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INSPECTION_NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspectiari -
Date Requested Time A.M._ —P.M.
Address ..[y 8 yci
_ Permit
Lot #_�
Builder
The follo-ving Building Code deficiencies are required to be corrected:
-- - -- ------
I
Presented to �ZApproved
i -- —
Inspector
1.1 Disappro% +d
Date
CALL FOR REINSPECTION
0 YES ❑ iv0
wv s � esw s: sir
INSPECTION W f E
City of Tigard Building Department
P O. Box 23397 l�
Tigard, Oregon 97223 }f
Phone. 639-4175
1
P of Inspection — ------------_ _- --_--__..__---- d
�'YP c _ A.M. —P.VI.
Time C
Date Requested Permit #S..IL`�
Address a
Lot
'wner t
.gilder `The following Building Code deficiencies are required to be corrected:
11
Cluj ,7
�u�-t��/trt•It�{
Approved
Presented to —
�'�Disapprovrrl
Inspector �J� �✓ —
D'+te
CALL FOR REINSPECTION
YES C' NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon F7223 �
riPhone: 639-4175
Type of Inspection
^ate Requested Time A.M._ P.M.
Address – Permit #��
c
Owner-- _._ _—� �_S1S�Ld Lail__ Lot #--
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ ------ Ir��
�II Approved
I-J
Inspector _,�� __—__ Disapproved
Date -------
CALL FOR REINSPECTION
El YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigaro, Oregl,r 97223
Phone: G39- 1175
Type of Inspection f
Date Requestod / a- Time A.M._ P.M.
Address ✓7�__L � '1�n�I orIJ L" — Permit
Owner y.d -- ------ Lot # —�
Builder ___---_-- --.-----
The followikig Building Code deficiencies are required to be corrected:
Presenu d to — — _ [ A0proved
Inspector -_ _— ____ [ Disapproved
Date - ----- — —
CALL FOR REINSPECTION
[] YES 1-1 NO
l
ALWTKW_Kw W_ALM-AUM
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard Oregon 91223
Phone: 639-4175
Type of Inspection
Date Requested A.M. P.M.
Addre.,s Permit *w15_'
Cwner..- Lot
Builder
The following Building Code deficiencies are required to be corrected:
f
eng=AC 4-vo
0A
Presented to Arptowed
Inspector �w�Vlsapproved
Date
CALL FOR REINSPECTION
P YE8 0 NO it
IN5PECTIOiV NOTICE
City of Tigard Buildir,g Departme,,:
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175 =-
Type of Inspection1��--
Date Requested_ �2— Time A.M. P.M.
Address /-5 L4 _ Permit
Owner __�__ -C> �� Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
G 7 S
z -G+
Presented toT d
Inspector _ aapproved
Date _ _ - 3
CAL r, POR REINSPECTION
for YES I_] NO
's
{
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 i
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Time
_ A.M._ y P.M.
Date Requested— �--
G �� Armit #
Address —�
Lot #
Owner
Builder _---- — _
The following Building Code deficiencies ari required to be corrected:
A oved
Presented to
I Disapproved
Inspector — -- ----
Date —__ ---- '74 -
CALL FOR REINSPECTION
[-] YES ❑ NO
ss�r sss+ ssrr sssr s.r � ■rr rae ss ssu
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
I
Type of Inspection --\ ----------
v'
Data Requeesstedd Tlme A.M.---
,, P.M.
Address Parmit #�"Y 4
Ownk.r _ Lot
Builder
i he following Building Code rieficiencies are required to be corrected:
Presented to - -- ---- - --.— LTJ Approved
Inspector _ —___ -- ❑ Disapproved
Date -----
CA U FOR REINSPECTION
❑ YES 0 NO
t � a w• � �
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223 /
/ Phone: 639-4175
i
hype of Inspection
Date Requested
U_--- 7_1Z2 _ rime.___ A.M._ �-� I.M,
7
Address S 9 _ � Permit #
Owner - -- C�� Lot -
Builder
The following Building Code deficiencies are required to be c,)rrected:
i
Presented to _ — -.__- Approved
Inspector -7 ------ - I Disapproved
Date -----
CALI VOR REINSPECTION
1=1 YES O NO
r
CITY OF TIGARD 539.4171i 6 J 5 0
BUILDING PERMIT DATE -rebtuary ! 19 S! .
