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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23387
Tigard, Oregon 97223
Ph on : 639-17,
Type of Inspection --_ �V
Date Requested 2-_ Time A.M. P.M.
Address Permit
Owner r
Lot #
Builder - —-- - --The following Building Code deficiencies are required to be corrected:
Presented to - -- --___--_-------.._.__.._- _..--_--.-- Approved
Inspector �— - Disapproved
Date
CALL FOR REINSPECTION
El YES ❑ NO
h�f4
INSPECTION NOTICE
City of Tigard Build ng Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
� n
�l'I�
Type of Inspection ------
Date Requested- —____— I 'G J Time __ A.M._..__/—P.M.
Address 11�r! �_f(. 'ja = Permit #�Owner Lot- — ------- — Lot # _,--
Builder --- -- -- _---------- ------The following Building Code deficieeicies are required to be corrected:
I
i
Presented to _ - -----__ — _ Approved
Inspector — _ Disapproved
Date z -
CALL FOR REINSPECTION
O YE$ 0 Nu
INSPECTION NOTICE
City of Tigard Bwiding Department
P.U. Box
Tigard, Oregonon 97 97223
Phone: 839-4175
(2
Type of Inspection -_ -
Date Requested - - ----- Time
Address-7 _ _ )�YL -i --- _ 'ermit #_-- _ .
Owner 7/oZ- - L<!T � — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector 7 _– [._1 Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Buiwing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �1 _— Time`— A.M._ _P.M.
Address _—_ Z Permit # '6 S'-S4
���
Owner Lot #
__ —
Builder __-. ------ —The following Building Code deficiencies are required to be corrected:
Presented to _ - ,Approved
InspectorDisapproved
Date
CALL FOR REINSPECTION
0 YES e 100
INSPECTION NOTICE
City of Tigarr' Building Department
P.O. Box 23397
Tigard, Oregon 97223
p Phone: 639-4175
Type of InspectionDate Requested.Requested. ._ Time-A.M.' P.M.
Address L- .t4 F�..� -- 4
/ r Permit
Owner L �d �DP / "p"� Lot #.
Builder --------
The following Building Code deficiencies are required to be corrected:
Presented to __ 1-Apilroved
Inspector _..rte_ -___--_ ❑ Disapproved
Cate
CALL FOR REINSPECTION
'.l YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
1 igard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested Z4 3
J J Time P.M.
Address ` /?/ Z ��- � Permit
Owner /v4)e C}94 I /� /7 —.__.. Lot
Builder _ _ _..__A 14 rThe following Building Code cleficiencies are required to be corrected:
Presented to — —-- -_--_._.._�-- ---- ff Approved
Inspector Disapproved
Date
CALL FOR REINSPF,CTION
F7 YES El NO
INSPECTION NOTICE
City of Tiger(' Build,no Departrneot
P.U. Box 23397
Tigard, Oregon 9722.3
Phone 639-4175 -
Type of Inspection
Data negnested_ Z. Time A.M. P.M.
Address _ L_i Jt 4 ..,k o Permit
Owner -- --� Lot #
Builder - - - - -- - -- ---- ---
The following Building Code deficiencies are required to be corrected:
/off 6 �1 CJ . G.
ic. �i�. �/�[.�.�i��L•t.,.s t-�-� vices°
40
,27
.---i-C.�'��•t�o.,c-�-� �,c�rrt.^-tel
-•ter ' ���
Presented to _ ❑ Approved
Inspector ✓ _ FTDisapproved
Date _ / Z �t� --
CALL FOR REINSPF,C'TION
L YES F-1 No
INSPECTION NOTICE
City of Tigard Building Department - -�
P.O BoY 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested I � , � Time � A.M._ P.M.
Address 1 + �_11� C' '-'t' v`-o��/� i~ � _ Permit
Owner�.1.�. "1Z 1JCi`n ,L _— Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Wr —
Presented to -- -__ Approved
Inspector ____ - _- ��. J. r ❑ Disapproved
Data
CALL FOR REINSPECTION
❑ YES ,,l NO
Receipt#
CITY OF TIGARD ME HANICAL PERMIT
Permit#
Description
Table 3A Mechanical Code _ OTY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10 00
13125 S.W. Hall Blvd. _
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
I) incl.ducts&vents 6.00
Furnace 100,000 BTU +
2 incl,ducts&vents 7.50
Name of DeveloAment Floor Furnace
3) incl.vent 6.00
Job Address 4) Suspended heater,wall heater 6.00
Address S� P or floor mounted heater _
Tax Lot Map No. ) Vent not incl.in 3.00
Lot Block Subdivision 5 appliance permit
Name(or name of business) 6) Repair of heating,ref rig., 6.00
7 -- cooling,absorption unit
Meiling Addr@96 Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU
City/State Zip 8) Boller or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name �, y Boiler or comp 15-30 HP 15 00
.)f� �d� ) absorp.unit 112 1 million
Mailin Address Boiler or compto 30-50 HP
/!9, 4 Phone 10) absorp.unit 1 1.75 million - 22.50
Contractor �/ �� ' � Boiler or compto 50 HP
City/ ate Zip 11) 31.50
absorp.unit 1,750,000 BTU
State Roostre.in No. City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
' ') 3 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 agert of the owner,that plans submitted are In — --
compliance with State laws,that I am registered with the State Builders'Board,that theNon portable
number given is correct.(it exempt from State i egistration please give reason below). ) evaporate Cooler 4.50
) Vent fan connected
15 to a single duct 3.00
-- -� _ 16) Ventilation system not 4.50
included in appliance permit
' 17) Hood served by i �/e.r i t( '� 4.50
L,t� -n '� ��
mechanical exha t
- �_._. A
Signature(owner or agent) Dele ) Domestic type 7.50
Describe work 1_1 addition f-1 alteration F-1repair [A16 incinerator
to be done _residential non-residentialC_1 19) .00 Commercial or industrial 30
Existing use of type incinerator _
building or properly —_ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryors,at,,.
