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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Data Requested Time A.M.—_//_P.M.
Address _���� _ Pe m .
Owner -- ---- / E��C t __ Lot # ------ --
Builder ___ —_— -----
The following Building Code deficiencies are required to be corrected:
Presented to f–�I Approved
Inspector i._I Disapproved
Date
CAI, '')R REINSPECTION
0 NO
w w
If
INSPECTION NOTICE
City fG �� y oTigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 01''�
��� --
Date Requested Tima_+.e_�q,M. _p,M,
Address z 3
p ! Iii �o permit #1�r^_12L1
Owner - -- .a - ---
_ Lat #
Builder
The following Buildinr, Code deficiencies are required to be corrected:
Presented to
F+'I(Mroved
Inspector
-- ❑ Disapproved
Date - - S_—%�/��-L_�-
CALL FOR REINSPECTION
❑ YES ❑ No
i
INSPECTION NOTICE
City of Tigard Building Department
P U Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection -_ .I C)
Date RequestedG _ --f Time A.M.���P.M.
Andress "3_`�� � - .. ---- —- Permit #_
Owner _......... (�/2X(��/�. _ Lot
Builder_
The following Building Code deficiencies are required to be corrected:
ce
'eoz V7
<QIf IF Of
or
dr
ZC
Presented to ❑ Approved
Inspector _.6L _
.� JeDisapproved
Date - � _
CALL FOR REINSPECTION
YES ❑ NO
w w w w w w w w
CITY OF T'IGARD PI,0M B1 NG 1_1z• -�M 1-hu IUw.
�-
Applicants mtr.t bort Oregon Reglstra, ^n to conduct plumbing Tigard (R 97223
�t_:K r✓�I�� 634-4175business es mus'be Propert y rrwner/operator not hiring otutside help.
N.nre of Ds oolop rtent
/n Plumbing Permit No
Address Descirlption
Job Tax Lot Map.
5t�►-21-0t0 DUAN. PRICE AMT
Map.No. _T�
Atidlyae
FIXTURES
Lot - - (dosis --- Subdivtslon -
�() � $his 7.50
ams ox name of Ni ness Lavatory 7.50 S^
1
Tub or Tub/Shower l,umb ) i 7.50 .J�
TiaiTiq'�3.es�,�— - - ---
Shower Only I 7.50
Owner / to Waler Closet - _- - 7.50 Ls- x
DiqhwaeM
-
Diehwaeher _ 7.50 '
p10ne Garbage[rsposal 7.50
Name - Washing Machine 7.50 -7 (�
Floor Oram _-- -- 7.50 -
_ ____... Water Heater 7.50
Occu ant - -. -- Laundry Room Tray 7.50
P testy/Stale zip --- ------ - __.
Urinal 7.50 _
1e Other Fixtures(Specify) - - 7.50
7.50
Mess Phone__ - ---- 7.50
ContractorCily/Stats 27p
MISCELLANEOUS 7.50
—_- _ ----- -----—C*j&m Tax No Sevrsr 191100' 90.00
ate s. oar 1Tci -- tate Plumbers a Tc-Wi Gewew-;c Add t,100' 1500
(ides e'hall Water Servios 1 at 100' 20.00
I hereby 6le Ilmd I hove reed if-As application."the Information Water Swim ea.Addit.2Mr - 15.00 --
given Is oor7ect,rut 1 am aspie.�xed wish `ie Stale Buiider's Bawd,and also Sloan a Rain'rain t at.100' 30.00
hew a Stale Pkx ftV loerne chat rw numbers givers n aoorrecx.that an -— -
ph—+np work will be done in ecoordanos with applicable provisions of(re- Storm&P-Jn Drain Addil.100' 15.00
pon Revised StaksMs C m0we 447 and ft93 and applicable otdes and that Mobile Horne Space 25.00
no help will be employed un*ss M w%W undw ORS 993 (It exempt in"
Staa regkttretkxt,Pies"give reason below) Baric Flow Prevention
HOMEOWNERS-I frereby certafy rut 1 am the owner of ae property dr Do orArwl-PolkAionDevice 7.50
Rted above.M winch location 1 propose lo maks a plumbing hstaMMlon for Any Trap or Waste Not
my own use and this pvpsrfp is not bekV constucled for sale.ism"rr rw% Connected b_a Rxwm 7.50
Catch Basin —_-_---- - 7.50 --
kwp.a ExW.Pkxnbwv 40.00 Per Hr
_-- SpecieIl Mqu gw In"p0t1lona _ 40.00 Per Hr r
-�
Alter of Plumbing wld
_7 an Exlotirq Bldg. 15.00 min
A 17F0 SIONA RF ' Data New Bldg.or Build.Addition` - 26.00 own
�`�- Vii, rx}Le Latttil _
f7aliaibe worts meta f' Ilddition' alteMdm 0 mpair❑ dwellia 15.010 /
bq
retildenlia rton-neidetrtle1 ]
Emilio tate of —
fa IMar1p orproperly _ X� C-� _ _OWTOTAL
U"of -4%M1ROH AIq! -- -If .
