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INSPECTION NOTICE.
City of Tigard Building Department
12420 S.W. Main St.
-Tgard, Oregon 97223
Phone 639.3171
Permit 0
T,ye of Inspection
The follow;sir; Building Code deficiencies are required to be corrected:
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Presented to . _-__._----- _---_--__— _--_..--- Inspector
Date
CALL FOR REINSPECTION
❑ VES ❑ NO
B;)ILDING PEF,MIT APPLI(„ATION TIGARD DATE te_I -�__ 3594
THE UNDERSIGNED HEREBY APPI,IES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDERPHONEG4?—t.681
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
LOTNO. – n=_-CaUrt:
OWNER tf1C0 HL)M_ 3JOHADDRESS 1338) 51,1_CDWles Louri:
ARCHITECT
ENGINEER
BUILDER same - ADDRESSRt, 3— Box 448 H11sbrOrcSIGNER Dan K1oVer
STRUCTURE [S NEW ❑ REMODEL ❑ ACUITION L7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[',RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'1 ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGF ❑ STORAGE_❑ SLAB❑ FEN<;E
OCCUPANCY 11-3 LAND USEZONE __ R"7 BLDG.TYPE �5N FIRE ZONE.__--`_-PLAN CHECK BY _ duh HEAT til"I"•
Conctruct single family dwelling W ettach6i oarorje. 4 Bedrooma 2 Baths.
BEE CORRECTION SHEET ATTACHED.
SEWER PERMIT#23270 —1750.00 _! uarago 388 sq. f t.
OCC.LOAD _ FLOOR LOAD 40 _ HEIGHT 12 NO.STORIES 1 AREA 137 2 N0.BEDROOMS 4 VALUG`34 n'30(i.
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 31 LEFT SIDE t-' RIGHT SIDE 7
Permit 619740 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
Pian Check g8 , 5Q WORK WILL BE DONE IN ACCORDANCE WITH TH1 PLANS AND SPECIFICATIONS AND IN COMPLIANCE
29 .38 WITH ALL APPLICABLE CHIDES AND ORDINANCES THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR . NO SUB CONTRACTORS TO HAVE CURRENT CITE BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEIVER,PI JMBING AND HEATING
Gtate Tax 4", 7.86 s"_ 3400.01)
Total $503.30
T- PDC# I I S 180.0O APPLICANT OR AGENT.-
Dy _ R1
_-- — --- _
r1Wh Receipt No. ;' �-. -
Approved J ADDRESS PHONE
DATE INSP. TYPE IVSPECT1100 REMARKS PLU IsfING DATE
Contractor G;
Permit
3-AC AN .4u'4 Rough-in LY?
Fixture
Final
HEATING
Contract 3000
777' �
PermitNo.
Gas or Oil
Rough-in
Final
SEWER
I
Final
DRIVEWAY
—�-- Final
Storm Dtsinagr
(Rain Dnir,l Final `
Sidewal K
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC ANCY Appr
CERTIFICATE OCCUPANCY Final
�ffr` I.andscaping
Zoning Fanal
P
i
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y
%0 L I. 1 %.a 11f lIZ L 1 1[111 l i L.n 1 1 `: 1 it NO.
fhm-trr::allation 0v Replace E3 Revocation❑ Addition a Alteration C] DATE:
HEA,IA Imperial P•1 t: ci Cinco Homes, Inc.i,Jl`ITRACTOR OWNER
ADDRESS_ PO Rox 06327 JOB ADDRESS 13800 SW Cowles Ct .
PHONF 777---1801 APPLICANT Imperial Mech.
Heat Input Rating(BTU per Hour) 75, Of)0 Vent Size 4 Flue Size
FUEL OIL[] GAS [] ELECT [] OTHER
ITEM NO. FEE _ ;TEM NO. FEE
For Issuance of Permit SEE BELOW_ Each Air flandling Unit or Duct System _ _ 7.50
New•up to & incl. 100,000 BTU _ 6.00 Commercial Hood System_ 7.50
New 100,000 BUT's & over 7.50 0 her E ui ment • Each _ 4.50
Wood burnin9 Stove V _ 4.50 1 1 Trip Inspection _4,50'
Wall-Floor- Suspended 6._00 Air Condition Compressor - up to& incl.3 H.P. _ 6.00
Vent Sys cm w/Fan _ _ 4.50 Air Conditicn Compressor.3.1 to 15. H.P. incl. 11.00
icNoir Ica, Coc� r�_ 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS '
PERMIT ISSUANCE 10.001 Comments:
FEES �
SUBTOTAL
r % STATE` Issued By
25%PLAN CHECK
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