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INSPECTION NOTICE
City of Tigard BL10ding Department
P.O. Box 23397 OC4 Tigard, Oregon 97223
Phone: 839-1175
Type of Inspection _ ---- -- --- -- --- �— —'
G�
Date P,quested_ _
_?-'�__. time-- -- – A.M. P.M.
Address Permit
Owner - -- - _._ �4�t 1 Lot #--- --- —
BuilderThe r°ollowing Building Codu deficiencies are required to be corrected:
{
Prese+.ted to __ __ _�_ — T J Approved
Inspectnr _, Disapproved
--r
Date --
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 972.23
Phone: 639-4175
Type of Inspection
Date Requested__�.z-..� —Q� Time
nn__ A.M. P.M.
Address Permit
Owner _� U"" Mon Lot #�---- --
BuilderThe following Building Code deficiencies are required to be corrected:
�._�L i .._►.-•„tet,.<� <w..C7 fir.../_-.!�./�
Pres,rated to _ ...� _ Approved
Insp".tor _ ___ __� _� ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 016
eta ss i1[ as w w w � •.. w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 91223
/Phone: 639-4175
Type of Inspection
Date Requested-_ _— Time A.M.
—P.M.
AddressPerm' it
Owner_--_-_ e_ _ Lot #
The following Building Code deficiencies are required to be corrected:
d
"i
Presented to C — ❑ Approved
Inspector Disapproved
Date — "0' 2 -
CALL FOR REINSPECTION
YES U NO
INSPECTION NOTICE
City of Tigard Building 0w3artment
P.O. Box 23397
Tigard, Ororon 97223
Phone. 6,;'J-4175
Type of Inspection
Date Requested -_ -. _— Time_e4—" A.NI. ,P.M. e
Address Permit
Owncr __. __ -__ —_- / Lot #„
Builder
The following Building Code deficiencies are required to be corrected:
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Z y'' -- -- - -
f�
Presented to __ - n7Ap roved
Inspecto• W�' DDhipproved
Date
CALL FOR REINSPECTION
[] YES [?-IN 0
l
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639--J4�175
'Type of Inspection
Date Requested - -- Time 1___ A.M. _P.M.
— f� � 1j_,[Lt 0 1 Permit #_` Y /2�
Address `� �/ �"
Owner /, Lot #
BuilderThe following Building Code deficiencies are reri-Ared a be corrected:
i
Presented to _ Z� -- —.— Approved
Inspector _ _-_ _ `� - - -----_T� .� Disapproved
t
Date
('ALL FOR REINST CTION
L 1 YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
T;gp.rd, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
Lot #
Builder
The following Buil ling Code deficiencies are required to be ccrrected:
Presented to 1-01, _Approved
Inspector Disapproved
Date
CALL FOR REINSPEMTON
E-1 YES Cl Nr
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 ./
Phone 639-4175
Type of Inspection � A'.'-t —_-_-_--�
Date Requested i i. —' V 1'ims M.— P.M.
Address _L�=2 C�� M,j"LNC. �cQ,__���'� J cPermit #-_ "LJ-Z<
Owner'— `• A v 1 ( ✓ Lot ---
boilder ------------ ---- -. --- _�__�
"i he following Building Code deficiencies are required to be con-ected:
Presented to -- _- _ -- _--_ C pproved
Inspector -__ Disapproved
i
Date
CALL FOR RFINSPFC71ON
0 YES ❑ NO
CITY PE 6225
DATE /�d..__..-.19 -
RD 639 A17t
BUILDING
PERMIT —
TAX MAP LOTNO. 51__ —_Sl1BDIVISiONtiQl-q .#t7,_ i
OWNER Jim hart J00 ADDRESS J1lu'
�a._J4__ifutJ>tiag.will
BUILDER ....N!V+ box 127 Gladstone uk 97027 �! STATE REG.NO. 1. 79 __EXP.DATE _10 30766
BUILDER'S PHONE _. 5&--333b
ARCHITECT _ _ PHONE __ --OTHER
STRUCTURE 1 1 NEW REMODEL ADDITION REPAIR MOVE U OTHER i DEMOLITION
I RESIDENCE 1-1 COMM I ' EDUCATION IND REL GIOUS ACCESSORY f GARAGE OTHER FENCE
OCCUPANCY -{ LAND USE ZONE .�{�''�.BLDG TYPL FIRE ZONE _PLAN CHECK BY '''`' HEAT
Ca,istruLL mimkilc fiwill dwelling y/aLLacbeg -i rang. all ger auuruved ylauu.
Subject to 35 code rovfiew and subject to 515(; 3.cha ,.ts. sewer surcharge.
AP
SEWER PERMIT If X686 i 11aL1:).~ traps garage 390
OCC.LOAD FLOOR LOAD 0 HEIGHT 15 NO.STORIES 1 AREA 1' 1:3 NO.BEDROOMS J VALUE/7'`w
�BUILDING DEPARTMENT _ SET BACKS FRONT L _ REAR _LFFT SIDE - j t; RIGHT SIDE I �
Permit 364.Uir TNIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
216.6U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERILBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE
J WITH ALL. AFPLICABLE CODES AND ORDINANCES, THE: ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI,Ck.FkaRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURR2NT CITY BUSINESS
T — l/1s Sb TAX PERMITS.SEPARATE PERMITS REQUIRED FOR K-WER,PLUMBING AND HEATING.
tate Tax �y- UL 25u.Uu
11
� y
Total5.16 SDCw0suI}
T
PDC# 150.ut) A� AN1URAa T` r S
_ .
