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INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard, Oregon 9/223
Phone 639-4171
Address-------
Type
ddress —Type of Inspection '-- WINK
The folowin Building Code deficiencies are required to be corrected:
may, a ,'� �.r..✓...- _, .._
....30�_.
Presented to Inspector `—
Date --__---
(ALL FOR REINSPECTION
d YES 0 No
}
BUILDING DEPARTMENT, TIGARD
i PLUMBING PERMIT N9
holder of a valid plumbing contractors license 4ereby
authorized to cause Glu ing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such instal lati s require inspection by the Ci-v Inspector who shall be notified not less than four
(4) hours prior to the time the installations are read-.; x- inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Job
Owner ' _ Address. �; '` 1,C, �a�u' ��` t, ' i� OatQ
t� NU.MRER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Sin;ia Family-1 bath—oech _ — 25.00 `LS '—
Duplex—Each 1 bath unit 25.00 _
Additional bathrooms—each _— 10.00 1 (�
Mobile Hume Space--each 15.00 — �
INDIVIDUAL FIXTUREe IYMERCIAI !
—.. ;•.
1 to 50 Fixtures In.1 buil_din —each_ _ _ _^13.00
—51 to 1_00 Fixtures In 1 buildin —each 2.50 �4
101 to 200 Fixtures in 1 building—each _ _ 2.00
_201 or more Fixtures in 1 builb ding--each _ 1.50
MISCELLANEOUS
Sewer-each additional 1o0 1t. _ 10.00 ~—
Water Service to building _ 5.00 —
Other (SINCifyl. — —
PERMIT _ �C�, For Plumbing Inspection Phone 639-4171
4tate '- v Plumbing Contractor By `�i�/ir1�•r �J'e-,
TOTAL RECEIPT NO. Issued By '
City of Tigard Mechanical Permit NO.
�X 1 /23 x'81
Kew Installation L.J Replace ❑ Relocation❑ Addition ❑ Alteration ❑ DATE:
HEATING
CONTRACTOR AlcCol.li-st( n Heatixig de A/U fnc,OWNER naty Consk)rt
ADDRESS ' t'I aJ. ;, a.;E'� _. ,t.' �;:.. Bc avert ori JOB ADDRESS 1- 335 SW 3ylvelt Uourt TiN,arci
PHONE `'`ry-yy5b APPLICANT -
Heat Input flating(STU per Hour) 'Dent Size ____ (Flue Size._._____
FUEL OIL❑ GAS ❑ ELECT ❑ OTHER
ITEM NO. PEE ------- ITEM NO. FEE
Far Issuance of Permit SEE BELOW Each Air Handling unit or Duet System____ 7.50
Naw-up to & incl, 100,000 BTU 6.00 Commercial Hood System 7,50
New 100,000 BUT's & over _7.50 Other_Equipment Each
WeudburniN $love 4.50 1 Trip Inspection_ _ _ 4.50 _-
Wall-Floor- Suspended 6.00 Air Condition Carnprmssor • up to&inrl.3 H.P. `6.00
Vent System_w/Fan 4.50 Air Condition Comkressor •3.1 to 15.H.P.inc;. _ 11.00
Repair•Heat Cooling _ 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRAS TORS !
PERMIT ISSUANCE 10.00 Comments;
FEES
SUB-TOTAL ,00 I
% STATE Issued By
25%PLAN CHECK
TOTAL --- REC. # _ ---------Signatureof Applicant , r
1
BUILDING PERMIT APPLICATION TIGARD DATE__._--�,F) �1__�_ 71 .19 Hl 3���
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INUICATED BUILDER PHON!: _638-7317
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER P S�N
LOTNO. g`—�iC c�8-Z.�nd2-ng
OWNER l-aCk L. I�stY — _ JOBADDRESS 16335 SW Sylvan C.uurt — I
Tualat{9{WEER
GINNER
CT
BUILDER813tY tOnBtC. CO. ADDRESS 10045—SW Coquillw or* DESIGNER Baty
STRUCTURE NEW 11 REMODEL ❑ ADDITION ❑ REPAIR ❑_" ' 4EWAL ❑ FIRE DAMAGE ❑ DEMOLITION_
X RESIDENCE ❑ COMM ❑ EDUCATIONAL L7 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY f1�3 LAND USE ZONE R7PP-BLDG.TYPE 5N—.FIRE ZONE.. _PLANCHECKBY duh_ HEAT__-9e _.
