONE _____OTHER
STRUCTU"IC NEW [.-I REMODEL ADDITION REPAIR MOVE [J OTHER DEMOLITION
RESIDEN(,F- Comm EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHFH FENCE
OCCUPANCY LAND USE ZONE&i-, -BLDG TYPE FIRE ZONE—PLAN CHECK BY I I" . HE A I _.aa_
(.77--triETy- awelfinF, w/attached �,arai,_,e,_5TFper aporoved )> Ana,C on.1
.ject to 65 eblo. _;tj1*,et to Amatt $360 and Leron 1150 sever surchor_ ;_S#
OF 6303
SEWERPERMIT# 32629 (h1u) 2 bathe 41 trapn, ;AraRc 4r%X)
40 17 1 1 7t
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA (." NO BEDROOMS VALUE
BUILDING DEPARTMENT ET BACI�S FRONT REAR LEFT SIDE RIGHT SIDE
S
307.0011
Permit THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTkINED IN THE BUILDING CODE, ZONING
REGUL/TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 9.00 WORK WI' L BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck,Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT ;ITY BUSINESS
TjAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax 9 S I W, ?.50duu
— SDC— 600000
Total 359.23
PP
PDCOT 150400 ALICANT OR AGENT
P-epd. 4U.t)() 14
Recall.:'No, A00111111111111111111 PH6NE
Bal.Due Issued By-- ) Approved By
r
DATE I?YSP. TYPEINSPECTION REMARKS z� PLUMBING
DATE
-
`—�— Contractor
Permit N �r� V� 3;- _ 7-e
`�4 �a�n ✓•� T,c'�y�O ��_�.__�.. o
Rough in
Fixture
��c•tQ.d
_O Final
HEATING
- ---- ---------
y,
Contractor
Prmit
N iy/
Gas or Oil
yvC✓^-i , q i 7T�__L5 �� Rough in— --
LT�L r,i /�_�/_n%`,Z_u•'�•�_ ��_ Final
SEWER
Final
—_
DRIVEWAYu— ---
_— `— Final
__ — ----- �—�_— Storm Drainage
(Rain Drain)Final
Sidewalk
Street Final
_�--
:--t
ch �;'BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPACERTFICATE OCCUPANCY
aping
_—_,_ Zoning Fir al
PLAN CHICK NO A-- tlr"l?
Cor inspect ions call 639•-4175 1P RMIT N0. ,Vd-79
CITY OF TIGARU 639. 171 DATE t �
BUILDING PERMIT
F.O. Box 7.3397, Tigard OR 97223 TAXMAN LOTNO. J suuolvlslor(t'r'�' /�
OWNER •
/l'1. (<, ^ ', r�o � JOB ADDRESS
; f � i-
J• =ti r q- — STATE AEG.NO. / - U EX .GATE
BUILDER (4✓ — --
ry
BUILDER'S PHONE u r /
ARCi/ITECT 7 _ PHONE _OTHER
STRUCTURE jaNEw ❑ REMOOEI. ❑' fi001110N` ❑ REPAIR ❑ MOVE ❑ OTI.L4 C7 DEMOLITION
PIAESIOENCe ❑ COMM ❑ FEMATION ❑ IND C) IIELIGIOUS, ❑'ACCESSORY U GARAGE ❑OTHER ❑ FSE
�` 0 � FIRE IANC PLAN CHECK BY BEAT
OCCUPANCY 1�ttaT LAND USE ZONE _BLS TYPE
Construct single fames dwellin a tiPpr
SEWF.RPERbUTr , (.,� � j1du) baths� � trays�?�'O�ar�l9e arms ------- —
OCC.LOAD FLOOR LOAD %? HEIGHT - NO.STORIES % AREA NO.BEDROOMS 3 VALUEsf31
BUILDING DEPARTMENT SETBACKS FRONT `"' REAR �; LEFT SIDE RIGHT SIDE
Psrmll ,3 C3.J THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
,s�r�r,►= REGULATIONS AND ALL APPLICABLE CODS AND GROINAN-FS.AND If tS HEREBY AGREED THAT THE
P/anCheck ,'1 Y' tr"' WOpK WILL Be DONE IN ACCORDANCE:W11.4 THE I":hNS AAD SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THt ISSUANCE OF THIS PERMIT DOES NCT WAIVE
P1.Ck FIre _ RESTRICTIVE COVENANTS, CONTRACTOR ANL%SUB CON ORS TO HAVt CURRENT CITY BUSINESS
TAX PERMITS SEPARATE PERMITS REQUIRED FOR S PL GING AND HEATING.
