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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box /� n»
Tigard, Oregonon 97 97223 i
Prtone: 639-4175
Type of Inspection ,. )--- ---- -- --- ---
Date Requested _�._ 1- __-- Time_�___ A.M._ P.M.
Address ' Permit
Owner -I —
Lot
Quilder -dt.6—
Th ,IrAlowing Building Code deficiencieo are required to he corrected:
Presented to — �( pproved
Inspector q Disapproved
Date _ r�- / 7 ---—_.
CALL FOR REIASPE�CTION
❑ YES I! NO
0
21
x.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection2�
Date Requested Time��A.R1._ P.M.
Address _�3Ze� —�L __ _ Permit # S]l _
LQ, w�� Lot
Owner _
Builder ___--
The following Building Code deficiencies are required to be corrected:
Presented to �_� WI-/Approved
Inspector '� — ❑ Disapproved
Date .
''ALL FOR REINSPECTION
Dyes 0 140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection A-12-112
--LCI—LA19
Date
Reque+tad _ _— C 7• 3� time -__ A.M. P.M.
Addre-,s L ���� J �(� '�-�= _ Permit
Ownrr_ -- - --_ _-- Kms __ _ Lot #
Builder ----- — - ------ - --
'rhe following Padding Code deficiencies are required to be corrected:
Presented to -____._.- _ �AItproved
Instw,,-sic _r;� ❑ Disapproved
Datr: _ �5 C� r
CALL FOP REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Bui ding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Reyu-^ted ' Tiiw -7 A•UI• ..---P.
Address ` �r Permit #
Owner_ Lot x
Builder ---
The following Building Code deficiencies are required to be corrected:
Presented to __ Approved
Inspector _G_—_ _ [� Disapproved
Date � —
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ^-� 'Pima
/Address� C_-��_ ������ Permit *USS
Owner Lot
builder r l�a` ��1
The following building Code deficiencies are required to be corrected:
Presented toca-�� �TApproved
Inspector
❑ Disapproved
Date
_�'�
CALL FOR REINSPECTION
El YES L_l NO
INSPECTIC'N NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
-Phone:6394175
Tyoe of Inspection ---l-�c- -�- -�
Date Requested Time A.M. P.M.
Address . I Permit
Owneri � lot
vv- #
Builder_1.. � _s1s.. .---
The
}following Building Code deficiencies are rpr aired to be corrected:
r �
Awdft -" -�"�L-1----
Presentefftfj p�LC�� �" �' Wprove
r
lnspdctor ____ _—� L'�?"17tsapproved
Date
CALL FOR RE SPECTION
• O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
O �Phone: 639-4175
Type of Inspection _—
Date Requ)sted_— ILA _ Time A.M.P.M.
Address --- 00 S_, r Permit
Owner_._ -- -- _–_ Lot #
Builder
The following fluildivq Code deficieicies are required to be corrected:
r
�.y
t�
N --
Presented to __ _ Approvid
Inspector '' l
[_� Disapproved
Date
CALL FOR REI ' ECTION
D YE8 No
INSPECTION NariCE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time t'( A.M. P.M.
Address ZY iA i h' -
Permit
-
Owner Lot
Builder
--
1 he following Building Code deficlencier ire required to be corrected:
Presented to Approved
Inspector El vi"Woved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
IF IF MW A MW RM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
l Phone: 8 9-4175
Type of Inspection C ,
Cate Requested `�t_« t__ ' Time A.M. V_P.M.
''7 / -7
Address _ PermitL��
Owner + �Y I re�� Lot
Builder
The following Building Code deficiencies are required to be ,orrected:
t - '�. s� vim'=�.•wyCs- is�u/+-�.��`-c.. _ n3
�G.ait-s- ' o- -2. ��..,�._.�L.�•�c-t.�'=-' L�t�-t�
Presented to — — ❑ Approved
Inspector ,f�� __- L�sepproved
Date ----
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
CI!y of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
P ne: 639-4175
Type of Inspection _ 7�
Late Requested /^ Tim A.M.