Prepd. lUU.IlU
ADDRE, _
�lb B�__
Bel� Receipt No
StSj
Due —
Ieaued By_ _—n Approved By_----
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DATE INSP. TYPE INSPECTION
REMARKS — PLUMBING
—�—_ DATE
,,[ -- — _e—
I
ntractortrmit No.ughin tule
Final
----- HEATING
--;-----..�_.._ _.___._.___-_._.--
Contractor-_A G— 01 2-d�
=--�y` ( . �.� --C� !' �!ivSUL . 7o.Vv Li.✓cc s I Permit No. Lo
-
�7qy■ f��I(,3 Gas or oil
Roughin
------ Final — --
SEWER �—
F incl
DRIVEWAY -
- Final a�
Storm Drainage -
_ (Rain Drain)Final
Curb&Street Final
Auproach
BLDG.DEPT FINAL TEMPONARY CERT ICATE OCCUPANCY Final
CERTFICAIEOCCUPANCY
1 o' �7 Landscaping -
-_
[oningFinal
i
Z,Z r7 __ 3
Ivr inspectiocts call 039•-417 �/ r
CITY OF TIGARD 639.1171 DATE __7'f,/5"t9 8
IJUILDINO P@�i�IAIT
Box 3_ i� Tigard OR 97223 TAX MAP ___ LOT NO. SUBDIVISION 1-:64j.
OWNER- -�--- �� /�' _ JOBADORESS
BUILDER � �!' l --77// /7� _ STATE REQ.NO. _ _EXP.GATE
HVILDER'SPH4ONE -
ARCHITECT____ PHONE __ OTHER —y--�_
STRUCTURE NEW ❑ REMODEL ❑ ADDITION L7 REPAIR ❑ MOVE LJ OTHER 0 DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑ ER ❑ FENCE
OCCUPANCY LINO USE ZONE BLl1G.TYPE v-r 7__FIRE ZONE„_ PLAN CHECK BY _ EAT_
—_._...____ �_._ ���c Z- is .�►�r� � �'a
SEWER PERMIT a �
OCC.LOAD FLOOR LOAD Yo HEIGHT ISNO.STORIES AREA S/ r NO.BEDROOMS VALUE _
BUILDING DEPARTMENT SET BACKS FRONT �(s � REAA /,s � LEFT SIDE ,TQ � F,IGHT SInE�.
Perm11 1 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZUNING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND 17 IS HEREBY AGREED THAT THE
�Ptm Check 3 dD G O WORK;WILL BE DONE IN IACCnRDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C004PLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE I&SUANCF; OF THIS PERMIT DOZES NOT WAIVE
P1.Ck FWe ""�`�`�- RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAY PERMIT'&SEPARATE PEd1M1i REQUIRED FOR EWER,PLUMBING AYD IlEA71NG.
State Tax
Total , SDC, A NT Oil
Po�a -� ��'!A,►�Tam _.� /
Prapd.
a Racelpt No. A0 FSS PHONE
841.Duo f (ft
laeued By __—._..__.Ap'wog ed By
SDC ---
oc - sa
EWER CONNECTION S 17!r
EULP INSPECTION $ 3 ir
EWEl1 SURCHARGE
.)mm a n E e: .---.--- -
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175
Type of Inspection f —"
Date Requested. Time_ A.M. P.M.
„ ,
Address ? Permit
Owner ____..__�C Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
... � I' � _....✓��1 4 �"'-' T �tt'.'--.tea.; .— �- � -,r� L�'�-,
r;f L
S r ,fir it
Presented to �__ �_ ❑ Approved
Inspector _.Q Disapproved
___ _ _ _ --
Date. -�
CALL FOR REINSPECTION
C'j YEB ❑ NO
CITY" QF TIGARD MECHANICAL PERMIT Receipt#
Permit#
Description
Table 3A Mechanicsi Code CITY PRICE AMY
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.0 Box 23397
Tigard, OR 972.23 2) Supplemental Permit 3.00
639-4"5 Furnace to 100,000 BTU ^L_
1) incl.ducts& bats 6.00
Furnace 100,OuO BTU +
2) incl,ducts&vents 7.50
Name of Development 3) Floor Furnace 6,00
incl.vent _
Job Address Suspended heater,wall heater
Address 4) or floor mounted heater _ 6,00 —
Tax Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit —.
Name(or name of business) 6) Repair of heating,refr Ig., 6.00
cooling,absorption unit _
Mailing Address �~ Phone Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 B'FJ 6.00
city,slate - -+ zip 8) Boiler or:omp to 3 HP•15 HP 11.00 _�—
abcorp.unit to 500,000 BTU
Name Boiler or comp 15-30 HP —
9) absorp.unit'/�-1 million 15.OU
-Va_llmg_Addross 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. 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have read this application that the information given is 13) 10 000 CFM ! 7.50
correct,that I am the owner or authorized agent of the owner,!hat plans submitted are In , --
compliance with State laws,that 1 am rag;stered with the State Builders'Hoard,that the 14 Non portable
number given Is correct.tit exempt from Slate registration pleaFe give reason below) ) evaporate cooler 4.50
5) Vent fan connected J —
to a single duct 3.00
-- --- ---- - -_ - --- _____--_ Ventilation system not
18) included in appliance permit 4.50
17
Hood served by
mechanical exhaust 4.50
Signature t. „ -- oeteDomestic type
18) 7.50
Describe w� ❑ addition f7 alteration I I repair I-1 incinerator
to be done residential CI non-residential I.1 _ 19) Commercial or industrial 30.00
Existing use of
type'incinerator
building or properly L20) Other i.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of ------ --
bulluing or property �. _ -_- 21) pas piping one to four outlets 2.00
Type of fuel- oil [I natural gas ':I LPG I i electric I I
`-�— 22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- r
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE.
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR Pt AN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- - - -
WORK 13 COMMENCED. TOTAL
Special Conditions
Data issued __ _`,_by