building or property ----- -- 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural ga LPG I 1 electric [ 1
22) More than 4-per outlet
NOTICE -- —
'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE c
DAYS, OR IF CONSTRUCTION OP WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL r9
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- --
WORK IS COMMENCED. TOTAL r
Special Conditions
-- Date issued ___ by _
CITY OF TIGARD 639.4171 6358
BUILDING PERMIT DATE
TAX MAP 1;4-33W NO. 33 SUBDIVISIONMuibwi+Ld
OWNER_"edgwood Eloy ;:: '906 ADDRESS S 11712 Sw a�rendon Loop ;iearlows 1
BUILDER _STATE REG.NO. EXP.DATE _
BUILDER'S PHONE
ARCHITECT PHONE OTHER
STRUCTURE ;I NEW REMODEL L, ADDITION Ej REPAIR MOVE OTHER DEMOLITION
RESIDENCE I I COMM I i EDUCATION I IND :_] RELIGIOUS [ ': ACCESSORY ❑ GARAGE OTHER ❑ FENCE
OCCUPANCY ILi LAND USE ZONE �� BLDG TYPE rJ FIRE ZONE PLAN CHECK BY �K HEAT gas
Gun,atruct single family ;welling w/attached ;Larage, all per approved plana.
SuLjiuct to 65 coue. FAISSUE OF 620U. Subject to Lerou 11Ts. L5U.UU sewer surcharme.and tt.ESlart
Weduwood 436U.UU &ewer surcharge.
SEWER PERMIT# 29289 (ldu) 2 bath, LU trap& para&e 395
OCC.LOAD FLOOR LOAD 4U HEIGHT 17 NO STORIES 2 AREA 15441 NO.BEDRJOMS -1 VALUE
BUILDING DEPARTMENT 23 2b
-------- --_.---- SETBACKS FRONT REAR LEFT SIDE S RIGHT SIDE
Permit 349.00 THIS PERMIT IS 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 Check WORK WILL BE DONE IN ACCORDANC' WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
W!"iH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire_ _ RES'RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
13.96 TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex _ b5oc ZSU.Uu
Total_
402.9(3 SDC— 6UU.UU
NTOR
APPI ICAAGENT -
Prepd. ^ — 4U.U0 PDCf 150.00
3t,2.y6 Receipt No, , j( ADDRE" PHONE
Bal.Duo '
Issued By ___—__Approved
DATE INSP. TYPE INSPECTION REMARKS i PLUMBING DATE
'rte Contractor AAA
•-
q0,2
l` Rough-in
. 9' �/� i� -T o_�- Fixture
Final
Z! 8 HEATING
— ,« _
1;,Z7- Contractor tai
p Bpd 1 Permit No. ei
TTJ Gasoroil
Rough-in
Final
_ SEWER
Firal.,--- y- O
_ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Firal
CERTFICATE OCCUPANCY -
Landscaping
__ Zoning Final
i
�
CITY OFTIGARD 639.4171 INSPECTIONS 639-4175 CATS
BUILDING PERMIT �` o �' SUBDIVISIONhr '?'_"S
TAX MAP �/-�.--LOTcNO. _
OWNER_ _��/ �V U F��/o o - .-. JOB ADDRESS
STATE REG.NO. ---...__—EXP.DATE
BUILDER
BUILDER'S PHONE - - - � �-Z J ��=-_•-�
PHONE --- - -- --OTHEf -- t --
ARCHITECT --
❑ OTHER U DEMOLITION
STRUCTURE NEW L) REMUDCL ❑ ADDITION C1 REPAIR LJ MOVE -
L.) RESIDENCE H COM-� FDUCATION [-I IND C1 RELIGIOUS L) ACCESSORY [7 GARAGEU OTHE9 ❑ FENCE
ti �� BLDG.TYPE '-^'FWE ZONE PLAN CHECK BY
OCCUPANCY LAND USE ZONE —
r'- -
vis o .Z J O --- --•
SEWER PERMIT Nj' 9 - �-� _
y, z VALUE
— NO STORIES 2 AREA /-,s 5'S/ NO.BEDROOMS
OCC.LOAD FLOOR LOAD �-/O HEIGHT �' — -
_ ,' RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT ' REAR LEFT SIDE_ _ —
Permitj1re
-�- `t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CC7E, ZONING
REGULATIONS AND ALL APPLICABLE CODES P.ND ORDINANCES, AND IT IS HEREBY AGREEL THAT THI
Plan Cne14 � WORK WILL. SE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN Cf MPUANCI
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.F -� RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
---- „� TAX PERMITS.SEPARATE PERMITS REGUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Z Ssat-
SDC— -
Total n APPLICANT OR AGENT
PDGN
Prepd. PHONE
Receipt No. ADDRESS
Bal.Due
Issues,By.--_ —.-----Approved By_-
OCC (Storm)
'n I
PDC -- S -Z-- # '--5 0 —
SEWER CONNF- TON S , 5
SEWER INSPECTION S 3 _S
SEWER SURCHARGE f 4.
Comments :