8875 SW SCHECKLA DRIVE oil I ML
INSPECTION NOTICE
City of Tigard Building Departinrn,
I'.O Box 23397
Tigard, Oregon 9i223
Phone: 639-4175
ter`
Type of Inspection __ /`/N/✓G.
Date Requested 9'-�S Time A.M.__ 1/ P.M.
Address . n52!f Permit # G
Owner ---_-- ----- A—_ Lot
Builder
The
_
The following Building Cone deficiencies are requited to be corrected:
Ir
low
= - - '
Presented to —_ _--_-_-- — [� Approved
Inspector _ .Disapproved
Data y�
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, 07egon 97223
-
Phone: 639-4175
CA
Type of Inspection _T�1NLL� _
Date Reryuested--- / TiaM.v P.M.
Address (� l �J" _ ems! C�/' JCre-tel` -ate _ Permit *
Owner _ _ Lot #_
Builder "71�L�
The following Building Code deficiencies are required to be corrected:
f;ca 46
1
AW C
Presented to �pproved
Inspector _ [_� Disapproved
Date. 2
CALL FOR REINSPECTION
El YES 0 NO
BUILDING PERMIT APPLICATION DATE_ C6778
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
G�,9-9562
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS LOT OWNE PHONE
OWNER cc—cb JOB-ADDRESS 5875 SW Schotkia Rive 231-flf–AZ��fj�iV�.3
— - 3235 W 7 32nd P.1.001111ECT e
U ---- 1NGI EER
� $ICX .Rupprocht Ptldr19*722ESIGNER
BUILDER �--
STRUCTURE C"NEW ❑ REMODEL F] ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ElDEMOLITION
51 51RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT El GARAGE ❑ STORAGE ❑ SLAJ C FENCE
OCCUPANCY LAND USE ZONELDG.TYPE .3� –FIRE ZONE PLAN CHECK BY –_ HEAT
C'r,nntrrs.r f ^inn"i, Simi 17 c , •1 I frig wjall-tar—h X11 1]nr januLr+�+�c�� ��•" -�.
r'.1 2 1j,id r•i i r-1 Pt
SEWER PERMIT M 114ULIdll) 3 j2aj- i j2 trelpa 443
OCC,LOAD FLOOR LOAD _ 4f) HEIGHT _ 22ND.STORIES 2 AREA t' 8NO.BEDROOMS =� VALUE 72,000
BUILDING DEPARTMENT u SET BACKS FRONT 20 REAR 37. LEFT SIDE RIGHT SIDE 7
Permit 34;.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
i.� REGULATIONS AND ALL APPLICABLE CODES AND OPDINANCES, AND IT IS HEREBY AGREED THAT THE
22�
Plan Check _ _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OP.DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- —
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax i 6 gDC– G0a.00 �+
' 8f) fel �-�/,x� K old;1260C
Total _
PDCNT [ .1.50.00 ""--
APPLICANT OR AGENT
1 C
By J,,d(, 1 �00.0a
— Receipt No. . �I�` ADDRESS
Approved P R 489.£'I _
DATE INSP, TYPE INSPECTION kEMARKS PLUMBING DATE
Contractor
Permit No.
Rough-In
Fixture
�� !r .J /� /.vr t0//L�Cf/O�✓j Final
_ HEATING
�j-;(j f�1 1 „� a ,'�,• nuc,.. iao'/•t >f�f,
Contractor l"tys
Permit No. (��f (may 0 _ 7
Gas or Oil
Rough-in
/ 1 _
10 Final
_� Final
o
SEWER
Final
DRIVEWAY
Final
Storm Drainegr. '
C. (Rain Drain)Final
Sidewalk
Curb&Stmet Final
___ Apprat ch
BLDG.DEPT.rINAL TEMPORARY CERTIFICATE OCCUPANCY --
CERTIrICAT4 OCCUPANCY Final
Landscaping
M 2oninp Final
CITY OF TIGARD MECHANICAL. PERMIT NdGe1�`
Pe Tnit# _
Description _
City of Tigard Table 3A Mechanical Code aTy 1110114111" AW
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 100
639-4175 1) Furnace to 100,000 BTU .00
Incl.ducts fir vents 8
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of De,elopmsnt Floor Furnace3) .00
incl.vent E
Job Address Suspended heater,wall heater —
Address 4) or floor mounted heater 6.00
Tax Lot Map No. Vent not Incl.In
Lot Stock Subdivision 5) appliance permit 3 00
Name(or name of business) 6) Repair of heating,ref rig., 6.00
cooling,absorption unit
Mailing Address Phone Boiler or comp to 3 HP
Owner �) absorp.unit to 100,000 BTU 6'70
cttyiState �p Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
— Name 9) Boiler or comp 15-30 HP T'
absorp.unit 112-1 million t 5.0U
Maltktg Adds / rxf,ona r ;,�; 10) Boiler or comp to 30-50 HP
absorp,unit 1 -1.75 million 2250
Cnntrartor cls state �1�- �--- Boiler or ramp to 50 HP
11) absorp.unit 1,750,000 BTU 31-50
Slate Registration No _ C:Ity Bus rax No Air handling unit to
12) 10AOO CFM - -- --- 4.50 -
I hereby ac:knnwledrvr that 1 have reed this application that the information given Is 13) Air handling unit 7 50
cxxrect,that I am the cwvroor or authorized agent of the owner,that plans eubmltted are in 10,000 CFM +
rnrnpllarW"with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is rxxrac:t (11 exempt from State registration please vhve reason below) 14) evaporate cools' 4.50
15 Vent fan connected
to a single duct no
— _ Ventilation system not
_ 7 -- - 15) included in appliance permit 4.50
Hood served b
t 7) mechanical exhaust 4.50 fit}
Signature(owner or aper• t) fain Domestic type
Describe work ❑ addition ❑ alteration Elrepair f-1 -18) incinerator 7
to be done residential El non-residential ❑ _ Commercial or Industrial 30 —
t 9) Incinerator 3000
Existing use o1 type
building or properly _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc;- _
building or property— -• --- 21) Gas ,iping one to four outlets r 2.00
Type of fuel- oil ❑ natural gas I'J LPG ❑ electric L)
�. 22) More than 4•per outlet
d.QTVE _. . --- --- - -- --- - -
THIS PERM11 BECOMES NULL ANI' VOID IF WORK OR CON- SUB-TOTAL p
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 --- T 4%SURCHARGE -
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ------
WORK IS COMMENCED. TOTAL
Special Conditions ----------- ---- _
----- -- Date Issued lJ �r �>
FLAN lfiLLr, Nu.