Address �/'� / Permit It
Owner --- 11✓ aI'\CV'l/��' ---- Lot
It
Builder
The following Build ng Code deficiencies p►e required to be corrected:
Prose tted to �- [ Approved
Insl,rctor _ .c ::• C� Disapproved
Date
CALL. FOR REINSPECTION
U res 0 No
6571
CITY OF TIGARD 639.4171 D,JE Vic.�birusr-__ 'y4___19 01-
BUILDING PERMIT
TAX MAP i,;t-'CLOT NO. , 6 r�`.�1._9�BDIVISIONI�►ril�=essra
13200 SW Shore Urive
OWNER _L•U!�+-,�rY:.uu _:.+�Ipu sy LAC• ----__._._- J08ADDRESS __�_� ----- -..
2
STATE REG.NO. 6 EXP,DATE
BUILDER 9*
BUILDER'S PHONE
PHONE OTHER
ARCHITECT_ T9!9t _
L± C�► -
DEMOLITION
STRUCTURE 1 NEW Ll REMODEL I I ADDITION REPAIR MOVE OTHER
4 1 RESIDENCE I COMM I I EDUCATION IND J RELIGIOUS I ACCESSORY GA9AGE OTHER_ [-I FENCF.
;,7.
OCCUPANCY_ LAND USE ZONE 1 BLDG.TYPE 1' FIRE ZONE PLAN CHECK RY HEAT_
Construct sirl6le ia,ufly dr+rlling w/attaclleu &aragf, all I,er al-provet+ ;Mair. ;.ta-ject Lo
Subject to smart 060 and Leron $15Unsewex aurchar�;es.
SEWER PERMIT M
33E.)1i�at}t, :.0 tra is garage 400
FLUOR LOAD NO.BEDROOMS VALUE
OCC.LOAD ��1, HEIGHT y, _NO STORIES AREA 154 1. Ia:..r�21�U
FStatBUILDING DEPARTMENT — REAR > LEFT SIDE RIGHT SIDE
-_.� SET BACKS FRONT _
e
337.011 THIS PERMIT IS ISSUED SUBJFFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND Ir IS HEREBY AGREED THAT THE
eck 11�'U� WORK WILL BE DONE IN ACCORDANCE W;TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Fire RESTRICTIVE COVENANTS. CONTHACTOR AND SUB CONTRACTORS TO HAVE CLIRHENT CITY BUSINESS
TAXPERMITS.SEPARATE PERMITS RCOUIRFD FOR SEWER.PLUMBING AND HEATING.
ax 1j e4w
-
)4,9 --- �C—
Total __ A LI�O.NT OR AGENT
PDCO
Prepd. t-U+1.00 1 150.01.)
�- Receipt No ADDRE89
Bal.Due , _—___
--- - Issued ey____ Approved By '
-.yy,J,1...w.nuWl..... ..i.......... ... ..Lrr�.y.,.wtu......-.u�wr.r.a.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
3 6-87 o�jo Contractor 6
Permit No.f,-/14 Z
/U --- -- --- — Rough-in
_ � -�----
Fixture
Final
�-Z AV6Lits HEATING
Contracio ` f.0 l ��
y 30 i -- Permil No.
yR _ { o� r'%X _ Gas or Oil
Or Final
SEWER _
Final ^1711—
DRIVEWAY DRIVEWAY
Final
Storm Drainage
�^ (Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCYFinal
CERTIFICATE OCCUPANCY --—
Landscaping
Zoning Final
i7
P
W f! m IA! IR Ali
Receipt# ---------------
CITY OF TIG." RD MECHANICAL PERMIT Permit #
Description
Table 3A Mechanical Code —_ CITY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall By-d. —— – —
P.O. BOX 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 — --
639-4175 1 Furnace to 100,000 STU 6.00
incl.ducts&vents
2) Furnace 100,000 BTU 1 7.50
incl.ducts&vents _
(� Namu of Deveiopment 3) Floor Furnace 6.00
Incl.vent
Job Address 4) Suspended heater,wall heater 6.00
or floor mounted heater
Address
�;.,„Lot Map No. 5) Vent not incl.in 3.00
appliance permit _
Lot Block Subdivision
Name(or name of business) 6) u Repair of heating, i 6.00
cooling,absorption unit
_ _ _
Meiling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU _
City state zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
9) Boiler or comp 15-30 HP 15.00
Nemo absorp.unit',%-1 million
Halling Address _ Phone - 1�) Boiler or comp to 30-50 HP 2TO
absorp,unit 1-1.75 million _ _Contractor Citystare zip- 11 Boiler or comp to 50 HP 3absorp.unit 1,750,000 BTUStale Re7islratlnn No City Bus.Tax No 12) Air handling unit to .
