12537 SW MAIN STREET ssr a sELWJLIW
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection /_ --- — -- - —
Date Requested _ —LLQ?- Time A.M. P.M.
Andress 7 _ -0�_.^_.� Permit #__
Owner /j Li/ C��� �� / Lot # --
L-
Builder
The following Building Code deficiencies &.-a required to be corrected:
1
Preswitod to _ _ — ( Approved
Inspector ( Disapproved
Date
('ALL FOR REINSPECTION
EJ YES 0 NO
atw t� ee. a�w � rf� .o �. fffffa
1„rl 1 Y l'r I IUAHU Ill hUHANIUAL. f- LHMI I Permit N
Descrlptlon OT/ ►tech AMT
Tall 3A Meohanical Code
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. !-call Blvd ----
P.O. Box 23397 2) 'Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1) Furnace 10 100,000 BTU 8,00
Incl.ducts&vents - ---- - -.--
2) Furnace 100,000 BTU h 7.50
incl ducts 8 vents
Floor Furnace 6.00
Name of Development 3) incl vent
-- us ended healer,wall heater
Job p 6 —
Actrltnes . e) or floor mounted hr'atcrr !��'Z�
Address ,15 3.1 SW VY)0.lVA
Tax t_of Map No. 5) Vent not incl.in 3,00
appliance permit
Lot Block SubdMalon Repair of heating,ref rlg., 600
Name(or name of business) 6) cooling,absorption unit
W At- Lka• Boiler or comp to 3 HP -' 8.00
Mailing Address 7)
Owner absorp.unit to 100,000 BTU
(o�q.�aS'�, --- `
_ zip -- - 8) Boiler or comp to 3 HP-15 HP 11.40
atyrsteto _ absorp unit to 500,000 BTU _
9) Boiler or comp 15-30 HP 15.00
Neme _ absorp,writ'/-1 million
_. t�horN -- 10) Boiler or comp to 30-50 HP 22.80
MalanpAMresn _ absorp unit 1 -1.75 million
Contractor - -- -- _ Boller or comp to 50 HP 3t.50
G>rrsute 11) atasorp.unit 1,750,000 BTU
State Poglatraffun No _ C.tty Bus.Tax No 12) i 0,ir/000 CFMunit to A.SO -`
13) Air handling unit 7,50
I hereby aduxywleepe that I have read tits appMorlio r Mut My krbrmatlon gWen is 10,000 CFM±
correct.that I am the ownw or sufhortzed 09W CK the~W.final par»9bm W(adare W y Non portable
,50
conrpMance with stain laws,that 1 am registered with Mw State SuNd.r+'� 1the 1 A) evaporate cooler 4
number 9K-on Is coned (11 e>rsmpt from 314114 reglshatbn p� _ - - — -
=
15) Vent fan connected 3.00
---- —t - to a single duct
_ dors -- 16) Ventilation system not 4,S0
17) included In appliance permit
Pt f pow V_ _� i 7) Hood served by 4,60
meoharkal exhaust
nate 1 B Dontsatic type 7.so
irfoitderstor - -
Describe work-� U addition F7 alteration ID repair [I --to be done residential U non-resldantlal ER _ 0) Corrxmardal or Industrial 30.00
-------- _�. -- — Wfolf rator _
Existing use of �,/ � Other Le.,woodstove,water -- 4.80
building a rt rt:c -_.Gf1J�16r4hh'r�- 20)
Mi property Mater,molar,clothes dryers,etc
Proposed us@ of
bulldinp or property -1 �t 1) Oaa pong one to four outlets :00 9111)
Type of fuel- oil I-i nMural pas ® LPO U felactrrc
22.) Mar then 4-per outset
THIS PERMIT B`CC°itAES NULL AND VOID 4F WORK OR GON 4XiUAp ~ 7
STRUCTKM AUT'4ORIZED IS NC r COMMENCED WITHIN 1110 �--
DAYS, OR IF t ONMUCTION Of' WORK IS VJGPENDED OR PLAN KNRVN M10%OF-WJWTd1M�
ABANDONED FOR A PERIOD OF Igo DAYS AT ANY TIME AFTER ""� --- !
WORK 18 COMMENCED. `'—
speow Cf!xtdlaons_._ _.._..-.------•--- Date Issued
ww or w ■r ,�s rsF R� FIs
DENNIS N. WORLEY
SALES REPRFSF.NTATIVE
Bus. 620.4900
Rrs. 2328332
12637 S.W. MAIN
AUTO • FIRE . LIFE Ti'�ARn,ORF.GON 97223
COMMERCIAL P O. BOX 23816
January 19, 1977
Notice of Suspens .ori of Building Permit
Lloyd E. Printf,
12537 S.W. Plain St.
Tigard, Oregon 97223
HE : building Permit !;1257 dated 1-17-77
Mr. Pruitt:
Please be advised that pe,-mtt ;`1257 for interior
alteratiun at above mentioned address is temporarily
suspended.
This permit wens issued in *kulation of City Urdi-
nances pertaining to parking And Design Review.
If you will contact this office at your earliest
convenience we will describe requirements to satisfy
City Ordinances.
Sincerely Yours,
E .T. Walden
Building efficisa
Lity of Tigard
ETW:bg
January 19, 1977
�dotice of Suspensiun of ;lcaildi.ncj Permit
Lloyd E. Pruitt
12537 S.W. Mein fit.
Ti,erdg Oregon 972177
14F : building Permit X1257 dated 1-17-77
Mr. Pruitt:
Please be advised that permit Y1257 for interior
alteratian at above mentioned address is temporarily
SUsperded.
This potmit wns issued in •folation of City Ordi-
n- �,es Pertaining to parking and Design Review.
If you will contact this office at your earliest
convenience we will describe requirements to satisfy
City Ordinances,
gint.erely Yours,
r. .T. Walden
Building Official
City of Tigard
ETU:bg
BUILDING PERMIT APPLICATION 11T TIGARD DATE —
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR T11E WORK HEREIN INDICATED SUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONK
y,.►. �ry LOT No
OWNER F, rine bl• JOB ADDRESS 1.21)7 r 'rin m#i HOME ADDRESS –!`
ARCHITECT _
ENGINEER
BUILDER ��yy ADDRESS r, DESIGNER
STRUCTURE DNEW 0REMODEL ❑ADDITION DREPAIR ❑RENEWAAL ❑FIRE DAMAGE ❑DEMI�OLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL DGOV'T DRELIGIOU5 PATIO []CARPORT EIGARAGE D STORAGE SLAB DFENCE
❑BOND DMOVING ❑CONDITIONAL. USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-__.__—LAND USE ZONE__ _BLDG TYPE FIRE ZONE—_ PLAN CHECK BY
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --
---' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGULATIONS AND ALL APPLICABi_E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI4E
--" '-- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
;Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax " LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total
By --
..-._—.._ --_ -..-_._---------.-- F' �'.ICANT OR AGENI
Approved Ht cr iltt No i
AhbRFSS PHONE
UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7-1/-7? LAge e4.,-e
----
�— Contractor _
Permit No.
—_
Rough-in
Fixture
—�_ Final
HEATING
Contractor
' ------ — _ Permit No. j J '� /�-7]
Gas or Oil
-- -- — ----- -- Rou h-in
Final
SEWER
Final
DRIVEWAY
Final
Drainage_ _—
_ (Rain Drain) Final
Sidewalk
Curb&Street Final
Aproach
BLDG DEPT.FINAL _ TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
CLandscaping
( Zoning Final
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