for inspections call 639•-4L75 PERMIT NO.
CITY OFTIGARO 639.4171 DATE
eI111.01N0 WMIT S/ "A 11 �
ZVISION
SCN�C c/f
P.O. Boz 25397 Tigard OR 97223 TAX MAP 1oTNo. SVGDIVISION _
.;c 5 c ��c.uT cfr' JJ,CiUC=
OWNER ��� �_,_ JOB ADDRESS
BUILDER E:rs' IEC//T C(/J S�Z�i 7 ��-'"C' STATE REG.NO.j��_EXP.OATE
BUILDER'S PHONE 6.2�- 9S1� 2-
ARCN(TECT `Jf' ccC PHONE_� `' ! ` " .z OTHER —
t.TRUCTURE_Q(NEW ❑ REMODEL ❑ ADOITION ❑ REPAIR ❑ MOVE O OTHER 13 OF,IAOLITIO►,
`IESIDC,NCE ❑ OOM�A C] EDUCATION C) IND ❑ REIJGIOUs,
0-ACCESSORY O GARAGE Ca OTHER ❑ FENG(
OCCUPANCY L " �--ANO USE ZONE �S �BLS nPE " FIRE ZDNE��FLAN CHE'NK B HEAT
Construct single fa❑;? lY dwe11in4 wLaLSa3G11Aaraa. �. --
Slihilp-rr Q 9'3 code,
SEWER PERMIT 0 -(ldu) bathsLra _s _9th"r ��r3 a-- U-�--
— — + �-�-- � AREA
_COC.LOAD FLOOR LOAD 'a HEIGHT 2 M,O.STORIES —
r BUILDING DEPARTMENT SET BACKS FROM:P REAR � LEFT SIDE RIGHT SIDE
PNm11 4 v4 THIS PERMIT IS ISSUED SUBJECT TO THE REQUL.ATIONS CONTAINED IN THE GUILD(NO C04E, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT tS HEREBY AGREED THAT THE
PIanChock 2 .2�j► y WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICAM112 AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES.THE =UANCC OF THIS 4*fRMIT DOES NOT WAIVE
CII Ftri RESTRICTIVE COVENANTS.Of)NTRACTOR AND$Up CONTRACTORS TO HAVE C1J18RENT CITY BUSINESS
(
-ki / y TAX PERMITS.SEPARATE PERMITS_ 11SOUIRED FOR StWIcR,PLUMBINO AND HEATING.
Slate Tax J .J ' `r ssm 00,
Total y r Qi r ICANTORAGENT
Preptl. �-Js-- PC" 323�" n3�J /3 z„Ef �OX7ZO" V7,-)211
RscslP1 No A
Bal.Due
Iesusd By_---------Appfoww By
SSDC --- $
50C - —
/ RECEIPT #
POC - DATE PD. ._. ..._
SEWER CQNNf_CTTON S _./ J-%'� _ AMOUNT P4.�__
5CWCR INSPLCTION S35. c+ _
SCWER SURCHARGE SS_ ,-- _
omments: -- ---- -
MMM WE
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: S .? G• cF
P.0 Box 23397, Tigard OR 97223 P/C DEPOSLT PAID:��<-N�
This is to certify that the attached sets of plans have been submitted foi plan
check pursuant to the Oregon Structural Code and Fire b Fife Safety Code, edition.
PROPERTY OWNEF:: C(_ _� _r.._ OWNER'S ADDRESS: .3 ;44 y
CONTRACTOR: '� �- _ TELEPHONE:
,JOB ADDRESS: r& S -2� G ��� �1 LOT NO. b MAP:
DESCRIPTION OF WORK: �-YLI�� IU
Approvals Required SPECIAL NOTES
OPlanning Dept. 0 Reissue
OEngineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Ava lability
O Other O Other
Items Required
OList of subcontractors
OBusiness Tax
L Ca,It:ulations
QTruss Details
0 Parking Plan
OLandscape Plan
O Other
COMMENTS:
City of T and Building Department
BY: Z'z-"�(iC