10615-10615 SW CANTERBURY LANE I
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10615, 10617, 10619, 10621, 10623,
10625, 10627, 10629, 10631, 10633, sr---
.10635 SW CANTERBURY LANE
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INSPECTION NOTICE
r C.,y of Tigard Building Department
P.J. Box 23397
igard, Oregor, „1223
Phone: 639-4175
ction�E-
bete: Requeste•!_j� Tlme A.M. P.M.
--
Addren /� __ Permit c-�
Owour_ Lot #t
Builder
Thr following Building Coda deficiencies are required to be corrected:
Presorted to _ _ proved
Inspector �t' - — ❑ Disapproved
Date -"� -- --
CALL FOR REINSPECTION
L YES l'--1 NO
INSPECTION NOTICE
city of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 7;I L 'Wde— '0 —
Date Requested 42 -/A "-j--!? Ti e_ A. P.M-
/0
Address za G a`s '� I arm t,
Owner Lot #
Builder
The following Building Code defiriencies are required to be corrected:
ice'-oy'it7� �= _✓���T" PAW IA-1 Q
Presented to __--, ❑ Approved
Inspector isapproved
Date
CALL FOR REINSPECTION
CJ YEI O No
C17Y OF T167A RDMECHANICAL PERMIT
PERMIT NO. : ME892651
Ct1r bF SIA111p
COMMUNITY DEVELOPMENT DEPARTMENT'
°"OfJN D i E. ISSUED: 12/13/89
13121,5 W Hall Blvd-P.O Box 23397,Tinard.Omgon 91223.(50'.)639-4115 '1M.PMT.NO. 892651
JOB ADDRESS: 10625 SW CANTERBURY LN
TAX MAP/LO r SUB: ;.T: fIK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATION FURNACE (100K 1 AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.COOI_.ER
OCCUP.GRA'. : HEATER VENT FAN
'DENT VENT.SYSTFPI
BLR/COMP <3HP HOOD
NO.STORIES: BLR/COM' 3-15HP TNCINERATOR(DOM
DWELL-.UNITS: BLR/COMt' 15-30HP INCINERATOR(COM
FUEL_ TYPE GAS RLR/COM? 30-58HP REPAIR UNITS
MAX.INPUT 100000 BLR/COMP 58+HP OTHER
FIRE DMPRS? GAS PIPING OUTL.E -S
HIGH PRESSe
LOW PRESS?
REMARKS: _7
replar_iriq qas furnance with qas furnance
—_------._ ---.�._��� - --- rPS
rat, lybarger ERMIT 9210.00
N11234 sw southridge dr LAN REVIEW
E pa-tland or FIXTURES $6.00
R PHONE (503) 620-0994 STATE TAX $.80
OTHER
C
0 BRABANT WILLIAM
N MR FURNACE HEATING CO
T
R 17360561 63RD AVE
A LAKE OSWEGO OR 970:35
T PHONE (503) 635-2124
O REGISTRATION NO. 53928 TOTAL.: $16.88
R
-- —� ---- RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 --------------------
of the TMC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby GAS LINE
agreed that the 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 restrictive
covenants Contractor and subcontractors shall have current city V TNAL.
business tax permits. This permit will expire and become null and
void,f work is not started within 180 days,or if work Is suspended or
abandoned for a periori of 180 days any time after work hr,,
commenced It shall bo the responsibility of the permittee to assure
,all required inspectio 1s are requested and approved.
Permittee Sign re
Issued 6y __ CALL FOk INSPECTION 639-4175 _ —
SEPARATE PERMITS REQUIRED FOA INOW JTHIER-IRAN MCPIBED ABOVE
rr��
>r"t"'^"•1..r.._...._*'—"RIRR�"'h-7�"a:x-'_ .....,p....�o-,..,.r...-,Mrr-..-�,.�a,.�w�w►-w..._... _.�,--..-..-.-.-e..v--......._-.�� ____-_...__..,.,,,,. -.-�,.--^.__..
BUILDING PERMIT APPLICATION 11T TIGARD DATE—OF
THE UNDERSIGNED HI-REHY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEy�."'f]�'I +�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
5w LOT NO.
OWNERi-ii n u ulmllg __JOBADDRESS 1062`j t.entyrljuTy LCU'AbME ADDRESS -
ARCHITECT
ENGINEER
BUILDERIJUnI4Un VJ F3ldUg! ADDRE��S--S1 _ — DESIGNER _
STRUCTURE [:]NEW MREMnDEL LJADDIT;ON ❑REPAIR ❑RENEWAL LJFIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POR�T1 C,IGARAGE ❑STORAGE❑ISLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW pCOUNCIL APPROVED L.JSIGN'i
OCCUPANCY T-3 1-AND USE ZONE f BLDG.TYPE_ FIRE ZONE `3 PLAN CHECK BY——_— _ HEAT
[ fiatjin®trtaafItj I.ta11 ILL Kjt(1t i4did_-�� fat, alb .aur &y, i!nc:luawi
-- Irlun1L�:.I"kjurm11 96-qu.rud.-------- ------ ---_—
Ute.LOAD — FLQRPI LStA1?_ _-_--,.FLE�St�I--------�_O ,�tIQR1 . A£�A NO.BEDROOMS _ VABl7Q 0�-UO
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
�- WORK WILL BE DONE IA ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 36.OU ALL APPLICABLE CODES AND ORDINANCES. THE V;SUANCF OF THIS PERMIT DOES NOT WAIJE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENt CITY BUSINESS
State TaC; • 9f) LICENSE. ;EPARATE PEAMIT'7 REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total Ube 96
BY - _ P1 APPI ICANI OR AGENT
Approved I" Receipt No. 771
I0 'N A!N In
7
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in/. o_2_i,"
F:xture
Final v
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in' ^
Fine.
SEWER
Final
DRIVEWAY
Final
Stoll Orairage
(Rain Dr•,in)Final
Sidews ik
Curb'.Street Final
Appi oath
EZOG DEPT.FINAL TV#PORARY CERTIFICATE OCCUPANCY Final
CERTIFI ,ATE OCCUPP NCY —._ ----------
Landscaping
Toning Final
II
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT Nn 1432 DATE
PERMIT IS GIVEN TO __^t i ., t. 4�F�t..'x c1 (y�,�t c tfw•r: � t
OF
TO CONNECT A. _ITA h/--__ L_b {r'f i e
TO THE SYSTEM OF TIGARD SANITARY OISTRICT
AT T N
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID TIGARD SANITARY DISTRICT
,a tit r O r e ,�';¢ ;u By �4�.� -•'f
CONNECTION INSPECTED AND APPROVED
�j
---...--------______.- --- — ---�_ _._.._-
Rate Saiperintendent
I
ELEMMURMUNq
J
� t permi
Address T10. 1432 _....._._ .
51-f& S.W. Canterbury Lane permit charge
Owner Stan Adkins r Connection fee 4.125.00
Paid by
Type of building 11 units Date connected _
Service rate Inspection fee_ ?5.00
Contractor Stan Adkins Paid by -Date
Size
Size of connection 6" Assessment —_—Paid
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