13670 SW CRESMER DRIVE ,
NEAR
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13670 SW CRE,SMER DRIVE
INSPECTION NOTICE
City of Tigard Building ()apartment
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit
Type of Inspertion
The followinn Building Code deficiencies are required to be corrected:
Presentee to _-_ Inspacthr
Date
CALL FOR RF_Y"'E lON -
L_J VES ❑ NO
City of ]"igard Mechanical Permit Permit—
New Installation (_1 Replar:e � Relocation L] Addition I _1 Fee_
Alteration ❑ 3%State,Y—
TOTAL_.
CONTRACTOR — _ OWNER
ADDRESS_—� ---_�— _ WORK ADDRESS
PHONE APPLICANT
_ _
Heat Input Rating (BTU Per Hour) Vent Size Flue Size_
FUEL OIL El GAS l] ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
I'.or Issuance of Permit _ – 3.00 Air Condition Compressor 15 to 30 HP __ 10.00
New- Under 100,000 BTU � 4.00 _Air Handling 10,000_�FM 3.00
^Jew- 1100,000 STU&over !` 5.00 Air Hr ndling Over 10,000 CFM 5.00
Floor Furnaco '.00_ Evaporative Coole, __ 3.00
Wall - Floor-Suspended 4.00 Range Vent Fan _ 2.00_
Install Vents Only2.00Vent System _ 3.00
Repair- Heit&Cooling __ E4.00
4.00 _Hood Commercial _ _ 3.00
Air Condition Compressor Under 3 HP C cmmercial Duct System 10.00
AirCondition Compressor 3 to 15 HP 0
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY pgrF
RECEIPT NO.
77+ Signature of Applicant
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OF
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a CITY OF IGARD
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OREGON ,f+ -
01 OWiler:_Richard L. Robbins 2251
. „ Permit No.
Buildin Address 13670 S.W. L'resmer Dr.
Certificate is hereby given this _12" day of February 1979_
. ,' ur_.rupalicy- R-3 that said building may be occupied and that
U.-ind Zon+_- R-7 � ..
it complies with all requirements of the
131,4 :. Type- 35-N + ►
M� Fire Lona- Building Code for the City of Tigard, as
approved by the Tigard City Council.
i
y "
Building Inspect
1
�i�:yi ''� /�'!��,,,`�/YA►,p,,,.�,�rA."1�I /!(e� •'��.�.i a�� w.F-°Y�/►'.1 r ��!w `:^� 'i;��r '" f Y
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ADDRESS j O JlR� � 11,U� . PERMIT N0. - ( 7 o ( ��
PERMiIT CHARGE _ none
0W'El R f- -D �a,��`r C0"1NECTIG
PAID BY
i
TYPE OF BUILDING /Ll•t*�•_lU DATE CONI"ECTED
SERVIC-' RATE _ / G% INSPECTION FEE ��`,
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION � ASSE5SCIENT _ PAID
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fi y.
BUILDING PERMIT APPLICATION ""y TIGA«D DA,t 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED B'UILDERPHONF='.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. MOVIVERPHONE
LOT NO.
OWNER !imrd L.Rotibins JOB ADDRESSI.Mj7 I 5W, robMsir ()rHOMEADDRES!4 ) Ail 41tit.U(.,aro
ARCHITECT
ENGINEER
BUILDER ii=r�F�r1I L.. R,)bbins ADDRES5 /431�_'5 JW i41r.0-. Tig rt; DESIGNER r !'i1 fit 1�_firi&
STRUCTURE GNEW ❑RumnDEL ❑ADDITION ❑REPAIR ❑RENEWAAL CIE IRE DAMAGE ❑DEMOLITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO (:]CAR PORT DGARAGE ❑STORAGE❑SLAB []FENCE
❑BOND _ ❑MOVING [:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-":-4-LAND USE ZONE_kM7 BLDG.TYPE ..AI FIRE ZONE PLAN CHECK BY_' _ HEAT_ UVId
Construct sinulo family dwellin W/stts,�hsd- Qarsus,► _
k3edruum -- 2 Hmth,
&euelr f3etri)J 117401 a $62;,00 _
40 a.r� AREA �,:1� _ 3 q 419 4.'.. a.Of
UCO,LOAD FiOOR LOAD_._ HEIG N0.$jORIES NO.BEDROOMS VALLI
BUILDING DEPARTMENT _ SFT BACKS FRONT 2O REAR 25 LEFT SIDE RIGHT SIDE 2O
Permit ��jf3.1.iIu ---- — -- ---------__---THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check z�hh'_)� REGULATIONS AND ALI APPLICABI F CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI-IANCE. WITH
Subtotal 277. 50 ALL APPLiCARLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RE, RICTIV COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax4' 1#24 LICENSE. SEPARATE PERMITS.REQUIRED FOR SEWER, r lUMBING AND HEATING.
•. rl I,
Total $284,74
By Pl
-- APPI I(ANT OR AGFNT
Approved .t 1 r16d1't Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Q / �7v Contractor,o -r!o it No. / 6 q-13-29
— ^ Rough-in
ev Fixture
Final
HEATING
^ Contractor
Permit No.
Gas or Oil
Rough-In
Final
SEWER
Final --7 _,Z
DRIVEWAY
Final
StoAh Drainage
(Rain Drain(Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TtMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ---
Landscaping
Zoning Final
t
I
Citf ri01 ard %Iccical Perit O
Peranit Qyo0 N *
WState___.
J ReIncation Addition D Alfleralion 0 New Installation Rt.)!ace E
TOTAL._..
%.".TRACTOR OA 1713 NE R
7-
WORK
PHONE &.3 Fl- t4 � APPLICANT
Hem Input Rating (BTU Per Hour) Vent Size flue Size L�r OS
OIL ❑ GAS ELECT
FUEL OTHER
ITEM NO. FEE ITEM NO, FEE
For Issuance of Permit
3.00 Air Condition Compressor 15 to 30 HP 110.0(
New- 07-ripr i no,nnn STI I Air HAndlinr., 10,000 CFP,A
New 76U.000 BTU&over 5.00 Air Handling Over 10,000 CFM 5.0(
Floor FU
Mace 4.00 Evapwalive Cooler
Wal - Floor - Suspended 4.00 Range Vent Fen 2.0,'
Install Vent, Only 2.00 Vent System 0
Repair Hood Commercial
Heat & Cuoling 1 1 3 W
1 4.00 Commercial Duct System
Ai Condition Campfeswt L
-Air CorrinionCornrjr!,s,,nl 3 to 1 r1 10, 7.50
INSPFCTOR'S COMMENTS—______
CITY BUSINESS LICENSE ALOUIRUD FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED By DATE ISSUED BY DATE