W Construct single family _dwelling w ettac.hed garage. 3 Bedrooms 2 Bathe*
SEE. CORRECTION SHEET ATTACHED.
SEWER PERMITM [ f2EZ�17!j(],013 ---- ----- --- -- -4�s.�ifl_ w lb sq.f t .. . ---------
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 _ AREA 1543 NO.BEOROOMS A 3 VALU4621 200.
BUIL DING DEPARTMENT SET BACKS FRONT 20 REAR T 23 LEFT SIDE 10 RIGH! ilDF 8
Permit $213•€10 _ TH6 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
—� REG01LATIONS ANC ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 106. SO 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
Sub-total _ 319.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR'S TO HAVE CURRENT CITY BUSINFSS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax Q Bw 52 SD(' - ;g 1111.10. [W �„-
Total S32U,02 -
-� — PDCa.'i 1 2100.00 APPLICANT OR AGENT
dwh Receipt No. --_
Approved —_ --- —v��—PHONE
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
•-. — —� Contractor � ,�M
,Y-.2-2" ! t��r ------- —
y ---- Kermit No. ;,Z6 �(��U -y�•Vit'
Fixture
s - — Final —
HEATING
Contractor
Permit No. 23 3 C� �_6r j41- 7-7
Gas or Oil ,
Rough-In
Final
-- -- _ -_- SEWER --
- —.--- Firal
DRIVEWAY
— — ------ --- ---- Final
Storm Drainage
----- --
Main Drain)Final
Sidewalk
Curb&Street Final
— Approach -- - —- -
�BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUP NCY i el
CERTIFICATE OCCUPANCY [Landscapina
Zuning Final
BUILDING PERMIT APPLICATION TIGARD OAT
THE UNDERSIGNED HFRLRY kPPLIES FOR A PERM IT FOR TI iE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN ANO APPROVFD IN THE ACCOMPANYING PLANS AND SPEC!FICATIONS. OWNFP,PHOI:F
Q LOT Flo.,3,�
o�Vr;FR3ACVA, yATY _, JOBADOR_ESS 6335 sr a.►� -.
L ' ARCHITECT
BUILCER 9�TY UhlSj 4J('i AODRcSSIOv . ,rKIENGINEER _
DESIGNER
STRUCTURE NEW C1 REMODEL "_ADDITION ❑ REPAIR ❑ RENEWAL FIRE DAMAGE ❑ DEMOLITION
RESIDENCE f-- COMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C] PATIO CAR PORT ❑ GARAGE ❑2;��HEAT—Q�•—
SLAC?•❑ FENCE
:'CCUPANCY !� LAND USE ZON�BLDG.TYPE ._L__lY FIRE ZONE PLAN CHECK BY
SCNER PERMIT p - - Qr 41'16 ----- ry
r3G(-.LOAD _ FLOOR LOAD �(� HEIGHT TORIES AREA IS";3 NO.BEDROOMS
BUILDING DEPARTMENT SETBACKS FRONT REAR 23 LEFT SICE RIGHTSME & _
P9rtnit 2 S5•vTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THS' BUILDING CODE,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I _ l •S-0 'YORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COt4PLIANCE
r - Q �y� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVc
ISub 2Qtal _3 71✓�+' RESTRICTIVE COVENANTS. CO`JTRACTOR AND SU9 CONTRACTOR3 TO HAUE CURRENT CITY BJ51NtSS
O LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUi`.181NG AND HEATING.
i Statm Tax 8•.
Total r �z SDC— ( _ D —6 _,
-
__ T V _ PDG# APPPU�CANT OR ACIENNNTTy ,
By - - -
Receipt No.
Approved - Y_ ADDRESS PHONE
_I":Q 0 .
POC /'90
SEWER CGNNE CTION S
SEWER INSPEEC T ICON S
SEWER _SURCHARGE S �T,�.._.. g
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