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INSPECTIC14 NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M.—__P.M.
Addrefs P .^rit
Owner Lot
Bu4clur
The following Ftnildinq Code deficiencies are required to be corrected.
Presented to �Approved
Irvt1jector
Disapproved
Date
CALL FOR REINSPECTION
El Y E 9 IJ NO
� e � air sir s� ewr sss wQ
i
INSPECTION NOTICE
City of Tigard Building Departmi.nt
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ' ` � .�1.
Date Requested__ —7 Time
Address �' f �u`7!''��' Permit# -
Ownery ? Lot
Builder
The following Building C,,de deficiencies are required to be corrected:
Presented to _. aproved
Impactor _- . i-- -- �_ � Disapproved
Date _.tlL'' L
CALL FOR REINSP,C.TION
L ) YES 0 NO
INSPECTION NOTICE
City of Tigard Buiidine, Department
P.C. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
'Type of Inspection — ---�—
Date Requested m�®� A.Mr______.—P.M.
Address �– -- Permit
Owner
AUL Lot #--
Builder ----'----
The following Building Cnde defici:ncies are required to be corrected:
.3�•t���..f1-S_. S/Y G _L��Y_ Fo ee ��F/�JC'''L
w;it ez02
-
Presented to _. r� Approved
Inspector —. %( �'' Disapproved
Date
CALL FOR REINSPECTION
YES LI No
sw r. w � � w• � rie
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4/17.5'
Type of Inspection
Date Requested _ Time A.M._ ___P.M.
Address Permit #. '�✓
Owner _ Lot # ---- ---
�� -
Builder
fhe following Building Code deficiencies are required to be corrected:
Presented to _ _ �..__ —�_ L1 Apprvved
Inspector �� *___.______)�____ __ ❑ Usapproved
Date - 1—_ ----- - --
CALL FSR REINSPECTION
E', YEs [JNO
rw "m ONE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
P
Type of Inspection . //// --- s
Date Requested y r �LTispiee A.M. P.M.
Address _L I- G !� — Permit #—Z2(�
Owner -. Lot #__
Builder
The following Building Code deficiencies are required to be corrected: `
of
G'
Presented to —_ r] Approved
Inspector ___. �':� Disapproved
Date .e ---
CALL FOR REINSPECTION
�'�YES ® NO
NKyw ®wow W w vn N
INSPECTION NOTICE
lily of Tigard Building Department
k' P.O- Box 23397
Tigard. Oregcn 97223
'hone: 639-4175
1
Type of Inspv __._- _
Date Request. Time A.M._ P.M.
Address Permit #-wu 3
Owner -- �,/ CTI,L.�C Lot #
Builder—_-------y—__
The following Building Code deficiencies are required to be corrected:
Presented to
_.-�–<J —---- ----- �.APProvad
Inspector _
---- �–] Disapproved
DateCALL FOR REINSPECTIWI
Cl YES 0 40
CITY OF TIGARD MECHANICAL PERMIT "owIpt#--
Permit N y7 O�
City of Tigard
71"3A MechankM Cods OTT PRICE AMT
-- "
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Bax 23397 - -- -
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 —Furnace to 100,000 BTU
X38 1) incl.ducts&vents -- l 6.00
Furnace 100,000 BTU +
2) incl,ducts&vents 7.50
Name o,Development - Floor Furnace'
� fL <� 3) incl.vont 6.00
Job Address — Suspended heater,wall heater
Address 4) or floor mounted heater _ 6
Tax Lot Map No.15/ 7 c' LLQVent rot incl,in
W 7 Block Subdivision 5) appliance permit y 3.00 -
Name(or name of busirwc ) Repair of heating,refr lg.,
7 , �������,�� s) cooling,atsorption unit 6.OU
Mailing Add,&as Phone 7 Boiler or comp to 3 HP -
Owner ) 6.00
absorp.unit to 100,000 BTU
cnyistate _ BE) Boiler or comp to 3 HP-15 HP �-
8) 11.00
absorp.unit to 500,000 BTU
_ Name 9) Boiler or ramp 15-30 HP
_ d absorp.unit 1/2-1 million _ 15A0 _
Memng Address PhoneBoiler or comp to 30.50 HP
10) absorp.unit_1-1.75 million
22.50
ContractorGty�sre"a Zip — Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.,.>0
SI Aegistratirxr
No CMy Bus.Tex No. ) Air handling unit to —
12 4.,0
10,000 CFM
I nereby acknowlolge the I have rend this application that the information given is 13) Air handling unit -� 7.50
mired,that I am thi)owne,or authorized agent of the owner,that plans submitted nre in 10,000 CFM .i r -
oompliance with State leave,that I am registered with the State Builders'Board,that ttxr Non portable
number given is oorngd.(M ex."from state registration please give reason below) 14) evaporate cooler 4.50
Vent fan connected
-- - ---- -- 15) /�
to a single duct 3.00
Ventilation system not
!l 16) included in appliance permit 4.50
17) �aexhaust
served by
� V— 4.50
m
(w!or or Domestic
or_q — Da Domestic type ---- -- —
Describe work� ) addltlog -U alteration ❑ repair ❑ 18) incinerator _ _- 7'7.50to hA done residential 0' non-residential p Commercial or industrial —
-- 1 30.00
Existing use of type incinerator
bud,ling or properly Y\ - S F.'U Other i.e.,woodstove,water
Proposed use of - 20) heater,solar,clothes dryers,etc_ 4.50
building or property _-_ 21) Gas piping one to tour outlets / 2.00 1 -
Type of fuel- oil (1 natural gas fl LPG U electric f -
22) More than 4-per outlet
SUB-TOTAL
3y U
THIS PERFAiT BECOMES NULL AND VOID IF WORK OR CON- ----- -- ---— --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1804%SURcHo4kn1E
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF 5'UB-TOTAL '
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Special Corxtltlaris___-_ -- -------
Date issued____°�[/�d +>
CITY OF TIGARD 639.4171 6638
BUILDING PERMIT DATE
TAX MAP 'r" �"+ t['t IOT N0. .2E_ SUBDIVISIONC;.L rWAlr
OWNER . ""nrrl Th :l ler heel SW Mr.rn:r.rrrt llil ! Ment1own 1
— JOB ADDRESS
�,??
