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INSPECTION NOTICF
City of Tigard Building laepartm?nt
P.O Box 23397
Tigard, Oregon 97223
! / Phone:639-4175
Type of Inspection
Date Requested Time A.NF �' P.M.
Address 1< _� _ ..It
Owner _C�G;e'1! Lot #_—
Bui:der
The followinc; Building Code deficiencies are required to be corrected:
t
Presented to ( � Approved
%✓
Inspector �� K Disapproved
Date ---
CALL FOR
- REINSPECTION1 1 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oreg-)n 97223
P!i 039 4175
Type of Inspection
Date Requested Tie A.MlPe—P.M.
Address Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
kh
Presented to 11 Approved
Inspector Disapprfved
Date
CALL FOR REINSPECTION
YES
INSPECTION, NOTICE
City of Tigard Budding Department
P.O. Box 23357
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection — A.M. P•M-
Ti
Date Requested . — --r
Permit
Address l
Lot
owner
Builder
The following Building Code deficier:irs are required to be corrected:
---- _ _ Approved
Presontrd to
Disauproved
Inspector -----/--"-'
Date
CALL, FOR REINSPECTION `
(�1 YES ❑ NO
��■■■M
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Tlme /4.M. P.M.
Address' 616 _ Permit # 4�1 ' Z) _
--✓10�
Owner -tel Lot
Builder
The following Buildinq Code deficiencies are required to be corrected:
Presemed t07Ae�-:
__ F14ppr,)ved
Inspector_ __ [!}. uv oved
Da*v -- �_ /
CALL FO,?: RE CTION
�,, 9 0 NO
INSPECTION NOTICE
City of Tigaru Building Department
P.O. Box 23397 f)
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspector
D,�te Requested
Time-�—A.M �_ry.M.
q
Address -,///F
t�,L[ Ll -71 /Permi— t
Owner.---._.____.._.__- __—_�—
l Lot #
Builder ---
The following Building Code deficiencies are required to he correcte.!-
'' *
Presented to _ �_ _ F1 ApprWAd
Inspector isanproved
Date /
CALL FOR,.REINSPF,CTION
YES ONO
INSPECTION NOTi%;.-
City of Tigard Building Department
P.O Box 2,1397
Tigard, Orpgor 97223
Phone: 639-4175
Type of lnsp(!
Date Requested!
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
<
ir'tA
r
Presented to
InspectorApproved
Ditapproved
CALL FOR REINSPECTION
YES /NO
w a w a w 'w s+ar
INSPECTION 110TICE
City of Tigard Budding Department
P.O. Box 23397
Tigard, Oregon 7223
^�
Phone: 639-4175
Type of Inspects —
Date Requested__—. �� Time A.M.
AddressL' / �� '�_ Permit #--0;- yS�
de'n�_4�-- — Lot
#
Owner L
------ --�r�------ - —
Builder
The f,)llowing Building Code deficiencies are required to he corrected:
Presented to [] Approved
Inspector �_ = �_ �Dfsapproved
Date `, - c9
CALL FOR RE INSPECTION
F—T"YES 0 NO
r_~
eew neer wm new ,.. ww s s.,
INSPECTIGN ":OTICE
City of Tigard Building Department `
P.O. Box 23397 +
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection +--/
4 Time A.M. P.M.
Date P eryuested
Address
�'/� �h .� Permit
__ -
_, Lot #
Owner '
--Builder —
The
uilder ._The following Building Code deficiencixs are required to be corrected:
t
s
r
Approved
Presented to--C� � ----- -
U Disapproved
Inspector
Date —
CALL FOR REINSPECTION
Q YES U NO
v v r� v v wa rrr v
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone P39-4175
.1
Type of Inspection
Date RequestedTime A.M. P.M.
