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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2339'
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Oate Requested Time A.M.
Address Permit
Owner Lot
Builder
The following Buildinf., Code deficiencios are requir(., b.; c�Irjcted:
—-----------
Presented to I Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
P- YES 1� NO
swe rsr s� .� sss � A ar ess
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phune: 6394175
at G)
Type of Inspection .
Date Requested y` Time AM• —_`P.M.
Address - _ _ Permit
�1�---- f
{�✓��.ni'� Lot #
Owner
Builder _The following Building Code deficiencies are required to be corrected:
1-3r
CI
Presented to — ❑ Approved
Inspector — a-01 isapp•oved
y
Date ~---�----
CALL FOR REINSPECTION
Cl YES 1:14
INSPECTION NOTICE
City of Tigard Buildinq Department
P.O. Box 23397
Tigard, Oregon 97223
hone. 6.19-4175
Type of Inspection
Date Requested 4/ 'rirne A.M. P.M.
Address Permit
Owner Lot #
II
Builder
The following Building Cade deficiencies are required to be corrected.
Presented to rT Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
El YES L1 NO
INSPECTION NOTICE
.;ity of Tigard Building Depart,nent
P.O. Box 23397
l igard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
�j-____ v��"�_. —_ Permit
Owner — - -- - -��+�1
BuilderThe following Building Code deficiencies are requ red to be corrected:
7
i
Presented to 7 Approves!
r�
Inspector --=� —� Disapproved
Date
CALL FOR REINSPECTfON
Yi:s F--J NO
INSPECTION NGTICE.
City of Tigard Building Department
F O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ---
Date Requested__ ' � 6_— Time "'� A.M.__.___'P-M/.
AddressP- Permit
Owner_._`. ----- ,` � --- l.ot
BuilderThe following Building Code deficiencies are required to be corrected:
—_ cl-r
i
6
Presented to AlTovad
Inspector ° �__ _, `i-''K Disapproved
Date
CALL FOR REINSPF,'L'770N
(] YEs ❑ NO
s Receipt# ��
CITY OF TIGARD MECHANICAL F°1 -FiMIT
Permit
Description
Table 3A Mechanical Code — _ CITY_ PRICE_ AMT
City of Tigard 1) Permit Fee -0- y-0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 1 - ^–
Tigard, ON 97223 I > 2) Supplemental Rrmit — 3.00
639.4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
2) Fur,.ace 100,000 BTU + 7.50
incl.ducts&vents _
Name of Development - 3) Floor Furnace 6.00
Incl.vent
Job address --- - 4) Susoended heater,wall heater _ 6.00
Address _ _- or floor mounted heater _
Tax Lor Wip No. Vent not InCi.In
Lot Block subdivision 5) appliance permit _ 3.00
Name(or name"of Repair of heating,refr ig.,
6� cooling,absorption unit 6.00
HallingPddress Phone HP
Owner 7) absorp.unit to 100,000 BTU 6.00
city7Sraie Zip9) 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 1/2-1 million
Mailing Address - _ Phone 10) E-)filer or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor Cltyrstale Zip — 11) Boiler or comp to 50 HP 31.50
_ ab3orp.unit 1,750,000 BTU _
State Registration No. City Bus Tax No. 12) Air handling unit to 4.50 _
10,000 CFM
-
I hereby acknowledge that I have read his application that the information given Is 13) Air handling unit 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner.that plane submitted are in -- --
compliance with State laws,that I am registered with the State Builders'Board,that the 1 4) Non portable 4.50
number given is correct.(If exempt from State registration please give reason bolow). evaporate cooler
Vent fan connected
---.-- ---- 15 to a single duct 3.00
-- -- - 16) Ventilation system not 4.50 �-
Included in appliance permit
17) Hood served by 4.50
mechanical exhaust -�
Signature(owner or ageni) Dale 16) Domestic type 7.50
Describe work ❑ addition 1 alteration LI repair ❑ incinerator _^ —to he done residential L. non-residential-F- 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly 20)-- Other i.e.,woodstove,water 4.50
Proposed use of
1---- - heater,solar,clothes dryers,etc,
-- --
building or property _ -_ - 21) Gas piping one to four outlets 2.00
Type of fuel- oil [I natural gas l I LPG L] electric f-1 - - -�- -
-- -— 22) More than 4-per outlet
NO'TICF
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS IJOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2591,OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DABS AT ANY TIME AFTER -- ----- —
WORK IS COMMENCED. TOTAL
Special Conditions ------
Date
Date issued_..__ by
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mmm
CITY OF TIGARD 639.4171 6449
BUILDING PERMIT DATA
TAX MAV1-33 (=LOT N0. >jp SUBDIVISION i"ld
OWNER__Tom 14i1Ltr1V345 ST.4 ?49610" 2-
JOBADDRESS
BUILDER aam STATE REG..)O. _ 37305 -- EXP.DATE Zx� � _—
BUiLDER'SPHONE 625m6167
ARCF!ITECT �ti _ PHONE _ _ _OTHER
STRUCTURE 11 NEW I.1 REMODEL ADDITION REPAIR MOVE OTHER ❑ DEMOLITION
[I RESIDENCE L_1 COMM _I EDUCATION IND RELIGIOUS ACCESS09Y GARAGE OTHI`R " ] FENCE
OCCUPANCY LAND USE ZONE —BLDG.TYPE — FIRE ZONE PLAN CHECK BY _ RICA T __ 1
('atstrrrctn>aingilre famllyr dwell{.ng, w/attached r-aral";e1 tall per approved >plaw.
Subject to 35 caste• StObject to Anart $360 t< l.eron $150 sewer ncsrriz�+elo.
SEWERPERMITN 3262'31.. du) 7. hetho -, traps 408 sq• ft. I;rtxt#;te!