TOTtfi,L - /2.1,7
Tf tin P"l 0-00 l l ftA1 WW veld V wAr a aonMuvMan GUWXW sed la nol oom
RM Md SIM MO rdaelepr Q OMstMnetAfon or wok y simplrrfsd or abo Kim Q kir
a Ow IM 40 180 P N"Virile WM work Is o0rr111irmd
SAL OQIR1f11p1Aa_
Dere liletreot
Iwai 489 tI 1'1116 �.
r i' 17
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in Ori
3 Foo-r.- Fd/Z /��d �sF u Q//. /�f26�s✓ 6'- /l'/.,
I"1 AY Fvv-ri/�r Ln/►[.- - IZ ua r = 40/X ?STJTF �� L•f l? �.s� p.
i
740 '/
WA&L s to c
Ft oo rz = ! O 0 Y/
F-r rr 2 60
-ro�71aG Soil L o nG = l I c�S ��
� "rte Kms' ~oO-r�a�rr 1$ "X•�"
-7-7
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INSPECTION NOTICt
City of Tigard Bi ilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -_ W—__�.__� _
Date Requestted�. - _-- 0 l' �2 y _ Time M
Address %_1� �r2 � �`� Permit #
Owner _ y �I� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
dp
Presented to _ �� Approved
InspectorDisapproved
Date - ---- ? "_7
CART, FUR REINSPECTION
�] YE, C] NO
CITY OF TIGARD 639.4171 6684
r DATE -- -_--.__.._i9
BUILDING PERMIT
nsn. Jane 030-417 t��wl�?c3
TAX MAP '�� �LbTNJ. _�)7_5UBOIVISION
OWNER t 7 in• r, ' ADDRESS �� � Y'k.3flC�il"+iE3 �
BUILDER __— r��'r 131.0• k?noi 9?4 -- 5TA F REG NO.5W �- — * EXP.DATE
BUILDER'S PHONE
626--377: - a'LkO.1ti
ARCHITECT_ -- ^1,1r7in�;_ x_17-104 PHONE — ___-- OTHER
STRUCTURE t�l NEW_ REMODEL ADDITION REPAIR C MOVE L- OTHER —_ F1 DEMOLITION
-t RESIDENCE COMM EDUCATION IND RELIGIOUS F! ACCESSORY 11 GARAGE OTHER FENCE
OCCUPANCY _ LAND USE ZONE BLDG TYPE ., FIRE ZONE PLAN CHECK EY HEAT -- —
42J-61,
CJ[R,m 7'm in m, Pt,)LL'�D 24"-3F,° t5T( . T'I T�;,1 �' CtEE�K '.,". _ til, .
13403(ldv) '. r1,T�;�, ,. 140
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA T NO.BEDROOMS VALUE _
�BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RICHT SIDE _
Permit 314. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII DING CODE, ZONING
T — REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 217 If! 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
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,.
