13435 SW BRITTANY DRIVE 1
Y
4 BRITTANY13435 SW DVVE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-417
Type of Inspection
Dj1 Requested-_-_- _ n A P.^
Address5
-_.r.�� 3i(��.J
Permit # �C _8
Owner _ _— Lot #_
iluiider _ IC
The f_Motiving Building Code deficiencies are required to he corrected:
Presented to _ Approved
1
Inspector Disapproved
[nate
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit#
Description — ---
Toble 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee _ _ 0 -0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit - 3.00
639-4175 ) Furnace to 100,000 BTU
incl.ducts&vents 6.00
Furnace 100,000 BTU + 7.50
`) incl.ducts&vents
Name of D-velopment 3) Floor Furnace 6.00
_ incl.vent
Job Address 4) Suspended heater,wall heater 6.00
Address r i t—)�� Ire, _ or flo-_mounted heater -
Tax Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name(or name of business) — 6) Repair of nesting,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 8) Boiler or comp to 3 HP-15 HP 11 00
absorp.unit to 500,000 BTU _
Name — Boiler or comp 15-30 HP
15.00
absorp.unit 1,12.1 million _
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor cily'state Zip 11 Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City B, Tax No 12) Air handling unit to 10,000 CFM 4.50
I hereby acknowledge that I have reed this application that the information given Is t 3) Air handling unit
1�,�0�CFM + 7.5U
correct,that I am'he owner or authorized agent of the owner,that plans submitted are In
compliance with,)tate laws,that I am registered with the State Builders'Board,that thet 4) Non portable 4.50
number given is rrect.(it exempt from State registration please give reason below). evaporate cooler
15) Vent fan connected 3.00
to a single duct
Ventilation system not
included in appliance permit 4.50
Hood served b%
17 mechanical exhaust 4.50
Sign•iture(owner or agent) Date 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration [7 repair ❑ incinerator
to be done residential ❑ non-residential I-] Commerc ial or industrial
19) type incinerator 30.00
Existing use of - --
building or properly, - 20) Other i.i. woodstove,water 4.50
Proposed use of heater,s olar,clothes dryers,etc.
building or property_ - 21) Ge;piping o,:4 to four outlets 2.00
Type of fuel- oil ❑ natural gas [7 LPG ❑ electric ❑ —
22) More than 4-per ot,tlet
NOTIQ EUS-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEI OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- — -
WORK IS COMMENCED. TOTAL
Special Conditions _
-- ----- -- - - Date issued. -- -- by
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INSPECTION NOTICE
City of Tigaid Building Department
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-417,
Type of I nspectionritJ .
Date Requested Time 2\ A.M. P.M.
Address
Address 3 5" (i{� _ _ Permit #_-_7e�a
Owner _-- - Lot # — ---
Builder
The fc.!lowing Building Code deficiencies ere required to be corrected: I
I�
I
IPresented to `
Approved
Inspector _
❑ Disapproved
1 Date
CALL FOR REINSPECTION
EJ YES NO
BUILDING PERMIT APPLICATION TIGAR0 DATE 4905
-I`iE UIrDERSIGNED HEREBY APPLIES FOR A PERM FOR i HF V.UHK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO.__1,3___ .
OWNER __c-qn.tyrr 2 L_Homs JOB ADDRESS _13435 SV) Isn.ttany Dr. ___.._ht r1j ,ware I
TUmilail:10CHITECT
ENGINEER
BUILDER JAtne ADDRESS 11Gfi SN Eiaj'Ielfern DESIGNER
STRUCTURE^ _M NEW ❑ REMODEL O ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
OE RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ K-!—.LAND USE ZONE _J_tnMBLDG.TYPE 514 FIRE ZONE_ PLAN CHECK BY J!jd HEAT_.__
__ __—Oe Vit'`-'�=_->Ei�__���•x._.s�ltin� x/attached g�u�e•
2 be-throom 3 dedrv,..
SEWERPERMIT# 27915 Ge rage-4 It.)
OCC.LOAD i FLOOR LOAD 40 HEIGHT 16+— N_O.STORIEi3 I AREA 133$ NQ.BEDROOMS_ VALUE a�
BUILDING DEPARTMENT SET BACKS FRONT 26 REAR LEFT SIDERIGHT SIDE r,
Permit SO7.UtJ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON!uC'
REGIJI_AT'iONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 199.55 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
Sub-tutal 506.55 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12.28
- SDC-. _, ,.,., .
Total 51N.�t3 !i().UU r :'�T 11:1. ', /11.��.�s' ,/ I.
PDC4 of�u�l AP LI ANT R AGE .i_
By tai ... ���. 250.00
Receipt No. ADDRESS — PHONE
Apps oved
DATE INSI. TYPE INSPECTION REMARKS PLUMBING OATF.
ni
.0 Final i
HEATING
Permit No
Gas or Oil
Rrniph.in
Final .
—St WFR
1 pRl'IPWAY
_ —.'I .. _ __ ___—__._+-- — _._�— _ Final
(Rain Dr,m)final 1
Sidewalk
_ Cu,h:St►eat Final
NL1N3. DEI+T h'INAl -I Mi ORARY ^4F:•rIFIGa'I�OCCUPANC'' Final ----�� -
CFIlT1�ICPT6 OCCUPAW.Y _
� lends.,,piny ._ ...�.
Znni�p Final '� I �,—