9775 SW LONDON COURT 9775 SW LONDON COURT
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INSPECTION NOTICE
r'ity of Tigard Building Depart ient
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639-4175
T�,pe of Inspection
Date Requnted Time Z A.M.-P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �Pproved
Inspector U 1311upproved
Date
CALL FOR REINSPFCTION
DYES ONO
atr s= ear a ear ass ap! tarp +ar asr
CITY f�F TIGARD MECHANICAL PERMIT Receipt# L
Permit# Vl'X
Descriptlun
Table 3A Mechanical Code OTY PRICE AMT
City of Tigard
I)
13125 S.W. Nall Blvd. Permit Fee _ 0 10.00
0_
P.C . Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
6.00
incl.ducts&vents
2) Furnace 100,000 BTU I _ - - 7.50
incl.ducts&vents
Name of Development 3) Floor Furnace _ 6.00
incl.vent
Job Address 4) Suspended heater,wall heater 6.00
Audiessor floor mounted heater _--
Tax Lot _ ;,,,;;c 5) Vent not incl.in J.00
Lot Blor; subdiwtiinn appliance permit
Name(or name of Wait ess) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit
Melling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp.unit to 100,000 BTU _
^.Ity/state Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Meiling Admess Phone - 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City,State -- Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tr,x No. 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have read this application that the Information Seven Is 13) 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that pians submltt,rd are In —--- --'-
compliance with State laws,that I am regtulered with the State Builders'Boarc,that the 14) Non portable 4.50
number given is correct "t exempt from State registration please give reason 3elow) evaporate cooler
------- - 15) Vent fan connected 3.00
to a single duct _
16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
Alki � mechanical exhaust
Signnture(owner or agent) Date 18) Domestic type I 7.50
Describe work Ll addition F1 alteration I-4 repair El 18) I
to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type Incinerator
bui'ding or properly __ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc. _
building or oroperty ___ — 21) Gas piping one to tour outlets 2.00
TypF of fuel- oil L I natural gas I I LPG f 1 electric f I
22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 - 4'/e SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2594,OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS At ANY TIME AFTER -
WORK IS COMMENCED. TOTAL
Special Conditions _
__. Date issued _—by _
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INSPECTION NOTICE I
!— I
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
,Phone.: 639.4171
Type of Inspection - / l� —
ZTima P.M. p
I Dote Requested v /
Address r r �r ct/` emit
Owner #—y—
_ Lot # -
_ - --—
Builder
The following Building Code deficiencies are required to be corrected:
- ��t�4c ll B�� .ter / _ ��•_�------
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Presented to - � Approved
7
s _] Disapproved
Inspector
Date
CALL FOR RFINIPEMON
17 YES NO
a. W'K ere "WA WWA all .. �.
INSPECTION NOTICE
C:ty of Tigard Building Department
12.420 S.W. Main St.
Tigard,00gon 97223
Phone: 639-4111
Type of Inspection
Date RequeesteddTime_—. A.M. —P.M.
Address �L r_-zl Permit # ��—t--
j Owner Lot
I
Bui'•:er — -------- ---- ---The following Building Code 6eficiencies are required to be corrected:
i
AL — -- --
i
Presented to -- ❑ Approved
Inmpertor _ ❑ Disapproved
Date _
CALL FOR REINSPECTION
❑ YES 1:1 NO
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1
Building Permit No. _
Location �'
2b l 0 706 z_
Date
1.
Certification of Registration
With the Builders Board
AJ i t.^ w'' 1 �� (C.'� lel c_� . doing business as (dba) s
__ _ am registered under the pro,iisions
of ORS Chapter 701 Oregon Hom eb uilders Law) .