Slate fu c r SSrx �ZC/
SDCTotal APPLICANT AGENT T �C' / 7 �� �/`I A Wo,
Pace Cyn'1 J ✓n I{+
Propd. _ wC7 / .._.
r,C ReCelpl No AUUnE55 /)t
Bat.Due — ' /�� tt �✓ /'
laaued By_ - -- !�Pproved By,_-
SSDC
SOC - - RECEIPT #
POC —
DATE PD.
SCWER CONNECTION—S n�"r AMOUNT PD. � --
5CWER INSPECTION S _-
SEWER SURCHARGE S
/S 6 oil;&6 .
ornr1anCe: - _I
CITY OF TIGARD MECHANICAL PERMIT Receipt#1�
Permit#
Description
Table 3A Mechanical Coda OTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0•- 10.00
13125 S.W. Hall Blv,i. _ _
P.O. Box 23397
�n2 2) Supplemental Parmit "WU
Tigard, OR a7�", _
639-41 i 5 �) Furnace to 100,000 BTU — 600
Incl .
ducts&vents -- I-7
Furnace 100,000 BTU +
2)_ incl.ducts&vents 7.50
Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Address Suspended heater,u:II heater
Address I i , . . . /` 4) or floor mounted h jater --- 6.OU
Tax Lot Map No. Vent i tot Incl.in
Lot Block subdivision 5) appliance peri nit _ 3.00
Name(or name of business) Repair of healing,refrig.,
6) cooling,absorption unit 6.00
Halling Address Phone Boiler or comp to 3 HP
Own 7) _absorp,unit to 100,000 BTU 6.00
city-state Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
Name Boiler or comp 15-30 HP
9) absorp,unit'.z 1 million 1 x.00
Mailinq Address Phone ) Boiler or comp to 30-50 HP
10 absorp.unit 1 -1.75 million 22.50
Contractor -a+y state 7;p 1 t) Boiler or comp to 50 HP 31.50 —
_ absorp.unit 1,750,000 BTU
State Registration No. Cit-Bus lax No _ Ai"handling unit to
g y 12) 1C )00_CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
000 CFM i
.r�rrect,that I am the owner or authorized agent of the Owner,that plans submitted aro in 10, -- -- --
compliance with State aws,that I am registered with the State Builders'Board,that the -Non portable
number given is correct.(1f exempt from State registration please give reason below). 14) evaporate cooler 4.50
15) Vent fan connected
to a single duct 3A0
--- -- - -- Ventilation system not
1 t,) inclt ded In appliance pe ni' 4.50
Hood served by
17 mechanical exhaust 4.50
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work Ll addition ❑ alteration I 1 repair 1 incinerator --_ __--
to be done residential ❑ non-res'dential I _ Commercial or industrial
19) type incinerator 30.00
Existing use of ---
building or properly Otner i.e.,woodstove,water
Proposed use of
20) heater,solar,clothes dryers,etc. 4.50 t
— _
building or property._ __. -- 21) Gas piping one to four outlets 2.00
Type of fuel- ;II ❑ natural gas ❑ I PG ❑ electric ❑ — --�-— —
22) More than 4-per outlet
91� TACE Y SUB-TOTAL ? U
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE / U L
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL v, "Zj 7
ABANDONED FOR A PERIOD OP 180 DAYS AT ANY)IME AFTER - -- -- - -- - ----
WORK IS COMMENCED. TOTAL
Special Conditions
- --..a--- - -- — ---- Date issued ---by ----