Address I k"? Id d tmit #
Owner -' Z--LGt 44k
Lot IR
Builder
The following Building Code deficiencies are r-quired to be corrected:
Presented to __— ❑ Approved"
Inspector ----------__._ Disapproved
Date � _ " r✓ ' _
CALL FOR REINSA3CTION
❑ YE$ ❑ NO
nee ees eee eer eee eesALM
INSPECTION NOTICE
City of Tigard Building Department
F.U. Box 23397
Tigard, Oregon 97223
Phone: 6(39-4(175 (�
Type of Inspection _� �_�, _u_ CL>t k 1 .,k"
Dat,..- Requested___ Time A.M._�P.I�A.
Address . _Permit #—Lf4–�
Owner _ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to f _ _ Approved
Inspector �–'� [ Disapproved
Date ----- 2 •.. "`� c j
CALL FOR REINSPECTION
YES O No
INSPECTION NOTICE
City of Tigard Building Department J)
P.O. Box 2::397 /
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - —
Date Requested
Time _---A A.M._- P.M.
Address jj�� =_ 1
- -- Permit7
Owner__.__ _— _ �__-------- t
Builder — - -- -—�-----__..-�
The following Building Code deficiencies are required to be corrected:
— ---------
-- _
F4- pproved
Presented to _- _ ------ -- ----
f- _ Disapproved
Inspector _1.��_---------
Date
CALL FOR REINSPECTION
[.] YES [J NO
I
INSPECTION NOTICE
City of Tigard Building Department �)
P.O Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Ins ectims V - T
Date Requ//ested a C) -/-/- y,Time r)---__--- A.M.— M. J
Address -1--< .�_A 7,j/� -- - l �.G>rI Permit
Owner �J ��<�
- - - - - — Lot # --— ------
Builder -- - ------ ----- - —--- ----- ------- —
The folloAtiny Building Code deficiencies are required to be corrected:
k
1
Presented to _ _ [� Approved
Inspector 4,/..��'_ disapproved
Date,
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requestei L `� T _ Time� A.M. _P.M.
Address —Z/-,'F 6
/,Zv ,11 % /r'% / /�Permit
Owner_ _ ��CJ- f!��': Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ �7 Approved
Inspcctnr , ? -- _� Disapproved
Date
CALL, FOR REINSPECTION
0 YES F1 NO
(;I I Y UF- I IUAHU plumbing Permit
Building Department No. 3977
t�1 Residential Commercial ❑
N New Installation Replace ❑ audition ❑ Ali, .pion P. J Date 7/*--x2—
Licensed — � �f� ,�� ,^G�
'. Plumber _ --- .___.___ ____ Owner
Address 3-(.& J r -- Job Address 118G!i ScJ
Phone77' 5"L�. ----- Applicant
_ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps 7,50 — -'-Sewerirst 1001t. — 30.00
Dishwasher7.50 Each Addit. 1001t. 1500 _
Garbage Disposal 7.50 Elector Pump 7.59_ --
Water Heater �— 7.50 Water:First 110 ft. - 20.00
Backflow Preventer 7.50 Each Addi! X001`1
— -- — Storm&Rain Drain:First 1001t __— 30.00
Each Addit.200 ft. _ — 15.00 _
�— Mobile HomeS,1aceM_ _ 25.00
Other(Specify): _—� Rain Drain-Single Fam.Dwelling
PERMIT FEE Comments:
Issued By:_'_ — — ......