State Tax 00
TotalPDCM, - - _ — --- -
�_� _ �C e_ C•- (! � A'pLICANT OR AGENT
t No. 1 � ADDRESS
J
Prapd, V
� ---- ----- --- ------ __ __--.----,--- --PHONE
Rerei .� '
p �, f
Bal.Due __ .-__ �.�C. --
J Issued By- ---_Approved By
DATE INSP, TYPE INSPECTION REMARKS' PLUMBING DATE
" °
Contractor
Permit No. '5-2-36
15� v f3pwo, o[1n-R Rough in I
Fixture i —
`r Final
HEATING
Imo!!/ V Contractor
�- —rc '- ----- Permit No. 47 S f
risor(jll
Rough-In
Final
i
SEWER r—
Final -2 -f7i
DRIVEWAY
Final
Stomi Drainage
(Rain Drain)Final
Sidewalk
Curt)&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregonon 97 97223 C�
Phone: 639-4175
Type of Inspection _
Date Requested 2_ Time A.M.✓ P.M.
Address /3 91(e _ Permit
Owner _ V 4 _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
dq
Presented to Approved
Inspector _._ _ I I Disnpproved
Date _ 2
CALL FOR REINSPECTION
El Yrs A"j NO
�+� � i ►�� � �VlHlnu IVIG�.t�HIVItrHL t'iC_1'11V11 1
Permit N
Description
Table 3A Mechanical Code CITY PRICE AMT
City Of I Igdrd 1) Permit Fee -0- -0- 10.00
1.3125 S.W. Hall Blvd.
P.U. Box?;3397
Tigard, OR 97223 2) Supplemental Permit_ 3.00
639-4175 1) Furnace to 100,000 BTU 600
Incl.ducts&vents l
Furnace 100,000 BTU i
2 incl.ducts 8 vents 7.50
�J Name of Development 3) Floor Furnace 600
'U ( incl.vent
1 Job AddressSuspended heater,wall heater
Address 15 q / L "j Lj � CW , 4) or floor mounted heater _ 8.00
Tex Lot Map No elm L4 iqlil 5) Vent not incl.in 3.00
Lot Block Subdivision 3 _ appliance permit
Nerve r name of business) 6) Repair of heating,ref ig , 6.00
cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP - 6.00
Owner absorp.unit to 100,000 BTU _
City/State Zip 6) Boiler or comp to 3 HP-15 HP 1100
absorp unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 1500
/ e- absorp.unit 1/2-1 million -
Mailing Addre Prone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City/Slate z,p 11 Boller or comp to 50 HP 31,50
absorp,unit 1,750,000 BTU
State Registration No CityBus Tex No 12) Air handling unit to — 50
10,000 CFM
ir handling — —
I he,..',v ackrxyMoige that I have read this application that the information given to t3) A7.50
Alt
+
dling unit
orMreri.that'am the owner or autnonted agent of the owner,that plans submitted are in — - -
mmpllar"w,Ih Stets laws,that 1 am registered wtth the Slate Builders'Board,that NMmb Non portable 50
nuet giver is correct.(it exempt from State registration please give reason below) 14) evaporate cooler
15 Vent fan connected L/ 3.0f1 / 2
to a s'ngle duct L
t 6) Ventilation system not 4.50
Included in appliance permit —
_-- ------__ -. -----___--__� Hood served by
17) mechanical exhaust t' 4.50 ��.J�
-
SligirwAn(ownsir *o«ril _—._ oft Is) nomesttyp
ic e 1.50
Describe work El addition C] alteration C7 repair p Incinerator
to be tions residential —non-residential Ll tti) Commercial or Industrial
� —..__ - type Incinerator 30.00
Existing use of - -
building or property..___�,;�.c.�J ,QC� - -_T— 20) Other i.e.,wood-..rve,water 4.50
Proposed use o1 heater,solar,clothes dryers,etc. _
building or property 21) Gas piping oris to lour outlets ( 2.00 ?.
l Type of fuel- oil ❑ natural pas [� LPG F] electric C1���------ ~-• 22) More than 4-per outlet
NOTIC SUWTOTAL (1,st
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 4%SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUS-TOTAL fi 6
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL
Special Conditions
I
Date issued - . _ .-- - --_-__by
I