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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 3 � -- - --- --
Date Requested _ [ Time--- A.M.— a _ P.M.
Address /Y _ Permit #_
Owner_- Lot
BuilderThe following Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspector _ Disapproved
Date _ --
CALL FOR REINSPECTION
0 YES ,,P_I NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time---- AMP.M.
Address -11 -1 C1 q
Owner Lot
Builder ------
The. following Building Code deficiencies are required to be corrected:
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Presented to Approved
Inspector
disapproved
Date
CALL FOR REINSPECTION
-e /YES FJ NO
M
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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
A.M. P.M.
Date Requested 3 t ` gb r Time G r
Permit #_
Address `4 --
L, Lot -
Oviner �—
BuilderThe following Building Code deficiencies are required to be corrected:
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Presented to
Disapproved
Inspector _
Date
CALL FOR REINSPECTION
/J YES 0 NO
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INSPECTION NOTICE
City of Tigard Budding Department L�
P.O Box 23397
Tigard,Oregon 97223
Phone 639-4175 ,,/
Type of Inspection .�� ".i '�/ ' !'�z..� N/I4� dt
Date Requested Time A,M._ �/ P.IVC
Address! q Ll _�1_z4n __ Permit
Owner ' – Lot #
Builder _
The following Building Code deficiencies are required to be corrected:
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Presented to _ _ Approved
Inspector _... ---- ---- Disapproved
Date --- -- ----- f— �j--
CALL FOR REINSPECTION
'O'YE8 0 NO
t
6149
CITY OF TIGARD 639.4171
BUILDING PERMITtaw"d
TAX MAP — NO. �2-. SUBDIVISImeadows r
OWNER.
11liam Snell C04m a t• JOB ADDRESS �—�-- —
BUILDER _. 97203- STATE REG.NO ._lily----_ .EXP.DATE .-----
VUILDER'S PHONE
ARCH11ECT_-- Knia it__g1&U--AIyi-CE PHONE OTHER ----__- --
STRUCTURE K1 NEW ❑ REMODEL I ADDITION f] REPAIR C MOVE f.1 OTHER -; DEMOLITION
.I ' RESIDENCE i COMM C1 EDUCATION -IND f I RELIGIOUS ❑ ACCESSORY i GARAGE f OTHER � FENCE
^CGUPANCY ' LAND USE ZONE PLDG TYPE IRE ZONE PLAN CHECK BY _ HEAT
cuaatruct sivale turijily uwellin , w/attached garage, all pex.ki E,roved plans. _
:iubje c to Amart/Wedgw0cd r, Leron tits. sewer charge. -
SEWER PERMIT M- �r, Ji` t1RldJ :a tt)Ct ! Jtj trnpls garage arcs, �• '
SE
NO.STORIES AREA 1124 NU BEDROOMS VALUE 75_UUL
OCC.LOAD FLOOR LOAD 41) ,1EIGHT 21, _ e1„
BUILDING DEPARTMENT SET BACKS FRONT REAR 2� LEFT SIDE RIGHT SIDE --
Permit 358.00` TN'S , EF,NIIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
RE,3ULATIONS AND At L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 232.70 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
T+�X PFRNy3h.�PARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEAT,NG.
State Tax 14.32
snc-- bUU.UU
Total OU4 902 APPLICANT__ OR AGENT T
200.00 PDCj, LSU.[lU
Prepd. -+ f -- - - -------- ----
J - Receipt No. ADDRESS PHONE
,
Bal.Due
--- Issued By -- - Approved By ---
ad
`DATE INSP. TYPEINSPECTION _ REMARKS PLUMBING DATE
ir Contractor(11641, hix.c,
e� r'/ni
-�. r - /� -'22 it •ff,:itT/./i4�� :.%c' Permit No. ty l 2 -
-•/+� S• „. /� .r�_Ex:r�
Rough-in— r
Fixture
L7i6it'J Fi7 Final
Contractor 104-
Permit
04-Permit No. gq
Gasor 011 —
Rough-in
A/.1 L' ryC'�i o/ i+/f"A' + - c., _ Final
SCWER
Final z..�-
DRIVEWAY
i Final
Stone Drainage
(Rain Uraln)Final
Sidewalk
Curb 6 Street Final '
Approach
BLDG.DEPT.FINAL CERTFt ATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
YYY��� Zoning Final
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO : �/
PLAN CHECK APPLICATION DATE RECEIVED: C/'
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached 2 sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire b Life Safety Code, _�'L edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: / TELEPHONE:
JOB ADDRESS: /' `�tZ�G�Jr/�—�1;G , LOT NO. & MAP:
DESCRIPTION OF WORK: �Q�•C/ •c� 1?�,
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other 0 Other
Items Required
0 List of subcontractors
0 Business Tax
L� Calculations
Truss- Details !✓
O Parking Plan t9
0 Landscape Plan
O Other
COMMENTS:
City of . 'igard Building Uepartmvnt
BY.