--r
--
STATE % n
----- rr Receipt No. _ __-- Applicant-_—__-- �5..2��_.e �r
TOTAL Signature
- -- For Plumbing Inspection Phone 639-4171
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit#
Description
Table 3A Mechanical Cods QTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee 0 o 10,00
P.U. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00 —
639-4175 1) Furnace to 100,000 BTU i 6.00
incl,ducts&vents _
-2) Furnace 100,000 BTU + 7.50
i.cl.ducts&vents
Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Adr s Suspended her :)r,wall heater
Address %q � ( ! T 1 4) or floor mounted hwater 6.00
Tax Lot5
Vent not incl.in 3.00
Lot Block � k8l�htiStY _ ) appliance permit —
Name(or name of business) 6
- Repair of heating,refr ig., 6.00
/ ) cooling,absorption unit
'�7 � 'rf"'"�.� `� ,fit;,_""f.�, % • — -- —
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owne, absorp,unit to 100,000 BTU
City/State ZIP p) Boiler or comp to 3 HP-15 HP 11.00 —
_abso,p.unit to 500,000 BTU
Name9) Boiler or comp 15-30 HP
absorp.unit 112-1_million 15.OU
Mailing Address - Phone 10) Boileror compto 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City State Zip — 11) Bailer or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU_ _
State Regishetion No City Bus Tax No 12) Air handling unit to — - 4,50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit
10,000 CFM 1 7.50
correct ihat I am the owner or authorized agent of the owner,that plans submitted are in —_�
(,.omp;•unce with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct,(If exempt from State registration please give reason below). evaporate cooler
---- --- ----
5) Vent fan connected 3.00
_ to a single duct _
- -- ------- ✓' - - 16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
- '-- mechanical exhaust
Signature(owner or agent) V_ Date 18) Domestic type 7.50
Describe work f l addition C_1 alteration 11 repair 11 incinerator
to be done residential L I non-residential I 1 1 q) Commercial or industrial 30.00
Existing use of type incinerator
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 11 natural gas f I LPG f 1 electric 11 v--
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
DAY;, 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 issuedby L
CITY OF TIGARD 639.4171t ;.. 6 4 51
BUILDING PERMIT DATE f- ' .�__ � JJ //_1s
rAXh'A� 'Z� TNO. _.SUEIDIVISI6ift9wa1d
OWNER `.9.T{t182id OBnC�.optaenCJOB ADDRESS Fl C.orning 11it . ryr. 'eadowt 12 _
372{. 49980 2;X32
BUILDER � � 1."_05 .�li 1m* f n j�.iy�j.•__�tind S A"E REG.NO. - _._. EXP.DATE
BUILDER'S PHONE _7 '0'-5?09
ARCHITECT Traxal PHONE OTHER
STRUCTURE NEW LI REMODEL ( i A;)DITION REPAIR MOVE OTHER I , DEMOLITION
RESIDENCE COMM EDUCATION IND RELIGIOUS ACCESSORY GARAGE 01-HER FENCE
OCCUPANCY LAND USE ZONE SLUG TYPE FIRE ZONE PLAN CHECK BY HFAT
('Onrjtrijet t3fn},].e [arji 1.y dwr'j�.i si; ,;:'at tACIIet) 3 +Trus f., $11 per A))pTtWec3 jsl.1TtR. �-
„ul,jest to 55 code. Subject to ",riarlt "060 9 T..eron 5150 sewer nurchr)rfiee.
MITIVU, OF
SEWER PrRMIT# 32(3U (1du) 2 1,»t1,, tr.ane rarape area 5%
OCC.LOAD FLOOR LOAD 40 HEIGHT2 NO.STORIES AREA lir 67 NO.BEDROOMS` VALUb`'•`' _
BUILDING DEPARTMENT _ SET BACKS FRONT Will '' LEFT SIDE RIGHT SIDE
Permit—, IORK
HIS PERMIT IS ISSUED SUBJECT TO T REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
40.U0 EGULATIONS AND ALL APPLICABLE CO ES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WILL BE DONE IN ACCORDANCt ITN THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
!� WITH ALL APPLICABLE CODES AND ORD ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.rite RESTRICTIVE COVENANTS. CONTRACTO AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
11.9? tAXf,ERMJX�.•WARATE PERMITS RFOUIRFD F OR SEWER,PLUMBING AND HEATING.