MY Builders Board Registration Number is
Ply registration is in full force and effect and expires on
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BUILDING PERMIT APPLICATION TIGARD DATE April 2 ,19 84 4784
THE UNDERSIGNED HEREBY APPLIES FOR A PERM T FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC FICATIONS, OWNER PHONE.-----.—
LUT
HONE.__.___LUT NO.____ 2 __ -_-
OWNERuenturY 21 Itomes JOBADDRESS �14775 Si4 London Ct. _ Londur, !?gaure
ARCHITECT
ENGINEER
BUILDER Same ADDRESS DESIGNER
STRUCTURE (B NEW ❑ REMODEL ❑ ADDITION ❑ RS PAIR ❑ RENEWAL ❑ FIRE DAM 4GE ❑ DEMOLITION
9.1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY Rte__LAND USE ZONE "'Z0___BLDG.TYPE _5N FIRE ZONE PLAN CHECK BY -AT—W HEAT_ E
Construct sinyl M familydwelling w/attached garage.
Rh'—Ida+re of #4605 3 tsedraow 2 daLbroom
SEWER PERMIT 265U 1 Garsp,+s 304
OCC.LOAD FLOOR LOAD Is- HEIGHT 7►1� NO.STORIES_ 2_ AREA 12;;3 NO.BEDROOMS VALUE 53 p0fA_ •
BUIL.GING DEPARTMENT —_ SET BACKS FRONT I REAR +
— 1(, LEFT SIDE ', RIGHT SIDE
Permit 2.'')2.110 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.W WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
—�- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF PHIS PERMIT DOES NOT WAIVE
Sub-total 332.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
:CENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 11J 21
SDC -- $400.00
_
Total 343.68 —
PDCN 1 APPLICANT OR AGENT_
ey (111I
-_- Receipt No.
Approved Bf 1{ ADDRESS PHONE
as aw a: aatt esa
.DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE `
Contractor
O '
Permit No.
Rough-in
Fixture
Final -
- HEATING
-- Contractor
J�df V1 71
----- –
3 Permit No. —
Gas or Oil
Rnugh•in
Final
--- - – ---�- – SEWER — --
� --'- —
Final
DRIVEWAY –
– --- __ --_ Final
Storm Drainage
-- -- Main Drain)Final
Sidevwlk
Curb&Street Final
---- - --••– Approach
'U-DC, DEPT.FINAL TEt7PORARY I cER'rihi AiT OCCUPANCY Final
CERTIMCATE OCCUPAfICY __-
Lc'.:..cap
Zoning Final
THE UNDERSIG;,ED HEREC?Y APPLIES FOR APERMIT FOR THE WORE HEREIN 1 VDICATED FlUIL4LR?�loro�=�'_9�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS 'SND SPECIFICATIONS. OV/NER7NOrIr
LL � LOT No '2
�
WNEP )09 ADDRESS
'" ARCHITECT
� / / ENGINEER
ADDRESS%V/1 _jA�ti/ 1� � �� � DESIGNER
f-
jTRUCTII_RF `—MN ❑
EW Rt'mnoEL ❑
— — AODITIOCl_N REPAIRLUREN
` EYC
IAL )FIFIEOA?A4GE� 00E.7,10LIT1
RESILIEAICE CICOMM CIEOUCATIONAL C1GOV T ❑RELIGIOUS OPATIO []CAR PORT—UGARAGE ❑STORAGE❑SLAB ❑FEA
CCCI?•u__v LAND USE ZONE ._r CLOG.TYPE PLAN CHECK BY 'r Tom`. HEAT
SEDER rERMIT L,-.2G-5c�/ _ (,� •1--
ys',��LO FLUpF3 l 047 `/tom hIEIGHT �� NO.STORIES .2 AREA N0.BEDRn Mt .� VALUE'T''''''
i HULLOING DEPARTMENT SETBACKS FRONT __' ' REAR /�� LEFT SIDE RIGHT SIOE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZON
I 'r:a7 "'heck ,S/ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COb1PLIANCE W
5.1'f•tatdl I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN
�zatA T,x — LICENSE. SFPARATE PERMITS REOUIRFO FOR SEWER, PLUMBING AND HEATING.
-
Total SOC I POC#
r
FAPPLICANT OR AGENT
LApprp'.'c•4 1 _ Receipt No.
A nnq FSS ��ON�
SDC - -`
PDC -
SEWER CONNECTION S R 7
SEWER INSPECTION S �� ` "13 J�
SEWER SURCHARGE $
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