TAX MAI U1! 311E LOTNO. �_____DUBDlVISIOl�tlrl I.CNE�p
OWNER; 4-.4-1diptj_& D*sLljn_ __` __ JOBADDRESS13d&89
BUILDER
BUILDER .. --_----_--.sutn� _ STATE REG.NO. 49670 EXP,DATE 1-12-88
BUILDER'S P TONE
620-6171
ARCHITECT PHONE OTHER
STRUCTURE C HEW REMODEL ADDITION Ei REPAIR l_, MOVE OTHER i i DEMOLITION
.,,.' RESIDENCE ❑ COMM I EDUCATION iND RELIGIOUS []ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _-yam.LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEA1_
jiglistru wiaLLai;heu -arane, all otwj platirs.
out,ea !:u twwrt 53bLI unci 1.erun ;45V ewer acrehir�es,
SF_WER PERMIT k J269t3(luu) s batt+. 11 traps „acra"e 4Uu
OCC.LOAD FLOOR LOAD 4U HEIGHT JUNO.STORIES Z AREA 15,)1 NO.BEDROOMS a VALUE
BUILDING DEPARTMENT SEI BACKS FRONT 13 REAR 25 LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REG01-ATIONS CONTAINED IN THE BUILDING CODE, ZONING
211.10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AWD IT IS HEREBY AGREELP THAT ,HE
Plan Check I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL AP-LICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRE.''T CITY BUSINESS
V� TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 13.36 11 25U.U1l
-- —P 56a.a6 SlIC- t,U4J.Uu _. �
__ _
Total APPuc.Arl l oR AG-ENT
Pre d, LUU.t10 PDC�1 150.!10
Receipt No. ADD43S �_..__. . PHONE
Bal.Due _4.154.46
Issued Ey Approved Illy
•_.....•..a.rvnru.....a...wLY.rr:....1-._.. _ =.:iwr:...._,.i.....u... r�_� .....N..4w....w... ,... .w�wwMo...W..+ne.r..dw�.�......Ye_s:-..+.�.�a+�.�......,.�..,..�..d —_.�..,..._.._....w.ewww....._�...a.._._
4
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
o t"I t
e- ^ Z.7 - coo — - -- r, Permit No.
�3 Z d �- Y �.4t.ai Rough In
Fixture
�0 Final
HEATING
Contractor �,,��
Permit No. y 2
Gasor011_�_
Rough in
�7 Final
----- -- ---------__--_ _— SEWER
Final —'
DRIVEWAY
-- _ Final
Storm Drainage
(Rain Drain)Final
-- --.'�----'--- Sidewalk
— .— —` `---�--_---- ---_.--�'
Curb BStreet Final
+--^—`_ --_ Approach
BLDG.DEPT.FINAL. TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY — ----
Landscaping
Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r ,
Type of Inspection
Date Regrested_._._ _4J _ _.,._ rim/e�. A.M._ L ,P.M
/ .
Address -` `
Owner __. _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected
Presented to At-proved
Inspector Oisapproved i
Date
CALL FOR REINSPECTION
❑ YES 0 No
CITY OF TIGARD MECHANICAL PERMIT Receipt# oma
Perm"#t (-
Description
City of Tigard
Table 3A Mechanical Code QTY PFI CE AAAI
— --�
1315 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
6394175 Furnare to 100,000 BTU 800
1) incl.ducts&vents
Furnace 100,000 BTU +
2) Incl.ducts&vents 7.50
Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address 4) or floor mounted heater 6'00
Tex i_ot Map No, Vent not incl,In
Lot E._ok subdivision 5) appliance permit 3.00
r
Name(or name of bus neeR) 6) oo nig�absorptgon unit
Mailing Address Phone 7 Boller or comp to 3 H^
Owner ) absorp,unit to 100,000 BTU 6.00
City/State ZIPBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15.30 HP
absorp.unit 1/2-1 million 15.00
Meiling Address PhoneBoiler or comp to 30-50 HP
1G) absorp.unit 1-1.75 million 22.50
Contractor aty,Sfafe Zip Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
State Registration No. CI Bus.Tex No. Air handling unit to
ry 12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given Is 13) Air handling unit 7.50
correct that I am the owner or suthodzerl agent of the owner,that plans submitted are in 10,000 CFM +
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
number given is correct (if exempt from State registration please give reason helow). 14) evaporate cooler 4.50
Vent fan connected
-- - — — 15) to a single duct 3,00
Ventilation system not
113) Included in appliance permit 4.50
' ----- w---_.Y Hood served by -
17) 4.50
mechanical exhaust
Signature( ser or agent _ Date Domestic type
Describe work LJ addition ❑ alteration [Irepair ❑ 18) incinerator 7.50
to be done _ residential C1 non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator , 30.00
building or properly. 20) Other I.e.,woodstove,water 4.50
Propo!ied use of heater,solar,clothes dryers,etc.