10,000 CFM _
Air handling unit 7.50
1 hereby acknowledge that I have read this application that the information given is 13) 10,00u CFM 4
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
con pliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct.(II exempt from State reylslration please give roar on below). evaporate Cooler
15) Vent fan connected 3.00
-- ---- - _ to a single duct
16) Ventilation system not 4.50
included in appliance permit
4---_-_ __ ---- — 17) Hood served by 4.50
mechanical exhaust _
SI ature(Owner or agent) _ _ Date 18) Domestic type 7.50
Describe work Eladdition ❑ alteration I i repair F1 incinerator
to be done residential L] non-residential l 1— 19) Commercial or industrial 30.00
_ type incinerator —
Existing use of Other i.e.,woodstove,water 4.50
building or properly ---- - — 20) heater,solar,clothes dryers,etc. - -
Proposed use of
building or property—_ ---- - 21) Gas piping one to iuLt outlets 2.00
Type of fuel- oil L I natural gas F] LPC L7 electric 1 1
22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON 4%SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, 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 - — TOTAL
WORK IS COMMENCED. --
Special Conditions_
-—— ---- ---- - - -- Date issued _______by—. --
...............
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 i'/C DEPOSIT PAID: /0'1Z)
This is to certify that the attached Z sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, R-.5 edition.
1.0
PROPEKTY OWNER: p� ,� g H> OWNER'S ADDRESS:
CONTRACTOR: n TELEPHONE:
JOB ADDRESS: 3Z Ob J-�t,&A-k 4D1 LOT N0, 6 MAP:
DESCRIPTION OF WORK: 'AR&L
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
0 Fire District 0 Sewer Availability
O Other O Other
Items Required
List of subcontractors
OBusiness Tax
�) Calculations
OTruss Details ��-
UParking Plan
OLandscape Plan
OOther
COMMENTS:
City of Tigard Building Department
BY:
1004 l.n-1,n NU. 2- 3 3 �–
tor inspections call 639-4175
CITY 01=TIGARD 639.1171 DATE PERMIT N��� ��
BUILDING PERMIT
P.O. Boz 2:JSYi, Tigard OR 91223 TAXMAP —LOTNO. SUBDIVISION' _
OWNER JOB ADDRESS LULU `-l-J /c)(1� L-Nz
BUILIIER L Q ���'U N `��� /'U C STATE REG.NO. �217y Z EXP GATE
BUILDER'S PHONE Z
ARCHITECT 7'J f-( PHONE__ OTIIER
STRUCTURE ffNEW ❑ REMOOEL Cl AOOITION ❑ REPAIR O MOVE ❑ OTHEH n DEMOLITION
A ESIOENCE ❑ COMM O EDUCATION ❑ IND O RELIGIOUS. ❑-ACC c,30RY L GARAGE O OTHER 0 FENCE
OCCUPANCY LANO US9.86G-TYPE S.bL FIRE ZANE_f PLAN CHECK BY
rhn all nnr �nnrn_
_ Cortruct single family dwellincL ......tLo �AE, rr
tis►ujP v t__.tt 1'j')
SEWER^ERMIT/,f7 '0du} 3 baths, /&t raps naraae arra 4UU_
(?UC.LOAD FLOOR!OAO &j HEIGHT NO.STORIES AREA f/ NO.BEDROOMS V U4
BUILDING OEPAnTMENT SETBACKS FRONT.20, Lg REAR Q _\— LEFT SIDE 51— RIGHT SIDE — o
P+rm1I_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIVANG CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES,AND ORDIN.,NCES.AND IT IS HEREBY AGREED THAT THE
Pt*nChock 2/ /'jp WOIIK WILL BE GONE IN ACOOROANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THLS PERMIT DOES NOT WAIVE
PI.Ctt Flri RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITI BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
Slale Tax $six
StiC–
TWO APPLICANTOR AGENT
ReCelpl No ADDRESS rr�(1Hf
rB.1.D�,- r SSI 1
I//usd By --JIPProvtd By
ssDC --- s S c.
SOC _ � `o D 0
RECEIPT a
1—�—�-
DATF_ PD, %v
'IEUER CONNECTION 5 7 ^� AMOONT PD._
�CLIE R INSPECTION S
S F_L1 E R SURCHARGE 5
1 1
X
unimente; �LG 7,7--