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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
I Phone: 639-417.5
Type of Inspection
Date Requested Time A.M. P.M.
Address i s' _12.4. _—�.—_ Permit # g//'4
Owner ___ Lot #
Builder -----
The following Building Code deficiencies ars required to be corrected:
t
Presented to _ �_� pproved
Inspector Disapproved
Date --
CALL FOR REINSPECTION
El YES L"J NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722?
Phone: 639-4175
Type of Inspection _ 1����rr(l►r�� -lp�1 _� - ------
Date Requested Ti. _p,M A� P.M.
Address L CX Kyr i
����--- Permit __-.--
Owner _
Lot
builder/ �►�1.,5�! 1_�Y �� -- _ _ _ _..
The following Buildinq Code deficiencies are required to be corrected:
Presented to _—__- — --
- AA r
CJ pp oved
I nsper.tor El Di.-.approvf.-d
Date
CALL FO REQ, RECTION
❑ YEa ❑ NO
a
L � .
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type -3f Inspection
r
Date Requetteri _ --- -- ___-- �.r Time A.M.
Address — .e - . J 1 _ 1 I Permit
oweer _-l/ (�',r� Lot # _.
Builder
The following Building Code deficiencies are required to be corrected:
i
i
Presented to _ 0 0 Approved
Inspector —_� ❑ Disapproved
pits
CALL FOR REINSPECTION
❑ YES ❑ AVO
i INSPECTION NOTICE !�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
I V Phone: 639-4175
Type of Inspection - 7& —
Date Requested _ /�r L) /T/Jyre A.M. �—P.M.
Address _ 3 Sl 1 / il�- t2�� Permit # Z�
Owner _ = _ _ Lot # _
Builder
The following Building Code def iciencles are required to be corrected:
Presented to � Approved
4
Inspector ��-=���– ❑ DifaPproved
Date - T �
CALL FOR REINSPECTION
Cl YES ,L2 NO
CITY OF TIGARD MECHANICAL (PERMIT
Permit#
Description
Citi of Tigard
Table 1A Mechanical Code OTY PRICE AMT
—`
13125 S.1h'. Hall Blvd. 1) Permit Fee -0 -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 10C ft BTU
r'7 Fs` 1) incl.ducts&_vent:. 6.00Furnace 100,000 BTU +
2) incl.ducts A venis 7
Nano of Devebptt*MFloor Funiaca
3) incl.vent 6.00
Job Addrna —` Suspended heater,wall heater
Address 1387,1 S�� �_�� 4) or floor mounted heater s
Tax Lot Map No. : , - ?? �_ID- 5) Vent not incl.in
_ Lot /y i Back Subdivision appliance permit 3.00
Name(or name of business) Repair of heating,refr 1g.,
X � � s) cooling,absorption unit 6.00
Malang Address p Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 8'00
CllyiState — ZipBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11'00
N 9 Boiler or comp 15-30 HP -
) absorp.unit t/z-1 million - 15.00 -
Malang Address phoneBoiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor Cityisrete -Zip 11`1 Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No -- city Bus.Tax NoAir handling unit to
12) 10,000 CFM 4.50
I hereby acknow"ri that I have read Pus applicatxxi that the information given is 13) Air handling unit 750
correct,that I am the owner or authtwized agent of the twrw,that plans submitted are in _-10'OOO CFM +
axnpliance with State laws,that I am m4siermi with the State Bulidem'Board,that tfw Non portable
number given is correct.(if exempt from State registration please give reason below) t 4) evaporate Cooler 4'50
15) Vent fan connected
to a single duct S 3.00
—
Ventilation system not
16) Included In appliance permit 4.50
- � ?dl
17 Hood served bylJ ) mechanical exhaust4'�n t im— ov'w a agent) y Dare Domestic type
Describe work ❑ f-J alteration ❑ repair ❑ 19) Incinerator _ 7'50
to be done residential LT' non-residential ❑ Commercial or industrial
Existing use of — 1 A) type incinerator _ 30.000 —
building or properly 20t Other I.e.,woodstove,water 4.50
Proposed urse of _ _ heater,solar,clothes dryers,etc.
building or-property— _ 21) Gas piping one to four outlets2.00 I, —
Type of fuel- oil ❑ natural gas M LPG EIelectric El
22) More than 4-per outlet
Holic — -'--- — SUB-TOTl,L S 3 0
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- - ----- - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL 7 K J
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — —
WORK IS COMMEN'ED. TOTAL
Sf*dal Condidons
— _ — — - Date issued. by ���
_
CITY OFTIGARD 619.4171 DATE 6E46
.__— 1�___—
WILDING PERMIT
TAX MAP` _'-- ''LrLOTNO. _SUBOI/IS17N'.
tr7r
OWNER_ +,«a +7}•-tit?.>tti $1dt»— JOBADDRESS
BUILDER '--�� nr� l��!%• -5;'�' _L � tZ�tf` ✓ i`00(r rL STATE REG NO. -5()2:!2--.—EXP.DATEBUILDER'SPHONE
ARCHITECT.__ r?'it�, 1j '� 11F1Rf' Ic -� - PHONE -- 656` 988- _.._ OTHER
STRUCTURE Fel NEW REMODEL f I ADDITION C7 REPAIR f I MOVE =_OTHER —� DEMOLITION
f RESIDENCE COM!' EDUGATION I i IND i RELIGIOUS ! ACCESSORY GARAGE O1 HEP FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE _ _FIRE ZONE__PLAN CHECK BY HEAT.
SEWER PERMIT M ,1 I . / 4
OCC.LOAD s FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE _—
�BUILDING DEPARTMENT
SETBACKS FRONT REAR A LEFT SIDE RIGHT SIDE
7
Permit .. —�
C�•1�C�
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 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
^1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
--�- -'�TAX PERMITS.SEPARATE PERMITS REC,UIRED FOR rEWER.PLUMBING ANO HEATING.
sS+tete Tax
- --- SDG i
Total - -----
�— PDCM ' •(,fl APPLICANT OR AGENT
Prepd. ,�,/
- Receipt No,�/ / / ADDRF.88 _ ----------- ------- PHONE
Bel.Due
-- ----
Issued P_y _"_Adw
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-------------
DATE- IN�SP TYPE INSPECTION REMARKS — PLUMBING - DATE
Contractor L Gtr L '://-?s X!
�1��- - - Permit No. /
Rouph•In -
Flxrure
Fimi
- --.—
�^_ i3• ," o _, HEATING
Sit t
� Z/*
Contractor Pt-1- y6 F I.lr /n )
PermllNu �7�y
Gas or Oil —
N- �_ -- - --- Rough In --.y- _-
�l�-!_ —,. ✓ _-_��� -- Final --
Q— SEWER
Final
• y ' ✓ DRIVEWAY
F;nal
T - Slorm Drainage -
(Rain Drain)Final-
----- Sidewalk -- --
- Curb 8 Ghost Final
Approach
BL03.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY --
Landscaping
Zoning Final