for inspectiotis call 639•-41'5
CI fY OF TIGARD 639 4171 DATE
BUILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAX MAP ---LOT jNO. ,2 SUOOIVISION
OWNER U,11111YI 5Xye-LL Cex`S _ JOB ADDRESS I17�7 SGl� SG C=��I�O�X✓
�
BUILDER %��� STATE REG.NO. //F7 S 7'5EXP.DATE r y
P,UILDER'SPHONE �Yf r-S667-
ARCHITECT y '1 1'Vr /94C—IL wIGC_•__ PHONE "1Z1�~ 0� 1 OTHER -- —
STRUCTURE NEW ❑ REMODEL ❑ ADCITION [J REPAIR ❑ MOVE - ❑ OTHER U DEMUUTION
�—
,RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACC[SSORY ❑ l kRAGE LJ OTHER ❑ FENCE
OCCUPANCY 4 _LAND USE ZONE ~T BLDG.TYPE _.1.- FIRE ZONE PLAN CHECK BY "` I AT _
ov
SEWER PERMIT r
OCC.LOAD FLOOR LOAD i�4JIL HEIGHT j7� NO.STORIES A A 7"'Z� NO.BEDROOMS VALUE 4040
BUILDING DEPARTMENT SETBACKS FRONT -7-0 REAR LEFT SIDE 7-6 RIGHT SIDE Z-160
Permlt 3 THIS PERMIT Is ISSUED SUBJECT TO THE REGULATIONS C'1NTAINED IN THE 0'UILDINU CODE, ZONING
REQW-AnONS AND ALL APPLICABLE CODES AND ORCINANCIM AND IT IS HEREBY AGREED THAT THE
Plan Ct+eck Z (1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pi.Ck.FIre RESTRV,'TIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
u TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEAT`NM
Slate Tax _ ,7 �1 /l�^'�
Total Q A PLICANTORAGENT -
Rocelpt Nn ADDRESS / PHONE
Bal.DueI soqfial
Issued By—t _ _Approved BE —
SSDC -- $ S°�
- ` rIt.)
�? O
50C1C ;V
--
�► �/0
SEWER CONNECTION 5 _77�'
5EWER INSPECTION
SEWER SURCHARGE S
R.
o m m e n t o : ---
� oar
l l 1'1' ( l 'I JGAHD MECHANICAL PERMIT -
1'r nn i t U
ly ul '1'iga[d ---
!l 15 5W Iia 11 li I v(l
t3.,x 73397 TAbZEAMedionlcalCrile QTY PRICK A.MT
Tigard OR 97223 -
6-19-4175 1) Permit Foe -0• -0- 10.00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
Incl. duras& vents 6.00
2) i urnace 100,000 BTU + -- -
Nam• of Development Incl. d,Icts& vents — - ` -- 7.50
.3) Floor Furnace - W
'•' incl, vent
Job I ► ------ ---- - - 6.00 ---
Address Tax Lot Atop 'o. 4) Suspended heater, wall heater
Lot Block Su6dlvlslonV---ct or floor mounted heater -6.00
Noma ( or name of business) 5) Vent not incl. in
n0 Q appliance permit- _ 3.00 0Cl
Malting r•ae f't,wn 6) Rerair t.`heating, refrig.,
Owner _—_ coaling, absorption unit r 6,00
Cnyrst.n
Zip 7) Boiler or comp to 311P
absorp. unit to 100,000 BT U 6.00
Name 7 8) Boiler or comp to 3HP-15HP
absorp. unit to 500,000 BTU 11.00
Ma!ling Address ph'" 9) Boiler or comp 15-30 1 i _
absorp. unit V.-1 million 15.00
Contractor c;YtyrSlale - Zip 10) Boiler or comp 30-50 HP —
____ _ absorp. unit 1-1.75 million 22.50 _
State Reglstratlon No. City Bus. Tax No. 11) Boiler or comp 50 HP
_ absorp. unit 1,750,000 BTU 31.50
I t—" acknowledge that t haw rood this application that the Information 12)^Air handling unit to --� -- ---�—
glven la correct. Mut 1 am the owner or suftwired •gent of the owner, that
puns autrNited we In compliance with State laws. that I am registered with 10,0M CFM___ __ 4.50
the flat• Bullders' Board, that the number given !s correct. (1f exempt 13 Air handling from State registration please give reason below!. ) g Unit
10,000 C FM + 7.50
---- ----_ 14) Non portable --
__ evaporate cooler - _4.50
15) Vent fan connected -
- - --- '— to a single duct 3.00
16) Ventilatic!, system not
Signature (owner or agent) Date Included in appliance permit 4.50
") Hood served by
Describe work Q addition alteration❑ repair(] mechanical exhaust 1 4.50
to be done residential non-residential ❑ 18) Domestic type
Existing use of q incinerator 7.50
buildingor ✓ � L. -- —"-- - -- - -
property_ ) I'L'A " �j 19) Commercial or industrial
Proposed use of type incinerator_ 30.00
building or property—_ 20) Other I.e.. woodstove, water
Type of fuel — of I O natural gas(7 L PGP electric(] heater, solar, clothes dryers, otc 4,50
NOTICE 21) Gas piping one to four outlets I 2.00 -z
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per nutlet ` -
WNSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SUB-TOTAL _
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% sunctiAnoc
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY {a
TIME AFTER WORK IS COMMFNCED _^ PLAN REVIEW 25%OF000•TOTAL
Special CTOTAL 63 ,
_---- -_ -
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