buildino or property 21) Gas piping one to four outlets 2.00
Type of fuel - oil C] natural gas L) LPG ❑ electric ❑
22) More than 4-per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- BUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OP IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
1,BANDONED FOR A PERIOD OF 180 DAYS AT AN Y TIME AFTER
WORK IS COMMENCED. TOTAL
Spacial Conditions _
-------- bete Issued 1 i / i by ;
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : l
PLAN CHECK APPLICATION DATE RECEIVED: Z S- 7
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /0 0
This is to certify that the attached sets of plans have been subm tted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWIdER: OWNER'S ADDRESS:
CONTRACTOR: .J Q-+�e� _ TELEPHONE: _ 6, 2 0 -
JOB ADDRESS:
LOT NO. & HAP:
DESCRIPTION OF WORK: ��
Approvals Require6 SPECIAL NOTES
OPlanning Dept. O Reissue
Engineering Dept .
O O Flood Plain/SenHitive Lf,nds
O Fire District O Sewer Availability
O Other Other
Items Required
List of subcontractors
0 Business Tax
Calculations
! O Truss Details
QParking Plan
0 Landscape Plan
O Other
COMMENTS:
LBCity of Tigard Byilding Department
Y: ���
PLAN LMLLK NU,
tar inspections call 639•-4175 PER T NO.4- S
CITY OFTIQEARRO 699.4111 DATE -`
P O. ox 211971T Tigard OR 97223 TAXMAP LOTNO. ' / sualDIW910N_1'f�`"�`�
OWNFJI L.Y '�17 1�'C' , A ILL) �L��1� JOB AD011ESS 131A321 .ScJ
BUILOER _ STATE REG.NO. l� r�' T EXP.DATE .-A 61Imo_
BUILDER'S PHONE ,(�w G' - L -- /
ARCHITECT -I(- r. _ - - PHONE lk 0 OTHER
STRUC RE , ,<w ❑ REMODEL O ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION
ESIDENCE ❑ COMM ❑ EDUCATION ❑ ONO ❑ RELIGIOUS. 0-ACCESSORY 0 GARAGE ❑OTHER ❑ FENCE
OCCUPANCYS-$ LAND USE ZONE IL=_7_BLDG.TYPE , F- FIRE ZDNE, _PLAN CHECK BY t0AT
Constructsingle single family dwelling w/attached paraar., al per -approugj pj,pr ,
Stih j to S r, Cgde. -----
SEWERPERMIT#, -(ldu) 3 bathsL�/ traps garage area TVy
OCC.LOAD FLOOR LOAD HEIGHT 1 N0.STORIES 2, AREA NO.BEDROOMS 35 VALUE (JIB
8UILL4NG DEPARTMENT SET BACKS FRONT eZ, REAR "� LEFT SIDE �( RIGHT SLOE J
Pwmlt ` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AAD ORDINANCES.AND IT 13 HEREBY AGREED THAT THE
Ptan Check d WOIIK WILL BE DONE IN ACCORDANCE WITH THE PLANS nN0 SPECIFICATWHS AND IN COMPLIANCE
WFM ALL APPLICABLE CODES AND ORDINANCES. THE VPSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fki RESTRICTIVE COVENANTS.CONTRA. OR Aft eUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMfTS.SEPARATE PE< S R U1RED F R 60*911LN.UMBINO AND HEATING,
Stat.Tax AV SSDC
rolal SDC-
PDC
Pfapd, '_ , �/i=IG'MS �GS> l fl
Rsralpl No ESS Nt
Sal. 4L�t1 �_
Ppfoved By -
SUC - p (1
RECEIPT N
PUC _ -.�^ — DATE PD.
SCU1_R CONNECTION S % 7— — AMOUNT PD.__T U�
1
5[L/ER INSPECTION S
SEWER SURCHARGE S ^G'
:ommente: �' � y�',�✓ -'� �"
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