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INSPECTION NOTICE
City of Tigard Building Dopo/unr"t
12420S.W. Main 5t.
Tigard, Oregon 07233
Phone 639-4171,
Addresit
Permit
Type of lnspc�.-von
Thp folkwing Building Code deficiencies are required to be corrected: 7 )
-------'
Presented to
_---____- lr.,peetor
Date
(ALL FORRE/1-GREMON
[]YES [] mo
_ _
I
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Wain St.
Tigard, Oregon 97223
Phone 639-4171
Address_ �]d�w i `'µ-( .rSi 5�. _. .�... _ --___ Permit
Type of Inspection ------- —�• , i'x' �..,, -- —_
The following Building Code deficiencies are required to be corrected:
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Nresented to Inspector
Dato
CALL FOR RFN1dSx'EC77ON
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address --- - -------._:._ J c.rlr� �' _. Permit #----- --_
Type of Inspection
The following Building Cnde deficiencies are required to be corrected:
Presented to._ . _ Inspector
Date —--- - —_— ----—- ---(ALL FOR REWSPECTlON
C] VES C7 NO
o i f ig a rd M echcan ical Permit �jn Permit
Fee_ �,Ce
New Installation J.2' Replace ❑ Relocatiun ❑ Addition ❑ Alteration ❑ 4%State .,Zg
TOTAL_,
r
HEATING � ---'
CONI"RACTOR ?�i�t _ "uy �L s„ ys� OWNE
ADDRESS-Q, B. � �� r ,����! WORK ADDRESS
PF!OPJc _i�� �?��.� 4 boo
APPLIC.\NT
Neat Input Rating (BTU Per Hwr) kenr: Vent Size
FUEL OIL ❑ GAS VELECT ❑T
t
ITEM N0. FEE ITEM NO. FEE
For Issuance of Permit SEE ABOV_E _ Air Condition Compressor 15 to 30 HP 10.00 �+
New-up to & inc1.100,000 $TU 4.00 _ Air Handling 10,!•00 CFM _3.00 r
Lle�w-100;001. BTU's & over 5.00 _Air Handling Over 10 000 CFM 5.00 1�
Floor Furnace1
_ 4.0_0 Evaporative Cooler 3.00 *,
Hail • Floor •Sus ander
_ h i � � 4.00 �Flange Vent Fan 2.00V01, �
i.
lnsta.l Vents Only _ _ 2.00_ Vent System 3.00 ''
Re;3air-Heat& Cooling 4.00 Hood Commercia.
Air Condition Compressor Under 3 HP _ _ 4.00 -Commercial Duct Syst_arn 100,00
Air Condition Corepressor 3 to 15 HP 7.50 -
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INSPECTOR'S COMMENTS I
CITY BUSINESS IICFNSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
QPPRO,/ED BY DATE _ ISSUED BY—_ _ _ TATE
RECEIPT NO. f �"
>>. /��
Signature of A-pilicatV
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BUILDING PERMIT APPLICATION TIGARD DATE _ I � 19. r80 3076
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1339-024:3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION& OWNER PHONE _
LOT NO. 18-E1 ac Bun
OWNER CIfiV•L.-J,IOBADDRESS ib646 i a black 6-ia Rulaii Lr- r
ARCHITECT
ENGINEER
BUILDER sameADDRESS �1wj540.) SW 116th DESIGNER John Adaq
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IN RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIOIOUS ❑ PATIO ❑ CARPORT O GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY it-3 LAND USE ZONE Ic--7 BLDG.TYPE :-N FIRE ZONE—A—PLAN CHECK BY OWI HEAT—
Construct
EAT Construct single family dwelling w/attached garagd. 4 Bedrooms - 3 Baths.
SEE CORRECTION SKEET ATTACHED.
SEWERPERMITN 21147 — j70a.QIJ garnge
OCC.LOAD _ FLOOR LOAD 40 HEIGHT 21 NO.STORIES 7 AREA 20013 NO.BEDROOMS 4 VALUEbb2,60 U.
BUILDING DEPARTMENT SETBACKS FRONT 2.0 REAR i LEFT SIDE 1 RIGHT SIDE 18
IPermit 113.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN '4E BUILDING CODE, ZONING
Plan Check 106. 50 WORK
AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 13 H'REBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS,''•.DANCE OF THIS PEWviii DOES NOT WANE
Subtotal 319.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
0.52
sec - 05400.00
Total 3213.02 _
By
PDC# I I 11(10.0 PPLICANTORAGENT �`--
— >P
Receipt
Approved I)1,IN —— I t No.
_J ADDRESS PHONE
i
REMARKS PLUMBING DATE
DATE INSP, TYPI[ INSPECTION _-
-"T-- Contractor c�j� ��D �77QC�
STN
Permit No.
Rough in
3-Az 161
Fixture
Final -
- /—0k,—
�
S-3 ^�� HEATING
Contractor
�1 ��—•—� Permit No• ��— �'
Got or Oil
—_—_ — --- Raugh-in _-
-- -- J Final
—.---• — -- — -- — — SEWER ,
Final
Final
—' — -- -- Storm Drainagr
--" ------ ^-- ��{— — IRain Drain)Final —
—____.— -- ------------ ____----- — Sidewalk
Curb b Street Final
-- — -- - — --- -- Approach
DEPT. FINAL TEMPORARY CERTIFICATE OCCL4'A( Y Final _
CERTIFICATE OCCUPANCY ,�( SL_
V 1 � Landscaping
Zoning Final -
it