40 OCC.COAD FLOOR LOAD HEIGHT_ NO.STORIES AREA NO,BEDROOMS VALUE
BUILDING DF_r_ARTMENT_ _ SET BI CKS FRONT REAR ?' L.ErT SID_ 9 10'7"
_
- —-- -- t E 1�, RIGHT SIDE
Permit 334•00 _ THIS PERMIT ;S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFD THAT THE
Plan Check 217.!0 _ WORK Wit 1_ 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 10 HAVE CURRENT CITU BUSINESS
TAX PERM TS.SEPARATE PERMITS REQUIRED FOR SEWER,;PLUMBING AND HEATING.
Slate Tax 13e ,> 31,RIK _5U.ifC? ,
SDC— fiUl}.Oli
Total _S 64•d fi
PDM 130.01) AP ITOFlA( f —
Prepd. T T _ in0►110 u—
Bel.Due liG7�� Receipt No.�f ��, AD -PHONE
Issued By—--Approved_ Approved By
...:....,.+w.:..w.w.._...._....,..J,:_..::�-.._.w.a..r.Ww.ti:.nsa:vLWo.:'�..r..Y.b.u.3..ieY�.--••_. _..r,:-w.aiu.,.'w�.,r..,.. ,.Wa�W» .....Yd.,s.,�.ra." .a.r,w�..r.o....rr�Y.11r_..— .-._. ...y...ui�.i ..a.,.,d...
DATE INSP. TYPE INSPECTION REMARKS PL-UM-BIINNG - - DA E
QA: rte,%_ Contractor t7
3-ILS Permit No. ) r�f
C2 Fixture
Final —
,/, — HEATING
Contractor
s.�_� �_.eJ.4 r _ _ -----•-- Permit No. 4b
Gas or Oil -
Rough-in
Final
SEWER — ---- —
Final
DRIVEWAY
Final
-- -- _ —L Storm Drainage
(Rain Drain)Final
Sidewalk
- Curb R Street Final
Approach _ _-
BLDG.DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ---- --
Landscaping
�? Inning Final
ff
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 9722-3 P/C DEPOSIT PAID: D `i
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, _ edition.
PFOPEKTY OWNER: Ne— = - OWNER'S ADDRESS:
CONTRACTOR: et— °� TELEPHONE:
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JOB ADDRESS: j-L_e LOT NO. & MAP:
DESCRIPTION OF WORK:
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Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other Other
Items Required
C) List of subcontractor, -1011,
business Tax
`1 calculations
OTruss Details
OParking Plan
U Landscape Plan
OOther
COMMENTS:
City of Tigard Building Department
BY:
z
+sir �e�r � w arr w w w w
P0N ( IILLN NUZ t' - 2
for inspect ions cal I 6'J9 -4 175
P RMIT N0.
CITY OF TICARO 605.417'1 /�_ — "tx`
GATE
BUILDING PERMIT ��??� )
P.O. Sox 21341, Ti and R 97223 lARMAP/� '3 3 LOTNO. .SUODIVISION
�j A � � l�- , s L
OWNER_/ �� ` �v1. If�� �� J06 ADDRESS
BUILDER �% ll �'� STATE REG.NO. EXP.a.fE
BUILDER'S PHONE)
ARCHITECT 4 c ��1 PHONE. OTHER
S RUCTURE /II ❑ REMODEL✓ ❑ ADDITION C REPAIR C) MOVE U OTHER Ca oEMOL1rION
RESInENCE ❑ 00mm ❑ EDUCATION ❑ INO ❑ RELIGIOUS, U ACCEUORY (] GARAGE 11 OTHER U FENCE
OCCUPANCY x l �_LANO USE ZONE R-1,11 BLDG.TYPE , %/ FIRE ZONE PLAN CHECK OY _„ f*AT -
Construct single family dwelling w/3ttac„Itcd garapP, al1Tr-,41puu.,e.d plar4I.
s��hct- tci S') code
SEWERPERMIT0�
r '(ldu) - ba Chs, tr—aps �J' aaraGn area
— == /
OCC.LOAD FLOOR LOAD �C 7' HEIGHT, NO.STORIES / AREA `r" NO BEOROO►.tS vALUE�b,_S
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT'NDE RIGHT SIDE �b 7
Permlt THIS PERMIT"S 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 Chock %• i' WOIIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC.4110N5 AND IN COMPLIAN4:
WrTH ALL APPLICABLE CODES AND ORDINANCES. THE MSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck Fk•i RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE URRENT CITY BUSINESS
TAX PERMITS.SEPARATE PE MIT REOUIR D FOR gEW R.PLUMIM"NO ANO HEATING
Slato Tax . .�. f SSDC Y/)
CDC - ---- --—
Total APPLICA A AGENT
I POG (✓�
Prepd. _ �' 60 • -- 1 Y -
I Ru.-elpt No AOONESS
Bal.Due '��s;•�. y� J
Issued By __-- -- ----approved By_
SSDCn -
S 0 C - -
��\�}Il RECEIPT
POC -
J �_� DATE PD. /l-ice-fit
SEWER CONNECTION S �•.5p� o—C", -. '" AMOUNT PD, rr�—
SEUER INSPECTION S 315~
SEWER SURCHARGE S
:omments:
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
- Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectionf- '�Date Requested Requested `7- 2 lime` A.M. — ` P.M.
Address ._ �_� � Permit
Owner - .'21 —. __� Lot
Builder -.�__--------------��_--_�_
The following Building Code deficiencies are required to he corrected:
Presented tc �e_ Approved
Inspector _ _ _---__--_ -___ LJ Disapproved
Da to
CALL FOR REINSPECTION
❑ YES ❑ NO