BUILDER STATE REG.NO. . _,—__EXP.DATED_
BUILDER'S PHONE , 3-(I' (17
ARCHITECT __ Kftitll t PHONE _--OTHER
STRUCTURE NEW 1 REMODEL ADDITION REDAIR MOVE OTHER J DEMOLITION
I RESIDENCE (, COMM EDUCATION IND REL.I(',IOUS ACCESSORY GARAGE ' i OTHER ❑ FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE --FIRE ZONE PLAN CHECK RY ' HEAT '.�....__—
— —._. ._._ ;�wi"ice.+ +z-. fly, .-."i�•�•
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 17 HEIGHT NO STORIES AREA NO.BEDROOMS 1 VALUE
— FAIILDING-DE PARTMENT SETBACKS FRONT REAR LEFT SIDE 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 Il' IS HEREBY AGREED THAT THE
Plan Check ! . WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFIC'.TIONS AND IN COMPLIANCE
— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1 HIS PFRMI r DOES NOT WAIVE
P_I.Ck Fire_ —_" RESTR'C'TIVF COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PE RMITS.SEPARATE PLR!hITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
StateT-ix ? .(1
SDC— 600.of.
Total <_ APS!CANb�AGNi
- PDCM 1 150�0.00 AP
Prepd. �
A Receipt No.""��T'7, AODWt93 PHONE ---'`--
Bal.Due Q'fr.a"• TIC
Issued By...___ _.Approved By
.F...+n_......; ......+«..,..:.,r.»r,Jr.�ywWilWi;.,,uu...=+i..wi+�i'1Yr.er�waiitll►:.iW.M:eYA,wi.Lan..rJJw,.......w.w.Y4[NNW+�hn.mv.a:.: u,:bF: .,.,+.:`JiI::ma1l:.WW1..'Wf�.wRi�.a.I.hr.M.JYN-asn...w..w,....wW« a,Jr..«..ie. •.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor a7
ctd �
Permit No.
Rough in
Fixture
/,,IV Final
HEATING
Contractor Y6
.2 Permit No
Gas)roil
J-1-Z81_ Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Dtaln)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Lan Jscaping
7on.ng Final
i.
mod
W PLAN LHLLK NU.
for inspections call 639-4175 PERMIT NO. 3 g
CITY OF TIGARD 699.4171 DATE S - JS- 19 2
BUILDING PERMIT J')/_
P.O. Box 23397, Tigard R 97223TAX MAI` LOT NO. SUBDIVISION
0w NE ! �!� �� l JOB ADDRESS $ "r1�y _
BUILDER _ --�/� STATE REG.NO. EXP.DATE
BUILDER'S PHON£
ARCHITECT PHONE OTHER _
STRUCTURE '\)a,NEW ❑ REMODEL ❑ ADDITION
(I REPAIR Q MOVE ❑ OTHER O OEMGLITIO►r
t� RESIDENCE Q Comm ❑ EDUCATION ❑ IND ❑ RELIGIOUS. 0-ACCESSORY 0 GARAGE U OTHER U FENCE
OCCUPANCY �j_�LAND USE ZONE [t " BLDG.TYPE FIR .ZDNE PLAN CHECK SY &_HEAT
Construct single family dweilincLw/a�tar.hgd ayrage, allPer appraued plans: --
Sitaget to 85 code. - — -----
SEWERPERMIT f (Idu) baths, trans �'FrC� aaraue :area
OCC.LOAD J FLOORLOAD `�O HEIGHT NO.STORIES Z• AREA `� NO.BEOROOMS VALUEe. 3 g4%'
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE %' RIGHT SIDE 7
RPI-pd /
Z.5 - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, tONINC
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS NEREBY AGREED THAT THE
7 �_ WO1tK WILL BE DONE IN ACCORDANCE'41TH THE PLANS AND SPEt�FICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRK:TIVE COVENANTS CON MC70R ANO SUB CONTMCTORS TO VE CURRENT GTY BUSINESS
TAXPERMITS.SEPARATE PE MI R IIIIR6O 100"EWE PL MIBINGA F�iiNa."` SSOC.SDC-ATS/ : Receipt NoAOont'S? �
Issued BYr_—. -Approved By
RECEIPT a
P DC
DATE PD. - '<:S-- Y"7
SEWER CONNECTION S D AA AMOUNT PD.
----- �2.Gf�vrt)o fig
SEWER INSPECTION 4 _ �� __ � (/n
SEWER SURCHARGE
:ommentB:
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: /z .5/S �
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 160
This is to certify that the attached L- sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, j 5__ edition.
PROPERTY OWNER: t C t OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: Z S
JOB ADDRESS: I / �(o y19 L 9ti ✓t4 �1- .�n LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept . O F'Lood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Re uired
OList of subcontractors
O '�
Business Tax
0 Calculations J �/
OTruss Details
CJ Parking Plan
OLandscape Plan
OOther
I
COMMENTS:
City of Tigard Building Department
BY: � s- C � �