Glaic,Tax _
SDC— Gi)f1.Ui;
Total ��q 92 Y
APPLICANT OR AGENT
Prepd. 4U UL)
Bal.Due _3u9.92 Receipt No. ADDRESS _ PHONE
Issued By__ __ Approved By-------
DATE INSP. TYPE INSPECTION REMARKS PLUMBING y DATE 1
--r&y b Contractor
21- — --- Permit No.
Rough-inY _
S-" �
Final
L r C HEATING
- �'�lt '���"� Contractor ` �/�� �t•,g�
y q _ Permit No
Gas or Oil
ok ,4 /GCCk - Rough•in -- --
[��_ vg Final
SEWER
Final
i
L /r _ n�.V[_ _ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
__-- -~-- Sidewalk
Curb 8 Street Final
Approach
BLDG.DEPT.FINAL �^ TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY C
Landscaping
Zoning Final
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: 7'c
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire F Life Safety Code, _ edition.
1
PROPERTY OWNER: OWNERS ADDRESS:
CONTRACTOR: _ TELEPHONE: i 2�z7
JOB ADDRESS: �� Mur n�n� ,Ilk ►'
✓� +�� f 1 �f , LOT NO. S MAP
DESCRIPTION OF WORK:
Approvals Required SPACIAL NOTES
— r
OPlanning Dept. Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer. Availability
OOther O Other
Items Required
0 List of subcontractors l
2lBusiness Tax
,/
'D calculations
Cr Truss Details
O Parking Plan
0 Landscape Plan
0 Other
COMMENTS:
City of 'Tigard Buildin Department
! 1 ��''
BY: / h��� h '�tr
�prkS1'1P� PLAN CHLCK NU. <
for inspections call 639--4175
/,.� P I IT NO. G
CITY OFTIGARD 639-4171 DATE -_�c� to
BUILDING PERMIT / -- - �Q
P.O. Box 13391, Tigard R 9723 TAX MAP ,
5",3 4LOT O. _SUBDIVISION
.i/1 /9J 1kc p
OWNED_ n� '1✓ ! ' I JOB ADDRESS r� c�r�
BUILDER f� He f. 11 ! STATE REG.NO. yrs L 0 EX ATE
BUILOER'S PHONE 16 j_ ,;I? �l
ARCHITECT r" I PHONE OTHER
STRUCTURE WNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE O OTHER n OEMOLITtON
�RESIOENCE ❑ COMM ❑ EDUCATION ❑ INC) ❑ RELIGIOUS, ❑'ACCESSORY ❑ GAhAr-F ❑OTHER y❑ �FENCE
OCCUPANCY 7 s LAND USE ZONE 13 _BLD'•TYPE —FIRE 1IJNE_._,.PLAN CHECK BY j _--
Construct single family dwellin
rSC'�
SEWER PERMITa.3t; L k, '(Idu) I. baths, `,. traps , raaraoe area
OCC.L7A0 FLOORLOAO d/n HEIGHT e r, NO.STORIES a AREA i y�/ NO.BEDROOMS 3 VALUE 22�Za -10
BUILDING DEPARTMENT SET BACKS FRONT -;* REAR J?, LEfT 510E i�� RIGHT SIDE ��G
Permlt SR TIIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES.AND ORDINANCES.AND IT tS HEREBY AGREED THAT THE
Plan Chock l WORK WILL Be DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE UMANCWOF THIS PERMIT DOES NOT WAIVE
PT.CIL Fki RESTRICTIVE COVENANTS.CONTRACTOR AND BUB CONT TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWE LUM ING AND HEATING,
Slate Tax ssoc zw6/
Total �y�;/j. J APPLICANT OR AGENT �
oReceipt No ADDRESS ✓f c)if 9 7..a /� PHONI
Rat.Du e � �! • f? � C
Ieaued By__.___.__Approved By—
S S Dec
SOC
RECEIPT a
POC -
.........
l -
�TE PD.
SEWER CONNECTION 5 e�7 AMOUNT PD.__e+
SEWER INSPECTION S s
SEWER SURCHARGES •Y �� a' _"
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